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MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 401k Plan overview

Plan NameMID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST
Plan identification number 001

MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MID COLUMBIA PRODUCERS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MID COLUMBIA PRODUCERS, INC.
Employer identification number (EIN):930975750
NAIC Classification:493100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-06-01DANIEL J. HALL2022-11-16
0012020-06-01DANIEL HALL2022-05-09 DANIEL HALL2022-05-09
0012018-06-01
0012017-06-01DANIEL HALL
0012016-06-01BRITTANY DARK
0012015-06-01BRITTANY DARK BRITTANY DARK2017-01-10
0012014-06-01BRITTANY DARK
0012013-06-01BRITTANY DARK
0012012-06-01BRITTANY DARK
0012011-06-01BRITTANY DARK BRITTANY DARK2013-01-24
0012009-06-01LARA STRADLEY

Plan Statistics for MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST

401k plan membership statisitcs for MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST

Measure Date Value
2018: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-06-0188
Total number of active participants reported on line 7a of the Form 55002018-06-0165
Number of retired or separated participants receiving benefits2018-06-015
Number of other retired or separated participants entitled to future benefits2018-06-0120
Total of all active and inactive participants2018-06-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-06-010
Total participants2018-06-0190
Number of participants with account balances2018-06-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-06-014
2017: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-06-01101
Total number of active participants reported on line 7a of the Form 55002017-06-0166
Number of retired or separated participants receiving benefits2017-06-014
Number of other retired or separated participants entitled to future benefits2017-06-0118
Total of all active and inactive participants2017-06-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-06-010
Total participants2017-06-0188
Number of participants with account balances2017-06-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-06-0110
2016: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-06-01108
Total number of active participants reported on line 7a of the Form 55002016-06-0197
Number of retired or separated participants receiving benefits2016-06-011
Number of other retired or separated participants entitled to future benefits2016-06-013
Total of all active and inactive participants2016-06-01101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-06-010
Total participants2016-06-01101
Number of participants with account balances2016-06-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-06-0126
2015: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-06-0187
Total number of active participants reported on line 7a of the Form 55002015-06-0197
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-0111
Total of all active and inactive participants2015-06-01108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-06-010
Total participants2015-06-01108
Number of participants with account balances2015-06-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-06-019
2014: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-06-0161
Total number of active participants reported on line 7a of the Form 55002014-06-0171
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-0116
Total of all active and inactive participants2014-06-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-010
Total participants2014-06-0187
Number of participants with account balances2014-06-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-06-0112
2013: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-06-0152
Total number of active participants reported on line 7a of the Form 55002013-06-0150
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-0111
Total of all active and inactive participants2013-06-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-010
Total participants2013-06-0161
Number of participants with account balances2013-06-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-06-017
2012: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-06-0151
Total number of active participants reported on line 7a of the Form 55002012-06-0140
Number of retired or separated participants receiving benefits2012-06-011
Number of other retired or separated participants entitled to future benefits2012-06-0111
Total of all active and inactive participants2012-06-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-06-010
Total participants2012-06-0152
Number of participants with account balances2012-06-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-06-016
2011: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-06-0141
Total number of active participants reported on line 7a of the Form 55002011-06-0139
Number of retired or separated participants receiving benefits2011-06-011
Number of other retired or separated participants entitled to future benefits2011-06-017
Total of all active and inactive participants2011-06-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-06-010
Total participants2011-06-0147
Number of participants with account balances2011-06-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-06-013
2009: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-06-0139
Total number of active participants reported on line 7a of the Form 55002009-06-0126
Number of retired or separated participants receiving benefits2009-06-015
Number of other retired or separated participants entitled to future benefits2009-06-0110
Total of all active and inactive participants2009-06-0141
Total participants2009-06-0141
Number of participants with account balances2009-06-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-06-017

Financial Data on MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST

Measure Date Value
2019 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2019 401k financial data
Total income from all sources2019-05-31$1,193,292
Expenses. Total of all expenses incurred2019-05-31$563,944
Benefits paid (including direct rollovers)2019-05-31$526,582
Total plan assets at end of year2019-05-31$8,770,689
Total plan assets at beginning of year2019-05-31$8,141,341
Value of fidelity bond covering the plan2019-05-31$500,000
Total contributions received or receivable from participants2019-05-31$215,263
Other income received2019-05-31$179,597
Net income (gross income less expenses)2019-05-31$629,348
Net plan assets at end of year (total assets less liabilities)2019-05-31$8,770,689
Net plan assets at beginning of year (total assets less liabilities)2019-05-31$8,141,341
Assets. Value of participant loans2019-05-31$304,779
Total contributions received or receivable from employer(s)2019-05-31$798,432
Expenses. Administrative service providers (salaries,fees and commissions)2019-05-31$37,362
2018 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2018 401k financial data
Total income from all sources2018-05-31$1,726,961
Expenses. Total of all expenses incurred2018-05-31$1,190,357
Benefits paid (including direct rollovers)2018-05-31$1,156,001
Total plan assets at end of year2018-05-31$8,141,341
Total plan assets at beginning of year2018-05-31$7,604,737
Value of fidelity bond covering the plan2018-05-31$500,000
Total contributions received or receivable from participants2018-05-31$223,351
Contributions received from other sources (not participants or employers)2018-05-31$25,053
Other income received2018-05-31$737,663
Net income (gross income less expenses)2018-05-31$536,604
Net plan assets at end of year (total assets less liabilities)2018-05-31$8,141,341
Net plan assets at beginning of year (total assets less liabilities)2018-05-31$7,604,737
Assets. Value of participant loans2018-05-31$131,128
Total contributions received or receivable from employer(s)2018-05-31$740,894
Expenses. Administrative service providers (salaries,fees and commissions)2018-05-31$34,356
2017 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2017 401k financial data
Total income from all sources2017-05-31$1,928,671
Expenses. Total of all expenses incurred2017-05-31$307,328
Benefits paid (including direct rollovers)2017-05-31$276,381
Total plan assets at end of year2017-05-31$7,604,737
Total plan assets at beginning of year2017-05-31$5,983,394
Value of fidelity bond covering the plan2017-05-31$500,000
Total contributions received or receivable from participants2017-05-31$246,574
Contributions received from other sources (not participants or employers)2017-05-31$131,171
Other income received2017-05-31$746,369
Net income (gross income less expenses)2017-05-31$1,621,343
Net plan assets at end of year (total assets less liabilities)2017-05-31$7,604,737
Net plan assets at beginning of year (total assets less liabilities)2017-05-31$5,983,394
Assets. Value of participant loans2017-05-31$190,062
Total contributions received or receivable from employer(s)2017-05-31$804,557
Expenses. Administrative service providers (salaries,fees and commissions)2017-05-31$30,947
2016 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2016 401k financial data
Total income from all sources2016-05-31$930,078
Expenses. Total of all expenses incurred2016-05-31$366,244
Benefits paid (including direct rollovers)2016-05-31$337,110
Total plan assets at end of year2016-05-31$5,983,394
Total plan assets at beginning of year2016-05-31$5,419,560
Value of fidelity bond covering the plan2016-05-31$500,000
Total contributions received or receivable from participants2016-05-31$225,654
Contributions received from other sources (not participants or employers)2016-05-31$850
Other income received2016-05-31$-50,112
Net income (gross income less expenses)2016-05-31$563,834
Net plan assets at end of year (total assets less liabilities)2016-05-31$5,983,394
Net plan assets at beginning of year (total assets less liabilities)2016-05-31$5,419,560
Assets. Value of participant loans2016-05-31$250,345
Total contributions received or receivable from employer(s)2016-05-31$753,686
Expenses. Administrative service providers (salaries,fees and commissions)2016-05-31$29,134
2015 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2015 401k financial data
Total income from all sources2015-05-31$1,197,238
Expenses. Total of all expenses incurred2015-05-31$127,813
Benefits paid (including direct rollovers)2015-05-31$101,859
Total plan assets at end of year2015-05-31$5,419,560
Total plan assets at beginning of year2015-05-31$4,350,135
Value of fidelity bond covering the plan2015-05-31$380,000
Total contributions received or receivable from participants2015-05-31$166,409
Contributions received from other sources (not participants or employers)2015-05-31$209,962
Other income received2015-05-31$312,739
Net income (gross income less expenses)2015-05-31$1,069,425
Net plan assets at end of year (total assets less liabilities)2015-05-31$5,419,560
Net plan assets at beginning of year (total assets less liabilities)2015-05-31$4,350,135
Assets. Value of participant loans2015-05-31$227,015
Total contributions received or receivable from employer(s)2015-05-31$508,128
Expenses. Administrative service providers (salaries,fees and commissions)2015-05-31$25,954
2014 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2014 401k financial data
Total income from all sources2014-05-31$1,042,341
Expenses. Total of all expenses incurred2014-05-31$1,161,752
Benefits paid (including direct rollovers)2014-05-31$1,137,055
Total plan assets at end of year2014-05-31$4,350,135
Total plan assets at beginning of year2014-05-31$4,469,546
Value of fidelity bond covering the plan2014-05-31$380,000
Total contributions received or receivable from participants2014-05-31$129,509
Expenses. Other expenses not covered elsewhere2014-05-31$24,697
Contributions received from other sources (not participants or employers)2014-05-31$25,573
Other income received2014-05-31$476,493
Net income (gross income less expenses)2014-05-31$-119,411
Net plan assets at end of year (total assets less liabilities)2014-05-31$4,350,135
Net plan assets at beginning of year (total assets less liabilities)2014-05-31$4,469,546
Assets. Value of participant loans2014-05-31$108,081
Total contributions received or receivable from employer(s)2014-05-31$410,766
2013 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2013 401k financial data
Total income from all sources2013-05-31$1,240,493
Expenses. Total of all expenses incurred2013-05-31$373,401
Benefits paid (including direct rollovers)2013-05-31$349,830
Total plan assets at end of year2013-05-31$4,469,546
Total plan assets at beginning of year2013-05-31$3,602,454
Value of fidelity bond covering the plan2013-05-31$380,000
Total contributions received or receivable from participants2013-05-31$156,962
Expenses. Other expenses not covered elsewhere2013-05-31$23,571
Other income received2013-05-31$555,259
Net income (gross income less expenses)2013-05-31$867,092
Net plan assets at end of year (total assets less liabilities)2013-05-31$4,469,546
Net plan assets at beginning of year (total assets less liabilities)2013-05-31$3,602,454
Assets. Value of participant loans2013-05-31$172,182
Total contributions received or receivable from employer(s)2013-05-31$528,272
2012 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2012 401k financial data
Total income from all sources2012-05-31$429,154
Expenses. Total of all expenses incurred2012-05-31$185,960
Benefits paid (including direct rollovers)2012-05-31$163,923
Total plan assets at end of year2012-05-31$3,602,454
Total plan assets at beginning of year2012-05-31$3,359,260
Value of fidelity bond covering the plan2012-05-31$100,000
Total contributions received or receivable from participants2012-05-31$141,133
Expenses. Other expenses not covered elsewhere2012-05-31$22,037
Other income received2012-05-31$-38,802
Net income (gross income less expenses)2012-05-31$243,194
Net plan assets at end of year (total assets less liabilities)2012-05-31$3,602,454
Net plan assets at beginning of year (total assets less liabilities)2012-05-31$3,359,260
Assets. Value of participant loans2012-05-31$212,467
Total contributions received or receivable from employer(s)2012-05-31$326,823
2011 : MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2011 401k financial data
Total income from all sources2011-05-31$825,608
Expenses. Total of all expenses incurred2011-05-31$118,410
Benefits paid (including direct rollovers)2011-05-31$99,528
Total plan assets at end of year2011-05-31$3,359,260
Total plan assets at beginning of year2011-05-31$2,652,062
Value of fidelity bond covering the plan2011-05-31$100,000
Total contributions received or receivable from participants2011-05-31$144,642
Expenses. Other expenses not covered elsewhere2011-05-31$18,882
Contributions received from other sources (not participants or employers)2011-05-31$20,121
Other income received2011-05-31$357,096
Net income (gross income less expenses)2011-05-31$707,198
Net plan assets at end of year (total assets less liabilities)2011-05-31$3,359,260
Net plan assets at beginning of year (total assets less liabilities)2011-05-31$2,652,062
Assets. Value of participant loans2011-05-31$212,082
Total contributions received or receivable from employer(s)2011-05-31$303,749

Form 5500 Responses for MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST

2018: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2018 form 5500 responses
2018-06-01Type of plan entitySingle employer plan
2018-06-01Submission has been amendedNo
2018-06-01This submission is the final filingNo
2018-06-01This return/report is a short plan year return/report (less than 12 months)No
2018-06-01Plan is a collectively bargained planNo
2018-06-01Plan funding arrangement – InsuranceYes
2018-06-01Plan funding arrangement – TrustYes
2018-06-01Plan benefit arrangement – InsuranceYes
2018-06-01Plan benefit arrangement - TrustYes
2017: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2017 form 5500 responses
2017-06-01Type of plan entitySingle employer plan
2017-06-01Submission has been amendedNo
2017-06-01This submission is the final filingNo
2017-06-01This return/report is a short plan year return/report (less than 12 months)No
2017-06-01Plan is a collectively bargained planNo
2017-06-01Plan funding arrangement – InsuranceYes
2017-06-01Plan funding arrangement – TrustYes
2017-06-01Plan benefit arrangement – InsuranceYes
2017-06-01Plan benefit arrangement - TrustYes
2016: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2009: MID COLUMBIA PRODUCERS, INC. 401(K) PLAN AND TRUST 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered90
Insurance policy start date2018-06-01
Insurance policy end date2019-05-31
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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered88
Insurance policy start date2017-06-01
Insurance policy end date2018-05-31
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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered88
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
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?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 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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered85
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
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?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 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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered61
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
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?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 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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered52
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
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?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 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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered47
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
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?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 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
COUNTRY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66419 )
Policy contract number20012
Policy instance 1
Insurance contract or identification number20012
Number of Individuals Covered42
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
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?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 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

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