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AVIVA LIFE INSURANCE PLAN 401k Plan overview

Plan NameAVIVA LIFE INSURANCE PLAN
Plan identification number 514

AVIVA LIFE INSURANCE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

ATHENE USA CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:ATHENE USA CORPORATION
Employer identification number (EIN):421458424
NAIC Classification:524140

Additional information about ATHENE USA CORPORATION

Jurisdiction of Incorporation: Iowa Secretary of State Business Entities
Incorporation Date: 1996-06-30
Company Identification Number: 196806
Legal Registered Office Address: 505 5TH AVENUE
SUITE 729
DES MOINES
United States of America (USA)
50309

More information about ATHENE USA CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan AVIVA LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5142012-01-01KATHY BAUER LAURIE ROEPSCH2013-09-26
5142011-01-01LAURIE ROEPSCH
5142009-01-01LAURIE ROEPSCH

Plan Statistics for AVIVA LIFE INSURANCE PLAN

401k plan membership statisitcs for AVIVA LIFE INSURANCE PLAN

Measure Date Value
2012: AVIVA LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011,861
Total number of active participants reported on line 7a of the Form 55002012-01-010
Total of all active and inactive participants2012-01-010
Total participants2012-01-010
2011: AVIVA LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,747
Total number of active participants reported on line 7a of the Form 55002011-01-011,856
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011,856
Total participants2011-01-011,856
2009: AVIVA LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011,557
Total number of active participants reported on line 7a of the Form 55002009-01-011,533
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,533
Total participants2009-01-011,533

Form 5500 Responses for AVIVA LIFE INSURANCE PLAN

2012: AVIVA LIFE INSURANCE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingYes
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: AVIVA LIFE INSURANCE PLAN 2011 form 5500 responses
2011-01-01Type of plan entityMulitple employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: AVIVA LIFE INSURANCE PLAN 2009 form 5500 responses
2009-01-01Type of plan entityMulitple employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 1
Insurance contract or identification number677012G
Number of Individuals Covered1789
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $377
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $176,542
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $377
Insurance broker organization code?3
Insurance broker nameFRANK W BERLIN & ASSOCIATES LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 2
Insurance contract or identification number677012G
Number of Individuals Covered1789
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $37,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 3
Insurance contract or identification number677012G
Number of Individuals Covered1172
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $50,294
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 4
Insurance contract or identification number677012G
Number of Individuals Covered1021
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $378,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 1
Insurance contract or identification number677012G
Number of Individuals Covered1856
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $10,724
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $630,609
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677012G
Policy instance 1
Insurance contract or identification number677012G
Number of Individuals Covered1747
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,063
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $611,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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