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TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN 401k Plan overview

Plan NameTBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN
Plan identification number 504

TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

TBA INSURANCE GROUP, LTD AND AFFILIATES has sponsored the creation of one or more 401k plans.

Company Name:TBA INSURANCE GROUP, LTD AND AFFILIATES
Employer identification number (EIN):751411613
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042008-05-01
5042007-05-01

Plan Statistics for TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN

401k plan membership statisitcs for TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN

Measure Date Value
2008: TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN 2008 401k membership
Total participants, beginning-of-year2008-05-01352
Total number of active participants reported on line 7a of the Form 55002008-05-010
Number of retired or separated participants receiving benefits2008-05-010
Number of other retired or separated participants entitled to future benefits2008-05-010
Total of all active and inactive participants2008-05-010
2007: TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN 2007 401k membership
Total participants, beginning-of-year2007-05-01188
Total number of active participants reported on line 7a of the Form 55002007-05-01186
Number of retired or separated participants receiving benefits2007-05-010
Number of other retired or separated participants entitled to future benefits2007-05-010
Total of all active and inactive participants2007-05-01186

Form 5500 Responses for TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN

2008: TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN 2008 form 5500 responses
2008-05-01Type of plan entitySingle employer plan
2008-05-01Submission has been amendedNo
2008-05-01This submission is the final filingYes
2008-05-01This return/report is a short plan year return/report (less than 12 months)No
2008-05-01Plan is a collectively bargained planNo
2008-05-01Plan funding arrangement – InsuranceYes
2008-05-01Plan benefit arrangement – InsuranceYes
2007: TBA INSURANCE GROUP, LTD AND AFFILIATES STD AND LTD PLAN 2007 form 5500 responses
2007-05-01Type of plan entitySingle employer plan
2007-05-01First time form 5500 has been submittedYes
2007-05-01Submission has been amendedNo
2007-05-01This submission is the final filingNo
2007-05-01This return/report is a short plan year return/report (less than 12 months)No
2007-05-01Plan is a collectively bargained planNo
2007-05-01Plan funding arrangement – InsuranceYes
2007-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number949313
Policy instance 1
Insurance contract or identification number949313
Number of Individuals Covered347
Insurance policy start date2008-05-01
Insurance policy end date2009-04-30
Total amount of commissions paid to insurance brokerUSD $7,914
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 BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
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 $87,715
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,914
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameMARY S MILLER
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number949313
Policy instance 1
Insurance contract or identification number949313
Number of Individuals Covered185
Insurance policy start date2007-05-01
Insurance policy end date2008-04-30
Total amount of commissions paid to insurance brokerUSD $3,115
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 BenefitYes
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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 $43,377
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,115
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
Insurance broker nameMARY S MILLER

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