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COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 401k Plan overview

Plan NameCOMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN
Plan identification number 501

COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

COMMUNITY LEGAL SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY LEGAL SERVICES, INC.
Employer identification number (EIN):231671562
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN

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
5012019-01-01
5012018-01-01
5012017-01-01BRENDA MARRERO
5012016-09-01BRENDA MARRERO
5012015-09-01BRENDA MARRERO

Plan Statistics for COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN

401k plan membership statisitcs for COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN

Measure Date Value
2022: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01125
Total number of active participants reported on line 7a of the Form 55002022-01-01158
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01160
2021: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01126
Total number of active participants reported on line 7a of the Form 55002021-01-01123
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01125
2020: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01115
Total number of active participants reported on line 7a of the Form 55002020-01-01126
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01126
2019: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0199
Total number of active participants reported on line 7a of the Form 55002019-01-01114
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01115
2018: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0191
Total number of active participants reported on line 7a of the Form 55002018-01-0199
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0199
2017: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0182
Total number of active participants reported on line 7a of the Form 55002017-01-0191
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0191
2016: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-0185
Total number of active participants reported on line 7a of the Form 55002016-09-0180
Number of retired or separated participants receiving benefits2016-09-012
Number of other retired or separated participants entitled to future benefits2016-09-010
Total of all active and inactive participants2016-09-0182
2015: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-0185
Total number of active participants reported on line 7a of the Form 55002015-09-0183
Number of retired or separated participants receiving benefits2015-09-012
Number of other retired or separated participants entitled to future benefits2015-09-010
Total of all active and inactive participants2015-09-0185

Financial Data on COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN

Measure Date Value
2022 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$105,432
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$98,583
Total income from all sources (including contributions)2022-12-31$2,147,763
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$2,053,490
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,848,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,146,549
Value of total assets at end of year2022-12-31$336,603
Value of total assets at beginning of year2022-12-31$235,481
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$205,247
Total interest from all sources2022-12-31$1,214
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$649
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$144,074
Total non interest bearing cash at end of year2022-12-31$1,000
Total non interest bearing cash at beginning of year2022-12-31$1,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$94,273
Value of net assets at end of year (total assets less liabilities)2022-12-31$231,171
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$136,898
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$334,954
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$90,407
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$90,407
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$1,214
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$646,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$2,146,549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,201,799
Contract administrator fees2022-12-31$205,247
Liabilities. Value of benefit claims payable at end of year2022-12-31$105,432
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$98,583
Did the plan have assets held for investment2022-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31BRINKER SIMPSON & COMPANY, LLC
Accountancy firm EIN2022-12-31263838358
2021 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$98,583
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$229,192
Total income from all sources (including contributions)2021-12-31$1,760,427
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,773,805
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,592,497
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,759,693
Value of total assets at end of year2021-12-31$235,481
Value of total assets at beginning of year2021-12-31$379,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$181,308
Total interest from all sources2021-12-31$734
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$144,074
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$0
Total non interest bearing cash at end of year2021-12-31$1,000
Total non interest bearing cash at beginning of year2021-12-31$59,926
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-13,378
Value of net assets at end of year (total assets less liabilities)2021-12-31$136,898
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$150,276
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$90,407
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$319,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$319,542
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$734
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$527,409
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,759,693
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,065,088
Contract administrator fees2021-12-31$181,308
Liabilities. Value of benefit claims payable at end of year2021-12-31$98,583
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$229,192
Did the plan have assets held for investment2021-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BRINKER SIMPSON & COMPANY, LLC
Accountancy firm EIN2021-12-31263838358
2020 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$97,682
Total plan liabilities at beginning of year2020-12-31$91,194
Total income from all sources2020-12-31$1,833,578
Expenses. Total of all expenses incurred2020-12-31$1,820,591
Benefits paid (including direct rollovers)2020-12-31$1,056,537
Total plan assets at end of year2020-12-31$319,542
Total plan assets at beginning of year2020-12-31$300,067
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$512,390
Contributions received from other sources (not participants or employers)2020-12-31$3,160
Other income received2020-12-31$1,042
Net income (gross income less expenses)2020-12-31$12,987
Net plan assets at end of year (total assets less liabilities)2020-12-31$221,860
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$208,873
Total contributions received or receivable from employer(s)2020-12-31$1,829,376
Value of corrective distributions2020-12-31$171,018
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$80,646
2019 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$91,194
Total plan liabilities at beginning of year2019-12-31$88,648
Total income from all sources2019-12-31$1,595,663
Expenses. Total of all expenses incurred2019-12-31$1,522,749
Benefits paid (including direct rollovers)2019-12-31$745,562
Total plan assets at end of year2019-12-31$300,067
Total plan assets at beginning of year2019-12-31$224,607
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$4,677
Expenses. Other expenses not covered elsewhere2019-12-31$490,972
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$897
Net income (gross income less expenses)2019-12-31$72,914
Net plan assets at end of year (total assets less liabilities)2019-12-31$208,873
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$135,959
Total contributions received or receivable from employer(s)2019-12-31$1,590,089
Value of corrective distributions2019-12-31$223,902
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$62,313
2018 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$88,648
Total plan liabilities at beginning of year2018-12-31$79,847
Total income from all sources2018-12-31$1,451,662
Expenses. Total of all expenses incurred2018-12-31$1,284,787
Benefits paid (including direct rollovers)2018-12-31$753,079
Total plan assets at end of year2018-12-31$224,607
Total plan assets at beginning of year2018-12-31$48,931
Value of fidelity bond covering the plan2018-12-31$500,000
Expenses. Other expenses not covered elsewhere2018-12-31$410,229
Other income received2018-12-31$451
Net income (gross income less expenses)2018-12-31$166,875
Net plan assets at end of year (total assets less liabilities)2018-12-31$135,959
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$-30,916
Total contributions received or receivable from employer(s)2018-12-31$1,451,211
Value of corrective distributions2018-12-31$63,988
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$57,491
2017 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$79,847
Total plan liabilities at beginning of year2017-12-31$67,500
Total income from all sources2017-12-31$1,217,442
Expenses. Total of all expenses incurred2017-12-31$1,236,002
Benefits paid (including direct rollovers)2017-12-31$751,182
Total plan assets at end of year2017-12-31$48,931
Total plan assets at beginning of year2017-12-31$55,144
Value of fidelity bond covering the plan2017-12-31$500,000
Expenses. Other expenses not covered elsewhere2017-12-31$367,697
Other income received2017-12-31$206
Net income (gross income less expenses)2017-12-31$-18,560
Net plan assets at end of year (total assets less liabilities)2017-12-31$-30,916
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-12,356
Total contributions received or receivable from employer(s)2017-12-31$1,217,236
Value of corrective distributions2017-12-31$67,242
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$49,881
2016 : COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$67,500
Total plan liabilities at beginning of year2016-12-31$61,924
Total income from all sources2016-12-31$341,937
Expenses. Total of all expenses incurred2016-12-31$371,112
Benefits paid (including direct rollovers)2016-12-31$248,810
Total plan assets at end of year2016-12-31$55,144
Total plan assets at beginning of year2016-12-31$78,743
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$0
Expenses. Other expenses not covered elsewhere2016-12-31$106,026
Contributions received from other sources (not participants or employers)2016-12-31$22,062
Other income received2016-12-31$48
Net income (gross income less expenses)2016-12-31$-29,175
Net plan assets at end of year (total assets less liabilities)2016-12-31$-12,356
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$16,819
Total contributions received or receivable from employer(s)2016-12-31$319,827
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$16,276
Total plan liabilities at end of year2016-08-31$61,924
Total plan liabilities at beginning of year2016-08-31$0
Total income from all sources2016-08-31$1,052,826
Expenses. Total of all expenses incurred2016-08-31$1,036,007
Benefits paid (including direct rollovers)2016-08-31$658,867
Total plan assets at end of year2016-08-31$78,743
Total plan assets at beginning of year2016-08-31$0
Value of fidelity bond covering the plan2016-08-31$500,000
Total contributions received or receivable from participants2016-08-31$0
Expenses. Other expenses not covered elsewhere2016-08-31$327,116
Contributions received from other sources (not participants or employers)2016-08-31$15,995
Other income received2016-08-31$168
Net income (gross income less expenses)2016-08-31$16,819
Net plan assets at end of year (total assets less liabilities)2016-08-31$16,819
Net plan assets at beginning of year (total assets less liabilities)2016-08-31$0
Total contributions received or receivable from employer(s)2016-08-31$1,036,663
Expenses. Administrative service providers (salaries,fees and commissions)2016-08-31$50,024

Form 5500 Responses for COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN

2022: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 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 funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedNo
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: COMMUNITY LEGAL SERVICES GROUP BENEFIT PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01First time form 5500 has been submittedYes
2015-09-01Submission has been amendedNo
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500141
Policy instance 1
Insurance contract or identification number30500141
Number of Individuals Covered158
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 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 $-274
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-203168
Policy instance 2
Insurance contract or identification numberUNI-203168
Number of Individuals Covered158
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 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 $646,718
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500141
Policy instance 1
Insurance contract or identification number30500141
Number of Individuals Covered125
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 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 $527,409
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered126
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 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 $486,498
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered114
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 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 $413,663
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered91
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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 $303,512
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered85
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
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 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 $262,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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