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EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION
Plan identification number 001

EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • 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

CHUGACH REGIONAL RESOURCES COMMISSION has sponsored the creation of one or more 401k plans.

Company Name:CHUGACH REGIONAL RESOURCES COMMISSION
Employer identification number (EIN):920126412
NAIC Classification:112510

Additional information about CHUGACH REGIONAL RESOURCES COMMISSION

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development
Incorporation Date: 1990-04-23
Company Identification Number: 45773D
Legal Registered Office Address: 1840 BRAGAW STREET
1840 BRAGAW STREET
ANCHORAGE
United States of America (USA)
99508

More information about CHUGACH REGIONAL RESOURCES COMMISSION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01PATRICIA SCHWALENBERG2021-05-25
0012018-01-01PATRICIA SCHWALENBERG2019-06-07
0012017-01-01PATRICIA SCHWALENBERG2018-06-13 PATRICIA SCHWALENBERG2018-06-13
0012016-01-01PATTY SCHWALENBERG
0012015-01-01PATTY SCHWALENBERG
0012014-01-01PATTY SCHWALENBERG
0012013-01-01PATTY SCHWALENBERG
0012012-01-01PATRICIA K. SCHWALENBERG
0012011-01-01PATRICIA K. SCHWALENBERG
0012009-01-01PATRICIA K. SCHWALENBERG

Plan Statistics for EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION

Measure Date Value
2016: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2016 401k membership
Total participants, beginning-of-year2016-01-016
Total number of active participants reported on line 7a of the Form 55002016-01-014
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-016
Number of participants with account balances2016-01-016
2015: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2015 401k membership
Total participants, beginning-of-year2015-01-015
Total number of active participants reported on line 7a of the Form 55002015-01-014
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2014 401k membership
Total participants, beginning-of-year2014-01-017
Total number of active participants reported on line 7a of the Form 55002014-01-013
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-015
Number of participants with account balances2014-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2013 401k membership
Total participants, beginning-of-year2013-01-018
Total number of active participants reported on line 7a of the Form 55002013-01-014
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-014
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-018
Total participants2012-01-018
Number of participants with account balances2012-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2011 401k membership
Total participants, beginning-of-year2011-01-016
Total number of active participants reported on line 7a of the Form 55002011-01-015
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-017
Total participants2011-01-017
Number of participants with account balances2011-01-017
2009: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2009 401k membership
Total participants, beginning-of-year2009-01-016
Total number of active participants reported on line 7a of the Form 55002009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION

Measure Date Value
2016 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2016 401k financial data
Total income from all sources2016-12-31$32,279
Expenses. Total of all expenses incurred2016-12-31$25
Total plan assets at end of year2016-12-31$262,251
Total plan assets at beginning of year2016-12-31$229,997
Value of fidelity bond covering the plan2016-12-31$25,000
Expenses. Other expenses not covered elsewhere2016-12-31$1
Other income received2016-12-31$17,911
Net income (gross income less expenses)2016-12-31$32,254
Net plan assets at end of year (total assets less liabilities)2016-12-31$262,251
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$229,997
Assets. Value of participant loans2016-12-31$2,096
Total contributions received or receivable from employer(s)2016-12-31$14,368
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$24
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Funding deficiency by the employer to the plan for this plan year2016-12-31$0
Minimum employer required contribution for this plan year2016-12-31$14,368
Amount contributed by the employer to the plan for this plan year2016-12-31$14,368
2015 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2015 401k financial data
Total income from all sources2015-12-31$21,128
Expenses. Total of all expenses incurred2015-12-31$23,954
Total plan assets at end of year2015-12-31$229,997
Total plan assets at beginning of year2015-12-31$232,823
Value of fidelity bond covering the plan2015-12-31$25,000
Expenses. Other expenses not covered elsewhere2015-12-31$23,918
Other income received2015-12-31$-2,290
Net income (gross income less expenses)2015-12-31$-2,826
Net plan assets at end of year (total assets less liabilities)2015-12-31$229,997
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$232,823
Assets. Value of participant loans2015-12-31$7,391
Total contributions received or receivable from employer(s)2015-12-31$23,418
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$36
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Funding deficiency by the employer to the plan for this plan year2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$23,418
Amount contributed by the employer to the plan for this plan year2015-12-31$23,418
2014 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2014 401k financial data
Total income from all sources2014-12-31$24,259
Expenses. Total of all expenses incurred2014-12-31$52,617
Total plan assets at end of year2014-12-31$232,823
Total plan assets at beginning of year2014-12-31$261,181
Value of fidelity bond covering the plan2014-12-31$25,000
Expenses. Other expenses not covered elsewhere2014-12-31$52,519
Contributions received from other sources (not participants or employers)2014-12-31$2,572
Other income received2014-12-31$12,662
Net income (gross income less expenses)2014-12-31$-28,358
Net plan assets at end of year (total assets less liabilities)2014-12-31$232,823
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$261,181
Assets. Value of participant loans2014-12-31$12,662
Total contributions received or receivable from employer(s)2014-12-31$9,025
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$98
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$9,025
Amount contributed by the employer to the plan for this plan year2014-12-31$9,025
2013 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2013 401k financial data
Total income from all sources2013-12-31$60,391
Expenses. Total of all expenses incurred2013-12-31$7,915
Benefits paid (including direct rollovers)2013-12-31$2,743
Total plan assets at end of year2013-12-31$261,181
Total plan assets at beginning of year2013-12-31$208,705
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$0
Expenses. Other expenses not covered elsewhere2013-12-31$5,024
Contributions received from other sources (not participants or employers)2013-12-31$2,693
Other income received2013-12-31$38,111
Net income (gross income less expenses)2013-12-31$52,476
Net plan assets at end of year (total assets less liabilities)2013-12-31$261,181
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$208,705
Assets. Value of participant loans2013-12-31$34,331
Total contributions received or receivable from employer(s)2013-12-31$19,587
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$148
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$19,587
Amount contributed by the employer to the plan for this plan year2013-12-31$19,587
2012 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2012 401k financial data
Total income from all sources2012-12-31$40,422
Expenses. Total of all expenses incurred2012-12-31$101
Total plan assets at end of year2012-12-31$230,939
Total plan assets at beginning of year2012-12-31$168,385
Value of fidelity bond covering the plan2012-12-31$25,000
Other income received2012-12-31$16,928
Net income (gross income less expenses)2012-12-31$40,321
Net plan assets at end of year (total assets less liabilities)2012-12-31$230,939
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$168,385
Assets. Value of participant loans2012-12-31$22,234
Total contributions received or receivable from employer(s)2012-12-31$23,494
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$101
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$23,494
Amount contributed by the employer to the plan for this plan year2012-12-31$23,494
2011 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2011 401k financial data
Total income from all sources2011-12-31$11,130
Expenses. Total of all expenses incurred2011-12-31$80
Total plan assets at end of year2011-12-31$168,385
Total plan assets at beginning of year2011-12-31$157,335
Value of fidelity bond covering the plan2011-12-31$25,000
Other income received2011-12-31$-4,324
Net income (gross income less expenses)2011-12-31$11,050
Net plan assets at end of year (total assets less liabilities)2011-12-31$168,385
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$157,335
Total contributions received or receivable from employer(s)2011-12-31$15,454
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$80
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$15,454
Amount contributed by the employer to the plan for this plan year2011-12-31$15,454
2010 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2010 401k financial data
Total income from all sources2010-12-31$40,237
Expenses. Total of all expenses incurred2010-12-31$9,054
Benefits paid (including direct rollovers)2010-12-31$8,955
Total plan assets at end of year2010-12-31$157,335
Total plan assets at beginning of year2010-12-31$126,151
Value of fidelity bond covering the plan2010-12-31$25,000
Other income received2010-12-31$21,403
Net income (gross income less expenses)2010-12-31$31,183
Net plan assets at end of year (total assets less liabilities)2010-12-31$157,335
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$126,151
Total contributions received or receivable from employer(s)2010-12-31$18,834
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$99
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$18,835
Amount contributed by the employer to the plan for this plan year2010-12-31$18,835
2009 : EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$20,862
Amount contributed by the employer to the plan for this plan year2009-12-31$20,862

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION

2016: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 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 – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 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 – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: EMPLOYEE BENEFIT PLAN OF CHUGACH REGIONAL RESOURCES COMMISSION 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan 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 number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered6
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15
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 fees15
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameSEATTLE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered5
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 $92
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 fees92
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameSEATTLE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered7
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 $19
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
Amount paid for insurance broker fees19
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameSEATTLE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered8
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $18
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees5
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMPENSATION PROGRAM
Insurance broker organization code?3
Insurance broker nameDAVID C. KASPERSON
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered7
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $42
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number018021-J
Policy instance 1
Insurance contract or identification number018021-J
Number of Individuals Covered6
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $21
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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 fees6
Additional information about fees paid to insurance brokerCOMPENSATION
Insurance broker organization code?3
Insurance broker nameDAVID C. KASPERSON

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