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ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 401k Plan overview

Plan NameASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN
Plan identification number 502

ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Long-term disability cover
  • Severance pay
  • Other welfare benefit cover

401k Sponsoring company profile

ASSURITY LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ASSURITY LIFE INSURANCE COMPANY
Employer identification number (EIN):381843471
NAIC Classification:524140

Additional information about ASSURITY LIFE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date: 1972-08-30
Company Identification Number: 568588
Legal Registered Office Address: PO Box 82533

LINCOLN
United States of America (USA)
68501-2533

More information about ASSURITY LIFE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01SUSAN BECKER THOMAS E. HENNING2018-07-27
5022016-01-01SUSAN BECKER THOMAS E. HENNING2017-07-31
5022015-01-01SUSAN BECKER THOMAS E. HENNING2016-07-14
5022014-01-01SUSAN BECKER THOMAS E. HENNING2015-07-28
5022013-01-01SUSAN BECKER THOMAS E. HENNING2014-07-29
5022012-01-01SUSAN BECKER THOMAS E. HENNING2013-10-03
5022011-01-01JANICE A. ZOUCHA THOMAS E. HENNING2012-07-25
5022010-01-01JANICE A. ZOUCHA THOMAS E. HENNING2011-07-20
5022009-01-01JANICE A. ZOUCHA THOMAS E. HENNING2010-07-23
5022009-01-01JANICE A. ZOUCHA THOMAS E. HENNING2010-11-18

Plan Statistics for ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN

401k plan membership statisitcs for ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN

Measure Date Value
2022: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01406
Total number of active participants reported on line 7a of the Form 55002022-01-01392
Number of retired or separated participants receiving benefits2022-01-0123
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01415
2021: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01401
Total number of active participants reported on line 7a of the Form 55002021-01-01380
Number of retired or separated participants receiving benefits2021-01-0126
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01406
2020: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01410
Total number of active participants reported on line 7a of the Form 55002020-01-01374
Number of retired or separated participants receiving benefits2020-01-0127
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01401
2019: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01421
Total number of active participants reported on line 7a of the Form 55002019-01-01378
Number of retired or separated participants receiving benefits2019-01-0132
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01410
2018: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01414
Total number of active participants reported on line 7a of the Form 55002018-01-01384
Number of retired or separated participants receiving benefits2018-01-0137
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01421
2017: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01417
Total number of active participants reported on line 7a of the Form 55002017-01-01374
Number of retired or separated participants receiving benefits2017-01-0140
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01414
2016: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01434
Total number of active participants reported on line 7a of the Form 55002016-01-01377
Number of retired or separated participants receiving benefits2016-01-0140
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01417
2015: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01422
Total number of active participants reported on line 7a of the Form 55002015-01-01390
Number of retired or separated participants receiving benefits2015-01-0144
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01434
2014: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01428
Total number of active participants reported on line 7a of the Form 55002014-01-01376
Number of retired or separated participants receiving benefits2014-01-0146
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01422
2013: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01426
Total number of active participants reported on line 7a of the Form 55002013-01-01378
Number of retired or separated participants receiving benefits2013-01-0150
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01428
2012: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01418
Total number of active participants reported on line 7a of the Form 55002012-01-01373
Number of retired or separated participants receiving benefits2012-01-0153
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01426
2011: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01435
Total number of active participants reported on line 7a of the Form 55002011-01-01362
Number of retired or separated participants receiving benefits2011-01-0156
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-01418
2010: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01481
Total number of active participants reported on line 7a of the Form 55002010-01-01372
Number of retired or separated participants receiving benefits2010-01-0163
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-01435
2009: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01523
Total number of active participants reported on line 7a of the Form 55002009-01-01412
Number of retired or separated participants receiving benefits2009-01-0169
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-01481

Form 5500 Responses for ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN

2022: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
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: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
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
2009: ASSURITY LIFE INSURANCE COMPANY HOME OFFICE GROUP INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered177
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $118,698
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered415
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $321,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered406
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $310,580
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered180
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $125,209
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered196
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $125,769
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered401
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $299,929
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered410
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $305,986
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered204
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $135,765
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered414
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $286,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered156
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $125,313
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered156
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $104,952
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Other welfare benefits providedLONG TERM CARE
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered434
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $263,226
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $1,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered213
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $94,455
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered422
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $273,411
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered428
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $269,200
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered157
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $86,762
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered426
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $254,594
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered163
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedCANCER, HOSPITAL INDEMNITY,& CI
Welfare Benefit Premiums Paid to CarrierUSD $90,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Number of Individuals Covered4
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered172
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedCANCER HOSPITAL INDEMNITY CI
Welfare Benefit Premiums Paid to CarrierUSD $87,364
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered418
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $249,919
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Number of Individuals Covered4
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract number50014
Policy instance 3
Insurance contract or identification number50014
Number of Individuals Covered180
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedCANCER HOSPITAL INDEMNITY CI
Welfare Benefit Premiums Paid to CarrierUSD $90,473
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number32881
Policy instance 2
Insurance contract or identification number32881
Number of Individuals Covered4
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedLONG TERM CARE
Welfare Benefit Premiums Paid to CarrierUSD $821
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ASSURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71439 )
Policy contract numberG 01610
Policy instance 1
Insurance contract or identification numberG 01610
Number of Individuals Covered435
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Life Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $247,623
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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