| Plan Name | MTU DETROIT DIESEL PENSION PLAN |
| Plan identification number | 004 |
| 401k Plan Type | Defined Benefit Pension |
| Plan Features/Benefits |
|
| Company Name: | ROLLS-ROYCE SOLUTIONS AMERICA INC. |
| Employer identification number (EIN): | 222209594 |
| NAIC Classification: | 333610 |
Additional information about ROLLS-ROYCE SOLUTIONS AMERICA INC.
| Jurisdiction of Incorporation: | Texas Secretary of State |
| Incorporation Date: | 1978-07-11 |
| Company Identification Number: | 0004317206 |
| Legal Registered Office Address: |
39525 MACKENZIE DR NOVI United States of America (USA) 48377 |
More information about ROLLS-ROYCE SOLUTIONS AMERICA INC.
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 004 | 2018-01-01 | ||||
| 004 | 2014-01-01 | PATRICK KAPUSTA | |||
| 004 | 2013-01-01 | PATRICK KAPUSTA | |||
| 004 | 2012-01-01 | PATRICK KAPUSTA |
| Measure | Date | Value |
|---|---|---|
| 2018 : MTU DETROIT DIESEL PENSION PLAN 2018 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2018-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $15,985 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-12-31 | $21,041 |
| Total income from all sources (including contributions) | 2018-12-31 | $700,511 |
| Total loss/gain on sale of assets | 2018-12-31 | $0 |
| Total of all expenses incurred | 2018-12-31 | $2,088,623 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $1,995,259 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $2,301,421 |
| Value of total assets at end of year | 2018-12-31 | $25,250,683 |
| Value of total assets at beginning of year | 2018-12-31 | $26,643,851 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $93,364 |
| Total interest from all sources | 2018-12-31 | $34,927 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $1,148,026 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $1,148,026 |
| Was this plan covered by a fidelity bond | 2018-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Contributions received from participants | 2018-12-31 | $1,110,923 |
| Participant contributions at end of year | 2018-12-31 | $851,260 |
| Participant contributions at beginning of year | 2018-12-31 | $932,617 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-12-31 | $31,043 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-12-31 | $15,985 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-12-31 | $21,041 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-12-31 | $15,985 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-12-31 | $21,041 |
| Administrative expenses (other) incurred | 2018-12-31 | $47,468 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-1,388,112 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $25,234,698 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $26,622,810 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Investment advisory and management fees | 2018-12-31 | $45,896 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $21,555,818 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $22,883,791 |
| Interest on participant loans | 2018-12-31 | $34,927 |
| Value of interest in common/collective trusts at end of year | 2018-12-31 | $2,773,819 |
| Value of interest in common/collective trusts at beginning of year | 2018-12-31 | $2,757,064 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2018-12-31 | $53,801 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2018-12-31 | $49,338 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-12-31 | $756 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-2,827,525 |
| Net investment gain or loss from common/collective trusts | 2018-12-31 | $43,662 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Contributions received in cash from employer | 2018-12-31 | $1,159,455 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $1,994,503 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Disclaimer |
| Accountancy firm name | 2018-12-31 | EIDE BAILLY, LLP |
| Accountancy firm EIN | 2018-12-31 | 450250958 |
| 2014 : MTU DETROIT DIESEL PENSION PLAN 2014 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2014-06-30 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-06-30 | $0 |
| Total income from all sources (including contributions) | 2014-06-30 | $2,600,649 |
| Total loss/gain on sale of assets | 2014-06-30 | $0 |
| Total of all expenses incurred | 2014-06-30 | $10,129,448 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-06-30 | $10,092,503 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-06-30 | $2,600,628 |
| Value of total assets at end of year | 2014-06-30 | $0 |
| Value of total assets at beginning of year | 2014-06-30 | $7,528,799 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-06-30 | $36,945 |
| Total interest from all sources | 2014-06-30 | $21 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-06-30 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-06-30 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2014-06-30 | $0 |
| Administrative expenses professional fees incurred | 2014-06-30 | $4,653 |
| Was this plan covered by a fidelity bond | 2014-06-30 | Yes |
| Value of fidelity bond cover | 2014-06-30 | $1,000,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-06-30 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-06-30 | No |
| Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries) | 2014-06-30 | $1,588,664 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-06-30 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-06-30 | $1,346 |
| Administrative expenses (other) incurred | 2014-06-30 | $32,292 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Value of net income/loss | 2014-06-30 | $-7,528,799 |
| Value of net assets at end of year (total assets less liabilities) | 2014-06-30 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-06-30 | $7,528,799 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-06-30 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-06-30 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-06-30 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2014-06-30 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2014-06-30 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-06-30 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-06-30 | $7,527,453 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-06-30 | $7,527,453 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2014-06-30 | $21 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-06-30 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2014-06-30 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-06-30 | No |
| Contributions received in cash from employer | 2014-06-30 | $2,600,628 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-06-30 | $8,503,839 |
| Did the plan have assets held for investment | 2014-06-30 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-06-30 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-06-30 | Yes |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-06-30 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2014-06-30 | Disclaimer |
| Accountancy firm name | 2014-06-30 | PLANTE & MORAN PLLC |
| Accountancy firm EIN | 2014-06-30 | 381357951 |
| 2013 : MTU DETROIT DIESEL PENSION PLAN 2013 401k financial data | ||
| Total unrealized appreciation/depreciation of assets | 2013-12-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-12-31 | $0 |
| Total income from all sources (including contributions) | 2013-12-31 | $337,504 |
| Total loss/gain on sale of assets | 2013-12-31 | $-43,485 |
| Total of all expenses incurred | 2013-12-31 | $371,533 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-12-31 | $314,468 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-12-31 | $79,349 |
| Value of total assets at end of year | 2013-12-31 | $7,528,799 |
| Value of total assets at beginning of year | 2013-12-31 | $7,562,828 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-12-31 | $57,065 |
| Total interest from all sources | 2013-12-31 | $47,497 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-12-31 | $129,702 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2013-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2013-12-31 | $0 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2013-12-31 | $129,702 |
| Administrative expenses professional fees incurred | 2013-12-31 | $57,065 |
| Was this plan covered by a fidelity bond | 2013-12-31 | Yes |
| Value of fidelity bond cover | 2013-12-31 | $1,000,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-12-31 | $1,346 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-12-31 | $12,454 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Value of net income/loss | 2013-12-31 | $-34,029 |
| Value of net assets at end of year (total assets less liabilities) | 2013-12-31 | $7,528,799 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-12-31 | $7,562,828 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2013-12-31 | $0 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2013-12-31 | $7,081,495 |
| Income. Interest from corporate debt instruments | 2013-12-31 | $47,443 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-12-31 | $7,527,453 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-12-31 | $167,669 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-12-31 | $167,669 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2013-12-31 | $54 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2013-12-31 | $124,441 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2013-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-12-31 | No |
| Contributions received in cash from employer | 2013-12-31 | $79,349 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-12-31 | $314,468 |
| Asset. Corporate debt instrument preferred debt at end of year | 2013-12-31 | $0 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2013-12-31 | $301,210 |
| Did the plan have assets held for investment | 2013-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-12-31 | No |
| Aggregate proceeds on sale of assets | 2013-12-31 | $10,965,399 |
| Aggregate carrying amount (costs) on sale of assets | 2013-12-31 | $11,008,884 |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2013-12-31 | Disclaimer |
| Accountancy firm name | 2013-12-31 | PLANTE & MORAN PLLC |
| Accountancy firm EIN | 2013-12-31 | 381357951 |
| 2012 : MTU DETROIT DIESEL PENSION PLAN 2012 401k financial data | ||
| Unrealized appreciation/depreciation of other (non real estate) assets | 2012-12-31 | $-7,571 |
| Total unrealized appreciation/depreciation of assets | 2012-12-31 | $-7,571 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-12-31 | $0 |
| Total income from all sources (including contributions) | 2012-12-31 | $1,146,026 |
| Total loss/gain on sale of assets | 2012-12-31 | $0 |
| Total of all expenses incurred | 2012-12-31 | $199,892 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-12-31 | $143,733 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-12-31 | $238,047 |
| Value of total assets at end of year | 2012-12-31 | $7,562,828 |
| Value of total assets at beginning of year | 2012-12-31 | $6,616,694 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-12-31 | $56,159 |
| Total interest from all sources | 2012-12-31 | $9,655 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-12-31 | $0 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-12-31 | Yes |
| Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan | 2012-12-31 | $0 |
| Administrative expenses professional fees incurred | 2012-12-31 | $56,159 |
| Was this plan covered by a fidelity bond | 2012-12-31 | Yes |
| Value of fidelity bond cover | 2012-12-31 | $1,000,000 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-12-31 | No |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-12-31 | $12,454 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-12-31 | $10,589 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Value of net income/loss | 2012-12-31 | $946,134 |
| Value of net assets at end of year (total assets less liabilities) | 2012-12-31 | $7,562,828 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-12-31 | $6,616,694 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2012-12-31 | $7,081,495 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2012-12-31 | $5,976,614 |
| Income. Interest from corporate debt instruments | 2012-12-31 | $9,638 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-12-31 | $167,669 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-12-31 | $320,710 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-12-31 | $320,710 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-12-31 | $17 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2012-12-31 | $905,895 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-12-31 | Yes |
| Was there a failure to transmit to the plan any participant contributions | 2012-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-12-31 | No |
| Contributions received in cash from employer | 2012-12-31 | $238,047 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-12-31 | $143,733 |
| Asset. Corporate debt instrument preferred debt at end of year | 2012-12-31 | $301,210 |
| Asset. Corporate debt instrument preferred debt at beginning of year | 2012-12-31 | $308,781 |
| Did the plan have assets held for investment | 2012-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2012-12-31 | Disclaimer |
| Accountancy firm name | 2012-12-31 | PLANTE & MORAN PLLC |
| Accountancy firm EIN | 2012-12-31 | 381357951 |
| 2018: MTU DETROIT DIESEL PENSION PLAN 2018 form 5500 responses | ||
|---|---|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: MTU DETROIT DIESEL PENSION PLAN 2014 form 5500 responses | ||
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | Yes |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: MTU DETROIT DIESEL PENSION PLAN 2013 form 5500 responses | ||
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: MTU DETROIT DIESEL PENSION PLAN 2012 form 5500 responses | ||
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) | |
| Policy contract number | P1957 |
| Policy instance | 1 |