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OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 401k Plan overview

Plan NameOVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN
Plan identification number 001

OVERHEAD DOOR CO. OF UTICA, INC. 401K 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.
  • 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.
  • Life insurance

401k Sponsoring company profile

OVERHEAD DOOR OF UTICA, INC. has sponsored the creation of one or more 401k plans.

Company Name:OVERHEAD DOOR OF UTICA, INC.
Employer identification number (EIN):161103362
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-08-01W. MARK MILLER2019-05-05
0012016-08-01
0012015-08-01
0012014-08-01
0012013-08-01
0012012-08-01CFOSHAY
0012010-08-01CFOSHAY
0012009-08-01CFOSHAY
0012009-08-01CFOSHAY
0012009-08-01CFOSHAY
0012009-08-01CFOSHAY
0012009-08-01CFOSHAY

Plan Statistics for OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN

401k plan membership statisitcs for OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN

Measure Date Value
2017: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-013
Total number of active participants reported on line 7a of the Form 55002017-08-011
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-011
Total of all active and inactive participants2017-08-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-08-010
Total participants2017-08-012
Number of participants with account balances2017-08-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-08-010
2016: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-08-014
Total number of active participants reported on line 7a of the Form 55002016-08-013
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-012
Total of all active and inactive participants2016-08-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-08-010
Total participants2016-08-015
Number of participants with account balances2016-08-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-08-010
2015: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-08-013
Total number of active participants reported on line 7a of the Form 55002015-08-014
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-010
Total of all active and inactive participants2015-08-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-08-010
Total participants2015-08-014
Number of participants with account balances2015-08-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-08-010
2014: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-08-015
Total number of active participants reported on line 7a of the Form 55002014-08-013
Number of retired or separated participants receiving benefits2014-08-012
Number of other retired or separated participants entitled to future benefits2014-08-010
Total of all active and inactive participants2014-08-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-08-010
Total participants2014-08-015
Number of participants with account balances2014-08-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-08-010
2013: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-08-014
Total number of active participants reported on line 7a of the Form 55002013-08-013
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-010
Total of all active and inactive participants2013-08-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-08-010
Total participants2013-08-013
Number of participants with account balances2013-08-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-08-010
2012: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-08-014
Total number of active participants reported on line 7a of the Form 55002012-08-013
Number of retired or separated participants receiving benefits2012-08-010
Number of other retired or separated participants entitled to future benefits2012-08-011
Total of all active and inactive participants2012-08-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-08-010
Total participants2012-08-014
Number of participants with account balances2012-08-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-08-010
2010: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2010 401k membership
Total participants, beginning-of-year2010-08-014
Total number of active participants reported on line 7a of the Form 55002010-08-013
Number of retired or separated participants receiving benefits2010-08-010
Number of other retired or separated participants entitled to future benefits2010-08-011
Total of all active and inactive participants2010-08-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-08-010
Total participants2010-08-014
Number of participants with account balances2010-08-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-08-010
2009: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2009 401k membership
Total participants, beginning-of-year2009-08-015
Total number of active participants reported on line 7a of the Form 55002009-08-014
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-011
Total of all active and inactive participants2009-08-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-010
Total participants2009-08-015
Number of participants with account balances2009-08-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-08-010

Financial Data on OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN

Measure Date Value
2017 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2017 401k financial data
Transfers to/from the plan2017-07-31$0
Total plan liabilities at end of year2017-07-31$0
Total plan liabilities at beginning of year2017-07-31$0
Total income from all sources2017-07-31$4,444
Expenses. Total of all expenses incurred2017-07-31$658
Benefits paid (including direct rollovers)2017-07-31$0
Total plan assets at end of year2017-07-31$84,065
Total plan assets at beginning of year2017-07-31$80,279
Value of fidelity bond covering the plan2017-07-31$20,000
Total contributions received or receivable from participants2017-07-31$1,118
Expenses. Other expenses not covered elsewhere2017-07-31$338
Contributions received from other sources (not participants or employers)2017-07-31$0
Other income received2017-07-31$2,229
Noncash contributions received2017-07-31$0
Net income (gross income less expenses)2017-07-31$3,786
Net plan assets at end of year (total assets less liabilities)2017-07-31$84,065
Net plan assets at beginning of year (total assets less liabilities)2017-07-31$80,279
Assets. Value of participant loans2017-07-31$30,351
Total contributions received or receivable from employer(s)2017-07-31$1,097
Value of certain deemed distributions of participant loans2017-07-31$0
Value of corrective distributions2017-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-07-31$320
2016 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2016 401k financial data
Transfers to/from the plan2016-07-31$0
Total plan liabilities at end of year2016-07-31$0
Total plan liabilities at beginning of year2016-07-31$0
Total income from all sources2016-07-31$1,538
Expenses. Total of all expenses incurred2016-07-31$34,374
Benefits paid (including direct rollovers)2016-07-31$33,761
Total plan assets at end of year2016-07-31$80,279
Total plan assets at beginning of year2016-07-31$113,115
Value of fidelity bond covering the plan2016-07-31$20,000
Assets. Value of tangible personal property2016-07-31$0
Total contributions received or receivable from participants2016-07-31$1,394
Assets. Value of loans (other than to participants)2016-07-31$0
Expenses. Other expenses not covered elsewhere2016-07-31$338
Contributions received from other sources (not participants or employers)2016-07-31$0
Other income received2016-07-31$-1,088
Noncash contributions received2016-07-31$0
Net income (gross income less expenses)2016-07-31$-32,836
Net plan assets at end of year (total assets less liabilities)2016-07-31$80,279
Net plan assets at beginning of year (total assets less liabilities)2016-07-31$113,115
Assets. Value of participant loans2016-07-31$17,540
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2016-07-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2016-07-31$0
Assets. Value of assets in partnership/joint-venture interests2016-07-31$0
Assets. Value of real-estate (other than employer real property)2016-07-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-07-31$0
Assets. Value of employer securities2016-07-31$0
Assets. Value of employer real property2016-07-31$0
Total contributions received or receivable from employer(s)2016-07-31$1,232
Value of certain deemed distributions of participant loans2016-07-31$0
Value of corrective distributions2016-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-07-31$275
2015 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2015 401k financial data
Transfers to/from the plan2015-07-31$0
Total plan liabilities at end of year2015-07-31$0
Total plan liabilities at beginning of year2015-07-31$0
Total income from all sources2015-07-31$8,421
Expenses. Total of all expenses incurred2015-07-31$808
Benefits paid (including direct rollovers)2015-07-31$0
Total plan assets at end of year2015-07-31$113,115
Total plan assets at beginning of year2015-07-31$105,502
Value of fidelity bond covering the plan2015-07-31$20,000
Assets. Value of tangible personal property2015-07-31$0
Total contributions received or receivable from participants2015-07-31$2,956
Assets. Value of loans (other than to participants)2015-07-31$0
Expenses. Other expenses not covered elsewhere2015-07-31$338
Contributions received from other sources (not participants or employers)2015-07-31$0
Other income received2015-07-31$2,872
Noncash contributions received2015-07-31$0
Net income (gross income less expenses)2015-07-31$7,613
Net plan assets at end of year (total assets less liabilities)2015-07-31$113,115
Net plan assets at beginning of year (total assets less liabilities)2015-07-31$105,502
Assets. Value of participant loans2015-07-31$42,187
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2015-07-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2015-07-31$0
Assets. Value of assets in partnership/joint-venture interests2015-07-31$0
Assets. Value of real-estate (other than employer real property)2015-07-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-07-31$0
Assets. Value of employer securities2015-07-31$0
Assets. Value of employer real property2015-07-31$0
Total contributions received or receivable from employer(s)2015-07-31$2,593
Value of certain deemed distributions of participant loans2015-07-31$0
Value of corrective distributions2015-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-07-31$470
2014 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2014 401k financial data
Transfers to/from the plan2014-07-31$0
Total plan liabilities at end of year2014-07-31$0
Total plan liabilities at beginning of year2014-07-31$0
Total income from all sources2014-07-31$13,158
Expenses. Total of all expenses incurred2014-07-31$17,259
Benefits paid (including direct rollovers)2014-07-31$16,636
Total plan assets at end of year2014-07-31$105,502
Total plan assets at beginning of year2014-07-31$109,603
Value of fidelity bond covering the plan2014-07-31$10,000
Assets. Value of tangible personal property2014-07-31$0
Total contributions received or receivable from participants2014-07-31$3,742
Assets. Value of loans (other than to participants)2014-07-31$0
Expenses. Other expenses not covered elsewhere2014-07-31$338
Contributions received from other sources (not participants or employers)2014-07-31$0
Other income received2014-07-31$6,180
Noncash contributions received2014-07-31$0
Net income (gross income less expenses)2014-07-31$-4,101
Net plan assets at end of year (total assets less liabilities)2014-07-31$105,502
Net plan assets at beginning of year (total assets less liabilities)2014-07-31$109,603
Assets. Value of participant loans2014-07-31$0
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2014-07-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2014-07-31$0
Assets. Value of assets in partnership/joint-venture interests2014-07-31$0
Assets. Value of real-estate (other than employer real property)2014-07-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-07-31$0
Assets. Value of employer securities2014-07-31$0
Assets. Value of employer real property2014-07-31$0
Total contributions received or receivable from employer(s)2014-07-31$3,236
Value of certain deemed distributions of participant loans2014-07-31$0
Value of corrective distributions2014-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-07-31$285
2013 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2013 401k financial data
Transfers to/from the plan2013-07-31$0
Total plan liabilities at end of year2013-07-31$0
Total plan liabilities at beginning of year2013-07-31$0
Total income from all sources2013-07-31$14,973
Expenses. Total of all expenses incurred2013-07-31$455
Benefits paid (including direct rollovers)2013-07-31$0
Total plan assets at end of year2013-07-31$109,603
Total plan assets at beginning of year2013-07-31$95,085
Value of fidelity bond covering the plan2013-07-31$10,000
Assets. Value of tangible personal property2013-07-31$0
Total contributions received or receivable from participants2013-07-31$4,423
Assets. Value of loans (other than to participants)2013-07-31$0
Expenses. Other expenses not covered elsewhere2013-07-31$0
Contributions received from other sources (not participants or employers)2013-07-31$0
Other income received2013-07-31$6,556
Noncash contributions received2013-07-31$0
Net income (gross income less expenses)2013-07-31$14,518
Net plan assets at end of year (total assets less liabilities)2013-07-31$109,603
Net plan assets at beginning of year (total assets less liabilities)2013-07-31$95,085
Assets. Value of participant loans2013-07-31$36,026
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2013-07-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2013-07-31$0
Assets. Value of assets in partnership/joint-venture interests2013-07-31$0
Assets. Value of real-estate (other than employer real property)2013-07-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-07-31$0
Assets. Value of employer securities2013-07-31$0
Assets. Value of employer real property2013-07-31$0
Total contributions received or receivable from employer(s)2013-07-31$3,994
Value of certain deemed distributions of participant loans2013-07-31$0
Value of corrective distributions2013-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-07-31$455
2011 : OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2011 401k financial data
Transfers to/from the plan2011-07-31$0
Total plan liabilities at end of year2011-07-31$0
Total plan liabilities at beginning of year2011-07-31$0
Total income from all sources2011-07-31$10,812
Expenses. Total of all expenses incurred2011-07-31$505
Benefits paid (including direct rollovers)2011-07-31$0
Total plan assets at end of year2011-07-31$95,085
Total plan assets at beginning of year2011-07-31$84,778
Value of fidelity bond covering the plan2011-07-31$10,000
Assets. Value of tangible personal property2011-07-31$0
Total contributions received or receivable from participants2011-07-31$4,503
Assets. Value of loans (other than to participants)2011-07-31$0
Expenses. Other expenses not covered elsewhere2011-07-31$0
Contributions received from other sources (not participants or employers)2011-07-31$0
Other income received2011-07-31$2,212
Noncash contributions received2011-07-31$0
Net income (gross income less expenses)2011-07-31$10,307
Net plan assets at end of year (total assets less liabilities)2011-07-31$95,085
Net plan assets at beginning of year (total assets less liabilities)2011-07-31$84,778
Assets. Value of participant loans2011-07-31$27,774
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year2011-07-31$0
Value of leases to which the plan was a party in default or classified as uncollectible during the plan year2011-07-31$0
Assets. Value of assets in partnership/joint-venture interests2011-07-31$0
Assets. Value of real-estate (other than employer real property)2011-07-31$0
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022011-07-31$0
Assets. Value of employer securities2011-07-31$0
Assets. Value of employer real property2011-07-31$0
Total contributions received or receivable from employer(s)2011-07-31$4,097
Value of certain deemed distributions of participant loans2011-07-31$0
Value of corrective distributions2011-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-07-31$505

Form 5500 Responses for OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN

2017: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan funding arrangement – TrustYes
2017-08-01Plan benefit arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes
2016: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)No
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement – InsuranceYes
2016-08-01Plan benefit arrangement - TrustYes
2015: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement – InsuranceYes
2015-08-01Plan benefit arrangement - TrustYes
2014: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement – InsuranceYes
2014-08-01Plan benefit arrangement - TrustYes
2013: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement - TrustYes
2012: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2012 form 5500 responses
2012-08-01Type of plan entitySingle employer plan
2012-08-01Submission has been amendedNo
2012-08-01This submission is the final filingNo
2012-08-01This return/report is a short plan year return/report (less than 12 months)No
2012-08-01Plan is a collectively bargained planNo
2012-08-01Plan funding arrangement – InsuranceYes
2012-08-01Plan funding arrangement – TrustYes
2012-08-01Plan benefit arrangement – InsuranceYes
2012-08-01Plan benefit arrangement - TrustYes
2010: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2010 form 5500 responses
2010-08-01Type of plan entitySingle employer plan
2010-08-01Submission has been amendedNo
2010-08-01This submission is the final filingNo
2010-08-01This return/report is a short plan year return/report (less than 12 months)No
2010-08-01Plan is a collectively bargained planNo
2010-08-01Plan funding arrangement – InsuranceYes
2010-08-01Plan funding arrangement – TrustYes
2010-08-01Plan benefit arrangement – InsuranceYes
2010-08-01Plan benefit arrangement - TrustYes
2009: OVERHEAD DOOR CO. OF UTICA, INC. 401K PLAN 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $4
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $4
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePATRICIA CHAVARRIA
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePATRICIA CHAVARRIA
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $3
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePATRICIA CHAVARRIA
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $4
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameNEW ENGLAND FINANCIAL
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberINDIV POLICY
Policy instance 1
Insurance contract or identification numberINDIV POLICY
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $3
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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