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THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 401k Plan overview

Plan NameTHE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN
Plan identification number 502

THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Temporary disability (accident and sickness)
  • Other welfare benefit cover

401k Sponsoring company profile

THE FIESTA TABLEWARE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE FIESTA TABLEWARE COMPANY
Employer identification number (EIN):550215070
NAIC Classification:327900

Additional information about THE FIESTA TABLEWARE COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0227030

More information about THE FIESTA TABLEWARE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01WILLIAM F. DANLEY2023-07-17
5022021-01-01WILLIAM F. DANLEY2022-07-20
5022020-01-01WILLIAM F. DANLEY2021-07-20
5022019-01-01WILLIAM F. DANLEY2020-09-28
5022018-01-01
5022017-01-01
5022016-01-01
5022015-01-01
5022014-01-01
5022013-01-01
5022012-01-01WILLIAM F. DANLEY
5022011-01-01WILLIAM F. DANLEY
5022010-01-01WILLIAM F. DANLEY
5022009-01-01WILLIAM F. DANLEY

Plan Statistics for THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN

401k plan membership statisitcs for THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN

Measure Date Value
2022: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01728
Total number of active participants reported on line 7a of the Form 55002022-01-01382
Number of retired or separated participants receiving benefits2022-01-01266
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01648
2021: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01735
Total number of active participants reported on line 7a of the Form 55002021-01-01473
Number of retired or separated participants receiving benefits2021-01-01255
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01728
2020: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01831
Total number of active participants reported on line 7a of the Form 55002020-01-01535
Number of retired or separated participants receiving benefits2020-01-01200
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01735
2019: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01979
Total number of active participants reported on line 7a of the Form 55002019-01-01632
Number of retired or separated participants receiving benefits2019-01-01199
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01831
2018: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,110
Total number of active participants reported on line 7a of the Form 55002018-01-01764
Number of retired or separated participants receiving benefits2018-01-01206
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01970
2017: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-011,048
Total number of active participants reported on line 7a of the Form 55002017-01-01786
Number of retired or separated participants receiving benefits2017-01-01172
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01958
2016: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,149
Total number of active participants reported on line 7a of the Form 55002016-01-01887
Number of retired or separated participants receiving benefits2016-01-01161
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,048
2015: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,045
Total number of active participants reported on line 7a of the Form 55002015-01-011,014
Number of retired or separated participants receiving benefits2015-01-01135
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-011,149
2014: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,036
Total number of active participants reported on line 7a of the Form 55002014-01-01750
Number of retired or separated participants receiving benefits2014-01-0193
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01843
2013: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01882
Total number of active participants reported on line 7a of the Form 55002013-01-01942
Number of retired or separated participants receiving benefits2013-01-0194
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-011,036
2012: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01814
Total number of active participants reported on line 7a of the Form 55002012-01-01804
Number of retired or separated participants receiving benefits2012-01-0178
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-01882
2011: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01666
Total number of active participants reported on line 7a of the Form 55002011-01-01926
Total of all active and inactive participants2011-01-01926
Total participants2011-01-01926
2010: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01523
Total number of active participants reported on line 7a of the Form 55002010-01-01666
Total of all active and inactive participants2010-01-01666
Total participants2010-01-01666
2009: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01513
Total number of active participants reported on line 7a of the Form 55002009-01-01523
Total of all active and inactive participants2009-01-01523
Total participants2009-01-01523

Form 5500 Responses for THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN

2022: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: THE FIESTA TABLEWARE COMPANY LIFE, AD&D, AND SHORT TERM DISABILITY PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254580
Policy instance 1
Insurance contract or identification number10254580
Number of Individuals Covered699
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $916
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $17,527
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees916
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254582
Policy instance 2
Insurance contract or identification number10254582
Number of Individuals Covered351
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,714
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $54,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees2714
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254580
Policy instance 1
Insurance contract or identification number10254580
Number of Individuals Covered691
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $236
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $24,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $236
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254582
Policy instance 2
Insurance contract or identification number10254582
Number of Individuals Covered414
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $644
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $65,967
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $644
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254582
Policy instance 2
Insurance contract or identification number10254582
Number of Individuals Covered490
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,768
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1768
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract number10254580
Policy instance 1
Insurance contract or identification number10254580
Number of Individuals Covered804
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $618
Life Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $24,283
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees618
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473587
Policy instance 1
Insurance contract or identification number0473587
Number of Individuals Covered928
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $119,698
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 number0473587
Policy instance 1
Insurance contract or identification number0473587
Number of Individuals Covered951
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $127,381
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 number0473587
Policy instance 1
Insurance contract or identification number0473587
Number of Individuals Covered1048
Insurance policy start date2016-07-01
Insurance policy end date2017-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $132,015
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 number0473587
Policy instance 1
Insurance contract or identification number0473587
Number of Individuals Covered1026
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $139,490
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number000000404541
Policy instance 2
Insurance contract or identification number000000404541
Number of Individuals Covered902
Insurance policy start date2014-02-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $877
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $35,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees877
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION PAID
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INS SVCS USA, INC
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017649
Policy instance 1
Insurance contract or identification numberF017649
Number of Individuals Covered965
Insurance policy start date2014-01-01
Insurance policy end date2014-01-31
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
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $13,643
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017649
Policy instance 1
Insurance contract or identification numberF017649
Number of Individuals Covered942
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 $115
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedAD&D
Welfare Benefit Premiums Paid to CarrierUSD $138,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees115
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SVCS OF WV
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017649
Policy instance 1
Insurance contract or identification numberF017649
Number of Individuals Covered948
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 $6,199
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $131,767
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6199
Additional information about fees paid to insurance brokerADDITIONAL COMPENSATION
Insurance broker organization code?3
Insurance broker nameWELLS FARGO INSURANCE SVCS OF WV
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144592
Policy instance 2
Insurance contract or identification number144592
Number of Individuals Covered619
Insurance policy start date2011-01-01
Insurance policy end date2011-06-30
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
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144592
Policy instance 1
Insurance contract or identification number144592
Number of Individuals Covered762
Insurance policy start date2011-01-01
Insurance policy end date2011-06-30
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DEARBORN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71129 )
Policy contract numberF017649
Policy instance 3
Insurance contract or identification numberF017649
Number of Individuals Covered926
Insurance policy start date2011-07-01
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
Temporary Disability Insurance Welfare BenefitYes
Other welfare benefits providedADD
Welfare Benefit Premiums Paid to CarrierUSD $58,525
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144592
Policy instance 2
Insurance contract or identification number144592
Number of Individuals Covered666
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Temporary Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number144592
Policy instance 1
Insurance contract or identification number144592
Number of Individuals Covered810
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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