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GROUP INSURANCE PLAN 401k Plan overview

Plan NameGROUP INSURANCE PLAN
Plan identification number 510

GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Long-term disability cover
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

FOREST CITY ENTERPRISES, INC. has sponsored the creation of one or more 401k plans.

Company Name:FOREST CITY ENTERPRISES, INC.
Employer identification number (EIN):340863886
NAIC Classification:531390
NAIC Description:Other Activities Related to Real Estate

Additional information about FOREST CITY ENTERPRISES, INC.

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1960-03-26
Company Identification Number: 289329
Legal Registered Office Address: 50 PUBLIC SQUARE, SUITE 1360
-
CLEVELAND
United States of America (USA)
44113

More information about FOREST CITY ENTERPRISES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5102015-01-01THOMAS H RIEGER EMILY HOLIDAY2016-10-17

Plan Statistics for GROUP INSURANCE PLAN

401k plan membership statisitcs for GROUP INSURANCE PLAN

Measure Date Value
2015: GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012,960
Total number of active participants reported on line 7a of the Form 55002015-01-012,781
Number of retired or separated participants receiving benefits2015-01-01215
Total of all active and inactive participants2015-01-012,996
Total participants2015-01-012,996

Form 5500 Responses for GROUP INSURANCE PLAN

2015: GROUP INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HAWAII MEDICAL SERVICE ASSOC. (National Association of Insurance Commissioners NAIC id number: 49948 )
Policy contract number95740-1-3
Policy instance 1
Insurance contract or identification number95740-1-3
Number of Individuals Covered172
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $1,173,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 47029 )
Policy contract number12221977 0001
Policy instance 11
Insurance contract or identification number12221977 0001
Number of Individuals Covered1383
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $225,350
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number94958
Policy instance 10
Insurance contract or identification number94958
Number of Individuals Covered50
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedP/T AD&D
Welfare Benefit Premiums Paid to CarrierUSD $24
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number94958
Policy instance 9
Insurance contract or identification number94958
Number of Individuals Covered925
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $8,981
Total amount of fees paid to insurance companyUSD $6,028
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $300,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,981
Amount paid for insurance broker fees6028
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number94958
Policy instance 8
Insurance contract or identification number94958
Number of Individuals Covered2248
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $15,873
Total amount of fees paid to insurance companyUSD $15,886
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $800,453
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,873
Amount paid for insurance broker fees15886
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON DELAWARE, INC.
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number94958
Policy instance 7
Insurance contract or identification number94958
Number of Individuals Covered1548
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $975,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number843604
Policy instance 6
Insurance contract or identification number843604
Number of Individuals Covered650
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $29,165
Total amount of fees paid to insurance companyUSD $40
Other welfare benefits providedADMINISTRATION CONTRACT
Welfare Benefit Premiums Paid to CarrierUSD $900,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $29,165
Amount paid for insurance broker fees40
Insurance broker organization code?3
Insurance broker nameADVANTAGE CONSULTANTS AGENCY
CAREMARK (National Association of Insurance Commissioners NAIC id number: )
Policy contract numberFCERX
Policy instance 5
Insurance contract or identification numberFCERX
Number of Individuals Covered1411
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Welfare Benefit Premiums Paid to CarrierUSD $2,699,254
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AIG (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract numberGTP 0009115281
Policy instance 4
Insurance contract or identification numberGTP 0009115281
Number of Individuals Covered2781
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedBUSINESS TRAVEL AND ACCIDENT
Welfare Benefit Premiums Paid to CarrierUSD $14,119
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number103291-000
Policy instance 3
Insurance contract or identification number103291-000
Number of Individuals Covered125
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $621,034
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number21011-0000
Policy instance 2
Insurance contract or identification number21011-0000
Number of Individuals Covered82
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Health Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $599,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number3335226
Policy instance 12
Insurance contract or identification number3335226
Number of Individuals Covered1831
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $82,746
Welfare Benefit Premiums Paid to CarrierUSD $827,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $82,746
Insurance broker organization code?3
Insurance broker nameADVANTAGE CONSULTANTS AGENCY, INC.

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