401k Plan data: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM plan

PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 401k Plan overview

Plan Name	PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM
Plan identification number	501

PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Life insurance Dental Vision Temporary disability (accident and sickness) Prepaid legal Long-term disability cover Death benefits (include travel accident but not life insurance) Other welfare benefit cover

401k Sponsoring company profile

PLASSER AMERICAN CORPORATION has sponsored the creation of one or more 401k plans.

Company Name: PLASSER AMERICAN CORPORATION

Employer identification number (EIN): 362444975

NAIC Classification: 333200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-09-01 JOHN KELLY MANTIL 2023-12-12
501 2021-09-01 ROSS CHERNITZER 2023-02-09
501 2020-09-01 ROSS CHERNITZER 2022-04-25
501 2019-09-01 ROBIN R. LASKOWSKI 2021-03-26
501 2016-09-01 ROBIN R. LASKOWSKI
501 2015-09-01
501 2014-09-01
501 2013-09-01 ROBIN R. LASKOWSKI
501 2012-09-01 ROBIN R. LASKOWSKI
501 2011-09-01 ROBIN R. LASKOWSKI
501 2010-09-01 ROBIN R. LASKOWSKI
501 2009-09-01 ROBIN R. LASKOWSKI

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed
501	2022-09-01	JOHN KELLY MANTIL	2023-12-12
501	2021-09-01	ROSS CHERNITZER	2023-02-09
501	2020-09-01	ROSS CHERNITZER	2022-04-25
501	2019-09-01	ROBIN R. LASKOWSKI	2021-03-26
501	2016-09-01	ROBIN R. LASKOWSKI
501	2015-09-01
501	2014-09-01
501	2013-09-01	ROBIN R. LASKOWSKI
501	2012-09-01	ROBIN R. LASKOWSKI
501	2011-09-01	ROBIN R. LASKOWSKI
501	2010-09-01	ROBIN R. LASKOWSKI
501	2009-09-01	ROBIN R. LASKOWSKI

Plan Statistics for PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM

401k plan membership statisitcs for PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM

Measure Date Value
2022: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2022 401k membership
Total participants, beginning-of-year 2022-09-01 361
Total number of active participants reported on line 7a of the Form 5500 2022-09-01 356
Number of retired or separated participants receiving benefits 2022-09-01 0
Number of other retired or separated participants entitled to future benefits 2022-09-01 0
Total of all active and inactive participants 2022-09-01 356
Number of employers contributing to the scheme 2022-09-01 0
2021: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2021 401k membership
Total participants, beginning-of-year 2021-09-01 294
Total number of active participants reported on line 7a of the Form 5500 2021-09-01 361
Number of retired or separated participants receiving benefits 2021-09-01 0
Number of other retired or separated participants entitled to future benefits 2021-09-01 0
Total of all active and inactive participants 2021-09-01 361
Number of employers contributing to the scheme 2021-09-01 0
2020: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2020 401k membership
Total participants, beginning-of-year 2020-09-01 342
Total number of active participants reported on line 7a of the Form 5500 2020-09-01 294
Number of retired or separated participants receiving benefits 2020-09-01 0
Number of other retired or separated participants entitled to future benefits 2020-09-01 0
Total of all active and inactive participants 2020-09-01 294
Number of employers contributing to the scheme 2020-09-01 0
2019: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2019 401k membership
Total participants, beginning-of-year 2019-09-01 286
Total number of active participants reported on line 7a of the Form 5500 2019-09-01 313
Number of retired or separated participants receiving benefits 2019-09-01 0
Number of other retired or separated participants entitled to future benefits 2019-09-01 29
Total of all active and inactive participants 2019-09-01 342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-09-01 0
Total participants 2019-09-01 342
Number of participants with account balances 2019-09-01 313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-09-01 8
2016: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2016 401k membership
Total participants, beginning-of-year 2016-09-01 239
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 249
Number of retired or separated participants receiving benefits 2016-09-01 3
Number of other retired or separated participants entitled to future benefits 2016-09-01 3
Total of all active and inactive participants 2016-09-01 255
Total participants 2016-09-01 255
Number of participants with account balances 2016-09-01 252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-09-01 2
2015: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2015 401k membership
Total participants, beginning-of-year 2015-09-01 264
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 237
Number of retired or separated participants receiving benefits 2015-09-01 2
Number of other retired or separated participants entitled to future benefits 2015-09-01 17
Total of all active and inactive participants 2015-09-01 256
Total participants 2015-09-01 256
Number of participants with account balances 2015-09-01 239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-09-01 3
2014: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2014 401k membership
Total participants, beginning-of-year 2014-09-01 267
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 258
Number of retired or separated participants receiving benefits 2014-09-01 2
Number of other retired or separated participants entitled to future benefits 2014-09-01 4
Total of all active and inactive participants 2014-09-01 264
Total participants 2014-09-01 264
2013: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2013 401k membership
Total participants, beginning-of-year 2013-09-01 262
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 259
Number of retired or separated participants receiving benefits 2013-09-01 4
Number of other retired or separated participants entitled to future benefits 2013-09-01 4
Total of all active and inactive participants 2013-09-01 267
Total participants 2013-09-01 267
2012: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2012 401k membership
Total participants, beginning-of-year 2012-09-01 257
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 256
Number of retired or separated participants receiving benefits 2012-09-01 2
Number of other retired or separated participants entitled to future benefits 2012-09-01 4
Total of all active and inactive participants 2012-09-01 262
Total participants 2012-09-01 262
2011: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2011 401k membership
Total participants, beginning-of-year 2011-09-01 253
Total number of active participants reported on line 7a of the Form 5500 2011-09-01 249
Number of retired or separated participants receiving benefits 2011-09-01 0
Number of other retired or separated participants entitled to future benefits 2011-09-01 8
Total of all active and inactive participants 2011-09-01 257
Total participants 2011-09-01 257
2010: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2010 401k membership
Total participants, beginning-of-year 2010-09-01 237
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 248
Number of retired or separated participants receiving benefits 2010-09-01 2
Number of other retired or separated participants entitled to future benefits 2010-09-01 3
Total of all active and inactive participants 2010-09-01 253
Total participants 2010-09-01 253
2009: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2009 401k membership
Total participants, beginning-of-year 2009-09-01 221
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 233
Number of retired or separated participants receiving benefits 2009-09-01 2
Number of other retired or separated participants entitled to future benefits 2009-09-01 2
Total of all active and inactive participants 2009-09-01 237
Total participants 2009-09-01 237

Measure	Date	Value
2022: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2022 401k membership
Total participants, beginning-of-year	2022-09-01	361
Total number of active participants reported on line 7a of the Form 5500	2022-09-01	356
Number of retired or separated participants receiving benefits	2022-09-01	0
Number of other retired or separated participants entitled to future benefits	2022-09-01	0
Total of all active and inactive participants	2022-09-01	356
Number of employers contributing to the scheme	2022-09-01	0
2021: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2021 401k membership
Total participants, beginning-of-year	2021-09-01	294
Total number of active participants reported on line 7a of the Form 5500	2021-09-01	361
Number of retired or separated participants receiving benefits	2021-09-01	0
Number of other retired or separated participants entitled to future benefits	2021-09-01	0
Total of all active and inactive participants	2021-09-01	361
Number of employers contributing to the scheme	2021-09-01	0
2020: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2020 401k membership
Total participants, beginning-of-year	2020-09-01	342
Total number of active participants reported on line 7a of the Form 5500	2020-09-01	294
Number of retired or separated participants receiving benefits	2020-09-01	0
Number of other retired or separated participants entitled to future benefits	2020-09-01	0
Total of all active and inactive participants	2020-09-01	294
Number of employers contributing to the scheme	2020-09-01	0
2019: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2019 401k membership
Total participants, beginning-of-year	2019-09-01	286
Total number of active participants reported on line 7a of the Form 5500	2019-09-01	313
Number of retired or separated participants receiving benefits	2019-09-01	0
Number of other retired or separated participants entitled to future benefits	2019-09-01	29
Total of all active and inactive participants	2019-09-01	342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-09-01	0
Total participants	2019-09-01	342
Number of participants with account balances	2019-09-01	313
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-09-01	8
2016: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2016 401k membership
Total participants, beginning-of-year	2016-09-01	239
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	249
Number of retired or separated participants receiving benefits	2016-09-01	3
Number of other retired or separated participants entitled to future benefits	2016-09-01	3
Total of all active and inactive participants	2016-09-01	255
Total participants	2016-09-01	255
Number of participants with account balances	2016-09-01	252
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-09-01	2
2015: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2015 401k membership
Total participants, beginning-of-year	2015-09-01	264
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	237
Number of retired or separated participants receiving benefits	2015-09-01	2
Number of other retired or separated participants entitled to future benefits	2015-09-01	17
Total of all active and inactive participants	2015-09-01	256
Total participants	2015-09-01	256
Number of participants with account balances	2015-09-01	239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-09-01	3
2014: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2014 401k membership
Total participants, beginning-of-year	2014-09-01	267
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	258
Number of retired or separated participants receiving benefits	2014-09-01	2
Number of other retired or separated participants entitled to future benefits	2014-09-01	4
Total of all active and inactive participants	2014-09-01	264
Total participants	2014-09-01	264
2013: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2013 401k membership
Total participants, beginning-of-year	2013-09-01	262
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	259
Number of retired or separated participants receiving benefits	2013-09-01	4
Number of other retired or separated participants entitled to future benefits	2013-09-01	4
Total of all active and inactive participants	2013-09-01	267
Total participants	2013-09-01	267
2012: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2012 401k membership
Total participants, beginning-of-year	2012-09-01	257
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	256
Number of retired or separated participants receiving benefits	2012-09-01	2
Number of other retired or separated participants entitled to future benefits	2012-09-01	4
Total of all active and inactive participants	2012-09-01	262
Total participants	2012-09-01	262
2011: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2011 401k membership
Total participants, beginning-of-year	2011-09-01	253
Total number of active participants reported on line 7a of the Form 5500	2011-09-01	249
Number of retired or separated participants receiving benefits	2011-09-01	0
Number of other retired or separated participants entitled to future benefits	2011-09-01	8
Total of all active and inactive participants	2011-09-01	257
Total participants	2011-09-01	257
2010: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2010 401k membership
Total participants, beginning-of-year	2010-09-01	237
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	248
Number of retired or separated participants receiving benefits	2010-09-01	2
Number of other retired or separated participants entitled to future benefits	2010-09-01	3
Total of all active and inactive participants	2010-09-01	253
Total participants	2010-09-01	253
2009: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2009 401k membership
Total participants, beginning-of-year	2009-09-01	221
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	233
Number of retired or separated participants receiving benefits	2009-09-01	2
Number of other retired or separated participants entitled to future benefits	2009-09-01	2
Total of all active and inactive participants	2009-09-01	237
Total participants	2009-09-01	237

Form 5500 Responses for PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM

2022: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2022 form 5500 responses
2022-09-01	Type of plan entity	Single employer plan
2022-09-01	Plan funding arrangement – Insurance	Yes
2022-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2022-09-01	Plan benefit arrangement – Insurance	Yes
2022-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2021: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2021 form 5500 responses
2021-09-01	Type of plan entity	Single employer plan
2021-09-01	Plan funding arrangement – Insurance	Yes
2021-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2021-09-01	Plan benefit arrangement – Insurance	Yes
2021-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2020: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2020 form 5500 responses
2020-09-01	Type of plan entity	Single employer plan
2020-09-01	Plan funding arrangement – Insurance	Yes
2020-09-01	Plan funding arrangement – General assets of the sponsor	Yes
2020-09-01	Plan benefit arrangement – Insurance	Yes
2020-09-01	Plan benefit arrangement – General assets of the sponsor	Yes
2019: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2019 form 5500 responses
2019-09-01	Type of plan entity	Single employer plan
2019-09-01	Plan funding arrangement – Insurance	Yes
2019-09-01	Plan benefit arrangement – Insurance	Yes
2016: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2011: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2011 form 5500 responses
2011-09-01	Type of plan entity	Single employer plan
2011-09-01	Plan funding arrangement – Insurance	Yes
2011-09-01	Plan benefit arrangement – Insurance	Yes
2010: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes
2009: PLASSER AMERICAN CORPORATION EMPLOYEES' GROUP INSURANCE PROGRAM 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0BV3Y
Policy instance	4
LEGAL SERVICES (National Association of Insurance Commissioners NAIC id number: 48402 )
Policy contract number	PLASSER
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR050527
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	42571
Policy instance	1
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract number	GLTD0BV3Y
Policy instance	4
LEGAL SERVICES (National Association of Insurance Commissioners NAIC id number: 48402 )
Policy contract number	PLASSER
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR050527
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	42571
Policy instance	1
LEGAL RESOURCES (National Association of Insurance Commissioners NAIC id number: 48402 )
Policy contract number	PLASSER
Policy instance	4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	522954
Policy instance	3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR050527
Policy instance	2
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	42571
Policy instance	1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number	00522954
Policy instance	6
LEGAL RESOURCES (National Association of Insurance Commissioners NAIC id number: 48402 )
Policy contract number
Policy instance	5
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	VAR 050527
Policy instance	4
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	42571
Policy instance	3
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	9933105
Policy instance	2
ANTHEM BLUE CROSS AND BLUE SHIELD (National Association of Insurance Commissioners NAIC id number: 71835 )
Policy contract number	43663
Policy instance	1

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Company Name:	PLASSER AMERICAN CORPORATION
Employer identification number (EIN):	362444975
NAIC Classification:	333200