LIFE TIME, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN
401k plan membership statisitcs for LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN
Measure | Date | Value |
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2021: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2021 401k membership |
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Total participants, beginning-of-year | 2021-10-01 | 4,947 |
Total number of active participants reported on line 7a of the Form 5500 | 2021-10-01 | 5,134 |
Number of retired or separated participants receiving benefits | 2021-10-01 | 148 |
Number of other retired or separated participants entitled to future benefits | 2021-10-01 | 0 |
Total of all active and inactive participants | 2021-10-01 | 5,282 |
2020: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2020 401k membership |
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Total participants, beginning-of-year | 2020-10-01 | 5,613 |
Total number of active participants reported on line 7a of the Form 5500 | 2020-10-01 | 4,666 |
Number of retired or separated participants receiving benefits | 2020-10-01 | 154 |
Number of other retired or separated participants entitled to future benefits | 2020-10-01 | 0 |
Total of all active and inactive participants | 2020-10-01 | 4,820 |
2019: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-10-01 | 6,674 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-10-01 | 5,915 |
Number of retired or separated participants receiving benefits | 2019-10-01 | 211 |
Number of other retired or separated participants entitled to future benefits | 2019-10-01 | 0 |
Total of all active and inactive participants | 2019-10-01 | 6,126 |
2018: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-10-01 | 6,191 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-10-01 | 6,281 |
Number of retired or separated participants receiving benefits | 2018-10-01 | 33 |
Number of other retired or separated participants entitled to future benefits | 2018-10-01 | 0 |
Total of all active and inactive participants | 2018-10-01 | 6,314 |
2017: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-10-01 | 7,925 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-10-01 | 8,306 |
Number of retired or separated participants receiving benefits | 2017-10-01 | 82 |
Number of other retired or separated participants entitled to future benefits | 2017-10-01 | 0 |
Total of all active and inactive participants | 2017-10-01 | 8,388 |
2016: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-10-01 | 7,272 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-10-01 | 7,428 |
Number of retired or separated participants receiving benefits | 2016-10-01 | 67 |
Number of other retired or separated participants entitled to future benefits | 2016-10-01 | 0 |
Total of all active and inactive participants | 2016-10-01 | 7,495 |
2015: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-10-01 | 7,117 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-10-01 | 6,927 |
Number of retired or separated participants receiving benefits | 2015-10-01 | 147 |
Number of other retired or separated participants entitled to future benefits | 2015-10-01 | 0 |
Total of all active and inactive participants | 2015-10-01 | 7,074 |
2014: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-10-01 | 6,229 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-10-01 | 6,991 |
Number of retired or separated participants receiving benefits | 2014-10-01 | 43 |
Number of other retired or separated participants entitled to future benefits | 2014-10-01 | 0 |
Total of all active and inactive participants | 2014-10-01 | 7,034 |
2013: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-10-01 | 6,115 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-10-01 | 6,211 |
Number of retired or separated participants receiving benefits | 2013-10-01 | 18 |
Number of other retired or separated participants entitled to future benefits | 2013-10-01 | 0 |
Total of all active and inactive participants | 2013-10-01 | 6,229 |
2012: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-10-01 | 6,257 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-10-01 | 5,780 |
Number of retired or separated participants receiving benefits | 2012-10-01 | 9 |
Number of other retired or separated participants entitled to future benefits | 2012-10-01 | 0 |
Total of all active and inactive participants | 2012-10-01 | 5,789 |
2011: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-10-01 | 5,926 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-10-01 | 5,871 |
Number of retired or separated participants receiving benefits | 2011-10-01 | 70 |
Number of other retired or separated participants entitled to future benefits | 2011-10-01 | 0 |
Total of all active and inactive participants | 2011-10-01 | 5,941 |
2010: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-10-01 | 5,821 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-10-01 | 5,955 |
Number of retired or separated participants receiving benefits | 2010-10-01 | 75 |
Number of other retired or separated participants entitled to future benefits | 2010-10-01 | 0 |
Total of all active and inactive participants | 2010-10-01 | 6,030 |
2009: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-10-01 | 5,781 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-10-01 | 5,729 |
Number of retired or separated participants receiving benefits | 2009-10-01 | 84 |
Number of other retired or separated participants entitled to future benefits | 2009-10-01 | 0 |
Total of all active and inactive participants | 2009-10-01 | 5,813 |
2008: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2008 401k membership |
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Total participants, beginning-of-year | 2008-10-01 | 5,781 |
Total number of active participants reported on line 7a of the Form 5500 | 2008-10-01 | 5,729 |
Number of retired or separated participants receiving benefits | 2008-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2008-10-01 | 0 |
Total of all active and inactive participants | 2008-10-01 | 5,729 |
2007: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2007 401k membership |
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Total participants, beginning-of-year | 2007-10-01 | 4,399 |
Total number of active participants reported on line 7a of the Form 5500 | 2007-10-01 | 5,781 |
Number of retired or separated participants receiving benefits | 2007-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2007-10-01 | 0 |
Total of all active and inactive participants | 2007-10-01 | 5,781 |
2006: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2006 401k membership |
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Total participants, beginning-of-year | 2006-10-01 | 2,464 |
Total number of active participants reported on line 7a of the Form 5500 | 2006-10-01 | 4,399 |
Number of retired or separated participants receiving benefits | 2006-10-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2006-10-01 | 0 |
Total of all active and inactive participants | 2006-10-01 | 4,399 |
2021: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2021 form 5500 responses |
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2021-10-01 | Type of plan entity | Single employer plan |
2021-10-01 | Submission has been amended | No |
2021-10-01 | This submission is the final filing | No |
2021-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2021-10-01 | Plan is a collectively bargained plan | No |
2021-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2021-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2020: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2020 form 5500 responses |
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2020-10-01 | Type of plan entity | Single employer plan |
2020-10-01 | Submission has been amended | No |
2020-10-01 | This submission is the final filing | No |
2020-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2020-10-01 | Plan is a collectively bargained plan | No |
2020-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2020-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2019: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2019 form 5500 responses |
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2019-10-01 | Type of plan entity | Single employer plan |
2019-10-01 | Submission has been amended | No |
2019-10-01 | This submission is the final filing | No |
2019-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-10-01 | Plan is a collectively bargained plan | No |
2019-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2019-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2018: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2018 form 5500 responses |
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2018-10-01 | Type of plan entity | Single employer plan |
2018-10-01 | Submission has been amended | No |
2018-10-01 | This submission is the final filing | No |
2018-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-10-01 | Plan is a collectively bargained plan | No |
2018-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2018-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2017: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2017 form 5500 responses |
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2017-10-01 | Type of plan entity | Single employer plan |
2017-10-01 | Submission has been amended | No |
2017-10-01 | This submission is the final filing | No |
2017-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-10-01 | Plan is a collectively bargained plan | No |
2017-10-01 | Plan funding arrangement – Insurance | Yes |
2017-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2017-10-01 | Plan benefit arrangement – Insurance | Yes |
2017-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2016: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2016 form 5500 responses |
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2016-10-01 | Type of plan entity | Single employer plan |
2016-10-01 | Submission has been amended | No |
2016-10-01 | This submission is the final filing | No |
2016-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-10-01 | Plan is a collectively bargained plan | No |
2016-10-01 | Plan funding arrangement – Insurance | Yes |
2016-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2016-10-01 | Plan benefit arrangement – Insurance | Yes |
2016-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2015: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2015 form 5500 responses |
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2015-10-01 | Type of plan entity | Single employer plan |
2015-10-01 | Submission has been amended | No |
2015-10-01 | This submission is the final filing | No |
2015-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-10-01 | Plan is a collectively bargained plan | No |
2015-10-01 | Plan funding arrangement – Insurance | Yes |
2015-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2015-10-01 | Plan benefit arrangement – Insurance | Yes |
2015-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2014: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2014 form 5500 responses |
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2014-10-01 | Type of plan entity | Single employer plan |
2014-10-01 | Submission has been amended | No |
2014-10-01 | This submission is the final filing | No |
2014-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-10-01 | Plan is a collectively bargained plan | No |
2014-10-01 | Plan funding arrangement – Insurance | Yes |
2014-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2014-10-01 | Plan benefit arrangement – Insurance | Yes |
2014-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2013: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2013 form 5500 responses |
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2013-10-01 | Type of plan entity | Single employer plan |
2013-10-01 | Submission has been amended | No |
2013-10-01 | This submission is the final filing | No |
2013-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-10-01 | Plan is a collectively bargained plan | No |
2013-10-01 | Plan funding arrangement – Insurance | Yes |
2013-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2013-10-01 | Plan benefit arrangement – Insurance | Yes |
2013-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2012: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2012 form 5500 responses |
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2012-10-01 | Type of plan entity | Single employer plan |
2012-10-01 | Submission has been amended | No |
2012-10-01 | This submission is the final filing | No |
2012-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-10-01 | Plan is a collectively bargained plan | No |
2012-10-01 | Plan funding arrangement – Insurance | Yes |
2012-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2012-10-01 | Plan benefit arrangement – Insurance | Yes |
2012-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2011: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2011 form 5500 responses |
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2011-10-01 | Type of plan entity | Single employer plan |
2011-10-01 | Submission has been amended | No |
2011-10-01 | This submission is the final filing | No |
2011-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-10-01 | Plan is a collectively bargained plan | No |
2011-10-01 | Plan funding arrangement – Insurance | Yes |
2011-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2011-10-01 | Plan benefit arrangement – Insurance | Yes |
2011-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2010: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2010 form 5500 responses |
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2010-10-01 | Type of plan entity | Single employer plan |
2010-10-01 | Submission has been amended | No |
2010-10-01 | This submission is the final filing | No |
2010-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-10-01 | Plan is a collectively bargained plan | No |
2010-10-01 | Plan funding arrangement – Insurance | Yes |
2010-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2010-10-01 | Plan benefit arrangement – Insurance | Yes |
2010-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2009: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2009 form 5500 responses |
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2009-10-01 | Type of plan entity | Single employer plan |
2009-10-01 | Submission has been amended | No |
2009-10-01 | This submission is the final filing | No |
2009-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-10-01 | Plan is a collectively bargained plan | No |
2009-10-01 | Plan funding arrangement – Insurance | Yes |
2009-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2009-10-01 | Plan benefit arrangement – Insurance | Yes |
2009-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2008: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2008 form 5500 responses |
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2008-10-01 | Type of plan entity | Single employer plan |
2008-10-01 | Submission has been amended | No |
2008-10-01 | This submission is the final filing | No |
2008-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2008-10-01 | Plan is a collectively bargained plan | No |
2008-10-01 | Plan funding arrangement – Insurance | Yes |
2008-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2008-10-01 | Plan benefit arrangement – Insurance | Yes |
2008-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2007: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2007 form 5500 responses |
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2007-10-01 | Type of plan entity | Single employer plan |
2007-10-01 | Submission has been amended | No |
2007-10-01 | This submission is the final filing | No |
2007-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2007-10-01 | Plan is a collectively bargained plan | No |
2007-10-01 | Plan funding arrangement – Insurance | Yes |
2007-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2007-10-01 | Plan benefit arrangement – Insurance | Yes |
2007-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
2006: LIFE TIME FITNESS, INC. MEDICAL, GROUP LIFE, AD&D, DENTAL & DISABILITY PLAN 2006 form 5500 responses |
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2006-10-01 | Type of plan entity | Single employer plan |
2006-10-01 | Submission has been amended | No |
2006-10-01 | This submission is the final filing | No |
2006-10-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2006-10-01 | Plan is a collectively bargained plan | No |
2006-10-01 | Plan funding arrangement – Insurance | Yes |
2006-10-01 | Plan funding arrangement – General assets of the sponsor | Yes |
2006-10-01 | Plan benefit arrangement – Insurance | Yes |
2006-10-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 649292 |
Policy instance | 1 |
Insurance contract or identification number | 649292 | Number of Individuals Covered | 7737 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 649292 |
Policy instance | 2 |
Insurance contract or identification number | 649292 | Number of Individuals Covered | 1932 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Total amount of commissions paid to insurance broker | USD $10,990 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | Yes | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
Policy contract number | 649292 |
Policy instance | 3 |
Insurance contract or identification number | 649292 | Number of Individuals Covered | 2841 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | Yes | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9914615 |
Policy instance | 4 |
Insurance contract or identification number | 9914615 | Number of Individuals Covered | 124 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $7,726 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9914607 |
Policy instance | 5 |
Insurance contract or identification number | 9914607 | Number of Individuals Covered | 2538 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $145,891 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9914599 |
Policy instance | 6 |
Insurance contract or identification number | 9914599 | Number of Individuals Covered | 4401 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $298,430 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 62146 ) |
Policy contract number | 9914623 |
Policy instance | 7 |
Insurance contract or identification number | 9914623 | Number of Individuals Covered | 59 | Insurance policy start date | 2017-10-01 | Insurance policy end date | 2018-09-30 | Are there contracts with allocated funds for individual policies? | 0 | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | Yes | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Welfare Benefit Premiums Paid to Carrier | USD $2,867 | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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