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SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 401k Plan overview

Plan NameSAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN
Plan identification number 600

SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

SAFETY NATIONAL CASUALTY CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:SAFETY NATIONAL CASUALTY CORPORATION
Employer identification number (EIN):430727872
NAIC Classification:524150

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
6002016-03-15ANGELA SCHAEFER ANGELA SCHAEFER2017-07-28
6002015-03-15ANGELA SCHAEFER
6002014-03-15ANGELA SCHAEFER ANGELA SCHAEFER2015-10-26
6002013-03-15ANGELA SCHAEFER ANGELA SCHAEFER2014-12-02
6002012-03-15JEANNE SNYDER
6002011-03-15JEANNE SNYDER

Plan Statistics for SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN

401k plan membership statisitcs for SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN

Measure Date Value
2016: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-03-15109
Total number of active participants reported on line 7a of the Form 55002016-03-150
Number of retired or separated participants receiving benefits2016-03-150
Number of other retired or separated participants entitled to future benefits2016-03-150
Total of all active and inactive participants2016-03-150
2015: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-03-15108
Total number of active participants reported on line 7a of the Form 55002015-03-15109
Number of retired or separated participants receiving benefits2015-03-150
Number of other retired or separated participants entitled to future benefits2015-03-150
Total of all active and inactive participants2015-03-15109
2014: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-03-15109
Total number of active participants reported on line 7a of the Form 55002014-03-15108
Number of retired or separated participants receiving benefits2014-03-150
Number of other retired or separated participants entitled to future benefits2014-03-150
Total of all active and inactive participants2014-03-15108
2013: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-03-15111
Total number of active participants reported on line 7a of the Form 55002013-03-15109
Number of retired or separated participants receiving benefits2013-03-150
Number of other retired or separated participants entitled to future benefits2013-03-150
Total of all active and inactive participants2013-03-15109
2012: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-03-15115
Total number of active participants reported on line 7a of the Form 55002012-03-15111
Number of retired or separated participants receiving benefits2012-03-150
Number of other retired or separated participants entitled to future benefits2012-03-150
Total of all active and inactive participants2012-03-15111
Total participants2012-03-15111
2011: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-03-15113
Total number of active participants reported on line 7a of the Form 55002011-03-15115
Number of retired or separated participants receiving benefits2011-03-150
Number of other retired or separated participants entitled to future benefits2011-03-150
Total of all active and inactive participants2011-03-15115
Total participants2011-03-15115

Form 5500 Responses for SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN

2016: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2016 form 5500 responses
2016-03-15Type of plan entitySingle employer plan
2016-03-15Submission has been amendedNo
2016-03-15This submission is the final filingYes
2016-03-15This return/report is a short plan year return/report (less than 12 months)Yes
2016-03-15Plan is a collectively bargained planNo
2016-03-15Plan funding arrangement – InsuranceYes
2016-03-15Plan benefit arrangement – InsuranceYes
2015: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2015 form 5500 responses
2015-03-15Type of plan entitySingle employer plan
2015-03-15Submission has been amendedNo
2015-03-15This submission is the final filingNo
2015-03-15This return/report is a short plan year return/report (less than 12 months)No
2015-03-15Plan is a collectively bargained planNo
2015-03-15Plan funding arrangement – InsuranceYes
2015-03-15Plan benefit arrangement – InsuranceYes
2014: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2014 form 5500 responses
2014-03-15Type of plan entitySingle employer plan
2014-03-15Submission has been amendedNo
2014-03-15This submission is the final filingNo
2014-03-15This return/report is a short plan year return/report (less than 12 months)No
2014-03-15Plan is a collectively bargained planNo
2014-03-15Plan funding arrangement – InsuranceYes
2014-03-15Plan benefit arrangement – InsuranceYes
2013: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2013 form 5500 responses
2013-03-15Type of plan entitySingle employer plan
2013-03-15Submission has been amendedNo
2013-03-15This submission is the final filingNo
2013-03-15This return/report is a short plan year return/report (less than 12 months)No
2013-03-15Plan is a collectively bargained planNo
2013-03-15Plan funding arrangement – InsuranceYes
2013-03-15Plan benefit arrangement – InsuranceYes
2012: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2012 form 5500 responses
2012-03-15Type of plan entitySingle employer plan
2012-03-15Submission has been amendedNo
2012-03-15This submission is the final filingNo
2012-03-15This return/report is a short plan year return/report (less than 12 months)No
2012-03-15Plan is a collectively bargained planNo
2012-03-15Plan funding arrangement – InsuranceYes
2012-03-15Plan benefit arrangement – InsuranceYes
2011: SAFETY NATIONAL CASUALTY CORPORATION VOLUNTARY ACCIDENT PLAN 2011 form 5500 responses
2011-03-15Type of plan entitySingle employer plan
2011-03-15Submission has been amendedNo
2011-03-15This submission is the final filingNo
2011-03-15This return/report is a short plan year return/report (less than 12 months)No
2011-03-15Plan is a collectively bargained planNo
2011-03-15Plan funding arrangement – InsuranceYes
2011-03-15Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811640
Policy instance 1
Insurance contract or identification numberOK 811640
Number of Individuals Covered109
Insurance policy start date2015-03-15
Insurance policy end date2016-03-14
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 CarrierUSD $13,343
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811640
Policy instance 1
Insurance contract or identification numberOK 811640
Number of Individuals Covered108
Insurance policy start date2014-03-15
Insurance policy end date2015-03-14
Total amount of commissions paid to insurance brokerUSD $1,954
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 CarrierUSD $15,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,954
Insurance broker organization code?3
Insurance broker nameTHE CORNERSTONE INSURANCE GROUP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811640
Policy instance 1
Insurance contract or identification numberOK 811640
Number of Individuals Covered109
Insurance policy start date2013-03-15
Insurance policy end date2014-03-14
Total amount of commissions paid to insurance brokerUSD $2,266
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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 planNo
Contracts With Unallocated Funds Deposit Administration0
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 CarrierUSD $17,661
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,266
Insurance broker organization code?3
Insurance broker nameTHE CORNERSTONE INSURANCE GROUP
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK811640
Policy instance 1
Insurance contract or identification numberOK811640
Number of Individuals Covered111
Insurance policy start date2012-03-15
Insurance policy end date2013-03-15
Total amount of commissions paid to insurance brokerUSD $2,205
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,047
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,205
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameTHE CORNERSTONE INSURANCE
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK811640
Policy instance 1
Insurance contract or identification numberOK811640
Number of Individuals Covered115
Insurance policy start date2011-03-15
Insurance policy end date2012-03-14
Total amount of commissions paid to insurance brokerUSD $2,211
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,111
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 65498 )
Policy contract numberOK 811640
Policy instance 1
Insurance contract or identification numberOK 811640
Number of Individuals Covered113
Insurance policy start date2010-03-15
Insurance policy end date2010-03-14
Total amount of commissions paid to insurance brokerUSD $2,222
Total amount of fees paid to insurance companyUSD $0
Other welfare benefits providedACCIDENTAL DEATH DISMEMBERMENT
Welfare Benefit Premiums Paid to CarrierUSD $17,222
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,222
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameCORNERSTONE INSURANCE

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