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WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 401k Plan overview

Plan NameWM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION
Plan identification number 503

WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

WM. WRIGLEY JR. COMPANY has sponsored the creation of one or more 401k plans.

Company Name:WM. WRIGLEY JR. COMPANY
Employer identification number (EIN):361988190
NAIC Classification:311300
NAIC Description: Sugar and Confectionery Product Manufacturing

Additional information about WM. WRIGLEY JR. COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date: 1927-10-18
Company Identification Number: 0224524
Legal Registered Office Address: Corporation Trust Center
1209 Orange St
Wilmington
United States of America (USA)
19801

More information about WM. WRIGLEY JR. COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01DONNA FARINO DAWN GAGLIANO2018-10-03
5032016-01-01MAYELA STUPARITZ
5032015-01-01MAYELA STUPARITZ
5032014-01-01ANTHONY R. GEDELLER
5032013-01-01ANTHONY GEDELLER ANTHONY GEDELLER2014-10-15
5032012-01-01ANTHONY R. GEDELLER
5032011-01-01ANTHONY R. GEDELLER
5032010-01-01ANTHONY R. GEDELLER
5032009-01-01ANTHONY R. GEDELLER ANTHONY R. GEDELLER2010-10-21
5032009-01-01ANTHONY R. GEDELLER ANTHONY R. GEDELLER2010-10-14

Plan Statistics for WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

401k plan membership statisitcs for WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Measure Date Value
2017: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 401k membership
Total participants, beginning-of-year2017-01-012,031
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
2016: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 401k membership
Total participants, beginning-of-year2016-01-014,787
Total number of active participants reported on line 7a of the Form 55002016-01-012,602
Number of retired or separated participants receiving benefits2016-01-012,031
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-014,633
2015: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-01-013,032
Total number of active participants reported on line 7a of the Form 55002015-01-012,507
Number of retired or separated participants receiving benefits2015-01-012,280
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-014,787
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
2014: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-01-012,883
Total number of active participants reported on line 7a of the Form 55002014-01-012,546
Number of retired or separated participants receiving benefits2014-01-01486
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013,032
2013: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-01-012,707
Total number of active participants reported on line 7a of the Form 55002013-01-012,558
Number of retired or separated participants receiving benefits2013-01-01325
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,883
2012: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-01-012,910
Total number of active participants reported on line 7a of the Form 55002012-01-012,427
Number of retired or separated participants receiving benefits2012-01-01280
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,707
2011: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-01-012,993
Total number of active participants reported on line 7a of the Form 55002011-01-012,596
Number of retired or separated participants receiving benefits2011-01-01314
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-012,910
2010: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 401k membership
Total participants, beginning-of-year2010-01-013,129
Total number of active participants reported on line 7a of the Form 55002010-01-012,667
Number of retired or separated participants receiving benefits2010-01-01326
Total of all active and inactive participants2010-01-012,993
2009: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-01-013,263
Total number of active participants reported on line 7a of the Form 55002009-01-012,821
Number of retired or separated participants receiving benefits2009-01-01308
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-013,129

Financial Data on WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

Measure Date Value
2017 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets from this plan2017-12-31$79,644,819
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,833,004
Total income from all sources (including contributions)2017-12-31$18,319,827
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$7,613,507
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$6,349,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,846,694
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$72,771,503
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,263,648
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$1,556,956
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,556,956
Administrative expenses professional fees incurred2017-12-31$106,415
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$25,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,137,743
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$177
Administrative expenses (other) incurred2017-12-31$779,184
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$387,101
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$10,706,320
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$68,938,499
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$102,255
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$72,771,326
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$977,790
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$12,916,177
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,708,951
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$5,372,069
Contract administrator fees2017-12-31$275,794
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$3,445,903
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2017-12-31134008324
2016 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,833,004
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$4,479,447
Total income from all sources (including contributions)2016-12-31$41,538,024
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$47,885,706
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$45,425,603
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$33,186,117
Value of total assets at end of year2016-12-31$72,771,503
Value of total assets at beginning of year2016-12-31$79,765,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,460,103
Total interest from all sources2016-12-31$-5,046
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,662,199
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,662,199
Administrative expenses professional fees incurred2016-12-31$163,700
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$25,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$7,696,926
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$177
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$26,991
Administrative expenses (other) incurred2016-12-31$587,467
Liabilities. Value of operating payables at end of year2016-12-31$387,101
Liabilities. Value of operating payables at beginning of year2016-12-31$157,320
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-6,347,682
Value of net assets at end of year (total assets less liabilities)2016-12-31$68,938,499
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$75,286,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$23,211
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$72,771,326
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$79,738,637
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$-5,046
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$3,692,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$6,694,754
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$25,489,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$41,733,536
Contract administrator fees2016-12-31$1,685,725
Liabilities. Value of benefit claims payable at end of year2016-12-31$3,445,903
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$4,322,127
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2016-12-31134008324
2015 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$4,479,447
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$3,909,140
Total income from all sources (including contributions)2015-12-31$39,918,227
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$44,243,485
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$41,884,425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$38,866,782
Value of total assets at end of year2015-12-31$79,765,628
Value of total assets at beginning of year2015-12-31$83,520,579
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,359,060
Total interest from all sources2015-12-31$-14,646
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,958,899
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,958,899
Administrative expenses professional fees incurred2015-12-31$114,026
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$25,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$7,623,302
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$38,290,137
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$26,991
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$28,189
Administrative expenses (other) incurred2015-12-31$754,942
Liabilities. Value of operating payables at end of year2015-12-31$157,320
Liabilities. Value of operating payables at beginning of year2015-12-31$731,270
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-4,325,258
Value of net assets at end of year (total assets less liabilities)2015-12-31$75,286,181
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$79,611,439
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$79,738,637
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$83,492,390
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$-14,646
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$3,594,288
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-892,808
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$31,243,480
Contract administrator fees2015-12-31$1,490,092
Liabilities. Value of benefit claims payable at end of year2015-12-31$4,322,127
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$3,177,870
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31PRICEWATERHOUSE COOPERS LLP
Accountancy firm EIN2015-12-31134008324
2014 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,909,140
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,080,165
Total income from all sources (including contributions)2014-12-31$47,079,156
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$38,869,906
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$36,132,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$38,023,586
Value of total assets at end of year2014-12-31$83,520,579
Value of total assets at beginning of year2014-12-31$73,482,354
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,737,711
Total interest from all sources2014-12-31$-899
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,634,097
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,634,097
Administrative expenses professional fees incurred2014-12-31$114,100
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$25,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$6,881,447
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$36,132,195
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$28,189
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$29,001
Administrative expenses (other) incurred2014-12-31$991,087
Liabilities. Value of operating payables at end of year2014-12-31$731,270
Liabilities. Value of operating payables at beginning of year2014-12-31$260,978
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$8,209,250
Value of net assets at end of year (total assets less liabilities)2014-12-31$79,611,439
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$71,402,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$83,492,390
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$73,453,353
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$-899
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$7,422,372
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$31,142,139
Contract administrator fees2014-12-31$1,632,524
Liabilities. Value of benefit claims payable at end of year2014-12-31$3,177,870
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,819,187
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31PRICEWATERHOUSE COOPERS LLP
Accountancy firm EIN2014-12-31134008324
2013 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,080,165
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,033,829
Total income from all sources (including contributions)2013-12-31$44,544,129
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$31,031,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$29,056,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$29,959,166
Value of total assets at end of year2013-12-31$73,482,354
Value of total assets at beginning of year2013-12-31$59,923,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$1,974,694
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$1,439,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$1,439,007
Administrative expenses professional fees incurred2013-12-31$110,600
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$25,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$6,382,008
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$29,056,990
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$29,001
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$26,213
Administrative expenses (other) incurred2013-12-31$484,194
Liabilities. Value of operating payables at end of year2013-12-31$260,978
Liabilities. Value of operating payables at beginning of year2013-12-31$127,757
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$13,512,445
Value of net assets at end of year (total assets less liabilities)2013-12-31$71,402,189
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$57,889,744
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$73,453,353
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$59,897,360
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$13,145,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$23,577,158
Contract administrator fees2013-12-31$1,379,900
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,819,187
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,906,072
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2013-12-31134008324
2012 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,033,829
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,548,770
Total income from all sources (including contributions)2012-12-31$36,295,733
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$28,476,487
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$27,015,384
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$29,445,688
Value of total assets at end of year2012-12-31$59,923,573
Value of total assets at beginning of year2012-12-31$52,619,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,461,103
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$1,332,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$1,332,702
Administrative expenses professional fees incurred2012-12-31$77,450
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$50,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$5,976,405
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$26,213
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$31,534
Administrative expenses (other) incurred2012-12-31$100,000
Liabilities. Value of operating payables at end of year2012-12-31$127,757
Liabilities. Value of operating payables at beginning of year2012-12-31$656,290
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$7,819,246
Value of net assets at end of year (total assets less liabilities)2012-12-31$57,889,744
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$50,070,498
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$59,897,360
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$52,587,734
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$5,517,343
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$23,469,283
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$27,015,384
Contract administrator fees2012-12-31$1,283,653
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,906,072
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,892,480
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2012-12-31134008324
2011 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,548,770
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,404,482
Total income from all sources (including contributions)2011-12-31$31,353,815
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$29,241,908
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$27,657,285
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$29,386,349
Value of total assets at end of year2011-12-31$52,619,268
Value of total assets at beginning of year2011-12-31$50,363,073
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,584,623
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,197,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,197,500
Administrative expenses professional fees incurred2011-12-31$10,000
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$50,000,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$5,975,761
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$31,534
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$32,446
Other income not declared elsewhere2011-12-31$264,266
Administrative expenses (other) incurred2011-12-31$267,999
Liabilities. Value of operating payables at end of year2011-12-31$656,290
Liabilities. Value of operating payables at beginning of year2011-12-31$623,266
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$2,111,907
Value of net assets at end of year (total assets less liabilities)2011-12-31$50,070,498
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$47,958,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$52,587,734
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$50,330,627
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$505,700
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$23,410,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$27,657,285
Contract administrator fees2011-12-31$1,306,624
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,892,480
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,781,216
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2011-12-31134008324
2010 : WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,404,482
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,645,540
Total income from all sources (including contributions)2010-12-31$36,751,648
Total of all expenses incurred2010-12-31$30,588,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$28,470,376
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$30,975,634
Value of total assets at end of year2010-12-31$50,363,073
Value of total assets at beginning of year2010-12-31$44,440,760
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,117,901
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$1,105,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$1,105,158
Administrative expenses professional fees incurred2010-12-31$23,625
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$75,000,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$5,221,126
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$32,446
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$35,677
Administrative expenses (other) incurred2010-12-31$800,835
Liabilities. Value of operating payables at end of year2010-12-31$623,266
Liabilities. Value of operating payables at beginning of year2010-12-31$556,114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$6,163,371
Value of net assets at end of year (total assets less liabilities)2010-12-31$47,958,591
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$41,795,220
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$50,330,627
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$44,405,083
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$4,670,856
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$25,754,508
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$28,470,376
Contract administrator fees2010-12-31$1,293,441
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,781,216
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$2,089,426
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PRICEWATERHOUSECOOPERS LLP
Accountancy firm EIN2010-12-31134008324

Form 5500 Responses for WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION

2017: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 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 – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: WM. WRIGLEY JR. COMPANY VOLUNTARY EMPLOYEES' BENEFICIARY ASSOCIATION 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0700992-0865267
Policy instance 1
Insurance contract or identification number0700992-0865267
Number of Individuals Covered288
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,060
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80002
Policy instance 2
Insurance contract or identification numberH80002
Number of Individuals Covered27
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $209,350
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 number0149054
Policy instance 3
Insurance contract or identification number0149054
Number of Individuals Covered1864
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $308,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0700992-0865267
Policy instance 1
Insurance contract or identification number0700992-0865267
Number of Individuals Covered5464
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $211,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberH80002
Policy instance 2
Insurance contract or identification numberH80002
Number of Individuals Covered574
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,007,760
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 number0149054
Policy instance 3
Insurance contract or identification number0149054
Number of Individuals Covered2134
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $325,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRIPLE S (National Association of Insurance Commissioners NAIC id number: 55816 )
Policy contract numberSP0003243
Policy instance 4
Insurance contract or identification numberSP0003243
Number of Individuals Covered10
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $49,247

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