NEW CENTURY CONSTRUCTION, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC
401k plan membership statisitcs for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC
| Measure | Date | Value |
|---|
| 2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 12 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| 2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 8 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 12 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 12 |
| 2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 8 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 8 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 8 |
| 2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 4 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 4 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 4 |
| 2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 13 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| 2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 23 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
| Total of all active and inactive participants | 2010-01-01 | 23 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 0 |
| 2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 24 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 24 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2015 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2015 401k financial data |
|---|
| Transfers to/from the plan | 2015-12-31 | $-267,715 |
| Total income from all sources | 2015-12-31 | $111,815 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $40,715 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $28,336 |
| Total plan assets at end of year | 2015-12-31 | $0 |
| Total plan assets at beginning of year | 2015-12-31 | $196,615 |
| Value of fidelity bond covering the plan | 2015-12-31 | $15,000 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $12,379 |
| Net income (gross income less expenses) | 2015-12-31 | $71,100 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $196,615 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $111,815 |
| 2014 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2014 401k financial data |
|---|
| Transfers to/from the plan | 2014-12-31 | $-264,458 |
| Total income from all sources | 2014-12-31 | $503,785 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $118,801 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $110,791 |
| Total plan assets at end of year | 2014-12-31 | $196,615 |
| Total plan assets at beginning of year | 2014-12-31 | $76,089 |
| Value of fidelity bond covering the plan | 2014-12-31 | $15,000 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $8,010 |
| Other income received | 2014-12-31 | $9 |
| Net income (gross income less expenses) | 2014-12-31 | $384,984 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $196,615 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $76,089 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $503,776 |
| 2013 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2013 401k financial data |
|---|
| Transfers to/from the plan | 2013-12-31 | $-203,273 |
| Total income from all sources | 2013-12-31 | $232,028 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $74,301 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $63,277 |
| Total plan assets at end of year | 2013-12-31 | $76,089 |
| Total plan assets at beginning of year | 2013-12-31 | $121,635 |
| Value of fidelity bond covering the plan | 2013-12-31 | $15,000 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $11,024 |
| Other income received | 2013-12-31 | $1,284 |
| Net income (gross income less expenses) | 2013-12-31 | $157,727 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $76,089 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $121,635 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $230,744 |
| 2012 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2012 401k financial data |
|---|
| Transfers to/from the plan | 2012-12-31 | $-158,963 |
| Total income from all sources | 2012-12-31 | $308,771 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $44,149 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $36,655 |
| Total plan assets at end of year | 2012-12-31 | $121,634 |
| Total plan assets at beginning of year | 2012-12-31 | $15,975 |
| Value of fidelity bond covering the plan | 2012-12-31 | $15,000 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $7,494 |
| Other income received | 2012-12-31 | $642 |
| Net income (gross income less expenses) | 2012-12-31 | $264,622 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $121,634 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $15,975 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $308,129 |
| 2011 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2011 401k financial data |
|---|
| Transfers to/from the plan | 2011-12-31 | $-269,269 |
| Total income from all sources | 2011-12-31 | $98,921 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $112,531 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $99,477 |
| Total plan assets at end of year | 2011-12-31 | $15,975 |
| Total plan assets at beginning of year | 2011-12-31 | $298,854 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $13,054 |
| Other income received | 2011-12-31 | $1,110 |
| Net income (gross income less expenses) | 2011-12-31 | $-13,610 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $15,975 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $298,854 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $97,811 |
| 2010 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $351,507 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $154,993 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $138,497 |
| Total plan assets at end of year | 2010-12-31 | $298,854 |
| Total plan assets at beginning of year | 2010-12-31 | $102,340 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $16,496 |
| Other income received | 2010-12-31 | $839 |
| Net income (gross income less expenses) | 2010-12-31 | $196,514 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $298,854 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $102,340 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $350,668 |
| 2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | Yes |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | Yes |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2010: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – Trust | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF NEW CENTURY CONSTRUCTION, LLC 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-10-01 | | Insurance policy end date | 2015-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $488 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,059 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,205 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 4 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $625 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,303 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 23 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,898 |
|
