401k Plan data: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME plan

FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 401k Plan overview

Plan Name	FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME
Plan identification number	507

FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Life insurance Long-term disability cover

401k Sponsoring company profile

MAYO CLINIC has sponsored the creation of one or more 401k plans.

Company Name: MAYO CLINIC

Employer identification number (EIN): 416011702

NAIC Classification: 621112
NAIC Description: Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2018-01-01 WILLIAM BROWN WILLIAM BROWN 2019-07-05
507 2018-01-01
507 2017-01-01 WILLIAM BROWN WILLIAM BROWN 2018-06-21
507 2016-01-01 WILLIAM BROWN WILLIAM BROWN 2017-06-06
507 2015-01-01 WILLIAM BROWN WILLIAM BROWN 2016-06-15
507 2014-01-01 WILLIAM BROWN WILLIAM BROWN 2015-06-12
507 2013-01-01 WILLIAM BROWN WILLIAM BROWN 2014-06-03
507 2012-01-01 WILLIAM BROWN
507 2011-01-01 WILLIAM BROWN
507 2009-01-01 WILLIAM BROWN

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
507	2018-01-01	WILLIAM BROWN	WILLIAM BROWN	2019-07-05
507	2018-01-01
507	2017-01-01	WILLIAM BROWN	WILLIAM BROWN	2018-06-21
507	2016-01-01	WILLIAM BROWN	WILLIAM BROWN	2017-06-06
507	2015-01-01	WILLIAM BROWN	WILLIAM BROWN	2016-06-15
507	2014-01-01	WILLIAM BROWN	WILLIAM BROWN	2015-06-12
507	2013-01-01	WILLIAM BROWN	WILLIAM BROWN	2014-06-03
507	2012-01-01	WILLIAM BROWN
507	2011-01-01	WILLIAM BROWN
507	2009-01-01	WILLIAM BROWN

Plan Statistics for FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME

401k plan membership statisitcs for FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME

Measure Date Value
2018: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2018 401k membership
Total participants, beginning-of-year 2018-01-01 2,839
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 2,397
Total of all active and inactive participants 2018-01-01 2,397
Total participants 2018-01-01 0
2017: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2017 401k membership
Total participants, beginning-of-year 2017-01-01 3,094
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 2,839
Total of all active and inactive participants 2017-01-01 2,839
2016: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2016 401k membership
Total participants, beginning-of-year 2016-01-01 3,017
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 3,094
Total of all active and inactive participants 2016-01-01 3,094
2015: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2015 401k membership
Total participants, beginning-of-year 2015-01-01 3,233
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 3,017
Total of all active and inactive participants 2015-01-01 3,017
2014: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2014 401k membership
Total participants, beginning-of-year 2014-01-01 3,273
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 3,233
Total of all active and inactive participants 2014-01-01 3,233
2013: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2013 401k membership
Total participants, beginning-of-year 2013-01-01 3,314
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 3,273
Total of all active and inactive participants 2013-01-01 3,273
2012: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2012 401k membership
Total participants, beginning-of-year 2012-01-01 3,517
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 3,314
Total of all active and inactive participants 2012-01-01 3,314
2011: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2011 401k membership
Total participants, beginning-of-year 2011-01-01 3,486
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 3,517
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 0
Total of all active and inactive participants 2011-01-01 3,517
2009: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2009 401k membership
Total participants, beginning-of-year 2009-01-01 3,704
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 3,757
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 0
Total of all active and inactive participants 2009-01-01 3,757
Total participants 2009-01-01 3,757

Measure	Date	Value
2018: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2018 401k membership
Total participants, beginning-of-year	2018-01-01	2,839
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	2,397
Total of all active and inactive participants	2018-01-01	2,397
Total participants	2018-01-01	0
2017: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2017 401k membership
Total participants, beginning-of-year	2017-01-01	3,094
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	2,839
Total of all active and inactive participants	2017-01-01	2,839
2016: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2016 401k membership
Total participants, beginning-of-year	2016-01-01	3,017
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	3,094
Total of all active and inactive participants	2016-01-01	3,094
2015: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2015 401k membership
Total participants, beginning-of-year	2015-01-01	3,233
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	3,017
Total of all active and inactive participants	2015-01-01	3,017
2014: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2014 401k membership
Total participants, beginning-of-year	2014-01-01	3,273
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	3,233
Total of all active and inactive participants	2014-01-01	3,233
2013: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2013 401k membership
Total participants, beginning-of-year	2013-01-01	3,314
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	3,273
Total of all active and inactive participants	2013-01-01	3,273
2012: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2012 401k membership
Total participants, beginning-of-year	2012-01-01	3,517
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	3,314
Total of all active and inactive participants	2012-01-01	3,314
2011: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2011 401k membership
Total participants, beginning-of-year	2011-01-01	3,486
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	3,517
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	0
Total of all active and inactive participants	2011-01-01	3,517
2009: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2009 401k membership
Total participants, beginning-of-year	2009-01-01	3,704
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	3,757
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	0
Total of all active and inactive participants	2009-01-01	3,757
Total participants	2009-01-01	3,757

Form 5500 Responses for FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME

2018: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
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: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 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	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: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 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: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
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
2014: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2009: FELLOWS GROUP TERM LIFE INSURANCE & DISABILITY INCOME 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	45200-6
Policy instance	1
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number	45200-6
Policy instance	1

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Company Name:	MAYO CLINIC
Employer identification number (EIN):	416011702
NAIC Classification:	621112
NAIC Description:	Offices of Physicians, Mental Health Specialists