AMERICAN AXLE & MANUFACTURING, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS
401k plan membership statisitcs for AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS
| Measure | Date | Value |
|---|
| 2022: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 3,180 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 3,054 |
| Total of all active and inactive participants | 2022-01-01 | 3,054 |
| 2021: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 3,483 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 3,149 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 31 |
| Total of all active and inactive participants | 2021-01-01 | 3,180 |
| 2020: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 3,682 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 3,423 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 60 |
| Total of all active and inactive participants | 2020-01-01 | 3,483 |
| 2019: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 6,531 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 3,658 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 24 |
| Total of all active and inactive participants | 2019-01-01 | 3,682 |
| 2018: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 1,786 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 6,506 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 25 |
| Total of all active and inactive participants | 2018-01-01 | 6,531 |
| 2017: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 1,865 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 1,532 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 254 |
| Total of all active and inactive participants | 2017-01-01 | 1,786 |
| 2016: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 1,731 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 1,604 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 261 |
| Total of all active and inactive participants | 2016-01-01 | 1,865 |
| 2015: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 1,662 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 1,466 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 265 |
| Total of all active and inactive participants | 2015-01-01 | 1,731 |
| 2014: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 1,592 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 1,394 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 268 |
| Total of all active and inactive participants | 2014-01-01 | 1,662 |
| 2013: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 1,574 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 1,320 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 272 |
| Total of all active and inactive participants | 2013-01-01 | 1,592 |
| 2012: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 1,455 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 1,297 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 277 |
| Total of all active and inactive participants | 2012-01-01 | 1,574 |
| 2011: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 1,333 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 1,176 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 279 |
| Total of all active and inactive participants | 2011-01-01 | 1,455 |
| 2009: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 1,507 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 772 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 373 |
| Total of all active and inactive participants | 2009-01-01 | 1,145 |
| 2022: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2021: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2020: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: AMERICAN AXLE & MANUFACTURING, INC. SALARIED AND NON-REPRESENTED HOURLY WELFARE BENEFIT PLAN INCLUDING CAFETERIA PLAN PROVISIONS 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 – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| DAVIS VISION (National Association of Insurance Commissioners NAIC id number: 93440 ) |
| Policy contract number | XH2-001 002 |
| Policy instance | 3 |
| Insurance contract or identification number | XH2-001 002 | | Number of Individuals Covered | 2469 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $273,472 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 2 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 3054 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $142,963 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $722,311 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $112,881 | | Insurance broker organization code? | 3 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 7 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $127,204 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 3 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 3149 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $121,150 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $770,859 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $99,232 | | Insurance broker organization code? | 3 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 13 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $184,570 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 11686 ) |
| Policy contract number | 8667 |
| Policy instance | 2 |
| Insurance contract or identification number | 8667 | | Number of Individuals Covered | 2608 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $273,472 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 11686 ) |
| Policy contract number | 8667 |
| Policy instance | 2 |
| Insurance contract or identification number | 8667 | | Number of Individuals Covered | 2838 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $287,261 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 3 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 3423 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $4,475 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $671,042 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,475 | | Insurance broker organization code? | 3 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 20 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $333,127 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ULLIANCE, INC. (National Association of Insurance Commissioners NAIC id number: 62419 ) |
| Policy contract number | 1687 |
| Policy instance | 5 |
| Insurance contract or identification number | 1687 | | Number of Individuals Covered | 3627 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $63,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 11686 ) |
| Policy contract number | 8667 |
| Policy instance | 3 |
| Insurance contract or identification number | 8667 | | Number of Individuals Covered | 2968 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $300,289 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| FEDERAL INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 20281 ) |
| Policy contract number | 9908-28-15 |
| Policy instance | 2 |
| Insurance contract or identification number | 9908-28-15 | | Number of Individuals Covered | 3658 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | TRAVEL ASSISTANCE | | Welfare Benefit Premiums Paid to Carrier | USD $4,902 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 24 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $531,494 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 4 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 3658 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $196,840 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D, CRITICAL ILLNESS | | Welfare Benefit Premiums Paid to Carrier | USD $734,752 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $196,840 | | Insurance broker organization code? | 3 |
|
| ULLIANCE, INC. (National Association of Insurance Commissioners NAIC id number: 62419 ) |
| Policy contract number | 1687 |
| Policy instance | 5 |
| Insurance contract or identification number | 1687 | | Number of Individuals Covered | 6521 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | EMPLOYEE ASSISTANCE PROGRAM | | Welfare Benefit Premiums Paid to Carrier | USD $76,659 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 4 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 6506 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,910,712 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 11686 ) |
| Policy contract number | 8667 |
| Policy instance | 3 |
| Insurance contract or identification number | 8667 | | Number of Individuals Covered | 4154 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $308,574 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ZURICH LIFE AND ACCIDENT (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB105751 |
| Policy instance | 2 |
| Insurance contract or identification number | ETB105751 | | Number of Individuals Covered | 7123 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $742,452 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 17 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $579,582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0168508 |
| Policy instance | 4 |
| Insurance contract or identification number | 0168508 | | Number of Individuals Covered | 1786 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $758,455 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| NATIONAL VISION ADMINISTRATORS, LLC (National Association of Insurance Commissioners NAIC id number: 11686 ) |
| Policy contract number | 8667 |
| Policy instance | 3 |
| Insurance contract or identification number | 8667 | | Number of Individuals Covered | 1322 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Vision Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $141,183 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| ZURICH LIFE AND ACCIDENT (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | ETB105751 |
| Policy instance | 2 |
| Insurance contract or identification number | ETB105751 | | Number of Individuals Covered | 11072 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $1,084,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 00036A |
| Policy instance | 1 |
| Insurance contract or identification number | 00036A | | Number of Individuals Covered | 25 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Other welfare benefits provided | EVACUATION | | Welfare Benefit Premiums Paid to Carrier | USD $451,833 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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