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NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 401k Plan overview

Plan NameNORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN
Plan identification number 001

NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing

401k Sponsoring company profile

BOARD OF TRUSTEES OF THE NORTHERN OHIO LABORERS PSAP has sponsored the creation of one or more 401k plans.

Company Name:BOARD OF TRUSTEES OF THE NORTHERN OHIO LABORERS PSAP
Employer identification number (EIN):821156653
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01ROBERT BERNIUS2023-05-08 JOSHUA HUGHES2023-05-08
0012020-07-01ROBERT BERNIUS2022-04-11 BRIAN SEEGER2022-04-11
0012019-07-01ROBERT BERNIUS2021-04-11 BRIAN SEEGER2021-04-13
0012019-04-01

Plan Statistics for NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN

401k plan membership statisitcs for NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN

Measure Date Value
2021: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-012,161
Total number of active participants reported on line 7a of the Form 55002021-07-011,850
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-01253
Total of all active and inactive participants2021-07-012,103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-018
Total participants2021-07-012,111
Number of participants with account balances2021-07-012,111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-010
Number of employers contributing to the scheme2021-07-01109
2020: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-012,067
Total number of active participants reported on line 7a of the Form 55002020-07-012,160
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-011
Total of all active and inactive participants2020-07-012,161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-012,161
Number of participants with account balances2020-07-011,914
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
Number of employers contributing to the scheme2020-07-01117
2019: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01120
Total number of active participants reported on line 7a of the Form 55002019-07-012,052
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-012
Total of all active and inactive participants2019-07-012,054
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-012,054
Number of participants with account balances2019-07-011,882
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
Number of employers contributing to the scheme2019-07-01102
Total participants, beginning-of-year2019-04-010
Total number of active participants reported on line 7a of the Form 55002019-04-01104
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-04-010
Total participants2019-04-01104
Number of participants with account balances2019-04-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-04-010
Number of employers contributing to the scheme2019-04-0122

Financial Data on NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN

Measure Date Value
2022 : NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$12,094
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$16,789
Total income from all sources (including contributions)2022-06-30$-2,202,783
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$4,859,659
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$4,546,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$2,300,766
Value of total assets at end of year2022-06-30$29,427,263
Value of total assets at beginning of year2022-06-30$36,494,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$313,137
Total interest from all sources2022-06-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$1,824,475
Administrative expenses professional fees incurred2022-06-30$23,144
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$500,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Participant contributions at end of year2022-06-30$0
Participant contributions at beginning of year2022-06-30$25,226
Other income not declared elsewhere2022-06-30$69
Administrative expenses (other) incurred2022-06-30$45,964
Liabilities. Value of operating payables at end of year2022-06-30$12,094
Liabilities. Value of operating payables at beginning of year2022-06-30$16,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-7,062,442
Value of net assets at end of year (total assets less liabilities)2022-06-30$29,415,169
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$36,477,611
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Investment advisory and management fees2022-06-30$180,659
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$28,657,189
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$31,973,686
Interest on participant loans2022-06-30$2,252
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-06-30$213,722
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-06-30$171,150
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-06-30$171,150
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-06-30$2,347
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$3,822,838
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$4,021,003
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-4,503,618
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$2,300,766
Employer contributions (assets) at end of year2022-06-30$556,352
Employer contributions (assets) at beginning of year2022-06-30$303,335
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$4,546,522
Contract administrator fees2022-06-30$63,370
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2022-06-30310800053
2021 : NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$16,789
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$19,989
Total income from all sources (including contributions)2021-06-30$9,857,048
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$2,270,091
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$1,980,885
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,750,701
Value of total assets at end of year2021-06-30$36,494,400
Value of total assets at beginning of year2021-06-30$28,910,643
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$289,206
Total interest from all sources2021-06-30$2,895
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$1,067,348
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$1,067,348
Administrative expenses professional fees incurred2021-06-30$26,728
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Participant contributions at end of year2021-06-30$25,226
Participant contributions at beginning of year2021-06-30$26,005
Administrative expenses (other) incurred2021-06-30$19,022
Liabilities. Value of operating payables at end of year2021-06-30$16,789
Liabilities. Value of operating payables at beginning of year2021-06-30$19,989
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$7,586,957
Value of net assets at end of year (total assets less liabilities)2021-06-30$36,477,611
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$28,890,654
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Investment advisory and management fees2021-06-30$188,300
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$31,973,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$24,644,055
Interest on participant loans2021-06-30$2,318
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$171,150
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$93,189
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$93,189
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$577
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$4,021,003
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$3,854,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$7,036,104
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$1,750,701
Employer contributions (assets) at end of year2021-06-30$303,335
Employer contributions (assets) at beginning of year2021-06-30$292,514
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$1,980,885
Contract administrator fees2021-06-30$55,156
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30CLARK, SCHAEFER, HACKETT & CO.
Accountancy firm EIN2021-06-30310800053
2020 : NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total transfer of assets to this plan2020-06-30$28,465,515
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$19,989
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$92
Total income from all sources (including contributions)2020-06-30$1,877,693
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$1,472,652
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,380,386
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$787,788
Value of total assets at end of year2020-06-30$28,910,643
Value of total assets at beginning of year2020-06-30$20,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$92,266
Total interest from all sources2020-06-30$49,814
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$134,476
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$134,476
Administrative expenses professional fees incurred2020-06-30$15,682
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Participant contributions at end of year2020-06-30$26,005
Administrative expenses (other) incurred2020-06-30$18,939
Liabilities. Value of operating payables at end of year2020-06-30$19,989
Liabilities. Value of operating payables at beginning of year2020-06-30$92
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$405,041
Value of net assets at end of year (total assets less liabilities)2020-06-30$28,890,654
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$20,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Investment advisory and management fees2020-06-30$40,749
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$24,644,055
Interest on participant loans2020-06-30$2,386
Interest earned on other investments2020-06-30$45,946
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-06-30$93,189
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-06-30$3,943
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-06-30$3,943
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$1,482
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$3,854,880
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$905,615
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$787,788
Employer contributions (assets) at end of year2020-06-30$292,514
Employer contributions (assets) at beginning of year2020-06-30$16,247
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$1,380,386
Contract administrator fees2020-06-30$16,896
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30CLARK, SCHAEFER, HACKETT & CO,
Accountancy firm EIN2020-06-30310800053
2019 : NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$92
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$20,585
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$487
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$20,579
Value of total assets at end of year2019-06-30$20,190
Value of total assets at beginning of year2019-06-30$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$487
Total interest from all sources2019-06-30$6
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Administrative expenses professional fees incurred2019-06-30$487
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$225,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Liabilities. Value of operating payables at end of year2019-06-30$92
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$20,098
Value of net assets at end of year (total assets less liabilities)2019-06-30$20,098
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-06-30$3,943
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$6
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$20,579
Employer contributions (assets) at end of year2019-06-30$16,247
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No

Form 5500 Responses for NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN

2021: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2021 form 5500 responses
2021-07-01Type of plan entityMulti-employer plan
2021-07-01Submission has been amendedYes
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2020 form 5500 responses
2020-07-01Type of plan entityMulti-employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: NORTHERN OHIO LABORERS' PROFIT SHARING ANNUITY PLAN 2019 form 5500 responses
2019-07-01Type of plan entityMulti-employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2019-04-01Type of plan entityMulti-employer plan
2019-04-01First time form 5500 has been submittedYes
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-04-01Plan is a collectively bargained planYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61001-1
Policy instance 1
Insurance contract or identification numberMR 61001-1
Number of Individuals Covered2103
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61001
Policy instance 1
Insurance contract or identification numberMR 61001
Number of Individuals Covered2161
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 61001 - 1
Policy instance 1
Insurance contract or identification numberMR 61001 - 1
Number of Individuals Covered1882
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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

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