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AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 401k Plan overview

Plan NameAMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN
Plan identification number 502

AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

AMERISURE MUTUAL INSURANCE COMPANY 401K SAVINGS PLAN has sponsored the creation of one or more 401k plans.

Company Name:AMERISURE MUTUAL INSURANCE COMPANY 401K SAVINGS PLAN
Employer identification number (EIN):380829210
NAIC Classification:524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022016-01-01ANGELA MCBRIDE
5022015-01-01ANGELA MCBRIDE
5022014-01-01ANGELA MCBRIDE
5022013-01-01ANGELA MCBRIDE
5022012-01-01ANGELA MCBRIDE
5022011-01-01ANGELA MCBRIDE
5022010-01-01ANGELA MCBRIDE

Plan Statistics for AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

401k plan membership statisitcs for AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

Measure Date Value
2016: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01310
Total of all active and inactive participants2016-01-010
Total participants2016-01-010
2015: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01319
Number of retired or separated participants receiving benefits2015-01-01310
Total of all active and inactive participants2015-01-01310
Total participants2015-01-01310
2014: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01339
Number of retired or separated participants receiving benefits2014-01-01319
Total of all active and inactive participants2014-01-01319
Total participants2014-01-01319
2013: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01367
Number of retired or separated participants receiving benefits2013-01-01339
Total of all active and inactive participants2013-01-01339
Total participants2013-01-01339
2012: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01380
Number of retired or separated participants receiving benefits2012-01-01367
Total of all active and inactive participants2012-01-01367
Total participants2012-01-01367
2011: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01395
Number of retired or separated participants receiving benefits2011-01-01380
Total of all active and inactive participants2011-01-01380
Total participants2011-01-01380
2010: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01420
Number of retired or separated participants receiving benefits2010-01-01395
Total of all active and inactive participants2010-01-01395
Total participants2010-01-01395

Form 5500 Responses for AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN

2016: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 filingYes
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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 – InsuranceYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 – InsuranceYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 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 – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2010: AMERISURE MUTUAL INSURANCE COMPANY RETIREE MEDICAL PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
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 – InsuranceYes
2010-01-01Plan funding arrangement – General assets of the sponsorYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract number003324900
Policy instance 1
Insurance contract or identification number003324900
Number of Individuals Covered395
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Health Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Welfare Benefit Premiums Paid to CarrierUSD $60,767
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 name

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