401k Plan data: ACUITY LONG TERM DISABILITY PLAN plan

ACUITY LONG TERM DISABILITY PLAN 401k Plan overview

Plan Name	ACUITY LONG TERM DISABILITY PLAN
Plan identification number	504

ACUITY LONG TERM DISABILITY PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Long-term disability cover Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

ACUITY A MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: ACUITY A MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 390491540

NAIC Classification: 524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ACUITY LONG TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
504 2020-01-01
504 2019-01-01
504 2019-01-01
504 2018-01-01 JOHN KRECHEL JOHN KRECHEL 2019-07-22
504 2017-01-01 JOHN KRECHEL JOHN KRECHEL 2018-07-24
504 2016-09-01 JOHN KRECHEL JOHN KRECHEL 2017-01-16
504 2015-09-01 JOHN KRECHEL JOHN KRECHEL 2016-10-31
504 2014-09-01 JOHN KRECHEL JOHN KRECHEL 2016-03-22
504 2013-09-01 JOHN KRECHEL
504 2012-09-01 JOHN KRECHEL JOHN KRECHEL 2014-03-24
504 2010-09-01 LYNN COADY
504 2009-09-01 LYNN COADY

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
504	2020-01-01
504	2019-01-01
504	2019-01-01
504	2018-01-01	JOHN KRECHEL	JOHN KRECHEL	2019-07-22
504	2017-01-01	JOHN KRECHEL	JOHN KRECHEL	2018-07-24
504	2016-09-01	JOHN KRECHEL	JOHN KRECHEL	2017-01-16
504	2015-09-01	JOHN KRECHEL	JOHN KRECHEL	2016-10-31
504	2014-09-01	JOHN KRECHEL	JOHN KRECHEL	2016-03-22
504	2013-09-01	JOHN KRECHEL
504	2012-09-01	JOHN KRECHEL	JOHN KRECHEL	2014-03-24
504	2010-09-01	LYNN COADY
504	2009-09-01	LYNN COADY

Plan Statistics for ACUITY LONG TERM DISABILITY PLAN

401k plan membership statisitcs for ACUITY LONG TERM DISABILITY PLAN

Measure Date Value
2020: ACUITY LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 1,425
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 1,448
Total of all active and inactive participants 2020-01-01 1,448
Total participants 2020-01-01 1,448
2019: ACUITY LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 1,357
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 1,356
Number of retired or separated participants receiving benefits 2019-01-01 1
Total of all active and inactive participants 2019-01-01 1,357
Total participants 2019-01-01 1,357
2018: ACUITY LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 1,236
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 1,249
Total of all active and inactive participants 2018-01-01 1,249
Total participants 2018-01-01 1,249
2017: ACUITY LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 1,245
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 1,236
Total of all active and inactive participants 2017-01-01 1,236
Total participants 2017-01-01 1,236
2016: ACUITY LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year 2016-09-01 1,096
Total number of active participants reported on line 7a of the Form 5500 2016-09-01 1,245
Total of all active and inactive participants 2016-09-01 1,245
Total participants 2016-09-01 1,245
2015: ACUITY LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year 2015-09-01 1,149
Total number of active participants reported on line 7a of the Form 5500 2015-09-01 1,096
Total of all active and inactive participants 2015-09-01 1,096
Total participants 2015-09-01 1,096
2014: ACUITY LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year 2014-09-01 1,102
Total number of active participants reported on line 7a of the Form 5500 2014-09-01 1,149
Total of all active and inactive participants 2014-09-01 1,149
Total participants 2014-09-01 1,149
2013: ACUITY LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year 2013-09-01 1,013
Total number of active participants reported on line 7a of the Form 5500 2013-09-01 1,102
Total of all active and inactive participants 2013-09-01 1,102
Total participants 2013-09-01 1,102
2012: ACUITY LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year 2012-09-01 921
Total number of active participants reported on line 7a of the Form 5500 2012-09-01 1,013
Total of all active and inactive participants 2012-09-01 1,013
Total participants 2012-09-01 1,013
2010: ACUITY LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year 2010-09-01 876
Total number of active participants reported on line 7a of the Form 5500 2010-09-01 897
Total of all active and inactive participants 2010-09-01 897
Total participants 2010-09-01 897
2009: ACUITY LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year 2009-09-01 896
Total number of active participants reported on line 7a of the Form 5500 2009-09-01 876
Total of all active and inactive participants 2009-09-01 876
Total participants 2009-09-01 876

Measure	Date	Value
2020: ACUITY LONG TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	1,425
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	1,448
Total of all active and inactive participants	2020-01-01	1,448
Total participants	2020-01-01	1,448
2019: ACUITY LONG TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	1,357
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	1,356
Number of retired or separated participants receiving benefits	2019-01-01	1
Total of all active and inactive participants	2019-01-01	1,357
Total participants	2019-01-01	1,357
2018: ACUITY LONG TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	1,236
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	1,249
Total of all active and inactive participants	2018-01-01	1,249
Total participants	2018-01-01	1,249
2017: ACUITY LONG TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	1,245
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	1,236
Total of all active and inactive participants	2017-01-01	1,236
Total participants	2017-01-01	1,236
2016: ACUITY LONG TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-09-01	1,096
Total number of active participants reported on line 7a of the Form 5500	2016-09-01	1,245
Total of all active and inactive participants	2016-09-01	1,245
Total participants	2016-09-01	1,245
2015: ACUITY LONG TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-09-01	1,149
Total number of active participants reported on line 7a of the Form 5500	2015-09-01	1,096
Total of all active and inactive participants	2015-09-01	1,096
Total participants	2015-09-01	1,096
2014: ACUITY LONG TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-09-01	1,102
Total number of active participants reported on line 7a of the Form 5500	2014-09-01	1,149
Total of all active and inactive participants	2014-09-01	1,149
Total participants	2014-09-01	1,149
2013: ACUITY LONG TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-09-01	1,013
Total number of active participants reported on line 7a of the Form 5500	2013-09-01	1,102
Total of all active and inactive participants	2013-09-01	1,102
Total participants	2013-09-01	1,102
2012: ACUITY LONG TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-09-01	921
Total number of active participants reported on line 7a of the Form 5500	2012-09-01	1,013
Total of all active and inactive participants	2012-09-01	1,013
Total participants	2012-09-01	1,013
2010: ACUITY LONG TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year	2010-09-01	876
Total number of active participants reported on line 7a of the Form 5500	2010-09-01	897
Total of all active and inactive participants	2010-09-01	897
Total participants	2010-09-01	897
2009: ACUITY LONG TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year	2009-09-01	896
Total number of active participants reported on line 7a of the Form 5500	2009-09-01	876
Total of all active and inactive participants	2009-09-01	876
Total participants	2009-09-01	876

Form 5500 Responses for ACUITY LONG TERM DISABILITY PLAN

2020: ACUITY LONG TERM DISABILITY PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	Yes
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2019: ACUITY LONG TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: ACUITY LONG TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	First time form 5500 has been submitted	Yes
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: ACUITY LONG TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	First time form 5500 has been submitted	Yes
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
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	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: ACUITY LONG TERM DISABILITY PLAN 2016 form 5500 responses
2016-09-01	Type of plan entity	Single employer plan
2016-09-01	First time form 5500 has been submitted	Yes
2016-09-01	Submission has been amended	No
2016-09-01	This submission is the final filing	No
2016-09-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-09-01	Plan is a collectively bargained plan	No
2016-09-01	Plan funding arrangement – Insurance	Yes
2016-09-01	Plan benefit arrangement – Insurance	Yes
2015: ACUITY LONG TERM DISABILITY PLAN 2015 form 5500 responses
2015-09-01	Type of plan entity	Single employer plan
2015-09-01	First time form 5500 has been submitted	Yes
2015-09-01	Submission has been amended	No
2015-09-01	This submission is the final filing	No
2015-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-09-01	Plan is a collectively bargained plan	No
2015-09-01	Plan funding arrangement – Insurance	Yes
2015-09-01	Plan benefit arrangement – Insurance	Yes
2014: ACUITY LONG TERM DISABILITY PLAN 2014 form 5500 responses
2014-09-01	Type of plan entity	Single employer plan
2014-09-01	First time form 5500 has been submitted	Yes
2014-09-01	Submission has been amended	No
2014-09-01	This submission is the final filing	No
2014-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-09-01	Plan is a collectively bargained plan	No
2014-09-01	Plan funding arrangement – Insurance	Yes
2014-09-01	Plan benefit arrangement – Insurance	Yes
2013: ACUITY LONG TERM DISABILITY PLAN 2013 form 5500 responses
2013-09-01	Type of plan entity	Single employer plan
2013-09-01	First time form 5500 has been submitted	Yes
2013-09-01	Submission has been amended	Yes
2013-09-01	This submission is the final filing	No
2013-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-09-01	Plan is a collectively bargained plan	No
2013-09-01	Plan funding arrangement – Insurance	Yes
2013-09-01	Plan benefit arrangement – Insurance	Yes
2012: ACUITY LONG TERM DISABILITY PLAN 2012 form 5500 responses
2012-09-01	Type of plan entity	Single employer plan
2012-09-01	First time form 5500 has been submitted	Yes
2012-09-01	Submission has been amended	Yes
2012-09-01	This submission is the final filing	No
2012-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-09-01	Plan is a collectively bargained plan	No
2012-09-01	Plan funding arrangement – Insurance	Yes
2012-09-01	Plan benefit arrangement – Insurance	Yes
2010: ACUITY LONG TERM DISABILITY PLAN 2010 form 5500 responses
2010-09-01	Type of plan entity	Single employer plan
2010-09-01	Submission has been amended	No
2010-09-01	This submission is the final filing	No
2010-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2010-09-01	Plan is a collectively bargained plan	No
2010-09-01	Plan funding arrangement – Insurance	Yes
2010-09-01	Plan benefit arrangement – Insurance	Yes
2009: ACUITY LONG TERM DISABILITY PLAN 2009 form 5500 responses
2009-09-01	Type of plan entity	Single employer plan
2009-09-01	Submission has been amended	No
2009-09-01	This submission is the final filing	No
2009-09-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-09-01	Plan is a collectively bargained plan	No
2009-09-01	Plan funding arrangement – Insurance	Yes
2009-09-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF3-84044531801
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF3-84044531801
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD126377
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD126377
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD126377
Policy instance	1
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract number	LTD126377
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF384043888101
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF384043888101
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF384043888101
Policy instance	1
LIBERTY LIFE ASSURANCE COMPANY OF BOSTON (National Association of Insurance Commissioners NAIC id number: 65315 )
Policy contract number	GF384043888101
Policy instance	1

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Company Name:	ACUITY A MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	390491540
NAIC Classification:	524150