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TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 401k Plan overview

Plan NameTAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION
Plan identification number 002

TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 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.

401k Sponsoring company profile

OUTREACH DEVELOPMENT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:OUTREACH DEVELOPMENT CORPORATION
Employer identification number (EIN):112581262
NAIC Classification:621420
NAIC Description:Outpatient Mental Health and Substance Abuse Centers

Additional information about OUTREACH DEVELOPMENT CORPORATION

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1979-05-09
Company Identification Number: 555826
Legal Registered Office Address: 117-11 myrtle ave
Nassau
RICHMOND HILL
United States of America (USA)
11418

More information about OUTREACH DEVELOPMENT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01ANTHONY CROCE ANTHONY CROCE2019-07-24
0022017-01-01ANTHONY CROCE ANTHONY CROCE2018-10-10
0022016-01-01ANTHONY CROCE ANTHONY CROCE2017-10-10
0022015-01-01ANTHONY CROCE ANTHONY CROCE2016-10-11

Plan Statistics for TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION

401k plan membership statisitcs for TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION

Measure Date Value
2018: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2018 401k membership
Total participants, beginning-of-year2018-01-01144
Total number of active participants reported on line 7a of the Form 55002018-01-0194
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0161
Total of all active and inactive participants2018-01-01155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01155
Number of participants with account balances2018-01-01152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2017 401k membership
Total participants, beginning-of-year2017-01-01128
Total number of active participants reported on line 7a of the Form 55002017-01-01100
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0144
Total of all active and inactive participants2017-01-01144
Total participants2017-01-01144
Number of participants with account balances2017-01-01141
2016: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2016 401k membership
Total participants, beginning-of-year2016-01-01133
Total number of active participants reported on line 7a of the Form 55002016-01-0189
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0138
Total of all active and inactive participants2016-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-011
Total participants2016-01-01128
Number of participants with account balances2016-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2015 401k membership
Total participants, beginning-of-year2015-01-01132
Total number of active participants reported on line 7a of the Form 55002015-01-0192
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0141
Total of all active and inactive participants2015-01-01133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01133
Number of participants with account balances2015-01-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION

Measure Date Value
2018 : TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$613,289
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$292,791
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$292,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$831,169
Value of total assets at end of year2018-12-31$6,552,914
Value of total assets at beginning of year2018-12-31$6,232,416
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$76,836
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$381,435
Participant contributions at end of year2018-12-31$15,963
Participant contributions at beginning of year2018-12-31$14,304
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$449,734
Other income not declared elsewhere2018-12-31$11
Total non interest bearing cash at end of year2018-12-31$0
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$320,498
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,552,914
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,232,416
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$3,739,352
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,462,916
Interest earned on other investments2018-12-31$76,836
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$2,797,599
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$2,755,196
Net investment gain/loss from pooled separate accounts2018-12-31$-294,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$292,791
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31DESIRE & COMPANY, CPAS PLLC
Accountancy firm EIN2018-12-31452845518
2017 : TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,305,522
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$198,267
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$197,062
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$710,334
Value of total assets at end of year2017-12-31$6,232,416
Value of total assets at beginning of year2017-12-31$5,125,161
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,205
Total interest from all sources2017-12-31$71,797
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$350,877
Participant contributions at end of year2017-12-31$14,304
Participant contributions at beginning of year2017-12-31$14,566
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$359,457
Administrative expenses (other) incurred2017-12-31$1,205
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,107,255
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,232,416
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,125,161
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$3,462,916
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,791,546
Interest earned on other investments2017-12-31$71,797
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$2,755,196
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$2,319,049
Net investment gain/loss from pooled separate accounts2017-12-31$523,391
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$197,062
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31DESIRE & COMPANY, CPA'S
Accountancy firm EIN2017-12-31452845518
2016 : TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$694,474
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$397,204
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$395,878
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$433,591
Value of total assets at end of year2016-12-31$5,125,161
Value of total assets at beginning of year2016-12-31$4,827,891
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$1,326
Total interest from all sources2016-12-31$60,997
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$376,360
Participant contributions at end of year2016-12-31$14,566
Participant contributions at beginning of year2016-12-31$14,873
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$57,231
Other income not declared elsewhere2016-12-31$7
Administrative expenses (other) incurred2016-12-31$1,326
Total non interest bearing cash at end of year2016-12-31$0
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$297,270
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,125,161
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,827,891
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$2,791,546
Value of interest in pooled separate accounts at beginning of year2016-12-31$2,686,301
Interest earned on other investments2016-12-31$60,997
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$2,319,049
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$2,126,717
Net investment gain/loss from pooled separate accounts2016-12-31$199,879
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$395,878
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MARKS PANETH, LLP
Accountancy firm EIN2016-12-31113518842
2015 : TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$810,167
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$471,821
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$471,158
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$765,603
Value of total assets at end of year2015-12-31$4,827,891
Value of total assets at beginning of year2015-12-31$4,489,545
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$663
Total interest from all sources2015-12-31$45,672
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$420,116
Participant contributions at end of year2015-12-31$14,873
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$345,487
Other income not declared elsewhere2015-12-31$4
Administrative expenses (other) incurred2015-12-31$663
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$338,346
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,827,891
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,489,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$2,686,301
Value of interest in pooled separate accounts at beginning of year2015-12-31$2,847,115
Interest earned on other investments2015-12-31$45,672
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$2,126,717
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,642,430
Net investment gain or loss from common/collective trusts2015-12-31$-1,112
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$471,158
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MARKS PANETH, LLP
Accountancy firm EIN2015-12-31113518842

Form 5500 Responses for TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION

2018: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 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: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 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 – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: TAX DEFERRED ANNUITY PLAN OF OUTREACH DEVELOPMENT CORPORATION 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008420-G
Policy instance 1
Insurance contract or identification number008420-G
Number of Individuals Covered155
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,949
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 fees2949
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMPENSATION PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008420-G
Policy instance 1
Insurance contract or identification number008420-G
Number of Individuals Covered144
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,966
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 fees1966
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMPENSATION PROGRAM
Insurance broker organization code?3
Insurance broker nameQUEENS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number008420G
Policy instance 1
Insurance contract or identification number008420G
Number of Individuals Covered133
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $384
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees384
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMPENSATION PROGRAM
Insurance broker organization code?3
Insurance broker nameQUEENS REGIONAL OFFICE

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