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LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 401k Plan overview

Plan NameLIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER
Plan identification number 502

LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY
Employer identification number (EIN):150398170
NAIC Classification:524290

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-11-01
5022020-11-01
5022019-11-01
5022018-11-01
5022017-11-01
5022016-11-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2018-03-30
5022015-11-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2017-05-26
5022014-11-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2016-04-07
5022013-11-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2015-05-29
5022012-11-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2014-05-30
5022011-11-01DOUGLAS FRANKLIN
5022009-11-01DOUGLAS FRANKLIN
5022008-11-01DOUGLAS FRANKLIN

Plan Statistics for LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER

401k plan membership statisitcs for LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER

Measure Date Value
2021: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2021 401k membership
Total participants, beginning-of-year2021-11-01951
Total number of active participants reported on line 7a of the Form 55002021-11-01839
Number of retired or separated participants receiving benefits2021-11-01124
Total of all active and inactive participants2021-11-01963
Total participants2021-11-01963
2020: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2020 401k membership
Total participants, beginning-of-year2020-11-01962
Total number of active participants reported on line 7a of the Form 55002020-11-01824
Number of retired or separated participants receiving benefits2020-11-01127
Total of all active and inactive participants2020-11-01951
Total participants2020-11-01951
2019: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2019 401k membership
Total participants, beginning-of-year2019-11-01983
Total number of active participants reported on line 7a of the Form 55002019-11-01833
Number of retired or separated participants receiving benefits2019-11-01129
Total of all active and inactive participants2019-11-01962
Total participants2019-11-01962
2018: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2018 401k membership
Total participants, beginning-of-year2018-11-01966
Total number of active participants reported on line 7a of the Form 55002018-11-01850
Number of retired or separated participants receiving benefits2018-11-01133
Total of all active and inactive participants2018-11-01983
Total participants2018-11-01983
2017: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2017 401k membership
Total participants, beginning-of-year2017-11-01938
Total number of active participants reported on line 7a of the Form 55002017-11-01861
Number of retired or separated participants receiving benefits2017-11-01105
Total of all active and inactive participants2017-11-01966
Total participants2017-11-01966
2016: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2016 401k membership
Total participants, beginning-of-year2016-11-01919
Total number of active participants reported on line 7a of the Form 55002016-11-01840
Number of retired or separated participants receiving benefits2016-11-0198
Total of all active and inactive participants2016-11-01938
Total participants2016-11-01938
2015: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2015 401k membership
Total participants, beginning-of-year2015-11-01946
Total number of active participants reported on line 7a of the Form 55002015-11-01857
Number of retired or separated participants receiving benefits2015-11-0162
Total of all active and inactive participants2015-11-01919
Total participants2015-11-01919
2014: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2014 401k membership
Total participants, beginning-of-year2014-11-01961
Total number of active participants reported on line 7a of the Form 55002014-11-01886
Number of retired or separated participants receiving benefits2014-11-0160
Total of all active and inactive participants2014-11-01946
Total participants2014-11-01946
2013: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2013 401k membership
Total participants, beginning-of-year2013-11-01994
Total number of active participants reported on line 7a of the Form 55002013-11-01908
Number of retired or separated participants receiving benefits2013-11-0153
Total of all active and inactive participants2013-11-01961
Total participants2013-11-01961
2012: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2012 401k membership
Total participants, beginning-of-year2012-11-011,037
Total number of active participants reported on line 7a of the Form 55002012-11-01943
Number of retired or separated participants receiving benefits2012-11-0151
Total of all active and inactive participants2012-11-01994
Total participants2012-11-01994
2011: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2011 401k membership
Total participants, beginning-of-year2011-11-011,074
Total number of active participants reported on line 7a of the Form 55002011-11-01989
Number of retired or separated participants receiving benefits2011-11-0148
Number of other retired or separated participants entitled to future benefits2011-11-010
Total of all active and inactive participants2011-11-011,037
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-011,037
Number of participants with account balances2011-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2009: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2009 401k membership
Total participants, beginning-of-year2009-11-011,061
Total number of active participants reported on line 7a of the Form 55002009-11-01998
Number of retired or separated participants receiving benefits2009-11-0146
Number of other retired or separated participants entitled to future benefits2009-11-010
Total of all active and inactive participants2009-11-011,044
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-011,044
Number of participants with account balances2009-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-010
Number of employers contributing to the scheme2009-11-010
2008: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2008 401k membership
Total participants, beginning-of-year2008-11-011,092
Total number of active participants reported on line 7a of the Form 55002008-11-011,015
Number of retired or separated participants receiving benefits2008-11-0146
Number of other retired or separated participants entitled to future benefits2008-11-010
Total of all active and inactive participants2008-11-011,061
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-11-010
Total participants2008-11-011,061
Number of participants with account balances2008-11-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2008-11-010
Number of employers contributing to the scheme2008-11-010

Form 5500 Responses for LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER

2021: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan benefit arrangement – InsuranceYes
2020: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan benefit arrangement – InsuranceYes
2019: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)No
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan benefit arrangement – InsuranceYes
2018: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Submission has been amendedNo
2018-11-01This submission is the final filingNo
2018-11-01This return/report is a short plan year return/report (less than 12 months)No
2018-11-01Plan is a collectively bargained planNo
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan benefit arrangement – InsuranceYes
2017: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Submission has been amendedNo
2017-11-01This submission is the final filingNo
2017-11-01This return/report is a short plan year return/report (less than 12 months)No
2017-11-01Plan is a collectively bargained planNo
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan benefit arrangement – InsuranceYes
2016: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Submission has been amendedNo
2016-11-01This submission is the final filingNo
2016-11-01This return/report is a short plan year return/report (less than 12 months)No
2016-11-01Plan is a collectively bargained planNo
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan benefit arrangement – InsuranceYes
2015: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)No
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan benefit arrangement – InsuranceYes
2014: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan benefit arrangement – InsuranceYes
2013: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan benefit arrangement – InsuranceYes
2012: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan benefit arrangement – InsuranceYes
2011: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan benefit arrangement – InsuranceYes
2009: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes
2008: LIFE INSURANCE PLAN FOR THE EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSURANCE COMPANY AND ALBERT F STAGER 2008 form 5500 responses
2008-11-01Type of plan entitySingle employer plan
2008-11-01Submission has been amendedNo
2008-11-01This submission is the final filingNo
2008-11-01This return/report is a short plan year return/report (less than 12 months)No
2008-11-01Plan is a collectively bargained planNo
2008-11-01Plan funding arrangement – InsuranceYes
2008-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1115210
Policy instance 1
Insurance contract or identification number1115210
Number of Individuals Covered963
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $13,990
Total amount of fees paid to insurance companyUSD $23,881
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $441,250
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,995
Amount paid for insurance broker fees11941
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1115210
Policy instance 1
Insurance contract or identification number1115210
Number of Individuals Covered951
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $11,938
Total amount of fees paid to insurance companyUSD $19,776
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $431,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,969
Amount paid for insurance broker fees9888
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number1115210
Policy instance 1
Insurance contract or identification number1115210
Number of Individuals Covered962
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Total amount of commissions paid to insurance brokerUSD $12,608
Total amount of fees paid to insurance companyUSD $21,116
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $422,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,304
Amount paid for insurance broker fees10558
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered983
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Total amount of commissions paid to insurance brokerUSD $13,191
Total amount of fees paid to insurance companyUSD $22,282
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $445,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,595
Amount paid for insurance broker fees11141
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered966
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $11,014
Total amount of fees paid to insurance companyUSD $17,928
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $358,571
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered946
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $11,767
Total amount of fees paid to insurance companyUSD $21,228
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $388,671
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,884
Amount paid for insurance broker fees9717
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameNORTHWESTERN MUTUAL LIFE INS CO
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered961
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $11,844
Total amount of fees paid to insurance companyUSD $21,550
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $391,785
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees1961
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?3
Commission paid to Insurance BrokerUSD $2,961
Insurance broker nameZOLLER ASSOCIATES
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered994
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $11,555
Total amount of fees paid to insurance companyUSD $19,010
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $389,836
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,854
Amount paid for insurance broker fees3674
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameZOLLER ASSOCIATES INC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered1037
Insurance policy start date2011-11-01
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $12,539
Total amount of fees paid to insurance companyUSD $20,978
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $419,551
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberH28080
Policy instance 1
Insurance contract or identification numberH28080
Number of Individuals Covered1074
Insurance policy start date2010-11-01
Insurance policy end date2011-10-31
Total amount of commissions paid to insurance brokerUSD $12,310
Total amount of fees paid to insurance companyUSD $20,522
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $410,423
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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