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| Plan Name | DENTAL AND VISION FOR EMPLOYEES |
| Plan identification number | 514 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
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| Company Name: | NATIONAL GUARDIAN LIFE INSURANCE COMPANY |
| Employer identification number (EIN): | 390493780 |
| NAIC Classification: | 524140 |
Additional information about NATIONAL GUARDIAN LIFE INSURANCE COMPANY
| Jurisdiction of Incorporation: | Georgia Department of States Corporations Division |
| Incorporation Date: | 1998-08-11 |
| Company Identification Number: | 1083918 |
| Legal Registered Office Address: |
PO BOX 1191 2 East Gilman Street MADISON United States of America (USA) 53701-1191 |
More information about NATIONAL GUARDIAN LIFE INSURANCE COMPANY
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 514 | 2017-01-01 | ROBERT MUCCI | ROBERT MUCCI | 2018-09-20 | |
| 514 | 2016-01-01 | ROBERT MUCCI | ROBERT MUCCI | 2017-08-31 | |
| 514 | 2015-01-01 | ROBERT MUCCI | ROBERT MUCCI | 2016-11-17 |
| Measure | Date | Value |
|---|---|---|
| 2017: DENTAL AND VISION FOR EMPLOYEES 2017 401k membership | ||
| Total participants, beginning-of-year | 2017-01-01 | 323 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 0 |
| 2016: DENTAL AND VISION FOR EMPLOYEES 2016 401k membership | ||
| Total participants, beginning-of-year | 2016-01-01 | 301 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 323 |
| Total of all active and inactive participants | 2016-01-01 | 323 |
| Total participants | 2016-01-01 | 323 |
| 2015: DENTAL AND VISION FOR EMPLOYEES 2015 401k membership | ||
| Total participants, beginning-of-year | 2015-01-01 | 235 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 301 |
| Total of all active and inactive participants | 2015-01-01 | 301 |
| Total participants | 2015-01-01 | 301 |
| 2017: DENTAL AND VISION FOR 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 | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: DENTAL AND VISION FOR 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 | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: DENTAL AND VISION FOR EMPLOYEES 2015 form 5500 responses | ||
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | First time form 5500 has been submitted | Yes |
| 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 | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy contract number | 000PL394 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Policy instance | 1 | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||
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