NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 401k Plan overview

NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN Benefits

401k Sponsoring company profile

Company Name:	NORTH STAR MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	410446480
NAIC Classification:	524150

Form 5500 Filing Information

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
505	2018-01-01
505	2017-01-01
505	2016-01-01
505	2015-01-01
505	2014-01-01
505	2013-01-01
505	2012-01-01	MELINDA SCHMIDT
505	2011-11-01	MELINDA SCHMIDT

Plan Statistics for NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN

Measure	Date	Value
2018: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	248
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	0
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	0
Total of all active and inactive participants	2018-01-01	0
2017: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	243
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	248
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	248
2016: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	242
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	243
Total of all active and inactive participants	2016-01-01	243
2015: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	225
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	242
Total of all active and inactive participants	2015-01-01	242
2014: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	216
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	225
Total of all active and inactive participants	2014-01-01	225
2013: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	204
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	216
Total of all active and inactive participants	2013-01-01	216
2012: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	193
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	202
Total of all active and inactive participants	2012-01-01	202
2011: NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year	2011-11-01	189
Total number of active participants reported on line 7a of the Form 5500	2011-11-01	193
Total of all active and inactive participants	2011-11-01	193

Form 5500 Responses for NORTH STAR MUTUAL INSURANCE COMPANY SHORT TERM DISABILITY PLAN

Insurance Providers Used on plan

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• NORTH STAR BATTERY COMPANY VOLUNTARY LIFE PLAN [EIN = 371400073]
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• NORTH STAR LIGHTING, LLC PROFIT SHARING PLAN [EIN = 362745443]
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• NORTH STAR EMS, LLC 401(K) PLAN AND TRUST [EIN = 760587136]
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• NORTH STAR PSYCHIATRIC SERVICES 401 (K) PLAN [EIN = 471306173]
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