PHANTOM ADMINISTRATIVE LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE
401k plan membership statisitcs for PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE
| Measure | Date | Value |
|---|
| 2021: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 136 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 149 |
| Total of all active and inactive participants | 2021-01-01 | 149 |
| 2020: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 136 |
| Total of all active and inactive participants | 2020-01-01 | 136 |
| 2019: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 159 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 159 |
| Total of all active and inactive participants | 2019-01-01 | 159 |
| 2018: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 165 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 159 |
| Total of all active and inactive participants | 2018-01-01 | 159 |
| 2017: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 169 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 165 |
| Total of all active and inactive participants | 2017-01-01 | 165 |
| 2021: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: PHANTOM ADMINISTRATIVE, LLC GROUP LIFE, ACCIDENTAL DEATH, DISABILITY INSURANCE 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | AL00005260 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00005260 | | Number of Individuals Covered | 149 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $7,166 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $72,336 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,166 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | AL00005260 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00005260 | | Number of Individuals Covered | 136 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $6,868 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $70,189 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,868 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | AL00005260 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00005260 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $6,126 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,126 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | AL00005260 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00005260 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $6,126 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,639 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $6,126 |
|
| ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 ) |
| Policy contract number | AL00005260 |
| Policy instance | 1 |
| Insurance contract or identification number | AL00005260 | | Number of Individuals Covered | 165 | | Insurance policy start date | 2016-07-01 | | Insurance policy end date | 2017-06-30 | | Total amount of commissions paid to insurance broker | USD $7,139 | | Total amount of fees paid to insurance company | USD $0 | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | Yes | | Welfare Benefit Premiums Paid to Carrier | USD $61,280 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $7,139 | | Insurance broker name | WENDY L FELDMANE |
|
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