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THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 401k Plan overview

Plan NameTHE CAPITAL CORPORATION OF AMERICA 401(K) PLAN
Plan identification number 001

THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

THE CAPITAL CORPORATION OF AMERICA has sponsored the creation of one or more 401k plans.

Company Name:THE CAPITAL CORPORATION OF AMERICA
Employer identification number (EIN):570938473
NAIC Classification:523110
NAIC Description:Investment Banking and Securities Dealing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01C. DAN ADAMS2023-09-19
0012021-01-01C. DAN ADAMS2022-08-22
0012020-01-01C. DAN ADAMS2021-09-24
0012019-01-01C. DAN ADAMS2020-09-20
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01JAMES JOYNER
0012011-01-01JAMES JOYNER

Plan Statistics for THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN

401k plan membership statisitcs for THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN

Measure Date Value
2022: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0129
Total number of active participants reported on line 7a of the Form 55002022-01-0116
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0110
Total of all active and inactive participants2022-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0126
Number of participants with account balances2022-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0125
Total number of active participants reported on line 7a of the Form 55002021-01-0123
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-016
Total of all active and inactive participants2021-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0129
Number of participants with account balances2021-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0125
Total number of active participants reported on line 7a of the Form 55002020-01-0119
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0123
Number of participants with account balances2020-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0126
Total number of active participants reported on line 7a of the Form 55002019-01-0117
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-015
Total of all active and inactive participants2019-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0123
Number of participants with account balances2019-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0124
Total number of active participants reported on line 7a of the Form 55002018-01-0117
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-016
Total of all active and inactive participants2018-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0124
Number of participants with account balances2018-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0123
Total number of active participants reported on line 7a of the Form 55002017-01-0120
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0123
Number of participants with account balances2017-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0112
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0116
Number of participants with account balances2016-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115
Total number of active participants reported on line 7a of the Form 55002015-01-0113
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0116
Number of participants with account balances2015-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0112
Total number of active participants reported on line 7a of the Form 55002014-01-0111
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0115
Number of participants with account balances2014-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0112
Number of participants with account balances2013-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0112
Total number of active participants reported on line 7a of the Form 55002012-01-018
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
Number of participants with account balances2012-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0113
Total number of active participants reported on line 7a of the Form 55002011-01-018
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0112
Number of participants with account balances2011-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN

Measure Date Value
2022 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-399,034
Expenses. Total of all expenses incurred2022-12-31$1,293,306
Benefits paid (including direct rollovers)2022-12-31$1,267,085
Total plan assets at end of year2022-12-31$3,169,446
Total plan assets at beginning of year2022-12-31$4,861,786
Value of fidelity bond covering the plan2022-12-31$750,000
Total contributions received or receivable from participants2022-12-31$195,239
Other income received2022-12-31$-645,440
Net income (gross income less expenses)2022-12-31$-1,692,340
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,169,446
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,861,786
Assets. Value of assets in partnership/joint-venture interests2022-12-31$64,496
Total contributions received or receivable from employer(s)2022-12-31$51,167
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$26,221
2021 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,488,547
Expenses. Total of all expenses incurred2021-12-31$306,884
Benefits paid (including direct rollovers)2021-12-31$278,387
Total plan assets at end of year2021-12-31$4,861,786
Total plan assets at beginning of year2021-12-31$3,680,123
Value of fidelity bond covering the plan2021-12-31$750,000
Total contributions received or receivable from participants2021-12-31$208,624
Contributions received from other sources (not participants or employers)2021-12-31$180,496
Other income received2021-12-31$1,053,215
Net income (gross income less expenses)2021-12-31$1,181,663
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,861,786
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$3,680,123
Assets. Value of assets in partnership/joint-venture interests2021-12-31$66,144
Total contributions received or receivable from employer(s)2021-12-31$46,212
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$28,497
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$953,865
Expenses. Total of all expenses incurred2020-12-31$457,838
Benefits paid (including direct rollovers)2020-12-31$433,199
Total plan assets at end of year2020-12-31$3,680,123
Total plan assets at beginning of year2020-12-31$3,184,096
Value of fidelity bond covering the plan2020-12-31$750,000
Total contributions received or receivable from participants2020-12-31$222,094
Contributions received from other sources (not participants or employers)2020-12-31$185,837
Other income received2020-12-31$514,511
Net income (gross income less expenses)2020-12-31$496,027
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,680,123
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,184,096
Assets. Value of assets in partnership/joint-venture interests2020-12-31$92,308
Total contributions received or receivable from employer(s)2020-12-31$31,423
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$24,639
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$28
Total income from all sources2019-12-31$785,100
Expenses. Total of all expenses incurred2019-12-31$103,962
Benefits paid (including direct rollovers)2019-12-31$95,033
Total plan assets at end of year2019-12-31$3,184,096
Total plan assets at beginning of year2019-12-31$2,502,986
Value of fidelity bond covering the plan2019-12-31$750,000
Total contributions received or receivable from participants2019-12-31$229,894
Other income received2019-12-31$495,259
Net income (gross income less expenses)2019-12-31$681,138
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,184,096
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,502,958
Assets. Value of assets in partnership/joint-venture interests2019-12-31$97,756
Total contributions received or receivable from employer(s)2019-12-31$59,947
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$8,929
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$28
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$124,950
Expenses. Total of all expenses incurred2018-12-31$6,735
Benefits paid (including direct rollovers)2018-12-31$1,860
Total plan assets at end of year2018-12-31$2,502,986
Total plan assets at beginning of year2018-12-31$2,384,743
Value of fidelity bond covering the plan2018-12-31$750,000
Total contributions received or receivable from participants2018-12-31$207,462
Contributions received from other sources (not participants or employers)2018-12-31$272
Other income received2018-12-31$-371,945
Net income (gross income less expenses)2018-12-31$118,215
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,502,958
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,384,743
Assets. Value of assets in partnership/joint-venture interests2018-12-31$99,456
Total contributions received or receivable from employer(s)2018-12-31$289,161
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$4,875
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$506,640
Expenses. Total of all expenses incurred2017-12-31$7,071
Benefits paid (including direct rollovers)2017-12-31$4,563
Total plan assets at end of year2017-12-31$2,384,743
Total plan assets at beginning of year2017-12-31$1,885,174
Value of fidelity bond covering the plan2017-12-31$750,000
Total contributions received or receivable from participants2017-12-31$185,098
Other income received2017-12-31$45,776
Net income (gross income less expenses)2017-12-31$499,569
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,384,743
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,885,174
Assets. Value of assets in partnership/joint-venture interests2017-12-31$100,939
Total contributions received or receivable from employer(s)2017-12-31$275,766
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,508
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$260,085
Expenses. Total of all expenses incurred2016-12-31$1,594
Total plan assets at end of year2016-12-31$1,885,174
Total plan assets at beginning of year2016-12-31$1,626,683
Value of fidelity bond covering the plan2016-12-31$750,000
Total contributions received or receivable from participants2016-12-31$122,552
Other income received2016-12-31$-10,644
Net income (gross income less expenses)2016-12-31$258,491
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,885,174
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,626,683
Assets. Value of assets in partnership/joint-venture interests2016-12-31$97,684
Total contributions received or receivable from employer(s)2016-12-31$148,177
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,594
2015 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$231,064
Expenses. Total of all expenses incurred2015-12-31$17,561
Benefits paid (including direct rollovers)2015-12-31$15,639
Total plan assets at end of year2015-12-31$1,626,683
Total plan assets at beginning of year2015-12-31$1,413,180
Value of fidelity bond covering the plan2015-12-31$750,000
Total contributions received or receivable from participants2015-12-31$106,043
Other income received2015-12-31$-16,285
Net income (gross income less expenses)2015-12-31$213,503
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,626,683
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,413,180
Assets. Value of assets in partnership/joint-venture interests2015-12-31$604,358
Total contributions received or receivable from employer(s)2015-12-31$141,306
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,922
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$251,464
Expenses. Total of all expenses incurred2014-12-31$132,548
Benefits paid (including direct rollovers)2014-12-31$130,695
Total plan assets at end of year2014-12-31$1,413,180
Total plan assets at beginning of year2014-12-31$1,294,264
Value of fidelity bond covering the plan2014-12-31$250,000
Total contributions received or receivable from participants2014-12-31$81,935
Other income received2014-12-31$42,312
Net income (gross income less expenses)2014-12-31$118,916
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,413,180
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,294,264
Assets. Value of participant loans2014-12-31$0
Assets. Value of assets in partnership/joint-venture interests2014-12-31$114,013
Total contributions received or receivable from employer(s)2014-12-31$127,217
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,853
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$334,531
Expenses. Total of all expenses incurred2013-12-31$1,676
Total plan assets at end of year2013-12-31$1,294,264
Total plan assets at beginning of year2013-12-31$961,409
Value of fidelity bond covering the plan2013-12-31$250,000
Total contributions received or receivable from participants2013-12-31$76,573
Other income received2013-12-31$160,184
Net income (gross income less expenses)2013-12-31$332,855
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,294,264
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$961,409
Assets. Value of participant loans2013-12-31$28,755
Assets. Value of assets in partnership/joint-venture interests2013-12-31$74,571
Total contributions received or receivable from employer(s)2013-12-31$97,774
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,676
2012 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$224,792
Expenses. Total of all expenses incurred2012-12-31$30,849
Benefits paid (including direct rollovers)2012-12-31$29,185
Total plan assets at end of year2012-12-31$961,409
Total plan assets at beginning of year2012-12-31$767,466
Value of fidelity bond covering the plan2012-12-31$250,000
Total contributions received or receivable from participants2012-12-31$59,141
Other income received2012-12-31$80,259
Net income (gross income less expenses)2012-12-31$193,943
Net plan assets at end of year (total assets less liabilities)2012-12-31$961,409
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$767,466
Assets. Value of participant loans2012-12-31$3,006
Assets. Value of assets in partnership/joint-venture interests2012-12-31$89,863
Total contributions received or receivable from employer(s)2012-12-31$85,392
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,664
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$151,187
Expenses. Total of all expenses incurred2011-12-31$3,443
Benefits paid (including direct rollovers)2011-12-31$2,150
Total plan assets at end of year2011-12-31$767,466
Total plan assets at beginning of year2011-12-31$619,722
Value of fidelity bond covering the plan2011-12-31$250,000
Total contributions received or receivable from participants2011-12-31$73,498
Other income received2011-12-31$-10,810
Net income (gross income less expenses)2011-12-31$147,744
Net plan assets at end of year (total assets less liabilities)2011-12-31$767,466
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$619,722
Assets. Value of participant loans2011-12-31$1,336
Assets. Value of assets in partnership/joint-venture interests2011-12-31$99,595
Total contributions received or receivable from employer(s)2011-12-31$88,499
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,293
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$160,482
Expenses. Total of all expenses incurred2010-12-31$7,163
Benefits paid (including direct rollovers)2010-12-31$6,300
Total plan assets at end of year2010-12-31$619,722
Total plan assets at beginning of year2010-12-31$466,403
Value of fidelity bond covering the plan2010-12-31$250,000
Total contributions received or receivable from participants2010-12-31$82,508
Other income received2010-12-31$-1,132
Net income (gross income less expenses)2010-12-31$153,319
Net plan assets at end of year (total assets less liabilities)2010-12-31$619,722
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$466,403
Assets. Value of assets in partnership/joint-venture interests2010-12-31$37,492
Total contributions received or receivable from employer(s)2010-12-31$79,106
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$863
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN

2022: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) 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: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: THE CAPITAL CORPORATION OF AMERICA 401(K) PLAN 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 funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered26
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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered29
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered23
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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered22
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $7,014
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $7,014
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered24
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $6,225
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $6,225
Insurance broker organization code?7
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered22
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $4,584
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $4,584
Insurance broker organization code?7
Insurance broker nameRAYMOND JAMES INSURANCE GROUP, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered16
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,643
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $3,643
Insurance broker organization code?7
Insurance broker nameRAYMOND JAMES INSURANCE GROUP, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered15
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,376
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $3,376
Insurance broker organization code?7
Insurance broker nameRAYMOND JAMES INSURANCE GROUP, INC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered12
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $2,791
Total amount of fees paid to insurance companyUSD $0
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?Yes
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 $2,791
Insurance broker organization code?7
Insurance broker namePLANNING CORP OF AMERICA, INCORPORA
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered10
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,074
Total amount of fees paid to insurance companyUSD $590
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,074
Insurance broker organization code?7
Amount paid for insurance broker fees590
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameINTEGRA BENEFITS CONSULTING
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered12
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,905
Total amount of fees paid to insurance companyUSD $315
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number69801
Policy instance 1
Insurance contract or identification number69801
Number of Individuals Covered12
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,379
Total amount of fees paid to insurance companyUSD $150
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,379
Insurance broker organization code?7
Amount paid for insurance broker fees150
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameINTEGRA BENEFITS CONSULTING

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