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EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

UNITED AGRICULTURAL COOPERATIVE, IN C. has sponsored the creation of one or more 401k plans.

Company Name:UNITED AGRICULTURAL COOPERATIVE, IN C.
Employer identification number (EIN):742245527
NAIC Classification:111900
NAIC Description:Other Crop Farming

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01JIMMY ROPPOLO2021-07-27
0012019-01-01
0012018-01-01JIMMY ROPPOLO2019-07-03
0012017-01-01JIM N ROPPOLO2018-07-06 JIM N ROPPOLO2018-07-06
0012016-01-01JIM N ROPPOLO JIM N ROPPOLO2017-07-06
0012015-01-01JIM N ROPPOLO2016-07-14 JIM N ROPPOLO2016-07-14
0012014-01-01JIM N ROPPOLO JIM N ROPPOLO2015-07-29
0012013-01-01JIM N ROPPOLO JIM N ROPPOLO2014-07-10
0012012-01-01JIM N ROPPOLO2013-06-25 JIM N ROPPOLO2013-06-25
0012011-01-01JIM N ROPPOLO2012-07-24 JIM N ROPPOLO2012-07-24
0012010-01-01JIM N ROPPOLO2011-07-15 JIM N ROPPOLO2011-07-15

Plan Statistics for EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.

Measure Date Value
2022: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2022 401k membership
Total participants, beginning-of-year2022-01-0193
Total number of active participants reported on line 7a of the Form 55002022-01-0187
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0130
Total of all active and inactive participants2022-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01117
Number of participants with account balances2022-01-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2021 401k membership
Total participants, beginning-of-year2021-01-0197
Total number of active participants reported on line 7a of the Form 55002021-01-0165
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0128
Total of all active and inactive participants2021-01-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0193
Number of participants with account balances2021-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2019: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2019 401k membership
Total participants, beginning-of-year2019-01-0195
Total number of active participants reported on line 7a of the Form 55002019-01-0165
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0124
Total of all active and inactive participants2019-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-011
Total participants2019-01-0190
Number of participants with account balances2019-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-018
2016: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2016 401k membership
Total participants, beginning-of-year2016-01-01102
Total number of active participants reported on line 7a of the Form 55002016-01-0182
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0113
Total of all active and inactive participants2016-01-0195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0195
Number of participants with account balances2016-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2014: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01101
Total number of active participants reported on line 7a of the Form 55002014-01-0181
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0123
Total of all active and inactive participants2014-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01104
Number of participants with account balances2014-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-01108
Total number of active participants reported on line 7a of the Form 55002013-01-0193
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-01101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01101
Number of participants with account balances2013-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011

Financial Data on EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.

Measure Date Value
2022 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,152,197
Expenses. Total of all expenses incurred2022-12-31$57,623
Benefits paid (including direct rollovers)2022-12-31$56,582
Total plan assets at end of year2022-12-31$5,591,811
Total plan assets at beginning of year2022-12-31$6,801,631
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$274,067
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,555,277
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,209,820
Net plan assets at end of year (total assets less liabilities)2022-12-31$5,591,811
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$6,801,631
Assets. Value of participant loans2022-12-31$76,505
Total contributions received or receivable from employer(s)2022-12-31$129,013
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$1,041
2021 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,311,977
Expenses. Total of all expenses incurred2021-12-31$302,373
Benefits paid (including direct rollovers)2021-12-31$295,659
Total plan assets at end of year2021-12-31$6,801,631
Total plan assets at beginning of year2021-12-31$5,792,027
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$302,450
Expenses. Other expenses not covered elsewhere2021-12-31$6,714
Contributions received from other sources (not participants or employers)2021-12-31$13,650
Other income received2021-12-31$853,416
Net income (gross income less expenses)2021-12-31$1,009,604
Net plan assets at end of year (total assets less liabilities)2021-12-31$6,801,631
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$5,792,027
Assets. Value of participant loans2021-12-31$82,571
Total contributions received or receivable from employer(s)2021-12-31$142,461
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2019 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,088,629
Expenses. Total of all expenses incurred2019-12-31$385,843
Benefits paid (including direct rollovers)2019-12-31$384,831
Total plan assets at end of year2019-12-31$4,860,266
Total plan assets at beginning of year2019-12-31$4,157,480
Value of fidelity bond covering the plan2019-12-31$450,000
Total contributions received or receivable from participants2019-12-31$203,870
Expenses. Other expenses not covered elsewhere2019-12-31$1,012
Contributions received from other sources (not participants or employers)2019-12-31$4,847
Other income received2019-12-31$822,169
Net income (gross income less expenses)2019-12-31$702,786
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,860,266
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,157,480
Assets. Value of participant loans2019-12-31$125,038
Total contributions received or receivable from employer(s)2019-12-31$57,743
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2016 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$484,286
Expenses. Total of all expenses incurred2016-12-31$72,948
Benefits paid (including direct rollovers)2016-12-31$71,949
Total plan assets at end of year2016-12-31$3,557,073
Total plan assets at beginning of year2016-12-31$3,145,735
Value of fidelity bond covering the plan2016-12-31$400,000
Total contributions received or receivable from participants2016-12-31$166,581
Expenses. Other expenses not covered elsewhere2016-12-31$999
Contributions received from other sources (not participants or employers)2016-12-31$5,627
Other income received2016-12-31$247,829
Net income (gross income less expenses)2016-12-31$411,338
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,557,073
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,145,735
Assets. Value of participant loans2016-12-31$111,371
Total contributions received or receivable from employer(s)2016-12-31$64,249
Value of certain deemed distributions of participant loans2016-12-31$0
2014 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$473,555
Expenses. Total of all expenses incurred2014-12-31$190,968
Benefits paid (including direct rollovers)2014-12-31$170,887
Total plan assets at end of year2014-12-31$3,309,597
Total plan assets at beginning of year2014-12-31$3,027,010
Value of fidelity bond covering the plan2014-12-31$1,000,000
Total contributions received or receivable from participants2014-12-31$203,986
Expenses. Other expenses not covered elsewhere2014-12-31$20,081
Contributions received from other sources (not participants or employers)2014-12-31$11,808
Other income received2014-12-31$185,098
Net income (gross income less expenses)2014-12-31$282,587
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,309,597
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,027,010
Assets. Value of participant loans2014-12-31$132,487
Total contributions received or receivable from employer(s)2014-12-31$72,663
Value of certain deemed distributions of participant loans2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$945,758
Expenses. Total of all expenses incurred2013-12-31$124,216
Benefits paid (including direct rollovers)2013-12-31$40,268
Total plan assets at end of year2013-12-31$3,027,010
Total plan assets at beginning of year2013-12-31$2,205,468
Value of fidelity bond covering the plan2013-12-31$1,000,000
Total contributions received or receivable from participants2013-12-31$223,490
Expenses. Other expenses not covered elsewhere2013-12-31$83,948
Contributions received from other sources (not participants or employers)2013-12-31$170,985
Other income received2013-12-31$468,422
Net income (gross income less expenses)2013-12-31$821,542
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,027,010
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,205,468
Assets. Value of participant loans2013-12-31$209,310
Total contributions received or receivable from employer(s)2013-12-31$82,861
Value of certain deemed distributions of participant loans2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC.

2022: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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 benefit arrangement – InsuranceYes
2021: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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 benefit arrangement – InsuranceYes
2019: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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 benefit arrangement – InsuranceYes
2016: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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
2014: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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
2013: EMPLOYEE BENEFIT PLAN OF UNITED AGRICULTURAL COOPERATIVE, INC. 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

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number056906
Policy instance 1
Insurance contract or identification number056906
Number of Individuals Covered125
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,461
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1461
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number056906I
Policy instance 1
Insurance contract or identification number056906I
Number of Individuals Covered93
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 $291
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees291
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number056906I
Policy instance 1
Insurance contract or identification number056906I
Number of Individuals Covered90
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,181
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1181
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number056906I
Policy instance 1
Insurance contract or identification number056906I
Number of Individuals Covered84
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $548
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees548
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number056906I
Policy instance 1
Insurance contract or identification number056906I
Number of Individuals Covered79
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,261
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1261
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameHOUSTON REGIONAL OFFICE

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