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TRAVEL AND ACCIDENT INSURANCE 401k Plan overview

Plan NameTRAVEL AND ACCIDENT INSURANCE
Plan identification number 505

TRAVEL AND ACCIDENT INSURANCE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

INTERNATIONAL UNION, UAW has sponsored the creation of one or more 401k plans.

Company Name:INTERNATIONAL UNION, UAW
Employer identification number (EIN):380679801
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRAVEL AND ACCIDENT INSURANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052015-01-01GARY CASTEEL
5052014-01-01GARY CASTEEL
5052013-01-01GARY CASTEEL
5052011-01-01DENNIS D. WILLIAMS DENNIS D. WILLIAMS2013-01-24
5052009-08-01DENNIS D. WILLIAMS
5052009-08-01 DENNIS D. WILLIAMS2011-02-15
5052009-08-01 DENNIS D. WILLIAMS2011-02-15
5052008-08-01MARY ELIZABETH BUNN

Plan Statistics for TRAVEL AND ACCIDENT INSURANCE

401k plan membership statisitcs for TRAVEL AND ACCIDENT INSURANCE

Measure Date Value
2015: TRAVEL AND ACCIDENT INSURANCE 2015 401k membership
Total participants, beginning-of-year2015-01-01488
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-010
2014: TRAVEL AND ACCIDENT INSURANCE 2014 401k membership
Total participants, beginning-of-year2014-01-01832
Total number of active participants reported on line 7a of the Form 55002014-01-01488
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01488
2013: TRAVEL AND ACCIDENT INSURANCE 2013 401k membership
Total participants, beginning-of-year2013-01-01759
Total number of active participants reported on line 7a of the Form 55002013-01-01832
Total of all active and inactive participants2013-01-01832
2011: TRAVEL AND ACCIDENT INSURANCE 2011 401k membership
Total participants, beginning-of-year2011-01-01766
Total number of active participants reported on line 7a of the Form 55002011-01-01509
Number of retired or separated participants receiving benefits2011-01-01250
Total of all active and inactive participants2011-01-01759
Total participants2011-01-01759
2009: TRAVEL AND ACCIDENT INSURANCE 2009 401k membership
Total participants, beginning-of-year2009-08-01851
Total number of active participants reported on line 7a of the Form 55002009-08-01483
Number of retired or separated participants receiving benefits2009-08-01250
Total of all active and inactive participants2009-08-01733
Total participants2009-08-01733
2008: TRAVEL AND ACCIDENT INSURANCE 2008 401k membership
Total participants, beginning-of-year2008-08-01855
Total number of active participants reported on line 7a of the Form 55002008-08-01601
Number of retired or separated participants receiving benefits2008-08-01250
Total of all active and inactive participants2008-08-01851
Total participants2008-08-01851

Form 5500 Responses for TRAVEL AND ACCIDENT INSURANCE

2015: TRAVEL AND ACCIDENT INSURANCE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01This submission is the final filingYes
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: TRAVEL AND ACCIDENT INSURANCE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: TRAVEL AND ACCIDENT INSURANCE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2011: TRAVEL AND ACCIDENT INSURANCE 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 planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: TRAVEL AND ACCIDENT INSURANCE 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedYes
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planYes
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan benefit arrangement – InsuranceYes
2008: TRAVEL AND ACCIDENT INSURANCE 2008 form 5500 responses
2008-08-01Type of plan entitySingle employer plan
2008-08-01Submission has been amendedNo
2008-08-01This submission is the final filingNo
2008-08-01This return/report is a short plan year return/report (less than 12 months)No
2008-08-01Plan is a collectively bargained planYes
2008-08-01Plan funding arrangement – InsuranceYes
2008-08-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB131021
Policy instance 1
Insurance contract or identification numberETB131021
Number of Individuals Covered488
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameDALY-MERRRITT INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB131021
Policy instance 1
Insurance contract or identification numberETB131021
Number of Individuals Covered488
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameDALY-MERRRITT INC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberETB131021
Policy instance 1
Insurance contract or identification numberETB131021
Number of Individuals Covered832
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,293
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,293
Insurance broker nameDALY-MERRRITT INC
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number0-1608909
Policy instance 1
Insurance contract or identification number0-1608909
Number of Individuals Covered759
Insurance policy start date2011-08-01
Insurance policy end date2012-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $53,656
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number0-1608909
Policy instance 1
Insurance contract or identification number0-1608909
Number of Individuals Covered766
Insurance policy start date2010-08-01
Insurance policy end date2011-07-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $543,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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