401k Plan data: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY plan

TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 401k Plan overview

Plan Name	TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY
Plan identification number	507

TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY Benefits

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

401k Sponsoring company profile

TEXAS LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: TEXAS LIFE INSURANCE COMPANY

Employer identification number (EIN): 740940890

NAIC Classification: 524140

Additional information about TEXAS LIFE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 675375

More information about TEXAS LIFE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
507 2015-03-01 JUDY SPRAGUE JUDY SPRAGUE 2016-08-19
507 2014-03-01 JUDY SPRAGUE JUDY SPRAGUE 2015-09-29
507 2013-03-01 JUDY SPRAGUE JUDY SPRAGUE 2014-11-04
507 2012-03-01 JUDY SPRAGUE
507 2011-03-01 JUDY SPRAGUE

Plan id#	Filing Submission Date	Name of Administrator	Name of Company Sponsor	Date Sponsor Signed
507	2015-03-01	JUDY SPRAGUE	JUDY SPRAGUE	2016-08-19
507	2014-03-01	JUDY SPRAGUE	JUDY SPRAGUE	2015-09-29
507	2013-03-01	JUDY SPRAGUE	JUDY SPRAGUE	2014-11-04
507	2012-03-01	JUDY SPRAGUE
507	2011-03-01	JUDY SPRAGUE

Plan Statistics for TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY

401k plan membership statisitcs for TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY

Measure Date Value
2015: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year 2015-03-01 116
Total number of active participants reported on line 7a of the Form 5500 2015-03-01 0
Number of retired or separated participants receiving benefits 2015-03-01 0
Total of all active and inactive participants 2015-03-01 0
Total participants 2015-03-01 0
2014: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year 2014-03-01 113
Total number of active participants reported on line 7a of the Form 5500 2014-03-01 115
Total of all active and inactive participants 2014-03-01 115
Total participants 2014-03-01 115
2013: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year 2013-03-01 93
Total number of active participants reported on line 7a of the Form 5500 2013-03-01 89
Number of retired or separated participants receiving benefits 2013-03-01 0
Number of other retired or separated participants entitled to future benefits 2013-03-01 0
Total of all active and inactive participants 2013-03-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-03-01 0
Total participants 2013-03-01 89
2012: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year 2012-03-01 98
Total number of active participants reported on line 7a of the Form 5500 2012-03-01 95
Total of all active and inactive participants 2012-03-01 95
Total participants 2012-03-01 95
2011: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year 2011-03-01 100
Total number of active participants reported on line 7a of the Form 5500 2011-03-01 98
Total of all active and inactive participants 2011-03-01 98
Total participants 2011-03-01 98

Measure	Date	Value
2015: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2015 401k membership
Total participants, beginning-of-year	2015-03-01	116
Total number of active participants reported on line 7a of the Form 5500	2015-03-01	0
Number of retired or separated participants receiving benefits	2015-03-01	0
Total of all active and inactive participants	2015-03-01	0
Total participants	2015-03-01	0
2014: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2014 401k membership
Total participants, beginning-of-year	2014-03-01	113
Total number of active participants reported on line 7a of the Form 5500	2014-03-01	115
Total of all active and inactive participants	2014-03-01	115
Total participants	2014-03-01	115
2013: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2013 401k membership
Total participants, beginning-of-year	2013-03-01	93
Total number of active participants reported on line 7a of the Form 5500	2013-03-01	89
Number of retired or separated participants receiving benefits	2013-03-01	0
Number of other retired or separated participants entitled to future benefits	2013-03-01	0
Total of all active and inactive participants	2013-03-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-03-01	0
Total participants	2013-03-01	89
2012: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2012 401k membership
Total participants, beginning-of-year	2012-03-01	98
Total number of active participants reported on line 7a of the Form 5500	2012-03-01	95
Total of all active and inactive participants	2012-03-01	95
Total participants	2012-03-01	95
2011: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2011 401k membership
Total participants, beginning-of-year	2011-03-01	100
Total number of active participants reported on line 7a of the Form 5500	2011-03-01	98
Total of all active and inactive participants	2011-03-01	98
Total participants	2011-03-01	98

Form 5500 Responses for TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY

2015: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2015 form 5500 responses
2015-03-01	Type of plan entity	Single employer plan
2015-03-01	Submission has been amended	No
2015-03-01	This submission is the final filing	Yes
2015-03-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2015-03-01	Plan is a collectively bargained plan	No
2015-03-01	Plan funding arrangement – Insurance	Yes
2015-03-01	Plan benefit arrangement – Insurance	Yes
2014: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2014 form 5500 responses
2014-03-01	Type of plan entity	Single employer plan
2014-03-01	Submission has been amended	No
2014-03-01	This submission is the final filing	No
2014-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-03-01	Plan is a collectively bargained plan	No
2014-03-01	Plan funding arrangement – Insurance	Yes
2014-03-01	Plan benefit arrangement – Insurance	Yes
2013: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2013 form 5500 responses
2013-03-01	Type of plan entity	Single employer plan
2013-03-01	Submission has been amended	No
2013-03-01	This submission is the final filing	No
2013-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-03-01	Plan is a collectively bargained plan	No
2013-03-01	Plan funding arrangement – Insurance	Yes
2013-03-01	Plan benefit arrangement – Insurance	Yes
2012: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2012 form 5500 responses
2012-03-01	Type of plan entity	Single employer plan
2012-03-01	Submission has been amended	No
2012-03-01	This submission is the final filing	No
2012-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-03-01	Plan is a collectively bargained plan	No
2012-03-01	Plan funding arrangement – Insurance	Yes
2012-03-01	Plan benefit arrangement – Insurance	Yes
2011: TEXAS LIFE INSURANCE COMPANY, LONG TERM DISABILITY 2011 form 5500 responses
2011-03-01	Type of plan entity	Single employer plan
2011-03-01	Submission has been amended	No
2011-03-01	This submission is the final filing	No
2011-03-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-03-01	Plan is a collectively bargained plan	No
2011-03-01	Plan funding arrangement – Insurance	Yes
2011-03-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )

Policy contract number

G120-19A

Policy instance

Insurance contract or identification number	G120-19A
Number of Individuals Covered	114
Insurance policy start date	2015-03-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $511
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $13,463
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $511
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	FIRST FINANCIAL CAPITAL CORPORATION

AMERICAN FIDELITY ASSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 60410 )

Policy contract number

G120-19A

Policy instance

Insurance contract or identification number	G120-19A
Number of Individuals Covered	115
Insurance policy start date	2014-03-01
Insurance policy end date	2015-02-28
Total amount of commissions paid to insurance broker	USD $579
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $11,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $579
Amount paid for insurance broker fees	0
Insurance broker organization code?	3
Insurance broker name	FIRST FINANCIAL CAPITAL CORPORATION

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010077227

Policy instance

Insurance contract or identification number	000010077227
Number of Individuals Covered	89
Insurance policy start date	2013-03-01
Insurance policy end date	2014-02-28
Total amount of commissions paid to insurance broker	USD $1,790
Total amount of fees paid to insurance company	USD $120
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	Yes
Unemployment Insurance Welfare Benefit	No
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 Carrier	USD $11,931
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,790
Amount paid for insurance broker fees	120
Insurance broker organization code?	3
Insurance broker name	FIRST FINANCIAL CAPITAL CORPORATION

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010077227

Policy instance

Insurance contract or identification number	000010077227
Number of Individuals Covered	95
Insurance policy start date	2012-03-01
Insurance policy end date	2013-02-28
Total amount of commissions paid to insurance broker	USD $1,528
Total amount of fees paid to insurance company	USD $203
Long Term Disability Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $10,186
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $1,528
Amount paid for insurance broker fees	203
Additional information about fees paid to insurance broker	BROKER BONUS
Insurance broker organization code?	3
Insurance broker name	FIRST FINANCIAL CAPITAL CORPORATION

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )

Policy contract number

000010077227

Policy instance

Insurance contract or identification number	000010077227
Number of Individuals Covered	98
Insurance policy start date	2011-03-01
Insurance policy end date	2012-02-29
Total amount of commissions paid to insurance broker	USD $1,790
Total amount of fees paid to insurance company	USD $0
Welfare Benefit Premiums Paid to Carrier	USD $11,934
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

TEXAS LIFE HOSPICE-FT. WORTH 401(K) PLAN [EIN = 831676388]

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Company Name:	TEXAS LIFE INSURANCE COMPANY
Employer identification number (EIN):	740940890
NAIC Classification:	524140

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	675375