NATIONAL INSURANCE CRIME BUREAU ACCIDENT CANCER VOLUNTARY CRITICAL ILLNESS
|
2023
|
363776789
|
2024-07-29
|
NATIONAL INSURANCE CRIME BUREAU
|
413
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1515 W 22ND ST STE 1300W, OAK BROOK, IL, 605232007
|
Plan sponsor’s
address |
1515 W 22ND ST STE 1300W, OAK BROOK, IL, 605232007
|
Number of participants as of the end of the plan year
Active participants |
391 |
Retired or separated participants receiving
benefits |
32 |
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-23 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU GROUP INSURANCE PLAN
|
2023
|
363776789
|
2024-07-29
|
NATIONAL INSURANCE CRIME BUREAU
|
291
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-06-14
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1515 W 22ND ST STE 1300W, OAK BROOK, IL, 605232007
|
Plan sponsor’s
address |
1515 W 22ND ST STE 1300W, OAK BROOK, IL, 605232007
|
Number of participants as of the end of the plan year
Active participants |
245 |
Retired or separated participants receiving
benefits |
50 |
Signature of
Role |
Plan administrator |
Date |
2024-07-22 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-07-23 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU GROUP INSURANCE PLAN
|
2022
|
363776789
|
2023-07-25
|
NATIONAL INSURANCE CRIME BUREAU
|
281
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-06-14
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
241 |
Retired or separated participants receiving
benefits |
50 |
Signature of
Role |
Plan administrator |
Date |
2023-07-21 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-21 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU ACCIDENT CANCER VOLUNTARY CRITICAL ILLNESS
|
2022
|
363776789
|
2023-07-25
|
NATIONAL INSURANCE CRIME BUREAU
|
405
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
382 |
Retired or separated participants receiving
benefits |
31 |
Signature of
Role |
Plan administrator |
Date |
2023-07-21 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-21 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU GROUP INSURANCE PLAN
|
2021
|
363776789
|
2022-06-29
|
NATIONAL INSURANCE CRIME BUREAU
|
298
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-06-14
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
231 |
Retired or separated participants receiving
benefits |
50 |
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-15 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU ACCIDENT CANCER VOLUNTARY CRITICAL ILLNESS
|
2021
|
363776789
|
2022-06-29
|
NATIONAL INSURANCE CRIME BUREAU
|
420
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
367 |
Retired or separated participants receiving
benefits |
38 |
Signature of
Role |
Plan administrator |
Date |
2022-06-16 |
Name of individual signing |
BETSY BODKER |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-06-15 |
Name of individual signing |
CAROLYN BELLISIO |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU ACCIDENT CANCER VOLUNTARY CRITICAL ILLNESS
|
2020
|
363776789
|
2021-06-07
|
NATIONAL INSURANCE CRIME BUREAU
|
119
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2018-01-01
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
374 |
Retired or separated participants receiving
benefits |
46 |
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
EMILY HAWRYSZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-07 |
Name of individual signing |
TIMOTHY SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU GROUP INSURANCE PLAN
|
2020
|
363776789
|
2021-06-07
|
NATIONAL INSURANCE CRIME BUREAU
|
310
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-06-14
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
243 |
Retired or separated participants receiving
benefits |
55 |
Signature of
Role |
Plan administrator |
Date |
2021-06-03 |
Name of individual signing |
EMILY HAWRYSZ |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-07 |
Name of individual signing |
TIMOTHY SLATER |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU GROUP INSURANCE PLAN
|
2019
|
363776789
|
2020-06-23
|
NATIONAL INSURANCE CRIME BUREAU
|
307
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1971-06-14
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
253 |
Retired or separated participants receiving
benefits |
57 |
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
BARBARA LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-23 |
Name of individual signing |
ROBERT JACHNICKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
NATIONAL INSURANCE CRIME BUREAU LONG TERM DISABILTIY PLAN
|
2019
|
363776789
|
2020-06-23
|
NATIONAL INSURANCE CRIME BUREAU
|
439
|
|
File |
View Page
|
Three-digit plan number (PN) |
502
|
Effective date of plan |
1992-02-01
|
Business code |
813000
|
Sponsor’s telephone number |
8475447033
|
Plan sponsor’s mailing address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Plan sponsor’s
address |
1111 E TOUHY AVE STE 400, DES PLAINES, IL, 600185804
|
Number of participants as of the end of the plan year
Active participants |
391 |
Retired or separated participants receiving
benefits |
43 |
Signature of
Role |
Plan administrator |
Date |
2020-06-23 |
Name of individual signing |
BARBARA LOW |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-06-23 |
Name of individual signing |
ROBERT JACHNICKI |
Valid signature |
Filed with authorized/valid electronic signature |
|
|