NFL PLAYER INSURANCE TRUST has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2023 : NFL PLAYER INSURANCE PLAN 2023 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2023-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-08-31 | $16,185,241 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2023-08-31 | $13,809,160 |
| Total income from all sources (including contributions) | 2023-08-31 | $96,487,604 |
| Total loss/gain on sale of assets | 2023-08-31 | $0 |
| Total of all expenses incurred | 2023-08-31 | $104,473,839 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2023-08-31 | $93,846,330 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2023-08-31 | $96,487,604 |
| Value of total assets at end of year | 2023-08-31 | $40,787,168 |
| Value of total assets at beginning of year | 2023-08-31 | $46,397,322 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2023-08-31 | $10,627,509 |
| Total interest from all sources | 2023-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2023-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2023-08-31 | Yes |
| Value of fidelity bond cover | 2023-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2023-08-31 | No |
| Contributions received from participants | 2023-08-31 | $20,287,604 |
| Assets. Other investments not covered elsewhere at end of year | 2023-08-31 | $28,853 |
| Assets. Other investments not covered elsewhere at beginning of year | 2023-08-31 | $18,432 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2023-08-31 | $108,548 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2023-08-31 | $2,276,299 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2023-08-31 | $1,396,182 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2023-08-31 | $1,302,018 |
| Administrative expenses (other) incurred | 2023-08-31 | $42,838 |
| Liabilities. Value of operating payables at end of year | 2023-08-31 | $3,174,059 |
| Liabilities. Value of operating payables at beginning of year | 2023-08-31 | $3,330,142 |
| Total non interest bearing cash at end of year | 2023-08-31 | $40,649,767 |
| Total non interest bearing cash at beginning of year | 2023-08-31 | $44,102,591 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-08-31 | No |
| Value of net income/loss | 2023-08-31 | $-7,986,235 |
| Value of net assets at end of year (total assets less liabilities) | 2023-08-31 | $24,601,927 |
| Value of net assets at beginning of year (total assets less liabilities) | 2023-08-31 | $32,588,162 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2023-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2023-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2023-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2023-08-31 | $6,550,403 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2023-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2023-08-31 | Yes |
| Has the plan failed to provide any benefit when due under the plan | 2023-08-31 | No |
| Contributions received in cash from employer | 2023-08-31 | $76,200,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2023-08-31 | $87,295,927 |
| Contract administrator fees | 2023-08-31 | $10,584,671 |
| Liabilities. Value of benefit claims payable at end of year | 2023-08-31 | $11,615,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2023-08-31 | $9,177,000 |
| Did the plan have assets held for investment | 2023-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2023-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2023-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2023-08-31 | Unqualified |
| Accountancy firm name | 2023-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2023-08-31 | 133891517 |
| 2022 : NFL PLAYER INSURANCE PLAN 2022 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2022-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-08-31 | $13,809,160 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2022-08-31 | $18,636,105 |
| Total income from all sources (including contributions) | 2022-08-31 | $132,157,168 |
| Total loss/gain on sale of assets | 2022-08-31 | $0 |
| Total of all expenses incurred | 2022-08-31 | $98,469,851 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-08-31 | $88,014,317 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-08-31 | $132,157,168 |
| Value of total assets at end of year | 2022-08-31 | $46,397,322 |
| Value of total assets at beginning of year | 2022-08-31 | $17,536,950 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-08-31 | $10,455,534 |
| Total interest from all sources | 2022-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2022-08-31 | Yes |
| Value of fidelity bond cover | 2022-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2022-08-31 | No |
| Contributions received from participants | 2022-08-31 | $16,210,168 |
| Assets. Other investments not covered elsewhere at end of year | 2022-08-31 | $18,432 |
| Assets. Other investments not covered elsewhere at beginning of year | 2022-08-31 | $36,552 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2022-08-31 | $2,276,299 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2022-08-31 | $46,814 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2022-08-31 | $1,302,018 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2022-08-31 | $6,653,437 |
| Administrative expenses (other) incurred | 2022-08-31 | $56,225 |
| Liabilities. Value of operating payables at end of year | 2022-08-31 | $3,330,142 |
| Liabilities. Value of operating payables at beginning of year | 2022-08-31 | $3,355,668 |
| Total non interest bearing cash at end of year | 2022-08-31 | $44,102,591 |
| Total non interest bearing cash at beginning of year | 2022-08-31 | $17,453,584 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Value of net income/loss | 2022-08-31 | $33,687,317 |
| Value of net assets at end of year (total assets less liabilities) | 2022-08-31 | $32,588,162 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-08-31 | $-1,099,155 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2022-08-31 | $6,646,567 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-08-31 | No |
| Contributions received in cash from employer | 2022-08-31 | $115,947,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-08-31 | $81,367,750 |
| Contract administrator fees | 2022-08-31 | $10,399,309 |
| Liabilities. Value of benefit claims payable at end of year | 2022-08-31 | $9,177,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2022-08-31 | $8,627,000 |
| Did the plan have assets held for investment | 2022-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-08-31 | Unqualified |
| Accountancy firm name | 2022-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2022-08-31 | 133891517 |
| 2021 : NFL PLAYER INSURANCE PLAN 2021 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2021-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-08-31 | $18,636,105 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2021-08-31 | $8,245,877 |
| Total income from all sources (including contributions) | 2021-08-31 | $78,116,867 |
| Total loss/gain on sale of assets | 2021-08-31 | $0 |
| Total of all expenses incurred | 2021-08-31 | $93,919,066 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-08-31 | $84,723,990 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-08-31 | $78,116,867 |
| Value of total assets at end of year | 2021-08-31 | $17,536,950 |
| Value of total assets at beginning of year | 2021-08-31 | $22,948,921 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-08-31 | $9,195,076 |
| Total interest from all sources | 2021-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2021-08-31 | Yes |
| Value of fidelity bond cover | 2021-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2021-08-31 | No |
| Contributions received from participants | 2021-08-31 | $12,416,867 |
| Assets. Other investments not covered elsewhere at end of year | 2021-08-31 | $36,552 |
| Assets. Other investments not covered elsewhere at beginning of year | 2021-08-31 | $64,861 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2021-08-31 | $46,814 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2021-08-31 | $40,389 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2021-08-31 | $6,653,437 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2021-08-31 | $479,221 |
| Administrative expenses (other) incurred | 2021-08-31 | $59,864 |
| Liabilities. Value of operating payables at end of year | 2021-08-31 | $3,355,668 |
| Liabilities. Value of operating payables at beginning of year | 2021-08-31 | $991,656 |
| Total non interest bearing cash at end of year | 2021-08-31 | $17,453,584 |
| Total non interest bearing cash at beginning of year | 2021-08-31 | $22,843,671 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Value of net income/loss | 2021-08-31 | $-15,802,199 |
| Value of net assets at end of year (total assets less liabilities) | 2021-08-31 | $-1,099,155 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-08-31 | $14,703,044 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2021-08-31 | $6,677,020 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-08-31 | No |
| Contributions received in cash from employer | 2021-08-31 | $65,700,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-08-31 | $78,046,970 |
| Contract administrator fees | 2021-08-31 | $9,135,212 |
| Liabilities. Value of benefit claims payable at end of year | 2021-08-31 | $8,627,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-08-31 | $6,775,000 |
| Did the plan have assets held for investment | 2021-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-08-31 | Unqualified |
| Accountancy firm name | 2021-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2021-08-31 | 133891517 |
| 2020 : NFL PLAYER INSURANCE PLAN 2020 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2020-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-08-31 | $8,245,877 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-08-31 | $10,942,756 |
| Total income from all sources (including contributions) | 2020-08-31 | $83,923,070 |
| Total loss/gain on sale of assets | 2020-08-31 | $0 |
| Total of all expenses incurred | 2020-08-31 | $72,751,044 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-08-31 | $63,168,453 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-08-31 | $83,923,070 |
| Value of total assets at end of year | 2020-08-31 | $22,948,921 |
| Value of total assets at beginning of year | 2020-08-31 | $14,473,774 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-08-31 | $9,582,591 |
| Total interest from all sources | 2020-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2020-08-31 | Yes |
| Value of fidelity bond cover | 2020-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-08-31 | No |
| Contributions received from participants | 2020-08-31 | $9,923,070 |
| Assets. Other investments not covered elsewhere at end of year | 2020-08-31 | $64,861 |
| Assets. Other investments not covered elsewhere at beginning of year | 2020-08-31 | $46,273 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-08-31 | $40,389 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-08-31 | $4,822 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2020-08-31 | $479,221 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2020-08-31 | $823,781 |
| Administrative expenses (other) incurred | 2020-08-31 | $222,184 |
| Liabilities. Value of operating payables at end of year | 2020-08-31 | $991,656 |
| Liabilities. Value of operating payables at beginning of year | 2020-08-31 | $2,854,975 |
| Total non interest bearing cash at end of year | 2020-08-31 | $22,843,671 |
| Total non interest bearing cash at beginning of year | 2020-08-31 | $14,422,679 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-08-31 | No |
| Value of net income/loss | 2020-08-31 | $11,172,026 |
| Value of net assets at end of year (total assets less liabilities) | 2020-08-31 | $14,703,044 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-08-31 | $3,531,018 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2020-08-31 | $5,187,819 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-08-31 | No |
| Contributions received in cash from employer | 2020-08-31 | $74,000,000 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-08-31 | $57,980,634 |
| Contract administrator fees | 2020-08-31 | $9,360,407 |
| Liabilities. Value of benefit claims payable at end of year | 2020-08-31 | $6,775,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-08-31 | $7,264,000 |
| Did the plan have assets held for investment | 2020-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2020-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-08-31 | Unqualified |
| Accountancy firm name | 2020-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2020-08-31 | 133891517 |
| 2019 : NFL PLAYER INSURANCE PLAN 2019 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2019-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-08-31 | $10,942,756 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-08-31 | $10,158,182 |
| Total income from all sources (including contributions) | 2019-08-31 | $78,641,319 |
| Total loss/gain on sale of assets | 2019-08-31 | $0 |
| Total of all expenses incurred | 2019-08-31 | $75,110,301 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-08-31 | $65,521,671 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-08-31 | $78,641,319 |
| Value of total assets at end of year | 2019-08-31 | $14,473,774 |
| Value of total assets at beginning of year | 2019-08-31 | $10,158,182 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-08-31 | $9,588,630 |
| Total interest from all sources | 2019-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2019-08-31 | Yes |
| Value of fidelity bond cover | 2019-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-08-31 | No |
| Contributions received from participants | 2019-08-31 | $6,951,178 |
| Assets. Other investments not covered elsewhere at end of year | 2019-08-31 | $46,273 |
| Assets. Other investments not covered elsewhere at beginning of year | 2019-08-31 | $63,689 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-08-31 | $4,822 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2019-08-31 | $282,094 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2019-08-31 | $823,781 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2019-08-31 | $374,187 |
| Administrative expenses (other) incurred | 2019-08-31 | $265,544 |
| Liabilities. Value of operating payables at end of year | 2019-08-31 | $2,854,975 |
| Liabilities. Value of operating payables at beginning of year | 2019-08-31 | $2,252,995 |
| Total non interest bearing cash at end of year | 2019-08-31 | $14,422,679 |
| Total non interest bearing cash at beginning of year | 2019-08-31 | $6,202,540 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-08-31 | No |
| Value of net income/loss | 2019-08-31 | $3,531,018 |
| Value of net assets at end of year (total assets less liabilities) | 2019-08-31 | $3,531,018 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-08-31 | $0 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2019-08-31 | $4,700,548 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-08-31 | No |
| Contributions received in cash from employer | 2019-08-31 | $71,690,141 |
| Employer contributions (assets) at end of year | 2019-08-31 | $0 |
| Employer contributions (assets) at beginning of year | 2019-08-31 | $3,609,859 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-08-31 | $60,821,123 |
| Contract administrator fees | 2019-08-31 | $9,323,086 |
| Liabilities. Value of benefit claims payable at end of year | 2019-08-31 | $7,264,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-08-31 | $7,531,000 |
| Did the plan have assets held for investment | 2019-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2019-08-31 | Unqualified |
| Accountancy firm name | 2019-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2019-08-31 | 133891517 |
| 2018 : NFL PLAYER INSURANCE PLAN 2018 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2018-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-08-31 | $10,158,182 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2018-08-31 | $10,735,416 |
| Total income from all sources (including contributions) | 2018-08-31 | $75,414,464 |
| Total loss/gain on sale of assets | 2018-08-31 | $0 |
| Total of all expenses incurred | 2018-08-31 | $75,390,356 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-08-31 | $66,253,297 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-08-31 | $75,414,464 |
| Value of total assets at end of year | 2018-08-31 | $10,158,182 |
| Value of total assets at beginning of year | 2018-08-31 | $10,711,308 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-08-31 | $9,137,059 |
| Total interest from all sources | 2018-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2018-08-31 | Yes |
| Value of fidelity bond cover | 2018-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-08-31 | No |
| Contributions received from participants | 2018-08-31 | $5,367,771 |
| Assets. Other investments not covered elsewhere at end of year | 2018-08-31 | $63,689 |
| Assets. Other investments not covered elsewhere at beginning of year | 2018-08-31 | $81,638 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2018-08-31 | $282,094 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2018-08-31 | $135,869 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2018-08-31 | $374,187 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2018-08-31 | $760,966 |
| Administrative expenses (other) incurred | 2018-08-31 | $288,496 |
| Liabilities. Value of operating payables at end of year | 2018-08-31 | $2,252,995 |
| Liabilities. Value of operating payables at beginning of year | 2018-08-31 | $2,691,450 |
| Total non interest bearing cash at end of year | 2018-08-31 | $6,202,540 |
| Total non interest bearing cash at beginning of year | 2018-08-31 | $1,330,635 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-08-31 | No |
| Value of net income/loss | 2018-08-31 | $24,108 |
| Value of net assets at end of year (total assets less liabilities) | 2018-08-31 | $0 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-08-31 | $-24,108 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2018-08-31 | $3,845,821 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-08-31 | No |
| Contributions received in cash from employer | 2018-08-31 | $70,046,693 |
| Employer contributions (assets) at end of year | 2018-08-31 | $3,609,859 |
| Employer contributions (assets) at beginning of year | 2018-08-31 | $9,163,166 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-08-31 | $62,407,476 |
| Contract administrator fees | 2018-08-31 | $8,848,563 |
| Liabilities. Value of benefit claims payable at end of year | 2018-08-31 | $7,531,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2018-08-31 | $7,283,000 |
| Did the plan have assets held for investment | 2018-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2018-08-31 | Unqualified |
| Accountancy firm name | 2018-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2018-08-31 | 133891517 |
| 2017 : NFL PLAYER INSURANCE PLAN 2017 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2017-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-08-31 | $10,735,416 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-08-31 | $9,373,324 |
| Total income from all sources (including contributions) | 2017-08-31 | $65,880,874 |
| Total loss/gain on sale of assets | 2017-08-31 | $0 |
| Total of all expenses incurred | 2017-08-31 | $71,369,050 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-08-31 | $62,623,191 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-08-31 | $65,880,874 |
| Value of total assets at end of year | 2017-08-31 | $10,711,308 |
| Value of total assets at beginning of year | 2017-08-31 | $14,837,392 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-08-31 | $8,745,859 |
| Total interest from all sources | 2017-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2017-08-31 | Yes |
| Value of fidelity bond cover | 2017-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-08-31 | No |
| Contributions received from participants | 2017-08-31 | $3,889,060 |
| Participant contributions at end of year | 2017-08-31 | $0 |
| Participant contributions at beginning of year | 2017-08-31 | $189,367 |
| Assets. Other investments not covered elsewhere at end of year | 2017-08-31 | $81,638 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-08-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2017-08-31 | $135,869 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2017-08-31 | $82,823 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2017-08-31 | $760,966 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-08-31 | $496,842 |
| Administrative expenses (other) incurred | 2017-08-31 | $371,889 |
| Liabilities. Value of operating payables at end of year | 2017-08-31 | $2,691,450 |
| Liabilities. Value of operating payables at beginning of year | 2017-08-31 | $1,340,482 |
| Total non interest bearing cash at end of year | 2017-08-31 | $1,330,635 |
| Total non interest bearing cash at beginning of year | 2017-08-31 | $5,493,850 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Value of net income/loss | 2017-08-31 | $-5,488,176 |
| Value of net assets at end of year (total assets less liabilities) | 2017-08-31 | $-24,108 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-08-31 | $5,464,068 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-08-31 | $3,611,933 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-08-31 | No |
| Contributions received in cash from employer | 2017-08-31 | $61,991,814 |
| Employer contributions (assets) at end of year | 2017-08-31 | $9,163,166 |
| Employer contributions (assets) at beginning of year | 2017-08-31 | $9,071,352 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-08-31 | $59,011,258 |
| Contract administrator fees | 2017-08-31 | $8,373,970 |
| Liabilities. Value of benefit claims payable at end of year | 2017-08-31 | $7,283,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2017-08-31 | $7,536,000 |
| Did the plan have assets held for investment | 2017-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2017-08-31 | Unqualified |
| Accountancy firm name | 2017-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2017-08-31 | 133891517 |
| 2016 : NFL PLAYER INSURANCE PLAN 2016 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2016-08-31 | $0 |
| Total transfer of assets to this plan | 2016-08-31 | $3,800,000 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-08-31 | $9,373,324 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-08-31 | $9,531,696 |
| Total income from all sources (including contributions) | 2016-08-31 | $74,939,772 |
| Total loss/gain on sale of assets | 2016-08-31 | $0 |
| Total of all expenses incurred | 2016-08-31 | $72,898,060 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-08-31 | $64,087,797 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-08-31 | $74,939,772 |
| Value of total assets at end of year | 2016-08-31 | $14,837,392 |
| Value of total assets at beginning of year | 2016-08-31 | $9,154,052 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-08-31 | $8,810,263 |
| Total interest from all sources | 2016-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2016-08-31 | Yes |
| Value of fidelity bond cover | 2016-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-08-31 | No |
| Contributions received from participants | 2016-08-31 | $3,626,644 |
| Participant contributions at end of year | 2016-08-31 | $189,367 |
| Participant contributions at beginning of year | 2016-08-31 | $203,783 |
| Assets. Other investments not covered elsewhere at end of year | 2016-08-31 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-08-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2016-08-31 | $82,823 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2016-08-31 | $311,634 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-08-31 | $496,842 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-08-31 | $711,109 |
| Administrative expenses (other) incurred | 2016-08-31 | $472,643 |
| Liabilities. Value of operating payables at end of year | 2016-08-31 | $1,340,482 |
| Liabilities. Value of operating payables at beginning of year | 2016-08-31 | $1,610,587 |
| Total non interest bearing cash at end of year | 2016-08-31 | $5,493,850 |
| Total non interest bearing cash at beginning of year | 2016-08-31 | $4,508,767 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Value of net income/loss | 2016-08-31 | $2,041,712 |
| Value of net assets at end of year (total assets less liabilities) | 2016-08-31 | $5,464,068 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-08-31 | $-377,644 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2016-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2016-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2016-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2016-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2016-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-08-31 | $5,084,075 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-08-31 | No |
| Contributions received in cash from employer | 2016-08-31 | $71,313,128 |
| Employer contributions (assets) at end of year | 2016-08-31 | $9,071,352 |
| Employer contributions (assets) at beginning of year | 2016-08-31 | $4,129,868 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-08-31 | $59,003,722 |
| Contract administrator fees | 2016-08-31 | $8,337,620 |
| Liabilities. Value of benefit claims payable at end of year | 2016-08-31 | $7,536,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2016-08-31 | $7,210,000 |
| Did the plan have assets held for investment | 2016-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2016-08-31 | Unqualified |
| Accountancy firm name | 2016-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2016-08-31 | 133891517 |
| 2015 : NFL PLAYER INSURANCE PLAN 2015 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2015-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-08-31 | $9,531,696 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2015-08-31 | $8,713,202 |
| Total income from all sources (including contributions) | 2015-08-31 | $72,376,046 |
| Total loss/gain on sale of assets | 2015-08-31 | $0 |
| Total of all expenses incurred | 2015-08-31 | $69,976,675 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-08-31 | $61,700,751 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-08-31 | $72,376,046 |
| Value of total assets at end of year | 2015-08-31 | $9,154,052 |
| Value of total assets at beginning of year | 2015-08-31 | $5,936,187 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2015-08-31 | $8,275,924 |
| Total interest from all sources | 2015-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2015-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2015-08-31 | Yes |
| Value of fidelity bond cover | 2015-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2015-08-31 | No |
| Contributions received from participants | 2015-08-31 | $3,754,330 |
| Participant contributions at end of year | 2015-08-31 | $203,783 |
| Participant contributions at beginning of year | 2015-08-31 | $185,939 |
| Assets. Other investments not covered elsewhere at end of year | 2015-08-31 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2015-08-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2015-08-31 | $311,634 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2015-08-31 | $1,957,685 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2015-08-31 | $711,109 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2015-08-31 | $982,141 |
| Administrative expenses (other) incurred | 2015-08-31 | $8,275,924 |
| Liabilities. Value of operating payables at end of year | 2015-08-31 | $1,610,587 |
| Liabilities. Value of operating payables at beginning of year | 2015-08-31 | $922,061 |
| Total non interest bearing cash at end of year | 2015-08-31 | $4,508,767 |
| Total non interest bearing cash at beginning of year | 2015-08-31 | $184,410 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Value of net income/loss | 2015-08-31 | $2,399,371 |
| Value of net assets at end of year (total assets less liabilities) | 2015-08-31 | $-377,644 |
| Value of net assets at beginning of year (total assets less liabilities) | 2015-08-31 | $-2,777,015 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2015-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2015-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2015-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2015-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2015-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-08-31 | $5,065,119 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-08-31 | No |
| Contributions received in cash from employer | 2015-08-31 | $68,621,716 |
| Employer contributions (assets) at end of year | 2015-08-31 | $4,129,868 |
| Employer contributions (assets) at beginning of year | 2015-08-31 | $3,608,153 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2015-08-31 | $56,635,632 |
| Liabilities. Value of benefit claims payable at end of year | 2015-08-31 | $7,210,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2015-08-31 | $6,809,000 |
| Did the plan have assets held for investment | 2015-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2015-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2015-08-31 | Unqualified |
| Accountancy firm name | 2015-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2015-08-31 | 133891517 |
| 2014 : NFL PLAYER INSURANCE PLAN 2014 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2014-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-08-31 | $8,713,202 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2014-08-31 | $9,691,412 |
| Total income from all sources (including contributions) | 2014-08-31 | $66,970,354 |
| Total loss/gain on sale of assets | 2014-08-31 | $0 |
| Total of all expenses incurred | 2014-08-31 | $64,147,098 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-08-31 | $61,595,239 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-08-31 | $66,970,354 |
| Value of total assets at end of year | 2014-08-31 | $5,936,187 |
| Value of total assets at beginning of year | 2014-08-31 | $4,091,141 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2014-08-31 | $2,551,859 |
| Total interest from all sources | 2014-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2014-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2014-08-31 | Yes |
| Value of fidelity bond cover | 2014-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2014-08-31 | No |
| Contributions received from participants | 2014-08-31 | $3,114,007 |
| Participant contributions at end of year | 2014-08-31 | $185,939 |
| Participant contributions at beginning of year | 2014-08-31 | $139,336 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2014-08-31 | $1,957,685 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2014-08-31 | $0 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2014-08-31 | $982,141 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2014-08-31 | $1,627,512 |
| Administrative expenses (other) incurred | 2014-08-31 | $2,551,859 |
| Liabilities. Value of operating payables at end of year | 2014-08-31 | $922,061 |
| Liabilities. Value of operating payables at beginning of year | 2014-08-31 | $1,290,900 |
| Total non interest bearing cash at end of year | 2014-08-31 | $184,410 |
| Total non interest bearing cash at beginning of year | 2014-08-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Value of net income/loss | 2014-08-31 | $2,823,256 |
| Value of net assets at end of year (total assets less liabilities) | 2014-08-31 | $-2,777,015 |
| Value of net assets at beginning of year (total assets less liabilities) | 2014-08-31 | $-5,600,271 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2014-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2014-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2014-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2014-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2014-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-08-31 | $9,791,846 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-08-31 | No |
| Contributions received in cash from employer | 2014-08-31 | $63,856,347 |
| Employer contributions (assets) at end of year | 2014-08-31 | $3,608,153 |
| Employer contributions (assets) at beginning of year | 2014-08-31 | $3,951,805 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2014-08-31 | $51,803,393 |
| Liabilities. Value of benefit claims payable at end of year | 2014-08-31 | $6,809,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2014-08-31 | $6,773,000 |
| Did the plan have assets held for investment | 2014-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2014-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2014-08-31 | Unqualified |
| Accountancy firm name | 2014-08-31 | DELOITTE & TOUCHE LLP |
| Accountancy firm EIN | 2014-08-31 | 133891517 |
| 2013 : NFL PLAYER INSURANCE PLAN 2013 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2013-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-08-31 | $9,691,412 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2013-08-31 | $8,854,475 |
| Total income from all sources (including contributions) | 2013-08-31 | $62,035,461 |
| Total loss/gain on sale of assets | 2013-08-31 | $0 |
| Total of all expenses incurred | 2013-08-31 | $63,489,067 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2013-08-31 | $61,116,198 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2013-08-31 | $62,035,461 |
| Value of total assets at end of year | 2013-08-31 | $4,091,141 |
| Value of total assets at beginning of year | 2013-08-31 | $4,707,810 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2013-08-31 | $2,372,869 |
| Total interest from all sources | 2013-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2013-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2013-08-31 | Yes |
| Value of fidelity bond cover | 2013-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2013-08-31 | No |
| Contributions received from participants | 2013-08-31 | $2,196,884 |
| Participant contributions at end of year | 2013-08-31 | $139,336 |
| Participant contributions at beginning of year | 2013-08-31 | $102,392 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2013-08-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2013-08-31 | $127,268 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2013-08-31 | $1,627,512 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2013-08-31 | $994,127 |
| Administrative expenses (other) incurred | 2013-08-31 | $2,372,869 |
| Liabilities. Value of operating payables at end of year | 2013-08-31 | $1,290,900 |
| Liabilities. Value of operating payables at beginning of year | 2013-08-31 | $829,701 |
| Total non interest bearing cash at end of year | 2013-08-31 | $0 |
| Total non interest bearing cash at beginning of year | 2013-08-31 | $464,922 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-08-31 | No |
| Value of net income/loss | 2013-08-31 | $-1,453,606 |
| Value of net assets at end of year (total assets less liabilities) | 2013-08-31 | $-5,600,271 |
| Value of net assets at beginning of year (total assets less liabilities) | 2013-08-31 | $-4,146,665 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2013-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2013-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2013-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2013-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2013-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2013-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2013-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2013-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2013-08-31 | $10,904,925 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2013-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2013-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2013-08-31 | No |
| Contributions received in cash from employer | 2013-08-31 | $59,838,577 |
| Employer contributions (assets) at end of year | 2013-08-31 | $3,951,805 |
| Employer contributions (assets) at beginning of year | 2013-08-31 | $4,013,228 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2013-08-31 | $50,211,273 |
| Liabilities. Value of benefit claims payable at end of year | 2013-08-31 | $6,773,000 |
| Liabilities. Value of benefit claims payable at beginning of year | 2013-08-31 | $7,030,647 |
| Did the plan have assets held for investment | 2013-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2013-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2013-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2013-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2013-08-31 | Unqualified |
| Accountancy firm name | 2013-08-31 | DELOITTE & TOUCHE, LLP |
| Accountancy firm EIN | 2013-08-31 | 133891517 |
| 2012 : NFL PLAYER INSURANCE PLAN 2012 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2012-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-08-31 | $8,854,475 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2012-08-31 | $7,415,495 |
| Total income from all sources (including contributions) | 2012-08-31 | $53,637,697 |
| Total loss/gain on sale of assets | 2012-08-31 | $0 |
| Total of all expenses incurred | 2012-08-31 | $55,420,204 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-08-31 | $52,753,373 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-08-31 | $53,637,697 |
| Value of total assets at end of year | 2012-08-31 | $4,707,810 |
| Value of total assets at beginning of year | 2012-08-31 | $5,051,337 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2012-08-31 | $2,666,831 |
| Total interest from all sources | 2012-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2012-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2012-08-31 | Yes |
| Value of fidelity bond cover | 2012-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2012-08-31 | No |
| Contributions received from participants | 2012-08-31 | $1,207,392 |
| Participant contributions at end of year | 2012-08-31 | $102,392 |
| Participant contributions at beginning of year | 2012-08-31 | $2,318,664 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2012-08-31 | $127,268 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2012-08-31 | $114,876 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2012-08-31 | $994,127 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2012-08-31 | $657,372 |
| Administrative expenses (other) incurred | 2012-08-31 | $2,666,831 |
| Liabilities. Value of operating payables at end of year | 2012-08-31 | $829,701 |
| Liabilities. Value of operating payables at beginning of year | 2012-08-31 | $673,334 |
| Total non interest bearing cash at end of year | 2012-08-31 | $464,922 |
| Total non interest bearing cash at beginning of year | 2012-08-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-08-31 | No |
| Value of net income/loss | 2012-08-31 | $-1,782,507 |
| Value of net assets at end of year (total assets less liabilities) | 2012-08-31 | $-4,146,665 |
| Value of net assets at beginning of year (total assets less liabilities) | 2012-08-31 | $-2,364,158 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2012-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2012-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2012-08-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2012-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2012-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2012-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-08-31 | $10,699,446 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-08-31 | No |
| Contributions received in cash from employer | 2012-08-31 | $52,430,305 |
| Employer contributions (assets) at end of year | 2012-08-31 | $4,013,228 |
| Employer contributions (assets) at beginning of year | 2012-08-31 | $2,617,797 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2012-08-31 | $42,053,927 |
| Liabilities. Value of benefit claims payable at end of year | 2012-08-31 | $7,030,647 |
| Liabilities. Value of benefit claims payable at beginning of year | 2012-08-31 | $6,084,789 |
| Did the plan have assets held for investment | 2012-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2012-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2012-08-31 | Unqualified |
| Accountancy firm name | 2012-08-31 | DELOITTE & TOUCHE, LLP |
| Accountancy firm EIN | 2012-08-31 | 133891517 |
| 2011 : NFL PLAYER INSURANCE PLAN 2011 401k financial data |
|---|
| Total unrealized appreciation/depreciation of assets | 2011-08-31 | $0 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-08-31 | $7,415,495 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2011-08-31 | $6,958,237 |
| Total income from all sources (including contributions) | 2011-08-31 | $50,921,865 |
| Total loss/gain on sale of assets | 2011-08-31 | $0 |
| Total of all expenses incurred | 2011-08-31 | $48,139,071 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2011-08-31 | $45,025,856 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2011-08-31 | $50,921,865 |
| Value of total assets at end of year | 2011-08-31 | $5,051,337 |
| Value of total assets at beginning of year | 2011-08-31 | $1,811,285 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2011-08-31 | $3,113,215 |
| Total interest from all sources | 2011-08-31 | $0 |
| Total dividends received (eg from common stock, registered investment company shares) | 2011-08-31 | $0 |
| Was this plan covered by a fidelity bond | 2011-08-31 | Yes |
| Value of fidelity bond cover | 2011-08-31 | $1,000,000 |
| Were there any nonexempt tranactions with any party-in-interest | 2011-08-31 | No |
| Contributions received from participants | 2011-08-31 | $8,266,410 |
| Participant contributions at end of year | 2011-08-31 | $2,318,664 |
| Participant contributions at beginning of year | 2011-08-31 | $103,881 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2011-08-31 | $114,876 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2011-08-31 | $657,372 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2011-08-31 | $304,988 |
| Administrative expenses (other) incurred | 2011-08-31 | $3,113,215 |
| Liabilities. Value of operating payables at end of year | 2011-08-31 | $673,334 |
| Liabilities. Value of operating payables at beginning of year | 2011-08-31 | $518,415 |
| Total non interest bearing cash at end of year | 2011-08-31 | $0 |
| Total non interest bearing cash at beginning of year | 2011-08-31 | $0 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-08-31 | No |
| Value of net income/loss | 2011-08-31 | $2,782,794 |
| Value of net assets at end of year (total assets less liabilities) | 2011-08-31 | $-2,364,158 |
| Value of net assets at beginning of year (total assets less liabilities) | 2011-08-31 | $-5,146,952 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2011-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2011-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2011-08-31 | No |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year | 2011-08-31 | $0 |
| Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year | 2011-08-31 | $0 |
| Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year | 2011-08-31 | $0 |
| Interest earned from interest bearing cash (including money market accounts and certificates of deposit) | 2011-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2011-08-31 | $0 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2011-08-31 | $0 |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2011-08-31 | $6,282,276 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2011-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2011-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2011-08-31 | No |
| Contributions received in cash from employer | 2011-08-31 | $42,655,455 |
| Employer contributions (assets) at end of year | 2011-08-31 | $2,617,797 |
| Employer contributions (assets) at beginning of year | 2011-08-31 | $1,707,404 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2011-08-31 | $38,743,580 |
| Liabilities. Value of benefit claims payable at end of year | 2011-08-31 | $6,084,789 |
| Liabilities. Value of benefit claims payable at beginning of year | 2011-08-31 | $6,134,834 |
| Did the plan have assets held for investment | 2011-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2011-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2011-08-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2011-08-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2011-08-31 | Unqualified |
| Accountancy firm name | 2011-08-31 | DELOITTE & TOUCHE, LLP |
| Accountancy firm EIN | 2011-08-31 | 133891517 |
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0228441 |
| Policy instance | 4 |
| Insurance contract or identification number | 0228441 | | Number of Individuals Covered | 9120 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $95 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $404,421 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 95 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 12131 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,504,322 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3599 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $556 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,294,201 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 556 | | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 1263 | | Insurance policy start date | 2022-09-01 | | Insurance policy end date | 2023-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,390 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 1253 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,355 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3673 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $461 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,837,762 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 461 | | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 12006 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,256,021 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0228441 |
| Policy instance | 4 |
| Insurance contract or identification number | 0228441 | | Number of Individuals Covered | 8236 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $493,002 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 1265 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,138 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3488 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $545 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,759,404 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 545 | | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 11870 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,921,453 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0228441 |
| Policy instance | 4 |
| Insurance contract or identification number | 0228441 | | Number of Individuals Covered | 8724 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | Yes | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $688,178 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 11556 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,106,058 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3462 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $706 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,044,939 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 402 | | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 1290 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $37,384 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 11309 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,373,634 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3524 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $939 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,002,378 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 939 | | Additional information about fees paid to insurance broker | THIRD PARTY ADMINISTRATION FEES | | Insurance broker organization code? | 5 |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 3325 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,071 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 3 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 11063 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,779,214 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 ) |
| Policy contract number | 52622 |
| Policy instance | 2 |
| Insurance contract or identification number | 52622 | | Number of Individuals Covered | 3575 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $954 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | BASIC AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,048,100 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 1 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 3983 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $37,214 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 34250 |
| Policy instance | 1 |
| Insurance contract or identification number | 34250 | | Number of Individuals Covered | 3496 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,911,228 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | 68103-2 |
| Policy instance | 2 |
| Insurance contract or identification number | 68103-2 | | Number of Individuals Covered | 4343 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | INDIVIDUAL EXCESS RISK | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,109,673 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 3 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 3693 | | Insurance policy start date | 2015-09-01 | | Insurance policy end date | 2016-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $33,185 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | 68103-2 |
| Policy instance | 2 |
| Insurance contract or identification number | 68103-2 | | Number of Individuals Covered | 4298 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | INDIVIDUAL EXCESS RISK | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,854,709 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3697 |
| Policy instance | 3 |
| Insurance contract or identification number | 3697 | | Number of Individuals Covered | 1848 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $11,723 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 34250 |
| Policy instance | 1 |
| Insurance contract or identification number | 34250 | | Number of Individuals Covered | 3506 | | Insurance policy start date | 2014-09-01 | | Insurance policy end date | 2015-08-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,862,430 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 ) |
| Policy contract number | 34250 |
| Policy instance | 1 |
| Insurance contract or identification number | 34250 | | Number of Individuals Covered | 3368 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,783,505 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| RELIASTAR LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 61360 ) |
| Policy contract number | EXRK |
| Policy instance | 2 |
| Insurance contract or identification number | EXRK | | Number of Individuals Covered | 4299 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,754,182 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0138800 |
| Policy instance | 2 |
| Insurance contract or identification number | 0138800 | | Number of Individuals Covered | 3436 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,049,364 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 ) |
| Policy contract number | 3208640 |
| Policy instance | 1 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 4246 | | Insurance policy start date | 2012-09-01 | | Insurance policy end date | 2013-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,551,109 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0138800 |
| Policy instance | 2 |
| Insurance contract or identification number | 0138800 | | Number of Individuals Covered | 3349 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $3,966,879 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 3208640 |
| Policy instance | 1 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 4141 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,876,805 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 ) |
| Policy contract number | 0138800 |
| Policy instance | 2 |
| Insurance contract or identification number | 0138800 | | Number of Individuals Covered | 3317 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | AD&D | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,030,525 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 ) |
| Policy contract number | 3208640 |
| Policy instance | 1 |
| Insurance contract or identification number | 3208640 | | Number of Individuals Covered | 4007 | | Insurance policy start date | 2010-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | Yes | | Dental Insurance Welfare Benefit | Yes | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,489,335 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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