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UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 401k Plan overview

Plan NameUFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN
Plan identification number 503

UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN Benefits

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

401k Sponsoring company profile

UNITED FOOD AND COMMERCIAL WORKERS INT'L UNION has sponsored the creation of one or more 401k plans.

Company Name:UNITED FOOD AND COMMERCIAL WORKERS INT'L UNION
Employer identification number (EIN):521106252
NAIC Classification:813930
NAIC Description:Labor Unions and Similar Labor Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032022-05-01ANTHONY M. PERRONE, INT'L PRESIDENT2023-09-08
5032021-05-01ANTHONY M. PERRONE, INT'L PRESIDENT2023-01-10
5032020-05-01ANTHONY M. PERRONE, INT'L PRESIDENT2022-02-15
5032019-05-01ANTHONY M. PERRONE, INT'L PRESIDENT2020-11-25
5032018-05-01ANTHONY M. PERRONE, INT'L PRESIDENT2020-02-18
5032017-05-01
5032016-05-01
5032015-05-01
5032014-05-01
5032013-05-01
5032012-05-01ANTHONY M. PERRONE, INT'L SEC-TREAS
5032011-05-01ANTHONY M. PERRONE, INT'L SEC-TREAS
5032010-05-01ANTHONY M. PERRONE, INT'L SEC-TREAS
5032009-05-01ANTHONY M. PERRONE, INT'L SEC-TREAS

Plan Statistics for UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN

401k plan membership statisitcs for UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN

Measure Date Value
2022: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-01287
Total number of active participants reported on line 7a of the Form 55002022-05-01286
Number of retired or separated participants receiving benefits2022-05-0126
Total of all active and inactive participants2022-05-01312
2021: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-01330
Total number of active participants reported on line 7a of the Form 55002021-05-01287
Number of retired or separated participants receiving benefits2021-05-0126
Total of all active and inactive participants2021-05-01313
2020: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-01353
Total number of active participants reported on line 7a of the Form 55002020-05-01292
Number of retired or separated participants receiving benefits2020-05-0138
Total of all active and inactive participants2020-05-01330
2019: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-01361
Total number of active participants reported on line 7a of the Form 55002019-05-01318
Number of retired or separated participants receiving benefits2019-05-0135
Total of all active and inactive participants2019-05-01353
2018: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-01367
Total number of active participants reported on line 7a of the Form 55002018-05-01322
Number of retired or separated participants receiving benefits2018-05-0139
Total of all active and inactive participants2018-05-01361
2017: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-01339
Total number of active participants reported on line 7a of the Form 55002017-05-01331
Number of retired or separated participants receiving benefits2017-05-0136
Total of all active and inactive participants2017-05-01367
2016: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-01387
Total number of active participants reported on line 7a of the Form 55002016-05-01339
Number of retired or separated participants receiving benefits2016-05-0137
Total of all active and inactive participants2016-05-01376
2015: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-01411
Total number of active participants reported on line 7a of the Form 55002015-05-01344
Number of retired or separated participants receiving benefits2015-05-0143
Total of all active and inactive participants2015-05-01387
2014: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-01432
Total number of active participants reported on line 7a of the Form 55002014-05-01361
Number of retired or separated participants receiving benefits2014-05-0150
Total of all active and inactive participants2014-05-01411
2013: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-01458
Total number of active participants reported on line 7a of the Form 55002013-05-01365
Number of retired or separated participants receiving benefits2013-05-0167
Total of all active and inactive participants2013-05-01432
2012: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-01572
Total number of active participants reported on line 7a of the Form 55002012-05-01393
Number of retired or separated participants receiving benefits2012-05-0165
Total of all active and inactive participants2012-05-01458
2011: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-01486
Total number of active participants reported on line 7a of the Form 55002011-05-01503
Number of retired or separated participants receiving benefits2011-05-0169
Total of all active and inactive participants2011-05-01572
2010: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-01487
Total number of active participants reported on line 7a of the Form 55002010-05-01397
Number of retired or separated participants receiving benefits2010-05-0189
Total of all active and inactive participants2010-05-01486
2009: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-01508
Total number of active participants reported on line 7a of the Form 55002009-05-01403
Number of retired or separated participants receiving benefits2009-05-0184
Total of all active and inactive participants2009-05-01487

Form 5500 Responses for UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN

2022: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – General assets of the sponsorYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – General assets of the sponsorYes
2021: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – General assets of the sponsorYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – General assets of the sponsorYes
2020: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – General assets of the sponsorYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – General assets of the sponsorYes
2019: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – General assets of the sponsorYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – General assets of the sponsorYes
2018: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – General assets of the sponsorYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – General assets of the sponsorYes
2017: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – General assets of the sponsorYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – General assets of the sponsorYes
2016: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – General assets of the sponsorYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – General assets of the sponsorYes
2015: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – General assets of the sponsorYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – General assets of the sponsorYes
2014: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – General assets of the sponsorYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – General assets of the sponsorYes
2013: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – General assets of the sponsorYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – General assets of the sponsorYes
2012: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – General assets of the sponsorYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – General assets of the sponsorYes
2011: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – General assets of the sponsorYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – General assets of the sponsorYes
2010: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – General assets of the sponsorYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement – General assets of the sponsorYes
2009: UFCW INTERNATIONAL UNION EMPLOYEES LIFE INSURANCE PLAN 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01This submission is the final filingNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – General assets of the sponsorYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805657G
Policy instance 1
Insurance contract or identification number805657G
Number of Individuals Covered312
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $149,386
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 number805657G
Policy instance 1
Insurance contract or identification number805657G
Number of Individuals Covered322
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $167,384
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 number805657G
Policy instance 2
Insurance contract or identification number805657G
Number of Individuals Covered329
Insurance policy start date2020-06-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $80,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091-SHORT
Policy instance 1
Insurance contract or identification number0360091-SHORT
Number of Individuals Covered353
Insurance policy start date2020-01-01
Insurance policy end date2020-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $70,057
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered358
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $172,677
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered371
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $171,612
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered376
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $172,090
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered382
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $180,771
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered421
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $184,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0360091
Policy instance 1
Insurance contract or identification number0360091
Number of Individuals Covered439
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $189,220
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number004820
Policy instance 1
Insurance contract or identification number004820
Number of Individuals Covered448
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $471,634
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number004820
Policy instance 1
Insurance contract or identification number004820
Number of Individuals Covered572
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $129,201
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number004820
Policy instance 1
Insurance contract or identification number004820
Number of Individuals Covered486
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $193,706
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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