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EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.

401k Sponsoring company profile

CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION has sponsored the creation of one or more 401k plans.

Company Name:CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION
Employer identification number (EIN):370951440
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01TONYA HUGHES2023-06-15
0012021-01-01TONYA HUGHES2022-04-01
0012020-01-01TONYA HUGHES2021-07-22
0012019-01-01VERNALEE MCKEE2020-07-27
0012018-01-01VERNALEE MCKEE2019-10-10
0012017-01-01VERNALEE MCKEE2018-10-15 VERNALEE MCKEE2018-10-15
0012016-01-01VERNALEE MCKEE2017-10-12 VERNALEE MCKEE2017-10-12
0012015-01-01VERNALEE MCKEE
0012014-01-01VERNALEE MCKEE
0012013-01-01VERNALEE MCKEE
0012012-01-01VERNALEE MCKEE
0012011-01-01VERNALEE MCKEE
0012009-01-01VERNALEE MCKEE

Plan Statistics for EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION

Measure Date Value
2015: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-01-0165
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0161
Number of participants with account balances2015-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-01-0162
Total number of active participants reported on line 7a of the Form 55002014-01-0154
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0110
Total of all active and inactive participants2014-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-0165
Number of participants with account balances2014-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-01-0167
Total number of active participants reported on line 7a of the Form 55002013-01-0150
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0162
Number of participants with account balances2013-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-01-0165
Total number of active participants reported on line 7a of the Form 55002012-01-0157
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0110
Total of all active and inactive participants2012-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0167
Number of participants with account balances2012-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-01-0172
Total number of active participants reported on line 7a of the Form 55002011-01-0155
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0165
Number of participants with account balances2011-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-01-0181
Total number of active participants reported on line 7a of the Form 55002009-01-0165
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-019
Total of all active and inactive participants2009-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0174
Number of participants with account balances2009-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION

Measure Date Value
2015 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2015 401k financial data
Total income from all sources2015-12-31$105,965
Expenses. Total of all expenses incurred2015-12-31$59,453
Benefits paid (including direct rollovers)2015-12-31$54,021
Total plan assets at end of year2015-12-31$1,690,476
Total plan assets at beginning of year2015-12-31$1,643,964
Value of fidelity bond covering the plan2015-12-31$275,000
Expenses. Other expenses not covered elsewhere2015-12-31$5,432
Other income received2015-12-31$4,117
Net income (gross income less expenses)2015-12-31$46,512
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,690,476
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,643,964
Assets. Value of participant loans2015-12-31$121,570
Total contributions received or receivable from employer(s)2015-12-31$101,848
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$97,281
Amount contributed by the employer to the plan for this plan year2015-12-31$97,281
2014 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2014 401k financial data
Total income from all sources2014-12-31$193,366
Expenses. Total of all expenses incurred2014-12-31$106,222
Benefits paid (including direct rollovers)2014-12-31$97,149
Total plan assets at end of year2014-12-31$1,643,964
Total plan assets at beginning of year2014-12-31$1,556,820
Value of fidelity bond covering the plan2014-12-31$275,000
Expenses. Other expenses not covered elsewhere2014-12-31$9,073
Other income received2014-12-31$86,660
Net income (gross income less expenses)2014-12-31$87,144
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,643,964
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,556,820
Assets. Value of participant loans2014-12-31$113,474
Total contributions received or receivable from employer(s)2014-12-31$106,706
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$102,051
Amount contributed by the employer to the plan for this plan year2014-12-31$102,051
2013 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2013 401k financial data
Total income from all sources2013-12-31$265,169
Expenses. Total of all expenses incurred2013-12-31$217,109
Benefits paid (including direct rollovers)2013-12-31$215,893
Total plan assets at end of year2013-12-31$1,556,820
Total plan assets at beginning of year2013-12-31$1,508,760
Value of fidelity bond covering the plan2013-12-31$275,000
Expenses. Other expenses not covered elsewhere2013-12-31$1,216
Other income received2013-12-31$167,539
Net income (gross income less expenses)2013-12-31$48,060
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,556,820
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,508,760
Assets. Value of participant loans2013-12-31$105,722
Total contributions received or receivable from employer(s)2013-12-31$97,630
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$9,742
Amount contributed by the employer to the plan for this plan year2013-12-31$9,742
2012 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$196,156
Expenses. Total of all expenses incurred2012-12-31$51,553
Benefits paid (including direct rollovers)2012-12-31$46,462
Total plan assets at end of year2012-12-31$1,508,760
Total plan assets at beginning of year2012-12-31$1,364,157
Value of fidelity bond covering the plan2012-12-31$275,000
Total contributions received or receivable from participants2012-12-31$0
Expenses. Other expenses not covered elsewhere2012-12-31$5,091
Contributions received from other sources (not participants or employers)2012-12-31$1,877
Other income received2012-12-31$84,620
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$144,603
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,508,760
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,364,157
Assets. Value of participant loans2012-12-31$123,211
Total contributions received or receivable from employer(s)2012-12-31$109,659
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$105,196
Amount contributed by the employer to the plan for this plan year2012-12-31$105,196
2011 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$106,685
Expenses. Total of all expenses incurred2011-12-31$128,759
Benefits paid (including direct rollovers)2011-12-31$126,415
Total plan assets at end of year2011-12-31$1,364,157
Total plan assets at beginning of year2011-12-31$1,386,231
Value of fidelity bond covering the plan2011-12-31$275,000
Total contributions received or receivable from participants2011-12-31$0
Expenses. Other expenses not covered elsewhere2011-12-31$2,344
Contributions received from other sources (not participants or employers)2011-12-31$445
Other income received2011-12-31$3,141
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$-22,074
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,364,157
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,386,231
Assets. Value of participant loans2011-12-31$121,544
Total contributions received or receivable from employer(s)2011-12-31$103,099
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$104,343
Amount contributed by the employer to the plan for this plan year2011-12-31$104,343
2010 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$231,025
Expenses. Total of all expenses incurred2010-12-31$300,864
Benefits paid (including direct rollovers)2010-12-31$295,907
Total plan assets at end of year2010-12-31$1,386,231
Total plan assets at beginning of year2010-12-31$1,456,070
Value of fidelity bond covering the plan2010-12-31$275,000
Total contributions received or receivable from participants2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$4,957
Contributions received from other sources (not participants or employers)2010-12-31$1,699
Other income received2010-12-31$108,370
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-69,839
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,386,231
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,456,070
Assets. Value of participant loans2010-12-31$110,525
Total contributions received or receivable from employer(s)2010-12-31$120,956
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$121,158
Amount contributed by the employer to the plan for this plan year2010-12-31$121,158
2009 : EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$118,575
Amount contributed by the employer to the plan for this plan year2009-12-31$118,575

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION

2015: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 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: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 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: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BENEFIT PLAN OF CHRISTIAN COUNTY MENTAL HEALTH ASSOCIATION 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered61
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $272
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 Administration1
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
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 fees272
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameST. LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered65
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $337
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 Administration1
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
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 fees337
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameST. LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered62
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $324
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 Administration1
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
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 fees324
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameST. LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered67
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $66
Contracts With Unallocated Funds Deposit Administration1
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 fees18
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameRYAN GILL
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered65
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $165
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number007471-H
Policy instance 1
Insurance contract or identification number007471-H
Number of Individuals Covered72
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $154
Contracts With Unallocated Funds Deposit Administration1
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 fees42
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameRYAN GILL

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