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HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 401k Plan overview

Plan NameHOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN
Plan identification number 522

HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HOOPER HOLMES, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOOPER HOLMES, INC.
Employer identification number (EIN):221659359
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5222016-01-01KRISTEN GOEHL KRISTEN GOEHL2017-10-09
5222015-01-01KRISTEN GOEHL KRISTEN GOEHL2016-08-22
5222014-01-01KRISTEN GOEHL KRISTEN GOEHL2015-07-29
5222013-01-01KRISTEN GOEHL KRISTEN GOEHL2014-10-15
5222012-01-01RICHARD DALESANDRO RICHARD DALESANDRO2013-07-08
5222011-01-01RICHARD DALESANDRO
5222010-01-01RICHARD DALESANDRO
5222009-01-01RICHARD DALESANDRO

Plan Statistics for HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN

401k plan membership statisitcs for HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN

Measure Date Value
2016: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,232
Total number of active participants reported on line 7a of the Form 55002016-01-011,232
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,232
2015: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,232
Total number of active participants reported on line 7a of the Form 55002015-01-011,232
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,232
2014: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,232
Total number of active participants reported on line 7a of the Form 55002014-01-011,232
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-011,232
2013: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01736
Total number of active participants reported on line 7a of the Form 55002013-01-011,232
Total of all active and inactive participants2013-01-011,232
2012: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01905
Total number of active participants reported on line 7a of the Form 55002012-01-01736
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01736
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01736
Number of participants with account balances2012-01-010
2011: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01902
Total number of active participants reported on line 7a of the Form 55002011-01-01906
Number of retired or separated participants receiving benefits2011-01-010
Total of all active and inactive participants2011-01-01906
Total participants2011-01-01906
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011,081
Total number of active participants reported on line 7a of the Form 55002010-01-01904
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01904
Total participants2010-01-01904
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,298
Total number of active participants reported on line 7a of the Form 55002009-01-011,080
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,080
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-011,080
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Form 5500 Responses for HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN

2016: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: HOOPER HOLMES, INC. BUSINESS TRAVEL AND ACCIDENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered1232
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $366
Total amount of fees paid to insurance companyUSD $366
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $366
Insurance broker organization code?3
Amount paid for insurance broker fees366
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE FEES
Insurance broker nameREUBEN WARNER ASSOCIATES, INC.
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered1232
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $366
Total amount of fees paid to insurance companyUSD $366
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $366
Insurance broker organization code?3
Amount paid for insurance broker fees366
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE FEES
Insurance broker nameREUBEN WARNER ASSOCIATES, INC.
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered1232
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $366
Total amount of fees paid to insurance companyUSD $336
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $2,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $366
Insurance broker organization code?3
Amount paid for insurance broker fees336
Additional information about fees paid to insurance brokerMARKETING AND ADMINISTRATIVE FEES
Insurance broker nameREUBEN WARNER ASSOCIATES, INC.
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered736
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $366
Other welfare benefits providedBUSINESS TRAVEL - AD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $366
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES LLC
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered906
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $367
Other welfare benefits providedBUSINESS TRAVEL - AD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU 4379950
Policy instance 1
Insurance contract or identification numberGTU 4379950
Number of Individuals Covered904
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $367
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedBUSINESS TRAVEL - AD&D
Welfare Benefit Premiums Paid to CarrierUSD $2,447
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $367
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES

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