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NEHI 403(B) PLAN 401k Plan overview

Plan NameNEHI 403(B) PLAN
Plan identification number 001

NEHI 403(B) PLAN 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • 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

NEHI, INC. has sponsored the creation of one or more 401k plans.

Company Name:NEHI, INC.
Employer identification number (EIN):010624865
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about NEHI, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3230662

More information about NEHI, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEHI 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CRISTY TAYLOR2023-07-27 CRISTY TAYLOR2023-07-27
0012021-01-01PAMELA MILTON2022-10-13
0012020-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01PAMELA MILTON
0012016-01-01PAMELA MILTON
0012015-01-01PAMELA MILTON
0012014-01-01PAMELA MILTON
0012013-01-01PAMELA MILTON
0012012-01-01PAMELA MILTON
0012011-01-01PAMELA MILTON
0012009-01-01PAMELA MILTON

Plan Statistics for NEHI 403(B) PLAN

401k plan membership statisitcs for NEHI 403(B) PLAN

Measure Date Value
2020: NEHI 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-019
Total number of active participants reported on line 7a of the Form 55002020-01-016
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-017
Number of participants with account balances2020-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: NEHI 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-019
Total number of active participants reported on line 7a of the Form 55002019-01-019
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-019
Number of participants with account balances2019-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: NEHI 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-019
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-019
Number of participants with account balances2018-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: NEHI 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0115
Total number of active participants reported on line 7a of the Form 55002017-01-0111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-015
Total of all active and inactive participants2017-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: NEHI 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0115
Total number of active participants reported on line 7a of the Form 55002016-01-0111
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0115
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: NEHI 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0117
Total number of active participants reported on line 7a of the Form 55002015-01-0111
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0116
Number of participants with account balances2015-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NEHI 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0117
Total number of active participants reported on line 7a of the Form 55002014-01-0111
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0116
Number of participants with account balances2014-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: NEHI 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0119
Total number of active participants reported on line 7a of the Form 55002013-01-019
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-016
Total of all active and inactive participants2013-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0115
Number of participants with account balances2013-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: NEHI 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0120
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0119
Number of participants with account balances2012-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NEHI 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0124
Total number of active participants reported on line 7a of the Form 55002011-01-0115
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-015
Total of all active and inactive participants2011-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0120
Number of participants with account balances2011-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: NEHI 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0120
Total number of active participants reported on line 7a of the Form 55002009-01-0113
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-018
Total of all active and inactive participants2009-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0121
Number of participants with account balances2009-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on NEHI 403(B) PLAN

Measure Date Value
2020 : NEHI 403(B) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$109,262
Expenses. Total of all expenses incurred2020-12-31$628,291
Benefits paid (including direct rollovers)2020-12-31$628,289
Total plan assets at end of year2020-12-31$763,148
Total plan assets at beginning of year2020-12-31$1,282,177
Value of fidelity bond covering the plan2020-12-31$25,000
Total contributions received or receivable from participants2020-12-31$54,892
Expenses. Other expenses not covered elsewhere2020-12-31$2
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$54,370
Net income (gross income less expenses)2020-12-31$-519,029
Net plan assets at end of year (total assets less liabilities)2020-12-31$763,148
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,282,177
Total contributions received or receivable from employer(s)2020-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : NEHI 403(B) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$351,708
Expenses. Total of all expenses incurred2019-12-31$548,073
Benefits paid (including direct rollovers)2019-12-31$548,069
Total plan assets at end of year2019-12-31$1,282,177
Total plan assets at beginning of year2019-12-31$1,478,542
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$50,947
Expenses. Other expenses not covered elsewhere2019-12-31$4
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$300,761
Net income (gross income less expenses)2019-12-31$-196,365
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,282,177
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,478,542
Total contributions received or receivable from employer(s)2019-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : NEHI 403(B) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-172,557
Expenses. Total of all expenses incurred2018-12-31$6
Benefits paid (including direct rollovers)2018-12-31$0
Total plan assets at end of year2018-12-31$1,478,542
Total plan assets at beginning of year2018-12-31$1,651,105
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$53,128
Expenses. Other expenses not covered elsewhere2018-12-31$6
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-225,685
Net income (gross income less expenses)2018-12-31$-172,563
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,478,542
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,651,105
Total contributions received or receivable from employer(s)2018-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : NEHI 403(B) PLAN 2017 401k financial data
Total income from all sources2017-12-31$408,571
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$1,651,105
Total plan assets at beginning of year2017-12-31$1,242,534
Value of fidelity bond covering the plan2017-12-31$50,000
Total contributions received or receivable from participants2017-12-31$123,990
Other income received2017-12-31$284,581
Net income (gross income less expenses)2017-12-31$408,571
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,651,105
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,242,534
2016 : NEHI 403(B) PLAN 2016 401k financial data
Total income from all sources2016-12-31$179,035
Expenses. Total of all expenses incurred2016-12-31$252,232
Benefits paid (including direct rollovers)2016-12-31$252,232
Total plan assets at end of year2016-12-31$1,242,534
Total plan assets at beginning of year2016-12-31$1,315,731
Value of fidelity bond covering the plan2016-12-31$50,000
Total contributions received or receivable from participants2016-12-31$96,655
Other income received2016-12-31$82,380
Net income (gross income less expenses)2016-12-31$-73,197
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,242,534
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,315,731
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : NEHI 403(B) PLAN 2015 401k financial data
Total income from all sources2015-12-31$92,528
Expenses. Total of all expenses incurred2015-12-31$24,103
Benefits paid (including direct rollovers)2015-12-31$24,103
Total plan assets at end of year2015-12-31$1,315,731
Total plan assets at beginning of year2015-12-31$1,247,306
Value of fidelity bond covering the plan2015-12-31$50,000
Total contributions received or receivable from participants2015-12-31$86,922
Other income received2015-12-31$5,606
Net income (gross income less expenses)2015-12-31$68,425
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,315,731
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,247,306
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : NEHI 403(B) PLAN 2014 401k financial data
Total income from all sources2014-12-31$143,547
Expenses. Total of all expenses incurred2014-12-31$27,744
Benefits paid (including direct rollovers)2014-12-31$27,744
Total plan assets at end of year2014-12-31$1,247,306
Total plan assets at beginning of year2014-12-31$1,131,503
Value of fidelity bond covering the plan2014-12-31$50,000
Total contributions received or receivable from participants2014-12-31$88,283
Other income received2014-12-31$55,264
Net income (gross income less expenses)2014-12-31$115,803
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,247,306
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,131,503
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : NEHI 403(B) PLAN 2013 401k financial data
Total income from all sources2013-12-31$311,941
Expenses. Total of all expenses incurred2013-12-31$49,164
Benefits paid (including direct rollovers)2013-12-31$49,164
Total plan assets at end of year2013-12-31$1,131,503
Total plan assets at beginning of year2013-12-31$868,726
Value of fidelity bond covering the plan2013-12-31$50,000
Total contributions received or receivable from participants2013-12-31$99,557
Other income received2013-12-31$212,384
Net income (gross income less expenses)2013-12-31$262,777
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,131,503
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$868,726
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : NEHI 403(B) PLAN 2012 401k financial data
Total income from all sources2012-12-31$193,133
Expenses. Total of all expenses incurred2012-12-31$16,163
Benefits paid (including direct rollovers)2012-12-31$16,163
Total plan assets at end of year2012-12-31$868,726
Total plan assets at beginning of year2012-12-31$691,756
Value of fidelity bond covering the plan2012-12-31$50,000
Total contributions received or receivable from participants2012-12-31$79,026
Contributions received from other sources (not participants or employers)2012-12-31$1,130
Other income received2012-12-31$112,977
Net income (gross income less expenses)2012-12-31$176,970
Net plan assets at end of year (total assets less liabilities)2012-12-31$868,726
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$691,756
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : NEHI 403(B) PLAN 2011 401k financial data
Total income from all sources2011-12-31$35,934
Expenses. Total of all expenses incurred2011-12-31$70,242
Benefits paid (including direct rollovers)2011-12-31$70,242
Total plan assets at end of year2011-12-31$691,756
Total plan assets at beginning of year2011-12-31$726,064
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$70,225
Contributions received from other sources (not participants or employers)2011-12-31$2,216
Other income received2011-12-31$-36,507
Net income (gross income less expenses)2011-12-31$-34,308
Net plan assets at end of year (total assets less liabilities)2011-12-31$691,756
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$726,064
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : NEHI 403(B) PLAN 2010 401k financial data
Total income from all sources2010-12-31$151,433
Expenses. Total of all expenses incurred2010-12-31$12,352
Benefits paid (including direct rollovers)2010-12-31$12,352
Total plan assets at end of year2010-12-31$726,064
Total plan assets at beginning of year2010-12-31$586,983
Value of fidelity bond covering the plan2010-12-31$50,000
Total contributions received or receivable from participants2010-12-31$68,404
Other income received2010-12-31$83,029
Net income (gross income less expenses)2010-12-31$139,081
Net plan assets at end of year (total assets less liabilities)2010-12-31$726,064
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$586,983
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : NEHI 403(B) PLAN 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

Form 5500 Responses for NEHI 403(B) PLAN

2020: NEHI 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: NEHI 403(B) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: NEHI 403(B) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: NEHI 403(B) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NEHI 403(B) PLAN 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NEHI 403(B) PLAN 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NEHI 403(B) PLAN 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NEHI 403(B) PLAN 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NEHI 403(B) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NEHI 403(B) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NEHI 403(B) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number061608D
Policy instance 1
Insurance contract or identification number061608D
Number of Individuals Covered7
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $111
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?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 fees111
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 number061608D
Policy instance 1
Insurance contract or identification number061608D
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,931
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 fees5931
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3

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