HOGAN MFG. INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398
401k plan membership statisitcs for HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398
| Measure | Date | Value |
|---|
| 2022: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-09-01 | 171 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-09-01 | 192 |
| Total of all active and inactive participants | 2022-09-01 | 192 |
| Total participants | 2022-09-01 | 192 |
| 2019: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 141 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 175 |
| Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 0 |
| Total of all active and inactive participants | 2019-09-01 | 175 |
| 2018: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 142 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 141 |
| Number of retired or separated participants receiving benefits | 2018-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-09-01 | 0 |
| Total of all active and inactive participants | 2018-09-01 | 141 |
| 2017: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 149 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 141 |
| Number of retired or separated participants receiving benefits | 2017-09-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 0 |
| Total of all active and inactive participants | 2017-09-01 | 142 |
| 2016: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 134 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 139 |
| Number of retired or separated participants receiving benefits | 2016-09-01 | 10 |
| Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 0 |
| Total of all active and inactive participants | 2016-09-01 | 149 |
| 2015: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 145 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 134 |
| Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 0 |
| Total of all active and inactive participants | 2015-09-01 | 134 |
| 2014: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 145 |
| Total of all active and inactive participants | 2014-09-01 | 145 |
| Total participants | 2014-09-01 | 0 |
| 2013: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 126 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 128 |
| Total of all active and inactive participants | 2013-09-01 | 128 |
| Total participants | 2013-09-01 | 0 |
| 2012: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-09-01 | 127 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-09-01 | 126 |
| Total of all active and inactive participants | 2012-09-01 | 126 |
| Total participants | 2012-09-01 | 0 |
| 2011: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 127 |
| Total of all active and inactive participants | 2011-09-01 | 127 |
| Total participants | 2011-09-01 | 127 |
| 2009: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-09-01 | 158 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 130 |
| Total of all active and inactive participants | 2009-09-01 | 130 |
| Total participants | 2009-09-01 | 130 |
| 2022: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2022 form 5500 responses |
|---|
| 2022-09-01 | Type of plan entity | Single employer plan |
| 2022-09-01 | Submission has been amended | No |
| 2022-09-01 | This submission is the final filing | No |
| 2022-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-09-01 | Plan is a collectively bargained plan | No |
| 2022-09-01 | Plan funding arrangement – Insurance | Yes |
| 2022-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2022-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2019: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Submission has been amended | No |
| 2019-09-01 | This submission is the final filing | No |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-09-01 | Plan is a collectively bargained plan | No |
| 2019-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Submission has been amended | No |
| 2018-09-01 | This submission is the final filing | No |
| 2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-09-01 | Plan is a collectively bargained plan | No |
| 2018-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | No |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | Single employer plan |
| 2016-09-01 | Submission has been amended | No |
| 2016-09-01 | This submission is the final filing | No |
| 2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-09-01 | Plan is a collectively bargained plan | No |
| 2016-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | Single employer plan |
| 2015-09-01 | Submission has been amended | No |
| 2015-09-01 | This submission is the final filing | No |
| 2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-09-01 | Plan is a collectively bargained plan | No |
| 2015-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | Single employer plan |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | Single employer plan |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2012 form 5500 responses |
|---|
| 2012-09-01 | Type of plan entity | Single employer plan |
| 2012-09-01 | Plan funding arrangement – Insurance | Yes |
| 2012-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | Single employer plan |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: HOGAN MFG INC FKA HOGAN HOLDING & INVESTMENT CO & SUBSIDIARY PO BOX 398 ESCALON CA 95320-0398 2009 form 5500 responses |
|---|
| 2009-09-01 | Type of plan entity | Single employer plan |
| 2009-09-01 | Plan funding arrangement – Insurance | Yes |
| 2009-09-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-09-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 913286 |
| Policy instance | 1 |
| Insurance contract or identification number | 913286 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $3,340 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENT, CANCER AND CRITICAL ILLNESS VOLUNTARY BENEFIT | | 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 $18,649 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,340 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 ) |
| Policy contract number | HCL36536 |
| Policy instance | 2 |
| Insurance contract or identification number | HCL36536 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2022-10-01 | | Insurance policy end date | 2022-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | No | | 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 $563,285 | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-020311-00 |
| Policy instance | 3 |
| Insurance contract or identification number | 01-020311-00 | | Number of Individuals Covered | 192 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Total amount of commissions paid to insurance broker | USD $7,709 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | 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 $51,448 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,136 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 |
|
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 913286 |
| Policy instance | 1 |
| Insurance contract or identification number | 913286 | | Number of Individuals Covered | 175 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $10,638 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | Yes | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 $78,786 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $10,638 | | Insurance broker organization code? | 3 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-016252-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 01-016252-00 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $136 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 $1,356 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $136 | | Insurance broker organization code? | 3 |
|
| SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 ) |
| Policy contract number | 01-016252-00 |
| Policy instance | 1 |
| Insurance contract or identification number | 01-016252-00 | | Number of Individuals Covered | 141 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $769 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | 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 | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 $7,691 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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