CHAMPION EMS has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2017: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 232 |
| Total of all active and inactive participants | 2017-05-01 | 0 |
| Total participants | 2017-05-01 | 0 |
| 2016: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 233 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 232 |
| Total of all active and inactive participants | 2016-05-01 | 232 |
| Total participants | 2016-05-01 | 232 |
| 2015: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 230 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 233 |
| Total of all active and inactive participants | 2015-05-01 | 233 |
| Total participants | 2015-05-01 | 0 |
| 2014: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 230 |
| Total of all active and inactive participants | 2014-05-01 | 230 |
| Total participants | 2014-05-01 | 0 |
| 2013: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 229 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 229 |
| Total of all active and inactive participants | 2013-05-01 | 229 |
| Total participants | 2013-05-01 | 0 |
| 2012: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 231 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 229 |
| Total of all active and inactive participants | 2012-05-01 | 229 |
| Total participants | 2012-05-01 | 0 |
| 2011: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 176 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 231 |
| Total of all active and inactive participants | 2011-05-01 | 231 |
| Total participants | 2011-05-01 | 231 |
| 2017: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | This submission is the final filing | Yes |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: CHAMPION EMS LIFE & DISABILITY BENEFIT PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | First time form 5500 has been submitted | Yes |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
| Policy contract number | G-52255 |
| Policy instance | 2 |
| Insurance contract or identification number | G-52255 | | Number of Individuals Covered | 244 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $4,070 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $27,113 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,070 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285G |
| Policy instance | 1 |
| Insurance contract or identification number | 037285G | | Number of Individuals Covered | 227 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,921 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $32,678 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,921 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
| Policy contract number | G-52255 |
| Policy instance | 2 |
| Insurance contract or identification number | G-52255 | | Number of Individuals Covered | 224 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $6,129 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,863 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,129 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285-0GL |
| Policy instance | 1 |
| Insurance contract or identification number | 037285-0GL | | Number of Individuals Covered | 233 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $5,441 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $45,693 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,441 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
| Policy contract number | G-52255 |
| Policy instance | 2 |
| Insurance contract or identification number | G-52255 | | Number of Individuals Covered | 230 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $5,917 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $40,979 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,917 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285G |
| Policy instance | 1 |
| Insurance contract or identification number | 037285G | | Number of Individuals Covered | 225 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $4,635 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $37,188 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,635 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| BOSTON MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61476 ) |
| Policy contract number | G-52255 |
| Policy instance | 2 |
| Insurance contract or identification number | G-52255 | | Number of Individuals Covered | 229 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $5,917 | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $39,447 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,917 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285G |
| Policy instance | 1 |
| Insurance contract or identification number | 037285G | | Number of Individuals Covered | 225 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $5,075 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $42,288 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,075 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285G |
| Policy instance | 1 |
| Insurance contract or identification number | 037285G | | Number of Individuals Covered | 233 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $5,229 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $43,573 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,229 | | Insurance broker organization code? | 3 | | Insurance broker name | JEFFERY SOLINSKY |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 037285G |
| Policy instance | 1 |
| Insurance contract or identification number | 037285G | | Number of Individuals Covered | 225 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-04-30 | | Total amount of commissions paid to insurance broker | USD $4,585 | | Life Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $38,207 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
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