401k Plan data: METLIFE LIFE/STD/LTD/VTL/DENTAL plan

METLIFE LIFE/STD/LTD/VTL/DENTAL 401k Plan overview

Plan Name	METLIFE LIFE/STD/LTD/VTL/DENTAL
Plan identification number	502

METLIFE LIFE/STD/LTD/VTL/DENTAL Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Dental Vision Temporary disability (accident and sickness) Long-term disability cover Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

TENA COMPANIES has sponsored the creation of one or more 401k plans.

Company Name: TENA COMPANIES

Employer identification number (EIN): 411410768

NAIC Classification: 522298
NAIC Description: All Other Nondepository Credit Intermediation

Form 5500 Filing Information

Submission information for form 5500 for 401k plan METLIFE LIFE/STD/LTD/VTL/DENTAL

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
502 2017-01-01
502 2017-01-01
502 2016-01-01 MARK NIEMANN
502 2015-07-01 MARK NIEMANN
502 2014-07-01 MARK NIEMANN
502 2013-07-01 MARK NIEMANN
502 2012-07-01 MARK NIEMANN

Plan Statistics for METLIFE LIFE/STD/LTD/VTL/DENTAL

401k plan membership statisitcs for METLIFE LIFE/STD/LTD/VTL/DENTAL

Measure Date Value
2017: METLIFE LIFE/STD/LTD/VTL/DENTAL 2017 401k membership
Total participants, beginning-of-year 2017-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 174
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 2017-01-01 174
Number of employers contributing to the scheme 2017-01-01 0
2016: METLIFE LIFE/STD/LTD/VTL/DENTAL 2016 401k membership
Total participants, beginning-of-year 2016-01-01 165
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 165
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 165
2015: METLIFE LIFE/STD/LTD/VTL/DENTAL 2015 401k membership
Total participants, beginning-of-year 2015-07-01 152
Total number of active participants reported on line 7a of the Form 5500 2015-07-01 152
Number of retired or separated participants receiving benefits 2015-07-01 0
Number of other retired or separated participants entitled to future benefits 2015-07-01 0
Total of all active and inactive participants 2015-07-01 152
2014: METLIFE LIFE/STD/LTD/VTL/DENTAL 2014 401k membership
Total participants, beginning-of-year 2014-07-01 131
Total number of active participants reported on line 7a of the Form 5500 2014-07-01 152
Number of retired or separated participants receiving benefits 2014-07-01 0
Number of other retired or separated participants entitled to future benefits 2014-07-01 0
Total of all active and inactive participants 2014-07-01 152
2013: METLIFE LIFE/STD/LTD/VTL/DENTAL 2013 401k membership
Total participants, beginning-of-year 2013-07-01 132
Total number of active participants reported on line 7a of the Form 5500 2013-07-01 131
Number of retired or separated participants receiving benefits 2013-07-01 0
Number of other retired or separated participants entitled to future benefits 2013-07-01 0
Total of all active and inactive participants 2013-07-01 131
2012: METLIFE LIFE/STD/LTD/VTL/DENTAL 2012 401k membership
Total participants, beginning-of-year 2012-07-01 130
Total number of active participants reported on line 7a of the Form 5500 2012-07-01 132
Number of retired or separated participants receiving benefits 2012-07-01 0
Number of other retired or separated participants entitled to future benefits 2012-07-01 0
Total of all active and inactive participants 2012-07-01 132

Measure	Date	Value
2017: METLIFE LIFE/STD/LTD/VTL/DENTAL 2017 401k membership
Total participants, beginning-of-year	2017-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	174
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	174
Number of employers contributing to the scheme	2017-01-01	0
2016: METLIFE LIFE/STD/LTD/VTL/DENTAL 2016 401k membership
Total participants, beginning-of-year	2016-01-01	165
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	165
Number of retired or separated participants receiving benefits	2016-01-01	0
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	165
2015: METLIFE LIFE/STD/LTD/VTL/DENTAL 2015 401k membership
Total participants, beginning-of-year	2015-07-01	152
Total number of active participants reported on line 7a of the Form 5500	2015-07-01	152
Number of retired or separated participants receiving benefits	2015-07-01	0
Number of other retired or separated participants entitled to future benefits	2015-07-01	0
Total of all active and inactive participants	2015-07-01	152
2014: METLIFE LIFE/STD/LTD/VTL/DENTAL 2014 401k membership
Total participants, beginning-of-year	2014-07-01	131
Total number of active participants reported on line 7a of the Form 5500	2014-07-01	152
Number of retired or separated participants receiving benefits	2014-07-01	0
Number of other retired or separated participants entitled to future benefits	2014-07-01	0
Total of all active and inactive participants	2014-07-01	152
2013: METLIFE LIFE/STD/LTD/VTL/DENTAL 2013 401k membership
Total participants, beginning-of-year	2013-07-01	132
Total number of active participants reported on line 7a of the Form 5500	2013-07-01	131
Number of retired or separated participants receiving benefits	2013-07-01	0
Number of other retired or separated participants entitled to future benefits	2013-07-01	0
Total of all active and inactive participants	2013-07-01	131
2012: METLIFE LIFE/STD/LTD/VTL/DENTAL 2012 401k membership
Total participants, beginning-of-year	2012-07-01	130
Total number of active participants reported on line 7a of the Form 5500	2012-07-01	132
Number of retired or separated participants receiving benefits	2012-07-01	0
Number of other retired or separated participants entitled to future benefits	2012-07-01	0
Total of all active and inactive participants	2012-07-01	132

Form 5500 Responses for METLIFE LIFE/STD/LTD/VTL/DENTAL

2017: METLIFE LIFE/STD/LTD/VTL/DENTAL 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	Yes
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: METLIFE LIFE/STD/LTD/VTL/DENTAL 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: METLIFE LIFE/STD/LTD/VTL/DENTAL 2015 form 5500 responses
2015-07-01	Type of plan entity	Single employer plan
2015-07-01	Submission has been amended	No
2015-07-01	This submission is the final filing	No
2015-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-07-01	Plan is a collectively bargained plan	No
2015-07-01	Plan funding arrangement – Insurance	Yes
2015-07-01	Plan benefit arrangement – Insurance	Yes
2014: METLIFE LIFE/STD/LTD/VTL/DENTAL 2014 form 5500 responses
2014-07-01	Type of plan entity	Single employer plan
2014-07-01	Submission has been amended	No
2014-07-01	This submission is the final filing	No
2014-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-07-01	Plan is a collectively bargained plan	No
2014-07-01	Plan funding arrangement – Insurance	Yes
2014-07-01	Plan benefit arrangement – Insurance	Yes
2013: METLIFE LIFE/STD/LTD/VTL/DENTAL 2013 form 5500 responses
2013-07-01	Type of plan entity	Single employer plan
2013-07-01	Submission has been amended	No
2013-07-01	This submission is the final filing	No
2013-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-07-01	Plan is a collectively bargained plan	No
2013-07-01	Plan funding arrangement – Insurance	Yes
2013-07-01	Plan benefit arrangement – Insurance	Yes
2012: METLIFE LIFE/STD/LTD/VTL/DENTAL 2012 form 5500 responses
2012-07-01	Type of plan entity	Single employer plan
2012-07-01	First time form 5500 has been submitted	Yes
2012-07-01	Submission has been amended	No
2012-07-01	This submission is the final filing	No
2012-07-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-07-01	Plan is a collectively bargained plan	No
2012-07-01	Plan funding arrangement – Insurance	Yes
2012-07-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )

Policy contract number

KM05910039

Policy instance

Insurance contract or identification number	KM05910039
Number of Individuals Covered	408
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $13,035
Total amount of fees paid to insurance company	USD $3,050
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
Life Insurance Welfare Benefit	Yes
Temporary Disability Insurance Welfare Benefit	Yes
Long Term Disability Insurance Welfare Benefit	Yes
Other welfare benefits provided	ACCIDENTAL DEATH AND DISMEMBERMENT
Welfare Benefit Premiums Paid to Carrier	USD $201,100
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $13,035
Amount paid for insurance broker fees	51
Additional information about fees paid to insurance broker	NON-MONETARY COMPENSATION
Insurance broker organization code?	3
Insurance broker name	USI INSURANCE SERVICES, LLC

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Company Name:	TENA COMPANIES
Employer identification number (EIN):	411410768
NAIC Classification:	522298
NAIC Description:	All Other Nondepository Credit Intermediation