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JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 401k Plan overview

Plan NameJOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST
Plan identification number 501

JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST Benefits

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

401k Sponsoring company profile

JOHNSON & COMPANY PC has sponsored the creation of one or more 401k plans.

Company Name:JOHNSON & COMPANY PC
Employer identification number (EIN):205986766
NAIC Classification:541211
NAIC Description:Offices of Certified Public Accountants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01
5012018-01-01
5012017-01-01STEPHEN L JOHNSON STEPHEN JOHNSON2018-05-15
5012017-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2018-05-15
5012016-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2017-03-24
5012016-01-01 STEPHEN JOHNSON2017-03-24
5012015-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2016-10-14
5012015-01-01STEPHEN L JOHNSON STEPHEN JOHNSON2016-10-14
5012014-01-01STEPHEN L JOHNSON STEPHEN JOHNSON2015-10-15
5012014-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2015-10-15
5012013-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2014-12-08
5012012-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2013-09-09
5012011-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2012-08-06
5012010-01-01STEPHEN L JOHNSON STEPHEN L JOHNSON2011-09-19

Plan Statistics for JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST

401k plan membership statisitcs for JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST

Measure Date Value
2022: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-011
Total number of active participants reported on line 7a of the Form 55002022-01-011
Total of all active and inactive participants2022-01-011
Total participants2022-01-011
2021: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011
Total number of active participants reported on line 7a of the Form 55002021-01-011
Total of all active and inactive participants2021-01-011
Total participants2021-01-011
2020: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011
Total number of active participants reported on line 7a of the Form 55002020-01-011
Total of all active and inactive participants2020-01-011
Total participants2020-01-011
2019: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011
Total number of active participants reported on line 7a of the Form 55002019-01-011
Total of all active and inactive participants2019-01-011
Total participants2019-01-011
2018: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011
Total number of active participants reported on line 7a of the Form 55002018-01-011
Total of all active and inactive participants2018-01-011
Total participants2018-01-011
2017: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011
Total number of active participants reported on line 7a of the Form 55002017-01-011
Total of all active and inactive participants2017-01-011
Total participants2017-01-011
2016: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011
Total number of active participants reported on line 7a of the Form 55002016-01-011
Total of all active and inactive participants2016-01-011
Total participants2016-01-010
2015: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011
Total number of active participants reported on line 7a of the Form 55002014-01-011
Total of all active and inactive participants2014-01-011
Total participants2014-01-011
2013: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011
Total number of active participants reported on line 7a of the Form 55002013-01-011
Total of all active and inactive participants2013-01-011
Total participants2013-01-010
2012: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011
Total number of active participants reported on line 7a of the Form 55002012-01-011
Total of all active and inactive participants2012-01-011
Total participants2012-01-010
2011: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011
Total number of active participants reported on line 7a of the Form 55002011-01-011
Total of all active and inactive participants2011-01-011
Total participants2011-01-011
2010: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011
Total number of active participants reported on line 7a of the Form 55002010-01-011
Total of all active and inactive participants2010-01-011
Total participants2010-01-011

Financial Data on JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST

Measure Date Value
2022 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2022 401k financial data
Total plan assets at end of year2022-12-31$40,241
Total plan assets at beginning of year2022-12-31$40,241
Net plan assets at end of year (total assets less liabilities)2022-12-31$40,241
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$40,241
2021 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2021 401k financial data
Total income from all sources2021-12-31$-4,996
Expenses. Total of all expenses incurred2021-12-31$0
Total plan assets at end of year2021-12-31$40,241
Total plan assets at beginning of year2021-12-31$45,237
Other income received2021-12-31$-4,996
Net income (gross income less expenses)2021-12-31$-4,996
Net plan assets at end of year (total assets less liabilities)2021-12-31$40,241
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$45,237
2020 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2020 401k financial data
Total income from all sources2020-12-31$-4,851
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$45,237
Total plan assets at beginning of year2020-12-31$50,088
Other income received2020-12-31$-4,851
Net income (gross income less expenses)2020-12-31$-4,851
Net plan assets at end of year (total assets less liabilities)2020-12-31$45,237
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$50,088
2019 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2019 401k financial data
Total income from all sources2019-12-31$0
Expenses. Total of all expenses incurred2019-12-31$3,364
Total plan assets at end of year2019-12-31$50,088
Total plan assets at beginning of year2019-12-31$53,452
Expenses. Other expenses not covered elsewhere2019-12-31$3,364
Net income (gross income less expenses)2019-12-31$-3,364
Net plan assets at end of year (total assets less liabilities)2019-12-31$50,088
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$53,452
2018 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2018 401k financial data
Total income from all sources2018-12-31$0
Expenses. Total of all expenses incurred2018-12-31$1,210
Total plan assets at end of year2018-12-31$53,452
Total plan assets at beginning of year2018-12-31$54,662
Expenses. Other expenses not covered elsewhere2018-12-31$1,210
Net income (gross income less expenses)2018-12-31$-1,210
Net plan assets at end of year (total assets less liabilities)2018-12-31$53,452
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$54,662
2017 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2017 401k financial data
Total income from all sources2017-12-31$0
Expenses. Total of all expenses incurred2017-12-31$1,188
Total plan assets at end of year2017-12-31$54,662
Total plan assets at beginning of year2017-12-31$55,850
Expenses. Other expenses not covered elsewhere2017-12-31$1,188
Net income (gross income less expenses)2017-12-31$-1,188
Net plan assets at end of year (total assets less liabilities)2017-12-31$54,662
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$55,850
2016 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2016 401k financial data
Total income from all sources2016-12-31$0
Expenses. Total of all expenses incurred2016-12-31$1,181
Total plan assets at end of year2016-12-31$55,850
Total plan assets at beginning of year2016-12-31$57,031
Expenses. Other expenses not covered elsewhere2016-12-31$1,181
Net income (gross income less expenses)2016-12-31$-1,181
Net plan assets at end of year (total assets less liabilities)2016-12-31$55,850
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$57,031
2015 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2015 401k financial data
Total income from all sources2015-12-31$5,452
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$57,031
Total plan assets at beginning of year2015-12-31$51,579
Other income received2015-12-31$5,452
Net income (gross income less expenses)2015-12-31$5,452
Net plan assets at end of year (total assets less liabilities)2015-12-31$57,031
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$51,579
2014 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2014 401k financial data
Total income from all sources2014-12-31$0
Expenses. Total of all expenses incurred2014-12-31$980
Total plan assets at end of year2014-12-31$51,579
Total plan assets at beginning of year2014-12-31$52,559
Expenses. Other expenses not covered elsewhere2014-12-31$980
Net income (gross income less expenses)2014-12-31$-980
Net plan assets at end of year (total assets less liabilities)2014-12-31$51,579
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$52,559
2013 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2013 401k financial data
Total income from all sources2013-12-31$0
Expenses. Total of all expenses incurred2013-12-31$972
Total plan assets at end of year2013-12-31$52,559
Total plan assets at beginning of year2013-12-31$53,531
Expenses. Other expenses not covered elsewhere2013-12-31$972
Net income (gross income less expenses)2013-12-31$-972
Net plan assets at end of year (total assets less liabilities)2013-12-31$52,559
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$53,531
2012 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2012 401k financial data
Expenses. Total of all expenses incurred2012-12-31$4,990
Total plan assets at end of year2012-12-31$53,531
Total plan assets at beginning of year2012-12-31$58,521
Expenses. Other expenses not covered elsewhere2012-12-31$4,990
Net income (gross income less expenses)2012-12-31$-4,990
Net plan assets at end of year (total assets less liabilities)2012-12-31$53,531
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$58,521
2011 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2011 401k financial data
Expenses. Total of all expenses incurred2011-12-31$5,295
Total plan assets at end of year2011-12-31$58,521
Total plan assets at beginning of year2011-12-31$63,816
Expenses. Other expenses not covered elsewhere2011-12-31$5,295
Net income (gross income less expenses)2011-12-31$-5,295
Net plan assets at end of year (total assets less liabilities)2011-12-31$58,521
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$63,816
2010 : JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$63,816
Total plan assets at end of year2010-12-31$63,816
Net plan assets at end of year (total assets less liabilities)2010-12-31$63,816

Form 5500 Responses for JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST

2022: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: JOHNSON & COMPANY P.C. EMPLOYEE WELFARE BENEFIT TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?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
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
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?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
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
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?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
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
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
Are there contracts with allocated funds for individual policies?1
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?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
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
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Insurance policy start date2006-02-02
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PENN MUTUAL (National Association of Insurance Commissioners NAIC id number: )
Policy contract number8 177 497
Policy instance 1
Insurance contract or identification number8 177 497
Number of Individuals Covered1
Insurance policy start date2006-02-02
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Are there contracts with allocated funds for individual policies?Yes

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