KETCO, INC. has sponsored the creation of one or more 401k plans.
Additional information about KETCO, INC.
Submission information for form 5500 for 401k plan EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC.
401k plan membership statisitcs for EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC.
| Measure | Date | Value |
|---|
| 2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 0 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| 2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 11 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 0 |
| Total of all active and inactive participants | 2015-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| 2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 33 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 0 |
| Total of all active and inactive participants | 2014-01-01 | 11 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| 2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 34 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 33 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 33 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 33 |
| 2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 39 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 34 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 34 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 34 |
| 2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 44 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 39 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 39 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| 2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 42 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 44 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 44 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2016 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-12-31 | $-234,510 |
| Total income from all sources | 2016-12-31 | $225 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $3,106 |
| Total plan assets at end of year | 2016-12-31 | $0 |
| Total plan assets at beginning of year | 2016-12-31 | $237,391 |
| Value of fidelity bond covering the plan | 2016-12-31 | $40,000 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $3,106 |
| Other income received | 2016-12-31 | $225 |
| Net income (gross income less expenses) | 2016-12-31 | $-2,881 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $237,391 |
| 2015 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2015 401k financial data |
|---|
| Transfers to/from the plan | 2015-12-31 | $-3,020 |
| Total income from all sources | 2015-12-31 | $10 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $4,372 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $0 |
| Total plan assets at end of year | 2015-12-31 | $237,391 |
| Total plan assets at beginning of year | 2015-12-31 | $244,773 |
| Value of fidelity bond covering the plan | 2015-12-31 | $40,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2015-12-31 | $4,372 |
| Contributions received from other sources (not participants or employers) | 2015-12-31 | $0 |
| Other income received | 2015-12-31 | $10 |
| Noncash contributions received | 2015-12-31 | $0 |
| Net income (gross income less expenses) | 2015-12-31 | $-4,362 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $237,391 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $244,773 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $0 |
| Value of certain deemed distributions of participant loans | 2015-12-31 | $0 |
| Value of corrective distributions | 2015-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $0 |
| 2014 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2014 401k financial data |
|---|
| Transfers to/from the plan | 2014-12-31 | $-380,755 |
| Total income from all sources | 2014-12-31 | $399,499 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $134,893 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $113,797 |
| Total plan assets at end of year | 2014-12-31 | $244,773 |
| Total plan assets at beginning of year | 2014-12-31 | $360,922 |
| Value of fidelity bond covering the plan | 2014-12-31 | $40,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $5,850 |
| Expenses. Other expenses not covered elsewhere | 2014-12-31 | $21,096 |
| Other income received | 2014-12-31 | $18 |
| Net income (gross income less expenses) | 2014-12-31 | $264,606 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $244,773 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $360,922 |
| Assets. Value of real-estate (other than employer real property) | 2014-12-31 | $142,768 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $393,631 |
| 2013 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2013 401k financial data |
|---|
| Transfers to/from the plan | 2013-12-31 | $-431,759 |
| Total income from all sources | 2013-12-31 | $538,288 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $347,911 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $314,376 |
| Total plan assets at end of year | 2013-12-31 | $360,922 |
| Total plan assets at beginning of year | 2013-12-31 | $602,304 |
| Value of fidelity bond covering the plan | 2013-12-31 | $40,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $13,000 |
| Expenses. Other expenses not covered elsewhere | 2013-12-31 | $33,535 |
| Other income received | 2013-12-31 | $8,704 |
| Net income (gross income less expenses) | 2013-12-31 | $190,377 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $360,922 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $602,304 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $516,584 |
| 2012 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2012 401k financial data |
|---|
| Transfers to/from the plan | 2012-12-31 | $-480,476 |
| Total income from all sources | 2012-12-31 | $881,698 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $337,497 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $295,739 |
| Total plan assets at end of year | 2012-12-31 | $602,304 |
| Total plan assets at beginning of year | 2012-12-31 | $538,579 |
| Value of fidelity bond covering the plan | 2012-12-31 | $40,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $48,180 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $41,758 |
| Other income received | 2012-12-31 | $4,299 |
| Net income (gross income less expenses) | 2012-12-31 | $544,201 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $602,304 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $538,579 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $829,219 |
| 2011 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2011 401k financial data |
|---|
| Transfers to/from the plan | 2011-12-31 | $-938,786 |
| Total income from all sources | 2011-12-31 | $762,832 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $405,058 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $375,596 |
| Total plan assets at end of year | 2011-12-31 | $538,579 |
| Total plan assets at beginning of year | 2011-12-31 | $1,119,591 |
| Value of fidelity bond covering the plan | 2011-12-31 | $40,000 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $29,462 |
| Other income received | 2011-12-31 | $5,936 |
| Net income (gross income less expenses) | 2011-12-31 | $357,774 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $538,579 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,119,591 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $756,896 |
| 2010 : EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2010 401k financial data |
|---|
| Transfers to/from the plan | 2010-12-31 | $-28,000 |
| Total income from all sources | 2010-12-31 | $1,136,994 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $310,476 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $283,885 |
| Total plan assets at end of year | 2010-12-31 | $1,119,591 |
| Total plan assets at beginning of year | 2010-12-31 | $321,073 |
| Value of fidelity bond covering the plan | 2010-12-31 | $40,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $19,586 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $26,591 |
| Other income received | 2010-12-31 | $4,189 |
| Net income (gross income less expenses) | 2010-12-31 | $826,518 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $1,119,591 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $321,073 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $1,113,219 |
| 2016: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: EMPIRE STATE HIGHWAY CONTRACTORS ASSOCIATION, INC. EMPLOYEES H&W PLAN FOR THE EMPLOYEES OF KETCO, INC. 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 11 | | Insurance policy start date | 2013-10-01 | | Insurance policy end date | 2014-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | 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 Carrier | USD $2,272 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 33 | | Insurance policy start date | 2012-10-01 | | Insurance policy end date | 2013-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | 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 Carrier | USD $6,039 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 34 | | Insurance policy start date | 2011-10-01 | | Insurance policy end date | 2012-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD & D | | 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 Carrier | USD $5,780 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 39 | | Insurance policy start date | 2010-10-01 | | Insurance policy end date | 2011-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 Carrier | USD $7,579 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 ) |
| Policy contract number | 00372939 |
| Policy instance | 1 |
| Insurance contract or identification number | 00372939 | | Number of Individuals Covered | 42 | | Insurance policy start date | 2009-10-01 | | Insurance policy end date | 2010-09-30 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | 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 Carrier | USD $6,512 |
|
