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H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 401k Plan overview

Plan NameH. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN
Plan identification number 001

H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

H. STERN JEWELERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:H. STERN JEWELERS, INC.
Employer identification number (EIN):131997093
NAIC Classification:448310
NAIC Description:Jewelry Stores

Additional information about H. STERN JEWELERS, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1963-12-05
Company Identification Number: 161850
Legal Registered Office Address: 420 Lexington Avenue
Suite 2818
New York
United States of America (USA)
10170

More information about H. STERN JEWELERS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01PATRICIA MILANI2023-08-29
0012021-01-01PATRICIA MILANI2022-07-14
0012020-01-01PATRICIA MILANI2021-07-06 PATRICIA MILANI2021-07-06
0012019-01-01PATRICIA MILANI2020-07-07 PATRICIA MILANI2020-07-07
0012018-01-01PATRICIA MILANI2019-07-09 PATRICIA MILANI2019-07-09
0012017-01-01PATRICIA MILANI2018-07-02 PATRICIA MILANI2018-07-02
0012016-01-01PATRICIA MILANI2017-06-19 PATRICIA MILANI2017-06-19
0012015-01-01PATRICIA MILANI2016-06-10 PATRICIA MILANI2016-06-10
0012014-01-01PATRICIA MILANI
0012013-01-01PATRICIA MILANI
0012012-01-01PATRICIA MILANI PATRICIA MILANI2013-06-28
0012011-01-01PATRICIA MILANI
0012010-01-01PATRICIA MILANI
0012009-01-01PATRICIA MILANI PATRICIA MILANI2010-07-23

Plan Statistics for H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN

401k plan membership statisitcs for H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN

Measure Date Value
2014: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0175
Total number of active participants reported on line 7a of the Form 55002014-01-0132
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0135
Total of all active and inactive participants2014-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0167
Number of participants with account balances2014-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0172
Total number of active participants reported on line 7a of the Form 55002013-01-0141
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0133
Total of all active and inactive participants2013-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0175
Number of participants with account balances2013-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0122
2012: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0177
Total number of active participants reported on line 7a of the Form 55002012-01-0148
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0137
Total of all active and inactive participants2012-01-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0185
Number of participants with account balances2012-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0117
2011: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0172
Total number of active participants reported on line 7a of the Form 55002011-01-0135
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0134
Total of all active and inactive participants2011-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0169
Number of participants with account balances2011-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0178
Total number of active participants reported on line 7a of the Form 55002010-01-0134
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0135
Total of all active and inactive participants2010-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0169
Number of participants with account balances2010-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0177
Total number of active participants reported on line 7a of the Form 55002009-01-0133
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0146
Total of all active and inactive participants2009-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0179
Number of participants with account balances2009-01-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN

Measure Date Value
2014 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total income from all sources2014-12-31$350,666
Expenses. Total of all expenses incurred2014-12-31$282,175
Benefits paid (including direct rollovers)2014-12-31$276,593
Total plan assets at end of year2014-12-31$2,784,640
Total plan assets at beginning of year2014-12-31$2,716,149
Value of fidelity bond covering the plan2014-12-31$200,000
Total contributions received or receivable from participants2014-12-31$169,454
Expenses. Other expenses not covered elsewhere2014-12-31$757
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$157,795
Net income (gross income less expenses)2014-12-31$68,491
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,784,640
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,716,149
Assets. Value of participant loans2014-12-31$94,482
Total contributions received or receivable from employer(s)2014-12-31$23,417
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$4,825
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$719,684
Expenses. Total of all expenses incurred2013-12-31$135,035
Benefits paid (including direct rollovers)2013-12-31$134,548
Total plan assets at end of year2013-12-31$2,716,148
Total plan assets at beginning of year2013-12-31$2,131,499
Value of fidelity bond covering the plan2013-12-31$200,000
Total contributions received or receivable from participants2013-12-31$201,370
Expenses. Other expenses not covered elsewhere2013-12-31$487
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$488,742
Net income (gross income less expenses)2013-12-31$584,649
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,716,148
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,131,499
Assets. Value of participant loans2013-12-31$91,685
Total contributions received or receivable from employer(s)2013-12-31$29,572
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$483,015
Expenses. Total of all expenses incurred2012-12-31$83,718
Benefits paid (including direct rollovers)2012-12-31$83,442
Total plan assets at end of year2012-12-31$2,131,499
Total plan assets at beginning of year2012-12-31$1,732,202
Value of fidelity bond covering the plan2012-12-31$200,000
Total contributions received or receivable from participants2012-12-31$193,254
Expenses. Other expenses not covered elsewhere2012-12-31$276
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$256,301
Net income (gross income less expenses)2012-12-31$399,297
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,131,499
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,732,202
Assets. Value of participant loans2012-12-31$66,962
Total contributions received or receivable from employer(s)2012-12-31$33,460
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$113,195
Expenses. Total of all expenses incurred2011-12-31$402,820
Benefits paid (including direct rollovers)2011-12-31$402,365
Total plan assets at end of year2011-12-31$1,732,202
Total plan assets at beginning of year2011-12-31$2,021,827
Value of fidelity bond covering the plan2011-12-31$200,000
Total contributions received or receivable from participants2011-12-31$140,139
Expenses. Other expenses not covered elsewhere2011-12-31$455
Contributions received from other sources (not participants or employers)2011-12-31$226
Other income received2011-12-31$-55,471
Net income (gross income less expenses)2011-12-31$-289,625
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,732,202
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,021,827
Assets. Value of participant loans2011-12-31$65,647
Total contributions received or receivable from employer(s)2011-12-31$28,301
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$319,192
Expenses. Total of all expenses incurred2010-12-31$297,136
Benefits paid (including direct rollovers)2010-12-31$296,698
Total plan assets at end of year2010-12-31$2,021,827
Total plan assets at beginning of year2010-12-31$1,999,771
Value of fidelity bond covering the plan2010-12-31$200,000
Total contributions received or receivable from participants2010-12-31$110,798
Expenses. Other expenses not covered elsewhere2010-12-31$438
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$185,609
Net income (gross income less expenses)2010-12-31$22,056
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,021,827
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,999,771
Assets. Value of participant loans2010-12-31$35,717
Total contributions received or receivable from employer(s)2010-12-31$22,785
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN

2014: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: H. STERN JEWELERS, INC. EMPLOYEE SAVINGS & PROTECTION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711295
Policy instance 1
Insurance contract or identification numberGA-711295
Number of Individuals Covered61
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,465
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,465
Insurance broker organization code?3
Insurance broker nameNIA SECURITIES LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711295
Policy instance 1
Insurance contract or identification numberGA-711295
Number of Individuals Covered67
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $5,453
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,453
Insurance broker organization code?3
Insurance broker nameNIA SECURITIES LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711295
Policy instance 1
Insurance contract or identification numberGA-711295
Number of Individuals Covered48
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,139
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,139
Insurance broker organization code?3
Insurance broker nameNIA SECURITIES LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711295
Policy instance 1
Insurance contract or identification numberGA-711295
Number of Individuals Covered69
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,514
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711295
Policy instance 1
Insurance contract or identification numberGA-711295
Number of Individuals Covered69
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,356
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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