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GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 401k Plan overview

Plan NameGROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC
Plan identification number 504

GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Long-term disability cover

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 GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-05-01
5042021-05-01
5042020-05-01
5042019-05-01
5042018-05-01
5042017-05-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2018-11-28
5042016-05-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2017-11-29
5042015-05-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2016-12-07
5042014-05-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2015-11-30
5042013-05-01DOUGLAS FRANKLIN DOUGLAS FRANKLIN2014-11-30
5042012-05-01DOUGLAS FRANKLIN
5042011-05-01DOUGLAS FRANKLIN
5042009-05-01DOUGLAS FRANKLIN

Plan Statistics for GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC

401k plan membership statisitcs for GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC

Measure Date Value
2022: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2022 401k membership
Total participants, beginning-of-year2022-05-01780
Total number of active participants reported on line 7a of the Form 55002022-05-01784
Total of all active and inactive participants2022-05-01784
Total participants2022-05-01784
2021: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2021 401k membership
Total participants, beginning-of-year2021-05-01805
Total number of active participants reported on line 7a of the Form 55002021-05-01780
Total of all active and inactive participants2021-05-01780
Total participants2021-05-01780
2020: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2020 401k membership
Total participants, beginning-of-year2020-05-01789
Total number of active participants reported on line 7a of the Form 55002020-05-01805
Total of all active and inactive participants2020-05-01805
Total participants2020-05-01805
2019: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2019 401k membership
Total participants, beginning-of-year2019-05-01621
Total number of active participants reported on line 7a of the Form 55002019-05-01789
Total of all active and inactive participants2019-05-01789
Total participants2019-05-01789
2018: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2018 401k membership
Total participants, beginning-of-year2018-05-01621
Total number of active participants reported on line 7a of the Form 55002018-05-01621
Total of all active and inactive participants2018-05-01621
Total participants2018-05-01621
2017: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2017 401k membership
Total participants, beginning-of-year2017-05-01727
Total number of active participants reported on line 7a of the Form 55002017-05-01602
Number of retired or separated participants receiving benefits2017-05-0119
Total of all active and inactive participants2017-05-01621
Total participants2017-05-01621
2016: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2016 401k membership
Total participants, beginning-of-year2016-05-01749
Total number of active participants reported on line 7a of the Form 55002016-05-01708
Number of retired or separated participants receiving benefits2016-05-0119
Total of all active and inactive participants2016-05-01727
Total participants2016-05-01727
2015: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2015 401k membership
Total participants, beginning-of-year2015-05-01768
Total number of active participants reported on line 7a of the Form 55002015-05-01730
Number of retired or separated participants receiving benefits2015-05-0119
Total of all active and inactive participants2015-05-01749
Total participants2015-05-01749
2014: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2014 401k membership
Total participants, beginning-of-year2014-05-01813
Total number of active participants reported on line 7a of the Form 55002014-05-01750
Number of retired or separated participants receiving benefits2014-05-0118
Total of all active and inactive participants2014-05-01768
Total participants2014-05-01768
2013: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2013 401k membership
Total participants, beginning-of-year2013-05-01863
Total number of active participants reported on line 7a of the Form 55002013-05-01796
Number of retired or separated participants receiving benefits2013-05-0117
Total of all active and inactive participants2013-05-01813
Total participants2013-05-01813
2012: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2012 401k membership
Total participants, beginning-of-year2012-05-01897
Total number of active participants reported on line 7a of the Form 55002012-05-01849
Number of retired or separated participants receiving benefits2012-05-0114
Total of all active and inactive participants2012-05-01863
Total participants2012-05-01863
Number of participants with account balances2012-05-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-05-010
2011: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2011 401k membership
Total participants, beginning-of-year2011-05-01926
Total number of active participants reported on line 7a of the Form 55002011-05-01885
Number of retired or separated participants receiving benefits2011-05-0112
Total of all active and inactive participants2011-05-01897
Total participants2011-05-01897
Number of participants with account balances2011-05-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-05-010
2009: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2009 401k membership
Total participants, beginning-of-year2009-05-01933
Total number of active participants reported on line 7a of the Form 55002009-05-01901
Number of retired or separated participants receiving benefits2009-05-0121
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-01922
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-05-010
Total participants2009-05-01922
Number of participants with account balances2009-05-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-05-010

Form 5500 Responses for GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC

2022: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan benefit arrangement – InsuranceYes
2021: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan benefit arrangement – InsuranceYes
2020: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan benefit arrangement – InsuranceYes
2019: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan benefit arrangement – InsuranceYes
2018: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan benefit arrangement – InsuranceYes
2017: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan benefit arrangement – InsuranceYes
2016: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan benefit arrangement – InsuranceYes
2015: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan benefit arrangement – InsuranceYes
2014: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan benefit arrangement – InsuranceYes
2013: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan benefit arrangement – InsuranceYes
2012: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan benefit arrangement – InsuranceYes
2011: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan benefit arrangement – InsuranceYes
2009: GROUP LONG TERM DISABILITY PLAN FOR EMPLOYEES OF NEW YORK CENTRAL MUTUAL FIRE INSRUANCE COMPANY & A F STAGER INC 2009 form 5500 responses
2009-05-01Type of plan entitySingle employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered784
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Total amount of commissions paid to insurance brokerUSD $6,895
Total amount of fees paid to insurance companyUSD $1,654
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $862
Amount paid for insurance broker fees103
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered780
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Total amount of commissions paid to insurance brokerUSD $6,770
Total amount of fees paid to insurance companyUSD $1,625
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $846
Amount paid for insurance broker fees102
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered805
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Total amount of commissions paid to insurance brokerUSD $6,673
Total amount of fees paid to insurance companyUSD $1,601
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $834
Amount paid for insurance broker fees100
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered789
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Total amount of commissions paid to insurance brokerUSD $6,329
Total amount of fees paid to insurance companyUSD $1,519
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $791
Amount paid for insurance broker fees95
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered621
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $6,195
Total amount of fees paid to insurance companyUSD $1,325
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $2,365
Amount paid for insurance broker fees550
Insurance broker organization code?3
Insurance broker nameR P DODD GROUP INC
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered749
Insurance policy start date2015-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $6,287
Total amount of fees paid to insurance companyUSD $1,343
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $797
Amount paid for insurance broker fees70
Insurance broker organization code?3
Insurance broker nameJEFF KENDALL ZOLLER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered768
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Total amount of commissions paid to insurance brokerUSD $6,298
Total amount of fees paid to insurance companyUSD $1,231
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $798
Amount paid for insurance broker fees98
Insurance broker organization code?3
Insurance broker nameJEFF KENDALL ZOLLER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered813
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Total amount of commissions paid to insurance brokerUSD $4,828
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 BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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 $2,414
Insurance broker organization code?3
Insurance broker nameHOLLY GIGLIOTTI
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Total amount of commissions paid to insurance brokerUSD $6,384
Total amount of fees paid to insurance companyUSD $1,237
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,433
Amount paid for insurance broker fees506
Additional information about fees paid to insurance brokerOTHER COMPENSATION
Insurance broker organization code?3
Insurance broker nameRICHARD PAUL DODD
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered897
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Total amount of commissions paid to insurance brokerUSD $4,868
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number655299
Policy instance 1
Insurance contract or identification number655299
Number of Individuals Covered926
Insurance policy start date2010-05-01
Insurance policy end date2011-04-20
Total amount of commissions paid to insurance brokerUSD $1,537
Total amount of fees paid to insurance companyUSD $0
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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