401k Plan data: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES plan

CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 401k Plan overview

Plan Name	CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES
Plan identification number	505

CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES Benefits

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

401k Sponsoring company profile

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

Company Name: CMFG LIFE INSURANCE COMPANY

Employer identification number (EIN): 390230590

NAIC Classification: 524210
NAIC Description: Insurance Agencies and Brokerages

Additional information about CMFG LIFE INSURANCE COMPANY

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities

Incorporation Date: 2007-05-03

Company Identification Number: 345374

Legal Registered Office Address: 400 E COURT AVE

DES MOINES
United States of America (USA)
50309

More information about CMFG LIFE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
505 2017-01-01 BRIAN BORAKOVE BRAD PRICER 2018-07-24
505 2016-01-01 BRIAN BORAKOVE BRAD PRICER 2017-07-18
505 2015-01-01 BRIAN J BORAKOVE BRADLEY J PRICER 2016-07-13
505 2014-01-01 THOMAS J. MERFELD TERI L. EDMAN 2015-07-14
505 2013-01-01 THOMAS J. MERFELD TERI L. EDMAN 2014-07-15
505 2012-01-01 THOMAS J. MERFELD TERI L. EDMAN 2013-06-05
505 2011-01-01 THOMAS MERFELD TERI EDMAN 2012-07-27
505 2009-01-01 THOMAS MERFELD TERI EDMAN 2010-07-27

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
505	2017-01-01	BRIAN BORAKOVE	BRAD PRICER	2018-07-24
505	2016-01-01	BRIAN BORAKOVE	BRAD PRICER	2017-07-18
505	2015-01-01	BRIAN J BORAKOVE	BRADLEY J PRICER	2016-07-13
505	2014-01-01	THOMAS J. MERFELD	TERI L. EDMAN	2015-07-14
505	2013-01-01	THOMAS J. MERFELD	TERI L. EDMAN	2014-07-15
505	2012-01-01	THOMAS J. MERFELD	TERI L. EDMAN	2013-06-05
505	2011-01-01	THOMAS MERFELD	TERI EDMAN	2012-07-27
505	2009-01-01	THOMAS MERFELD	TERI EDMAN	2010-07-27

Plan Statistics for CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES

401k plan membership statisitcs for CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES

Measure Date Value
2017: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2017 401k membership
Total participants, beginning-of-year 2017-01-01 237
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
2016: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2016 401k membership
Total participants, beginning-of-year 2016-01-01 258
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 230
Number of retired or separated participants receiving benefits 2016-01-01 7
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 237
2015: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2015 401k membership
Total participants, beginning-of-year 2015-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 251
Number of retired or separated participants receiving benefits 2015-01-01 7
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 258
2014: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2014 401k membership
Total participants, beginning-of-year 2014-01-01 267
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 259
Number of retired or separated participants receiving benefits 2014-01-01 3
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 262
2013: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2013 401k membership
Total participants, beginning-of-year 2013-01-01 264
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 252
Number of retired or separated participants receiving benefits 2013-01-01 3
Number of other retired or separated participants entitled to future benefits 2013-01-01 0
Total of all active and inactive participants 2013-01-01 255
2012: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2012 401k membership
Total participants, beginning-of-year 2012-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 268
Number of retired or separated participants receiving benefits 2012-01-01 4
Number of other retired or separated participants entitled to future benefits 2012-01-01 0
Total of all active and inactive participants 2012-01-01 272
2011: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2011 401k membership
Total participants, beginning-of-year 2011-01-01 294
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 274
Number of retired or separated participants receiving benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 277
2009: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2009 401k membership
Total participants, beginning-of-year 2009-01-01 348
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 303
Number of retired or separated participants receiving benefits 2009-01-01 9
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 312

Measure	Date	Value
2017: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2017 401k membership
Total participants, beginning-of-year	2017-01-01	237
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
2016: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2016 401k membership
Total participants, beginning-of-year	2016-01-01	258
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	230
Number of retired or separated participants receiving benefits	2016-01-01	7
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	237
2015: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2015 401k membership
Total participants, beginning-of-year	2015-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	251
Number of retired or separated participants receiving benefits	2015-01-01	7
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	258
2014: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2014 401k membership
Total participants, beginning-of-year	2014-01-01	267
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	259
Number of retired or separated participants receiving benefits	2014-01-01	3
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	262
2013: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2013 401k membership
Total participants, beginning-of-year	2013-01-01	264
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	252
Number of retired or separated participants receiving benefits	2013-01-01	3
Number of other retired or separated participants entitled to future benefits	2013-01-01	0
Total of all active and inactive participants	2013-01-01	255
2012: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2012 401k membership
Total participants, beginning-of-year	2012-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	268
Number of retired or separated participants receiving benefits	2012-01-01	4
Number of other retired or separated participants entitled to future benefits	2012-01-01	0
Total of all active and inactive participants	2012-01-01	272
2011: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2011 401k membership
Total participants, beginning-of-year	2011-01-01	294
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	274
Number of retired or separated participants receiving benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	277
2009: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2009 401k membership
Total participants, beginning-of-year	2009-01-01	348
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	303
Number of retired or separated participants receiving benefits	2009-01-01	9
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	312

Form 5500 Responses for CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES

2017: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	Yes
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	Yes
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	Yes
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: CUNA MUTUAL VOLUNTARY ACCIDENTAL DEATH AND DISMEMBERMENT PLAN FOR REPRESENTED EMPLOYEES 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	Yes
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ADD-S05306
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ADD-S05306
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ADD-S05306
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ADD-S05306
Policy instance	1
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number	ADD-S05306
Policy instance	1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009115305
Policy instance	1
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number	GTP 0009115305
Policy instance	1

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Company Name:	CMFG LIFE INSURANCE COMPANY
Employer identification number (EIN):	390230590
NAIC Classification:	524210
NAIC Description:	Insurance Agencies and Brokerages

Jurisdiction of Incorporation:	Iowa Secretary of State Business Entities
Incorporation Date:	2007-05-03
Company Identification Number:	345374
Legal Registered Office Address:	400 E COURT AVE DES MOINES United States of America (USA) 50309