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HOLLIS WRIGHT 401K PROFIT SHARING PLAN 401k Plan overview

Plan NameHOLLIS WRIGHT 401K PROFIT SHARING PLAN
Plan identification number 001

HOLLIS WRIGHT 401K PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • 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

HOLLIS, WRIGHT, CLAY AND VAIL, PC has sponsored the creation of one or more 401k plans.

Company Name:HOLLIS, WRIGHT, CLAY AND VAIL, PC
Employer identification number (EIN):020538095
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOLLIS WRIGHT 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JOSH WRIGHT
0012016-01-01JOSH WRIGHT
0012015-01-01JOSH WRIGHT
0012015-01-01
0012014-01-01JOSH WRIGHT
0012013-01-01JOSH WRIGHT
0012012-01-01JOSH WRIGHT2013-02-27
0012011-01-01ANDY HOLLIS2012-04-17 ANDY HOLLIS2012-04-17
0012010-01-01ANDY HOLLIS2011-05-05 ANDY HOLLIS2011-05-05

Plan Statistics for HOLLIS WRIGHT 401K PROFIT SHARING PLAN

401k plan membership statisitcs for HOLLIS WRIGHT 401K PROFIT SHARING PLAN

Measure Date Value
2022: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0115
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-015
Total of all active and inactive participants2022-01-0121
Total participants2022-01-0121
Number of participants with account balances2022-01-0121
2021: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0122
Total number of active participants reported on line 7a of the Form 55002021-01-0115
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-015
Total of all active and inactive participants2021-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0121
Number of participants with account balances2021-01-0121
2020: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0120
Total number of active participants reported on line 7a of the Form 55002020-01-0116
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0122
Number of participants with account balances2020-01-0122
2019: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0121
Total number of active participants reported on line 7a of the Form 55002019-01-0117
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0120
Total participants2019-01-0120
Number of participants with account balances2019-01-0119
2018: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0121
Total number of active participants reported on line 7a of the Form 55002018-01-0118
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0121
Total participants2018-01-0121
Number of participants with account balances2018-01-0120
2017: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0122
Total number of active participants reported on line 7a of the Form 55002017-01-0117
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0121
Total participants2017-01-0121
Number of participants with account balances2017-01-0121
2016: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0121
Total number of active participants reported on line 7a of the Form 55002016-01-0118
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0122
Total participants2016-01-0122
Number of participants with account balances2016-01-0119
2015: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115
Total number of active participants reported on line 7a of the Form 55002015-01-0118
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0123
Total participants2015-01-0123
Number of participants with account balances2015-01-0118
2014: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0116
Total number of active participants reported on line 7a of the Form 55002014-01-0111
Number of other retired or separated participants entitled to future benefits2014-01-016
Total of all active and inactive participants2014-01-0117
Total participants2014-01-0117
Number of participants with account balances2014-01-0117
2013: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-0111
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-0116
Total participants2013-01-0116
Number of participants with account balances2013-01-0116

Financial Data on HOLLIS WRIGHT 401K PROFIT SHARING PLAN

Measure Date Value
2022 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-12-31$-11,351
Expenses. Total of all expenses incurred2022-12-31$903
Benefits paid (including direct rollovers)2022-12-31$305
Total plan assets at end of year2022-12-31$1,798,351
Total plan assets at beginning of year2022-12-31$1,810,605
Value of fidelity bond covering the plan2022-12-31$182,000
Total contributions received or receivable from participants2022-12-31$69,958
Other income received2022-12-31$-232,315
Net income (gross income less expenses)2022-12-31$-12,254
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,798,351
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,810,605
Assets. Value of participant loans2022-12-31$18,677
Total contributions received or receivable from employer(s)2022-12-31$151,006
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$598
2021 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$342,694
Expenses. Total of all expenses incurred2021-12-31$7,711
Benefits paid (including direct rollovers)2021-12-31$7,031
Total plan assets at end of year2021-12-31$1,810,605
Total plan assets at beginning of year2021-12-31$1,475,622
Value of fidelity bond covering the plan2021-12-31$148,000
Total contributions received or receivable from participants2021-12-31$36,555
Other income received2021-12-31$181,517
Net income (gross income less expenses)2021-12-31$334,983
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,810,605
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,475,622
Assets. Value of participant loans2021-12-31$21,422
Total contributions received or receivable from employer(s)2021-12-31$124,622
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$680
2020 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$284,575
Expenses. Total of all expenses incurred2020-12-31$89,270
Benefits paid (including direct rollovers)2020-12-31$88,704
Total plan assets at end of year2020-12-31$1,475,622
Total plan assets at beginning of year2020-12-31$1,280,317
Value of fidelity bond covering the plan2020-12-31$129,000
Total contributions received or receivable from participants2020-12-31$36,522
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$183,661
Net income (gross income less expenses)2020-12-31$195,305
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,475,622
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,280,317
Assets. Value of participant loans2020-12-31$16,683
Total contributions received or receivable from employer(s)2020-12-31$64,392
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$566
2019 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$294,465
Expenses. Total of all expenses incurred2019-12-31$25,265
Benefits paid (including direct rollovers)2019-12-31$24,758
Total plan assets at end of year2019-12-31$1,280,317
Total plan assets at beginning of year2019-12-31$1,011,117
Value of fidelity bond covering the plan2019-12-31$101,000
Total contributions received or receivable from participants2019-12-31$39,064
Contributions received from other sources (not participants or employers)2019-12-31$3,457
Other income received2019-12-31$175,312
Net income (gross income less expenses)2019-12-31$269,200
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,280,317
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,011,117
Assets. Value of participant loans2019-12-31$18,191
Total contributions received or receivable from employer(s)2019-12-31$76,632
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$507
2018 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$192,734
Expenses. Total of all expenses incurred2018-12-31$34,225
Benefits paid (including direct rollovers)2018-12-31$33,790
Total plan assets at end of year2018-12-31$1,011,117
Total plan assets at beginning of year2018-12-31$852,608
Value of fidelity bond covering the plan2018-12-31$100,000
Total contributions received or receivable from participants2018-12-31$29,812
Contributions received from other sources (not participants or employers)2018-12-31$105,096
Other income received2018-12-31$-50,024
Net income (gross income less expenses)2018-12-31$158,509
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,011,117
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$852,608
Total contributions received or receivable from employer(s)2018-12-31$107,850
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$435
2017 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$236,645
Expenses. Total of all expenses incurred2017-12-31$17,871
Benefits paid (including direct rollovers)2017-12-31$17,662
Total plan assets at end of year2017-12-31$852,608
Total plan assets at beginning of year2017-12-31$633,834
Value of fidelity bond covering the plan2017-12-31$70,000
Total contributions received or receivable from participants2017-12-31$25,803
Other income received2017-12-31$78,668
Net income (gross income less expenses)2017-12-31$218,774
Net plan assets at end of year (total assets less liabilities)2017-12-31$852,608
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$633,834
Assets. Value of participant loans2017-12-31$17,949
Total contributions received or receivable from employer(s)2017-12-31$132,174
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$209
2016 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$134,549
Expenses. Total of all expenses incurred2016-12-31$7,182
Benefits paid (including direct rollovers)2016-12-31$7,095
Total plan assets at end of year2016-12-31$633,834
Total plan assets at beginning of year2016-12-31$506,467
Value of fidelity bond covering the plan2016-12-31$51,000
Total contributions received or receivable from participants2016-12-31$29,721
Other income received2016-12-31$24,781
Net income (gross income less expenses)2016-12-31$127,367
Net plan assets at end of year (total assets less liabilities)2016-12-31$633,834
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$506,467
Assets. Value of participant loans2016-12-31$14,956
Total contributions received or receivable from employer(s)2016-12-31$80,047
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$87
2015 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$131,299
Expenses. Total of all expenses incurred2015-12-31$8,251
Benefits paid (including direct rollovers)2015-12-31$8,235
Total plan assets at end of year2015-12-31$531,437
Total plan assets at beginning of year2015-12-31$408,389
Value of fidelity bond covering the plan2015-12-31$41,000
Total contributions received or receivable from participants2015-12-31$11,340
Other income received2015-12-31$2,758
Net income (gross income less expenses)2015-12-31$123,048
Net plan assets at end of year (total assets less liabilities)2015-12-31$531,437
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$408,389
Assets. Value of participant loans2015-12-31$2,198
Total contributions received or receivable from employer(s)2015-12-31$117,201
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$16
2014 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$96,676
Expenses. Total of all expenses incurred2014-12-31$58,499
Benefits paid (including direct rollovers)2014-12-31$58,499
Total plan assets at end of year2014-12-31$408,389
Total plan assets at beginning of year2014-12-31$370,212
Value of fidelity bond covering the plan2014-12-31$43,000
Total contributions received or receivable from participants2014-12-31$5,259
Other income received2014-12-31$16,455
Net income (gross income less expenses)2014-12-31$38,177
Net plan assets at end of year (total assets less liabilities)2014-12-31$408,389
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$370,212
Total contributions received or receivable from employer(s)2014-12-31$74,962
2013 : HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$158,113
Expenses. Total of all expenses incurred2013-12-31$179,578
Benefits paid (including direct rollovers)2013-12-31$178,487
Total plan assets at end of year2013-12-31$429,712
Total plan assets at beginning of year2013-12-31$451,177
Value of fidelity bond covering the plan2013-12-31$43,000
Total contributions received or receivable from participants2013-12-31$5,074
Other income received2013-12-31$36,530
Net income (gross income less expenses)2013-12-31$-21,465
Net plan assets at end of year (total assets less liabilities)2013-12-31$429,712
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$451,177
Total contributions received or receivable from employer(s)2013-12-31$116,509
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,091

Form 5500 Responses for HOLLIS WRIGHT 401K PROFIT SHARING PLAN

2022: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HOLLIS WRIGHT 401K PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered21
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered21
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered22
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,874
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,874
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered19
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $5,007
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,007
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered20
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,688
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,688
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered20
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,947
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,947
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered17
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,771
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,771
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number02-0538095
Policy instance 1
Insurance contract or identification number02-0538095
Number of Individuals Covered16
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $581
Total amount of fees paid to insurance companyUSD $0
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $581
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1264288-01
Policy instance 1
Insurance contract or identification number1264288-01
Number of Individuals Covered18
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 $4,103
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4103
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH

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