SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2023
|
640288243
|
2024-10-10
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
543
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Active participants |
559 |
Retired or separated participants receiving
benefits |
84 |
Other
retired or separated participants entitled to future benefits |
14 |
Signature of
Role |
Plan administrator |
Date |
2024-10-10 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-10 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2023
|
640288243
|
2024-10-04
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1419
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1964-02-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574496 |
Number of participants as of the end of the plan year
Active participants |
1250 |
Retired or separated participants receiving
benefits |
152 |
Signature of
Role |
Plan administrator |
Date |
2024-10-04 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-04 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2023
|
620288243
|
2024-09-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1489
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Active participants |
1321 |
Retired or separated participants receiving
benefits |
13 |
Signature of
Role |
Plan administrator |
Date |
2024-09-30 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-09-30 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU EMPLOYEE ASSISTANCE PROGRAM
|
2023
|
640288243
|
2024-10-01
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
593
|
|
File |
View Page
|
Three-digit plan number (PN) |
506
|
Effective date of plan |
2000-03-15
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Active participants |
604 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2023
|
640288243
|
2024-10-01
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
856
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2014-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
672 |
Other
retired or separated participants entitled to future benefits |
209 |
Signature of
Role |
Plan administrator |
Date |
2024-10-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2024-10-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2022
|
640288243
|
2023-07-07
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
799
|
|
File |
View Page
|
Three-digit plan number (PN) |
507
|
Effective date of plan |
2014-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
640 |
Other
retired or separated participants entitled to future benefits |
216 |
Signature of
Role |
Plan administrator |
Date |
2023-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2022
|
640288243
|
2023-07-06
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1398
|
|
File |
View Page
|
Three-digit plan number (PN) |
501
|
Effective date of plan |
1964-02-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574496 |
Number of participants as of the end of the plan year
Active participants |
1202 |
Retired or separated participants receiving
benefits |
217 |
Signature of
Role |
Plan administrator |
Date |
2023-07-06 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-06 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2022
|
640288243
|
2023-07-13
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
505
|
|
File |
View Page
|
Three-digit plan number (PN) |
503
|
Effective date of plan |
2011-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Active participants |
485 |
Retired or separated participants receiving
benefits |
39 |
Other
retired or separated participants entitled to future benefits |
19 |
Signature of
Role |
Plan administrator |
Date |
2023-07-13 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-07-13 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2022
|
620288243
|
2023-05-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1358
|
|
File |
View Page
|
Three-digit plan number (PN) |
508
|
Effective date of plan |
2020-01-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Number of participants as of the end of the plan year
Active participants |
1475 |
Retired or separated participants receiving
benefits |
14 |
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-31 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2022
|
640288243
|
2023-05-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
273
|
|
File |
View Page
|
Three-digit plan number (PN) |
505
|
Effective date of plan |
1989-04-01
|
Business code |
524290
|
Sponsor’s telephone number |
6019574496
|
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916
|
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574496 |
Number of participants as of the end of the plan year
Active participants |
274 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-05-31 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-05-31 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU EMPLOYEE ASSISTANCE PROGRAM
|
2022
|
640288243
|
2023-06-01
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
597
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2023/06/01/20230601092728NAL0020725777001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
2000-03-15 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Active participants |
593 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2023-06-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2023-06-01 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2021
|
640288243
|
2022-08-08
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1397
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/08/20220808112331NAL0004139779001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574496 |
Number of participants as of the end of the plan year
Active participants |
1204 |
Retired or separated participants receiving
benefits |
194 |
Signature of
Role |
Plan administrator |
Date |
2022-08-08 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-08 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2021
|
640288243
|
2022-07-28
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
330
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/28/20220728125709NAL0024443858001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574496 |
Number of participants as of the end of the plan year
Active participants |
273 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-28 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-28 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2021
|
640288243
|
2022-07-29
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
766
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/29/20220729134343NAL0016534528001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
597 |
Other
retired or separated participants entitled to future benefits |
202 |
Signature of
Role |
Plan administrator |
Date |
2022-07-29 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-29 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2021
|
620288243
|
2022-07-07
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1551
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/07/20220707092025NAL0019447136001.pdf |
Three-digit plan number (PN) |
508 |
Effective date of plan |
2020-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Active participants |
1349 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU EMPLOYEE ASSISTANCE PROGRAM
|
2021
|
640288243
|
2022-07-07
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
599
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/07/07/20220707084016NAL0019395104001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
2000-03-15 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Active participants |
597 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2022-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-07-07 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2021
|
640288243
|
2022-08-11
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
536
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/11/20220811125353NAL0006188467001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574496 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD STE 400, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Active participants |
456 |
Retired or separated participants receiving
benefits |
34 |
Other
retired or separated participants entitled to future benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2022-08-11 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-11 |
Name of individual signing |
SHARON SCHMIDT |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2020
|
640288243
|
2022-08-09
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
572
|
|
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
495 |
Retired or separated participants receiving
benefits |
26 |
Other
retired or separated participants entitled to future benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2022-08-09 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-09 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2020
|
640288243
|
2022-08-09
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
572
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2022/08/09/20220809161138NAL0004716371001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
495 |
Retired or separated participants receiving
benefits |
26 |
Other
retired or separated participants entitled to future benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2022-08-09 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2022-08-09 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2020
|
640288243
|
2021-10-11
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1393
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/11/20211011172449NAL0021889792001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1224 |
Retired or separated participants receiving
benefits |
173 |
Signature of
Role |
Plan administrator |
Date |
2021-10-11 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-11 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2020
|
640288243
|
2021-10-14
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
572
|
|
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
495 |
Retired or separated participants receiving
benefits |
26 |
Other
retired or separated participants entitled to future benefits |
15 |
Signature of
Role |
Plan administrator |
Date |
2021-10-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2020
|
640288243
|
2021-10-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
561
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/12/20211012090018NAL0035596162001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
586 |
Other
retired or separated participants entitled to future benefits |
180 |
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2020
|
640288243
|
2021-10-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
344
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/10/12/20211012142130NAL0033939042001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
330 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-10-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-10-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2020
|
640288243
|
2021-06-24
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1569
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2021/06/24/20210624160712NAL0009156529001.pdf |
Three-digit plan number (PN) |
508 |
Effective date of plan |
2020-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916 |
Number of participants as of the end of the plan year
Active participants |
1542 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2021-06-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2021-06-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2019
|
640288243
|
2020-10-14
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
531
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/10/14/20201014100800NAL0007618720001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
531 |
Retired or separated participants receiving
benefits |
23 |
Other
retired or separated participants entitled to future benefits |
18 |
Signature of
Role |
Plan administrator |
Date |
2020-10-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-10-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2019
|
640288243
|
2020-07-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
490
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/30/20200730173708NAL0009716272001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
403 |
Other
retired or separated participants entitled to future benefits |
158 |
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2019
|
640288243
|
2020-07-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1366
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/31/20200731102107NAL0009062065001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1230 |
Retired or separated participants receiving
benefits |
163 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2019
|
640288243
|
2020-07-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
343
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/07/30/20200730162413NAL0012223536001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
344 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2020-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2018
|
640288243
|
2020-01-20
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1797
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2020/01/20/20200120144438NAL0001615568001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1398 |
Other
retired or separated participants entitled to future benefits |
417 |
Signature of
Role |
Plan administrator |
Date |
2020-01-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2020-01-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2018
|
640288243
|
2019-07-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
442
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/31/20190731161440P040283011485001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
417 |
Other
retired or separated participants entitled to future benefits |
73 |
Signature of
Role |
Plan administrator |
Date |
2019-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2018
|
640288243
|
2019-09-16
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
564
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916181504P030018677633001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
531 |
Retired or separated participants receiving
benefits |
161 |
Other
retired or separated participants entitled to future benefits |
15 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-16 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2018
|
640288243
|
2019-09-16
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1366
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/09/16/20190916180937P040019291063001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1215 |
Retired or separated participants receiving
benefits |
149 |
Other
retired or separated participants entitled to future benefits |
164 |
Signature of
Role |
Plan administrator |
Date |
2019-09-16 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-09-16 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2018
|
640288243
|
2019-07-24
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
343
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/07/24/20190724164956P040274039245001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
343 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2019-07-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2019-07-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2017
|
640288243
|
2019-01-17
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1794
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2019/01/17/20190117152523P040000292029001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1392 |
Other
retired or separated participants entitled to future benefits |
404 |
Signature of
Role |
Plan administrator |
Date |
2019-01-17 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2017
|
640288243
|
2018-08-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
145
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/08/31/20180831162114P030116192733001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1217 |
Retired or separated participants receiving
benefits |
149 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-08-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-08-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2017
|
640288243
|
2018-06-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
360
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/22/20180622135652P030012639857001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
330 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2017
|
640288243
|
2018-06-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
417
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/06/22/20180622101446P030012112081001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
352 |
Other
retired or separated participants entitled to future benefits |
90 |
Signature of
Role |
Plan administrator |
Date |
2018-06-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-06-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2017
|
640288243
|
2018-07-13
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
561
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/07/13/20180713145029P040060522145001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
534 |
Retired or separated participants receiving
benefits |
29 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2018-07-13 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2018-07-13 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2016
|
640288243
|
2017-08-28
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
139
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/08/28/20170828092450P030102914071001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
145 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-08-28 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-08-28 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2016
|
640288243
|
2018-01-08
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1772
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2018/01/08/20180108154813P030007404589001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1412 |
Other
retired or separated participants entitled to future benefits |
382 |
Signature of
Role |
Plan administrator |
Date |
2018-01-08 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2016
|
640288243
|
2017-11-13
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
554
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/11/13/20171113093103P030273239281001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
543 |
Retired or separated participants receiving
benefits |
17 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
1 |
Signature of
Role |
Plan administrator |
Date |
2017-11-13 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-11-13 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2016
|
640288243
|
2017-07-14
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
373
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/14/20170714094735P040038482109001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
360 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2017-07-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-14 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2016
|
640288243
|
2017-07-10
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
390
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2017/07/10/20170710152134P030037217047001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
339 |
Other
retired or separated participants entitled to future benefits |
78 |
Signature of
Role |
Plan administrator |
Date |
2017-07-10 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2017-07-10 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2015
|
640288243
|
2016-11-14
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1759
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/11/14/20161114074705P040013039713001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1423 |
Other
retired or separated participants entitled to future benefits |
349 |
Signature of
Role |
Plan administrator |
Date |
2016-11-13 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2015
|
640288243
|
2016-08-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2198
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/08/30/20160830163630P040009471719001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E COUNTY LINE RD, RIDGELAND, MS, 391571916 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
0 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-08-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-08-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2015
|
640288243
|
2016-07-28
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2198
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/28/20160728125857P040053161959001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1867 |
Retired or separated participants receiving
benefits |
38 |
Other
retired or separated participants entitled to future benefits |
369 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
22 |
Number of
participants
with
account balances as of the end of the plan year |
2189 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-28 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-28 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2015
|
640288243
|
2016-07-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
442
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/22/20160722111236P030036006669001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
373 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2015
|
640288243
|
2016-07-21
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
339
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721120139P040042623335001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
319 |
Other
retired or separated participants entitled to future benefits |
71 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2015
|
640288243
|
2016-07-21
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1351
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721120959P030034724045001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Retired or separated participants receiving
benefits |
139 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2015
|
640288243
|
2016-07-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
549
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/12/20160712100758P030030426295001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
536 |
Retired or separated participants receiving
benefits |
22 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2016-07-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2014
|
640288243
|
2016-07-21
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/07/21/20160721115900P040043720817001.pdf |
Three-digit plan number (PN) |
507 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
285 |
Other
retired or separated participants entitled to future benefits |
54 |
Signature of
Role |
Plan administrator |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2016-07-21 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2014
|
640288243
|
2016-01-13
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1757
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2016/01/13/20160113094856P040160541681001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1435 |
Other
retired or separated participants entitled to future benefits |
324 |
Signature of
Role |
Plan administrator |
Date |
2016-01-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2014
|
640288243
|
2015-10-07
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
530
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/10/07/20151007150710P040027952925001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
532 |
Retired or separated participants receiving
benefits |
15 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
2 |
Signature of
Role |
Plan administrator |
Date |
2015-10-07 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-10-07 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CAS INS COMP RETIREE HEALTH REIMBURSEMENT ARRANGEMENT
|
2014
|
640288243
|
2015-07-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/22/20150722131832P030110821943001.pdf |
Three-digit plan number (PN) |
506 |
Effective date of plan |
2014-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, RIDGELAND, MS, 39157 |
Number of participants as of the end of the plan year
Active participants |
0 |
Retired or separated participants receiving
benefits |
285 |
Other
retired or separated participants entitled to future benefits |
54 |
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2014
|
640288243
|
2015-07-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1357
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/22/20150722150959P030036286285001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1210 |
Retired or separated participants receiving
benefits |
141 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2014
|
640288243
|
2015-07-20
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
448
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/20/20150720141151P040101760247001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
442 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2014
|
640288243
|
2015-07-17
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2252
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/07/17/20150717150240P040096889095001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1824 |
Retired or separated participants receiving
benefits |
40 |
Other
retired or separated participants entitled to future benefits |
315 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
19 |
Number of
participants
with
account balances as of the end of the plan year |
1971 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2015-07-17 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2015-07-17 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2013
|
640288243
|
2015-01-15
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1747
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2015/01/15/20150115094427P030062231857001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1442 |
Other
retired or separated participants entitled to future benefits |
315 |
Signature of
Role |
Plan administrator |
Date |
2015-01-15 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2013
|
640288243
|
2014-07-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
657
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/30/20140730162702P030021360895001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
502 |
Retired or separated participants receiving
benefits |
99 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
19 |
Signature of
Role |
Plan administrator |
Date |
2014-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2013
|
640288243
|
2014-07-31
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1321
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/31/20140731171632P040003330425001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1223 |
Retired or separated participants receiving
benefits |
134 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-31 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN- CAS
|
2013
|
640288243
|
2014-07-25
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
486
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/25/20140725140156P040055474711001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
448 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-25 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-25 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2013
|
640288243
|
2014-07-22
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2233
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/07/22/20140722162257P040050781335001.pdf |
Three-digit plan number (PN) |
003 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1853 |
Retired or separated participants receiving
benefits |
40 |
Other
retired or separated participants entitled to future benefits |
341 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
18 |
Number of
participants
with
account balances as of the end of the plan year |
1983 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2014-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2014-07-22 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2012
|
640288243
|
2014-01-29
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1774
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2014/01/29/20140129094021P030064974021001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1452 |
Other
retired or separated participants entitled to future benefits |
295 |
Signature of
Role |
Plan administrator |
Date |
2014-01-28 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2012
|
640288243
|
2013-09-15
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1271
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/09/15/20130915105438P040145710261001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1191 |
Retired or separated participants receiving
benefits |
130 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-09-15 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-09-15 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401(K) TRUST
|
2012
|
640288243
|
2013-07-19
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719151326P030304151459001.pdf |
Three-digit plan number (PN) |
002 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2012
|
640288243
|
2013-07-19
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2129
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/19/20130719150942P040113329269001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1892 |
Retired or separated participants receiving
benefits |
38 |
Other
retired or separated participants entitled to future benefits |
283 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
20 |
Number of
participants
with
account balances as of the end of the plan year |
1995 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-19 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-19 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2012
|
640288243
|
2013-07-17
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
657
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/17/20130717164105P030301317827001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
505 |
Retired or separated participants receiving
benefits |
98 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
16 |
Signature of
Role |
Plan administrator |
Date |
2013-07-17 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2013-07-17 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN
|
2012
|
640288243
|
2013-07-18
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
465
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/07/18/20130718152913P030302599699001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
486 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-07-18 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2011
|
640288243
|
2013-02-08
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1429
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2013/02/08/20130208164409P030008182007001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1987-08-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1423 |
Retired or separated participants receiving
benefits |
9 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2013-02-08 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2011
|
640288243
|
2012-11-16
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1680
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/11/16/20121116153348P030039617010001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1495 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
279 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-11-16 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU GROUP MEDICAL AND DENTAL INSURANCE PLAN FOR EMPLOYEES
|
2011
|
640288243
|
2012-07-25
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
0
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/25/20120725094533P040035204144001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
2011-01-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
518 |
Retired or separated participants receiving
benefits |
122 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
17 |
Signature of
Role |
Plan administrator |
Date |
2012-07-25 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN
|
2011
|
640288243
|
2012-07-20
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
478
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/20/20120720102905P040008410210001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
465 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2011
|
640288243
|
2012-07-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2125
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/12/20120712125748P030002131874001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1808 |
Retired or separated participants receiving
benefits |
44 |
Other
retired or separated participants entitled to future benefits |
261 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
16 |
Number of
participants
with
account balances as of the end of the plan year |
1898 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2011
|
640288243
|
2012-07-20
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1339
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/20/20120720134235P030000731300001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1147 |
Retired or separated participants receiving
benefits |
124 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-07-20 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401(K) TRUST
|
2011
|
640288243
|
2012-07-18
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718145408P030000504036001.pdf |
Three-digit plan number (PN) |
002 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401(K) TRUST
|
2010
|
640288243
|
2012-07-18
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/07/18/20120718145111P030000327109001.pdf |
Three-digit plan number (PN) |
002 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Signature of
Role |
Plan administrator |
Date |
2012-07-18 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2010
|
640288243
|
2012-02-27
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1413
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/27/20120227142435P030043402689001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1987-08-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1418 |
Retired or separated participants receiving
benefits |
11 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2010
|
640288243
|
2011-11-08
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1685
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/11/08/20111108143132P030001991713001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019577777 |
Plan sponsor’s mailing address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E COUNTY LINE RD, SUITE 400, RIDGLEAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
PO BOX 1800, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019577777 |
Number of participants as of the end of the plan year
Active participants |
1422 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
258 |
Signature of
Role |
Plan administrator |
Date |
2011-11-08 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
ACCIDENTAL DEATH AND DISMEMBERMENT PLAN
|
2010
|
640288243
|
2011-08-02
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1347
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/08/02/20110802113035P040488127440001.pdf |
Three-digit plan number (PN) |
501 |
Effective date of plan |
1964-02-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1235 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
104 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-08-02 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-08-02 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401K PLAN
|
2010
|
640288243
|
2011-07-26
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
2184
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/26/20110726135906P040103713025001.pdf |
Three-digit plan number (PN) |
002 |
Effective date of plan |
1982-02-02 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39158 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1811 |
Retired or separated participants receiving
benefits |
50 |
Other
retired or separated participants entitled to future benefits |
249 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
15 |
Number of
participants
with
account balances as of the end of the plan year |
1741 |
Number of participants that
terminated
employment during the plan year with accrued benefits that were less than 100%
vested |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-26 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-26 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401(K) TRUST
|
2010
|
640288243
|
2011-07-29
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
|
|
Three-digit plan number (PN) |
002 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Signature of
Role |
Plan administrator |
Date |
2011-07-29 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
Employer/plan sponsor |
Date |
2011-07-29 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN
|
2010
|
640288243
|
2011-07-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
502
|
|
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
478 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-07-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU FLEXIBLE SPENDING PLAN
|
2010
|
640288243
|
2011-07-12
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
502
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/07/12/20110712135557P030433639616001.pdf |
Three-digit plan number (PN) |
505 |
Effective date of plan |
1989-04-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
478 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-07-12 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2009
|
640288243
|
2012-02-27
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1401
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2012/02/27/20120227142044P030043401425001.pdf |
Three-digit plan number (PN) |
503 |
Effective date of plan |
1987-08-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1403 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2012-02-27 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2009
|
640288243
|
2011-02-24
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1401
|
|
Three-digit plan number (PN) |
503 |
Effective date of plan |
1987-08-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1403 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-02-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY GROUP DISABILITY PLAN
|
2009
|
640288243
|
2011-02-24
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1401
|
|
Three-digit plan number (PN) |
503 |
Effective date of plan |
1987-08-01 |
Business code |
524290 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Number of participants as of the end of the plan year
Active participants |
1403 |
Retired or separated participants receiving
benefits |
10 |
Other
retired or separated participants entitled to future benefits |
0 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-02-24 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2009
|
640288243
|
2011-01-26
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1689
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2011/01/26/20110126135209P030020581425001.pdf |
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019577777 |
Plan sponsor’s mailing address |
P, O. BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
LAURA WATKINS |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019577777 |
Number of participants as of the end of the plan year
Active participants |
1445 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
240 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Plan administrator |
Date |
2011-01-26 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2009
|
640288243
|
2011-01-26
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1689
|
|
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019577777 |
Plan sponsor’s mailing address |
P, O. BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
LAURA WATKINS |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019577777 |
Number of participants as of the end of the plan year
Active participants |
1445 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
240 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-26 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU CASUALTY EMPLOYEES GROUP LIFE INSURANCE PLAN
|
2009
|
640288243
|
2011-01-25
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
1689
|
|
Three-digit plan number (PN) |
502 |
Effective date of plan |
1977-07-01 |
Business code |
524150 |
Sponsor’s telephone number |
6019577777 |
Plan sponsor’s mailing address |
P, O. BOX 1800, RIDGELAND, MS, 39158 |
Plan sponsor’s
address |
1800 E. COUNTY LINE RD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
LAURA WATKINS |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019577777 |
Number of participants as of the end of the plan year
Active participants |
1445 |
Retired or separated participants receiving
benefits |
0 |
Other
retired or separated participants entitled to future benefits |
240 |
Deceased participants
whose
beneficiaries are receiving or are entitled to receive benefits |
0 |
Signature of
Role |
Employer/plan sponsor |
Date |
2011-01-25 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|
SOUTHERN FARM BUREAU AND ADOPTING COMPANIES 401(K) TRUST
|
2009
|
640288243
|
2010-07-30
|
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY
|
|
|
File |
https://efast2-filings-public.s3.amazonaws.com/prd/2010/07/30/20100730150716P040408708033001.pdf |
Three-digit plan number (PN) |
002 |
Sponsor’s telephone number |
6019574495 |
Plan sponsor’s mailing address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan sponsor’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Plan administrator’s name and address
Administrator’s EIN |
640288243 |
Plan administrator’s name |
SOUTHERN FARM BUREAU CASUALTY INSURANCE COMPANY |
Plan administrator’s
address |
1800 E. COUNTY LINE ROAD, SUITE 400, RIDGELAND, MS, 39157 |
Administrator’s telephone number |
6019574495 |
Signature of
Role |
Employer/plan sponsor |
Date |
2010-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
Role |
DFE |
Date |
2010-07-30 |
Name of individual signing |
LAURA WATKINS |
Valid signature |
Filed with authorized/valid electronic signature |
|
|