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403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 401k Plan overview

Plan Name403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.
Plan identification number 001

403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. has sponsored the creation of one or more 401k plans.

Company Name:LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.
Employer identification number (EIN):832095898
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01

Plan Statistics for 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.

401k plan membership statisitcs for 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.

Measure Date Value
2021: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2021 401k membership
Total participants, beginning-of-year2021-07-01944
Total number of active participants reported on line 7a of the Form 55002021-07-01935
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-01207
Total of all active and inactive participants2021-07-011,142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-012
Total participants2021-07-011,144
Number of participants with account balances2021-07-011,015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-0172
2020: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2020 401k membership
Total participants, beginning-of-year2020-07-011,014
Total number of active participants reported on line 7a of the Form 55002020-07-01850
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-01208
Total of all active and inactive participants2020-07-011,058
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-011,058
Number of participants with account balances2020-07-01944
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-0181
2019: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2019 401k membership
Total participants, beginning-of-year2019-07-01604
Total number of active participants reported on line 7a of the Form 55002019-07-01859
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-01155
Total of all active and inactive participants2019-07-011,014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-011,014
Number of participants with account balances2019-07-01885
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-0151
2018: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2018 401k membership
Total participants, beginning-of-year2018-07-01563
Total number of active participants reported on line 7a of the Form 55002018-07-01483
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-01120
Total of all active and inactive participants2018-07-01603
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-011
Total participants2018-07-01604
Number of participants with account balances2018-07-01512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-0122

Financial Data on 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.

Measure Date Value
2022 : 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-608,083
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,714,592
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,700,176
Expenses. Certain deemed distributions of participant loans2022-06-30$7,904
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,195,143
Value of total assets at end of year2022-06-30$12,353,622
Value of total assets at beginning of year2022-06-30$14,676,297
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$6,512
Total interest from all sources2022-06-30$11,220
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
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
Contributions received from participants2022-06-30$619,727
Participant contributions at end of year2022-06-30$136,124
Participant contributions at beginning of year2022-06-30$143,446
Participant contributions at end of year2022-06-30$39,942
Participant contributions at beginning of year2022-06-30$24,459
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$204,559
Other income not declared elsewhere2022-06-30$0
Administrative expenses (other) incurred2022-06-30$6,512
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-2,322,675
Value of net assets at end of year (total assets less liabilities)2022-06-30$12,353,622
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$14,676,297
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$10,506,270
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$12,828,453
Interest on participant loans2022-06-30$0
Interest earned on other investments2022-06-30$11,220
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$1,647,173
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$1,665,915
Expenses. Payments to insurance carriers foe the provision of benefits2022-06-30$0
Net investment gain/loss from pooled separate accounts2022-06-30$-1,814,446
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$370,857
Employer contributions (assets) at end of year2022-06-30$24,113
Employer contributions (assets) at beginning of year2022-06-30$14,024
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$1,700,176
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 name2022-06-30RKL, LLP
Accountancy firm EIN2022-06-30232108173
2021 : 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$4,165,602
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$442,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$436,129
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,125,448
Value of total assets at end of year2021-06-30$14,676,297
Value of total assets at beginning of year2021-06-30$10,952,924
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$6,100
Total interest from all sources2021-06-30$19,875
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$730,155
Participant contributions at end of year2021-06-30$143,446
Participant contributions at beginning of year2021-06-30$166,119
Participant contributions at end of year2021-06-30$24,459
Participant contributions at beginning of year2021-06-30$17,724
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$8,038
Other income not declared elsewhere2021-06-30$0
Administrative expenses (other) incurred2021-06-30$6,100
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$3,723,373
Value of net assets at end of year (total assets less liabilities)2021-06-30$14,676,297
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$10,952,924
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$12,828,453
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$9,092,372
Interest on participant loans2021-06-30$0
Interest earned on other investments2021-06-30$19,875
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$1,665,915
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$1,665,915
Expenses. Payments to insurance carriers foe the provision of benefits2021-06-30$0
Net investment gain/loss from pooled separate accounts2021-06-30$3,020,279
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$387,255
Employer contributions (assets) at end of year2021-06-30$14,024
Employer contributions (assets) at beginning of year2021-06-30$10,794
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$436,129
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 plan2021-06-30Disclaimer
Accountancy firm name2021-06-30BAKER TILLY US, LLP
Accountancy firm EIN2021-06-30390589910
2020 : 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$1,495,029
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$1,560,535
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$1,552,956
Expenses. Certain deemed distributions of participant loans2020-06-30$1,924
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,089,224
Value of total assets at end of year2020-06-30$10,952,924
Value of total assets at beginning of year2020-06-30$11,018,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$5,655
Total interest from all sources2020-06-30$24,115
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
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
Contributions received from participants2020-06-30$597,039
Participant contributions at end of year2020-06-30$166,119
Participant contributions at beginning of year2020-06-30$102,066
Participant contributions at end of year2020-06-30$17,724
Participant contributions at beginning of year2020-06-30$24,475
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$198,690
Other income not declared elsewhere2020-06-30$0
Administrative expenses (other) incurred2020-06-30$5,655
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$-65,506
Value of net assets at end of year (total assets less liabilities)2020-06-30$10,952,924
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$11,018,430
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
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$9,092,372
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$9,302,301
Interest on participant loans2020-06-30$0
Interest earned on other investments2020-06-30$24,115
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$1,665,915
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$1,572,708
Expenses. Payments to insurance carriers foe the provision of benefits2020-06-30$0
Net investment gain/loss from pooled separate accounts2020-06-30$381,690
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$293,495
Employer contributions (assets) at end of year2020-06-30$10,794
Employer contributions (assets) at beginning of year2020-06-30$16,880
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$1,552,956
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)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30BAKER TILLY US, LLP
Accountancy firm EIN2020-06-30390589910
2019 : 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 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$0
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$1,522,666
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$1,319,489
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,313,729
Expenses. Certain deemed distributions of participant loans2019-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,006,002
Value of total assets at end of year2019-06-30$11,018,430
Value of total assets at beginning of year2019-06-30$10,815,253
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$5,760
Total interest from all sources2019-06-30$22,918
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
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$1,000,000
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
Contributions received from participants2019-06-30$547,309
Participant contributions at end of year2019-06-30$102,066
Participant contributions at beginning of year2019-06-30$105,927
Participant contributions at end of year2019-06-30$24,475
Participant contributions at beginning of year2019-06-30$19,899
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$31,721
Other income not declared elsewhere2019-06-30$0
Administrative expenses (other) incurred2019-06-30$5,760
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$203,177
Value of net assets at end of year (total assets less liabilities)2019-06-30$11,018,430
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$10,815,253
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 in registered invesment companies (eg mutual funds) at end of year2019-06-30$9,302,301
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$9,088,194
Interest on participant loans2019-06-30$0
Interest earned on other investments2019-06-30$22,918
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$1,572,708
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$1,584,705
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$0
Net investment gain/loss from pooled separate accounts2019-06-30$493,746
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 contributions2019-06-30Yes
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$426,972
Employer contributions (assets) at end of year2019-06-30$16,880
Employer contributions (assets) at beginning of year2019-06-30$16,528
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$1,313,729
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30BAKER TILLY VIRCHOW KRAUSE
Accountancy firm EIN2019-06-30390589910

Form 5500 Responses for 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC.

2021: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
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 planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2020 form 5500 responses
2020-07-01Type of plan entitySingle 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 planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2019 form 5500 responses
2019-07-01Type of plan entitySingle 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 planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: 403(B) THRIFT PLAN OF LUTHERAN SOCIAL MINISTRIES OF MARYLAND, INC. 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan 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 number061740D
Policy instance 1
Insurance contract or identification number061740D
Number of Individuals Covered1144
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 $2,505
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 fees2505
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 number061740D
Policy instance 1
Insurance contract or identification number061740D
Number of Individuals Covered1058
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,505
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 fees2505
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 number061740D
Policy instance 1
Insurance contract or identification number061740D
Number of Individuals Covered1014
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 $3,243
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 fees3243
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 number061740D
Policy instance 1
Insurance contract or identification number061740D
Number of Individuals Covered604
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,513
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 fees3513
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3

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