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ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 401k Plan overview

Plan NameASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN
Plan identification number 001

ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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

ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC.
Employer identification number (EIN):730132910
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01KENNETH WERT2023-05-24
0012021-01-01KENNETH WERT2022-05-23
0012020-01-01KENNETH WERT2021-04-20
0012018-01-01KENNETH WERT
0012017-01-01KENNETH WERT
0012016-01-01KENNETH WERT
0012015-01-01KENNETH WERT
0012014-01-01KENNETH WERT
0012013-01-01KENNETH WERT
0012012-01-01KENNETH WERT
0012011-01-01KENNETH WERT
0012009-01-01KENNETH WERT

Plan Statistics for ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN

401k plan membership statisitcs for ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN

Measure Date Value
2018: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014
Total number of active participants reported on line 7a of the Form 55002018-01-013
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-014
Number of participants with account balances2018-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-014
Number of participants with account balances2017-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013
Total number of active participants reported on line 7a of the Form 55002016-01-013
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014
Number of participants with account balances2016-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013
Total number of active participants reported on line 7a of the Form 55002015-01-013
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-013
Number of participants with account balances2015-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-013
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-013
Number of participants with account balances2014-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013
Total number of active participants reported on line 7a of the Form 55002013-01-013
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-013
Number of participants with account balances2013-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-013
Number of participants with account balances2012-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-014
Number of participants with account balances2011-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-013
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-014
Number of participants with account balances2009-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN

Measure Date Value
2018 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2018 401k financial data
Total income from all sources2018-12-31$24,786
Expenses. Total of all expenses incurred2018-12-31$45
Total plan assets at end of year2018-12-31$439,669
Total plan assets at beginning of year2018-12-31$414,928
Value of fidelity bond covering the plan2018-12-31$125,000
Total contributions received or receivable from participants2018-12-31$27,038
Other income received2018-12-31$-26,421
Net income (gross income less expenses)2018-12-31$24,741
Net plan assets at end of year (total assets less liabilities)2018-12-31$439,669
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$414,928
Total contributions received or receivable from employer(s)2018-12-31$24,169
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$45
2017 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2017 401k financial data
Total income from all sources2017-12-31$106,696
Expenses. Total of all expenses incurred2017-12-31$1,649
Benefits paid (including direct rollovers)2017-12-31$1,624
Total plan assets at end of year2017-12-31$414,928
Total plan assets at beginning of year2017-12-31$309,881
Value of fidelity bond covering the plan2017-12-31$125,000
Total contributions received or receivable from participants2017-12-31$20,200
Other income received2017-12-31$66,496
Net income (gross income less expenses)2017-12-31$105,047
Net plan assets at end of year (total assets less liabilities)2017-12-31$414,928
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$309,881
Total contributions received or receivable from employer(s)2017-12-31$20,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$25
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2016 401k financial data
Total income from all sources2016-12-31$42,522
Expenses. Total of all expenses incurred2016-12-31$421,107
Benefits paid (including direct rollovers)2016-12-31$421,107
Total plan assets at end of year2016-12-31$309,881
Total plan assets at beginning of year2016-12-31$688,466
Value of fidelity bond covering the plan2016-12-31$125,000
Total contributions received or receivable from participants2016-12-31$20,900
Other income received2016-12-31$9,417
Net income (gross income less expenses)2016-12-31$-378,585
Net plan assets at end of year (total assets less liabilities)2016-12-31$309,881
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$688,466
Total contributions received or receivable from employer(s)2016-12-31$12,205
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2015 401k financial data
Total income from all sources2015-12-31$33,888
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$688,466
Total plan assets at beginning of year2015-12-31$654,578
Value of fidelity bond covering the plan2015-12-31$125,000
Total contributions received or receivable from participants2015-12-31$43,800
Other income received2015-12-31$-19,912
Net income (gross income less expenses)2015-12-31$33,888
Net plan assets at end of year (total assets less liabilities)2015-12-31$688,466
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$654,578
Total contributions received or receivable from employer(s)2015-12-31$10,000
2014 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2014 401k financial data
Total income from all sources2014-12-31$78,552
Expenses. Total of all expenses incurred2014-12-31$0
Total plan assets at end of year2014-12-31$654,578
Total plan assets at beginning of year2014-12-31$576,026
Value of fidelity bond covering the plan2014-12-31$125,000
Total contributions received or receivable from participants2014-12-31$36,780
Other income received2014-12-31$31,772
Net income (gross income less expenses)2014-12-31$78,552
Net plan assets at end of year (total assets less liabilities)2014-12-31$654,578
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$576,026
Total contributions received or receivable from employer(s)2014-12-31$10,000
2013 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2013 401k financial data
Total income from all sources2013-12-31$150,735
Expenses. Total of all expenses incurred2013-12-31$0
Total plan assets at end of year2013-12-31$576,026
Total plan assets at beginning of year2013-12-31$425,291
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$33,030
Other income received2013-12-31$107,705
Net income (gross income less expenses)2013-12-31$150,735
Net plan assets at end of year (total assets less liabilities)2013-12-31$576,026
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$425,291
Total contributions received or receivable from employer(s)2013-12-31$10,000
2012 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2012 401k financial data
Total income from all sources2012-12-31$90,947
Expenses. Total of all expenses incurred2012-12-31$71,782
Benefits paid (including direct rollovers)2012-12-31$71,782
Total plan assets at end of year2012-12-31$425,291
Total plan assets at beginning of year2012-12-31$406,126
Value of fidelity bond covering the plan2012-12-31$25,000
Total contributions received or receivable from participants2012-12-31$32,425
Other income received2012-12-31$48,522
Net income (gross income less expenses)2012-12-31$19,165
Net plan assets at end of year (total assets less liabilities)2012-12-31$425,291
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$406,126
Total contributions received or receivable from employer(s)2012-12-31$10,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2011 401k financial data
Total income from all sources2011-12-31$32,331
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$406,126
Total plan assets at beginning of year2011-12-31$373,795
Value of fidelity bond covering the plan2011-12-31$25,000
Total contributions received or receivable from participants2011-12-31$36,300
Other income received2011-12-31$-13,969
Net income (gross income less expenses)2011-12-31$32,331
Net plan assets at end of year (total assets less liabilities)2011-12-31$406,126
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$373,795
Total contributions received or receivable from employer(s)2011-12-31$10,000
2010 : ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 2010 401k financial data
Total income from all sources2010-12-31$91,569
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$373,795
Total plan assets at beginning of year2010-12-31$282,226
Value of fidelity bond covering the plan2010-12-31$25,000
Total contributions received or receivable from participants2010-12-31$36,300
Other income received2010-12-31$45,269
Net income (gross income less expenses)2010-12-31$91,569
Net plan assets at end of year (total assets less liabilities)2010-12-31$373,795
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$282,226
Total contributions received or receivable from employer(s)2010-12-31$10,000

Form 5500 Responses for ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN

2018: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE 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
2009: ASSOCIATION OF OKLAHOMA GENERAL CONTRACTORS, INC. SAVINGS INCENTIVE PLAN 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MML BAYSTATE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70416 )
Policy contract numberL007892954
Policy instance 1
Insurance contract or identification numberL007892954
Number of Individuals Covered1
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Total amount of commissions paid to insurance brokerUSD $22
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $16
Insurance broker organization code?3
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberPAN9354307
Policy instance 2
Insurance contract or identification numberPAN9354307
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $221
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $221
Insurance broker organization code?3
MML BAYSTATE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70416 )
Policy contract numberL007892954
Policy instance 1
Insurance contract or identification numberL007892954
Number of Individuals Covered1
Insurance policy start date2016-11-01
Insurance policy end date2017-10-31
Total amount of commissions paid to insurance brokerUSD $25
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $18
Insurance broker organization code?3
Insurance broker nameMARK E. BURSON
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract numberPAN9354307
Policy instance 2
Insurance contract or identification numberPAN9354307
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $255
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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 $255
Insurance broker organization code?3
Insurance broker nameMARK S. THOMPSON

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