401k Plan data: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN plan

FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 401k Plan overview

Plan Name	FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN
Plan identification number	504

FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Temporary disability (accident and sickness)

401k Sponsoring company profile

FARMERS AUTOMOBILE INSURANCE ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name: FARMERS AUTOMOBILE INSURANCE ASSOCIATION

Employer identification number (EIN): 370268670

NAIC Classification: 524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2016-01-01 KIMBERLY S. REMMERT DANIEL V CONNELL 2017-07-18
504 2015-01-01 DANIEL V CONNELL A1333950 2016-07-21
504 2014-01-01 DANIEL V CONNELL DANIEL V CONNELL 2015-07-09
504 2013-01-01 DANIEL V CONNELL DANIEL V CONNELL 2014-06-26
504 2012-01-01 DANIEL V CONNELL DANIEL V CONNELL 2013-07-25
504 2011-01-01 DANIEL V CONNELL DANIEL V CONNELL 2012-07-19
504 2010-01-01 DANIEL V CONNELL DANIEL V CONNELL 2011-07-21
504 2009-01-01 DANIEL V CONNELL DANIEL V CONNELL 2010-07-12

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2016-01-01	KIMBERLY S. REMMERT	DANIEL V CONNELL	2017-07-18
504	2015-01-01	DANIEL V CONNELL	A1333950	2016-07-21
504	2014-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2015-07-09
504	2013-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2014-06-26
504	2012-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2013-07-25
504	2011-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2012-07-19
504	2010-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2011-07-21
504	2009-01-01	DANIEL V CONNELL	DANIEL V CONNELL	2010-07-12

Form 5500 Responses for FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN

2016: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2016-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2015: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2012-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2011: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2011-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2010: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2010-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2009: FARMERS AUTOMOBILE INSURANCE ASSOCIATION SICKNESS BENEFIT PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – General assets of the sponsor	Yes
2009-01-01	Plan benefit arrangement – General assets of the sponsor	Yes

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Company Name:	FARMERS AUTOMOBILE INSURANCE ASSOCIATION
Employer identification number (EIN):	370268670
NAIC Classification:	524150