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PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN 401k Plan overview

Plan NamePHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN
Plan identification number 001

PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    PHILIPS NORTH AMERICA LLC has sponsored the creation of one or more 401k plans.

    Company Name:PHILIPS NORTH AMERICA LLC
    Employer identification number (EIN):133429115
    NAIC Classification:339900

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    0012016-01-01
    0012016-01-01
    0012015-01-01KRISTINE FORTIN
    0012015-01-01KRISTINE FORTIN
    0012014-01-01LEVERDA WALLACE
    0012013-01-01JULIE THIBODEAU
    0012012-01-01ELIZABETH A. GRELLA
    0012011-01-01ELIZABETH A. GRELLA ELIZABETH A. GRELLA2012-10-12
    0012010-01-01ELIZABETH A GRELLA
    0012009-01-01ELIZABETH A GRELLA

    Plan Statistics for PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN

    401k plan membership statisitcs for PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN

    Measure Date Value
    2016
    Market value of plan assets2016-12-2171,899,088
    Acturial value of plan assets2016-12-2192,969,229
    Funding target for retired participants and beneficiaries receiving payment2016-12-210
    Number of terminated vested participants2016-12-214
    Fundng target for terminated vested participants2016-12-21218,822
    Active participant vested funding target2016-12-2165,951,296
    Number of active participants2016-12-21393
    Total funding liabilities for active participants2016-12-2167,618,620
    Total participant count2016-12-21397
    Total funding target for all participants2016-12-2167,837,442
    Balance at beginning of prior year after applicable adjustments2016-12-210
    Prefunding balance at beginning of prior year after applicable adjustments2016-12-2112,000,000
    Carryover balanced portion elected for use to offset prior years funding requirement2016-12-210
    Prefunding balanced used to offset prior years funding requirement2016-12-2112,000,000
    Amount remaining of carryover balance2016-12-210
    Amount remaining of prefunding balance2016-12-210
    Present value of excess contributions2016-12-21243,196,493
    Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-21257,584,435
    Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-210
    Reductions in caryover balances due to elections or deemed elections2016-12-210
    Reductions in prefunding balances due to elections or deemed elections2016-12-210
    Balance of carryovers at beginning of current year2016-12-210
    Balance of prefunding at beginning of current year2016-12-210
    Total employer contributions2016-12-2113,054,455
    Total employee contributions2016-12-210
    Contributions allocated toward unpaid minimum require contributions from prior years2016-12-210
    Contributions made to avoid restrictions adjusted to valuation date2016-12-210
    Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-2112,342,453
    Unpaid minimum required contributions for all prior years2016-12-210
    iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-210
    Remaining amount of unpaid minimum required contributions2016-12-210
    Minimum required contributions for current year target normal cost2016-12-214,178,508
    Net shortfall amortization installment of oustanding balance2016-12-210
    Waiver amortization installment2016-12-210
    Total funding amount beforereflecting carryover/prefunding balances2016-12-214,178,508
    Carryover balance elected to use to offset funding requirement2016-12-210
    Prefunding balance elected to use to offset funding requirement2016-12-210
    Additional cash requirement2016-12-214,178,508
    Contributions allocatedtoward minimum required contributions for current year2016-12-2112,342,453
    Unpaid minimum required contributions for current year2016-12-210
    Unpaid minimum required contributions for all years2016-12-210
    Total participants, beginning-of-year2016-01-0128,386
    Total number of active participants reported on line 7a of the Form 55002016-01-010
    Number of retired or separated participants receiving benefits2016-01-010
    Number of other retired or separated participants entitled to future benefits2016-01-010
    Total of all active and inactive participants2016-01-010
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
    Total participants2016-01-010
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
    2015
    Total participants, beginning-of-year2015-01-0144,247
    Total number of active participants reported on line 7a of the Form 55002015-01-015,528
    Number of retired or separated participants receiving benefits2015-01-0113,536
    Number of other retired or separated participants entitled to future benefits2015-01-017,771
    Total of all active and inactive participants2015-01-0126,835
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011,551
    Total participants2015-01-0128,386
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0132
    2014
    Total participants, beginning-of-year2014-01-0149,246
    Total number of active participants reported on line 7a of the Form 55002014-01-016,197
    Number of retired or separated participants receiving benefits2014-01-0125,089
    Number of other retired or separated participants entitled to future benefits2014-01-0112,961
    Total of all active and inactive participants2014-01-0144,247
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
    Total participants2014-01-0144,247
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0156
    2013
    Total participants, beginning-of-year2013-01-0156,849
    Total number of active participants reported on line 7a of the Form 55002013-01-017,212
    Number of retired or separated participants receiving benefits2013-01-0125,057
    Number of other retired or separated participants entitled to future benefits2013-01-0113,367
    Total of all active and inactive participants2013-01-0145,636
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-013,610
    Total participants2013-01-0149,246
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0134
    2012
    Total participants, beginning-of-year2012-01-0158,015
    Total number of active participants reported on line 7a of the Form 55002012-01-017,963
    Number of retired or separated participants receiving benefits2012-01-0124,927
    Number of other retired or separated participants entitled to future benefits2012-01-0120,369
    Total of all active and inactive participants2012-01-0153,259
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-013,590
    Total participants2012-01-0156,849
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0122
    2011
    Total participants, beginning-of-year2011-01-0158,742
    Total number of active participants reported on line 7a of the Form 55002011-01-018,841
    Number of retired or separated participants receiving benefits2011-01-0124,575
    Number of other retired or separated participants entitled to future benefits2011-01-0120,990
    Total of all active and inactive participants2011-01-0154,406
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013,609
    Total participants2011-01-0158,015
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0114
    2010
    Total participants, beginning-of-year2010-01-0158,272
    Total number of active participants reported on line 7a of the Form 55002010-01-019,316
    Number of retired or separated participants receiving benefits2010-01-0124,331
    Number of other retired or separated participants entitled to future benefits2010-01-0121,900
    Total of all active and inactive participants2010-01-0155,547
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-013,195
    Total participants2010-01-0158,742
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-016
    2009
    Total participants, beginning-of-year2009-01-0158,808
    Total number of active participants reported on line 7a of the Form 55002009-01-019,461
    Number of retired or separated participants receiving benefits2009-01-0123,505
    Number of other retired or separated participants entitled to future benefits2009-01-0122,310
    Total of all active and inactive participants2009-01-0155,276
    Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012,996
    Total participants2009-01-0158,272
    Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0170

    Financial Data on PHILIPS ELECTRONICS NORTH AMERICA CORPORATION PENSION PLAN

    Measure Date Value
    2016
    Total unrealized appreciation/depreciation of assets2016-12-21$0
    Total transfer of assets from this plan2016-12-21$2,230,953,234
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-21$0
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-21$771,022
    Total income from all sources (including contributions)2016-12-21$297,788,079
    Total loss/gain on sale of assets2016-12-21$0
    Total of all expenses incurred2016-12-21$211,760,504
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-21$206,914,527
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-21$13,054,455
    Value of total assets at end of year2016-12-21$0
    Value of total assets at beginning of year2016-12-21$2,145,696,681
    Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-21$4,845,977
    Total interest from all sources2016-12-21$0
    Total dividends received (eg from common stock, registered investment company shares)2016-12-21$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-21Yes
    Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2016-12-21$0
    Administrative expenses professional fees incurred2016-12-21$1,079,681
    Was this plan covered by a fidelity bond2016-12-21Yes
    Value of fidelity bond cover2016-12-21$1,000,000
    If this is an individual account plan, was there a blackout period2016-12-21No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-21$0
    Were there any nonexempt tranactions with any party-in-interest2016-12-21No
    Administrative expenses (other) incurred2016-12-21$2,298,090
    Liabilities. Value of operating payables at end of year2016-12-21$0
    Liabilities. Value of operating payables at beginning of year2016-12-21$771,022
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-21No
    Value of net income/loss2016-12-21$86,027,575
    Value of net assets at end of year (total assets less liabilities)2016-12-21$0
    Value of net assets at beginning of year (total assets less liabilities)2016-12-21$2,144,925,659
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-21No
    Were any loans by the plan or fixed income obligations due to the plan in default2016-12-21No
    Were any leases to which the plan was party in default or uncollectible2016-12-21No
    Investment advisory and management fees2016-12-21$1,468,206
    Value of interest in master investment trust accounts at end of year2016-12-21$0
    Value of interest in master investment trust accounts at beginning of year2016-12-21$1,880,696,681
    Expenses. Payments to insurance carriers foe the provision of benefits2016-12-21$7,500,000
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-21No
    Was there a failure to transmit to the plan any participant contributions2016-12-21No
    Has the plan failed to provide any benefit when due under the plan2016-12-21No
    Contributions received in cash from employer2016-12-21$13,054,455
    Employer contributions (assets) at end of year2016-12-21$0
    Employer contributions (assets) at beginning of year2016-12-21$265,000,000
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-21$199,414,527
    Did the plan have assets held for investment2016-12-21No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-21No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-21Yes
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-21Yes
    Opinion of an independent qualified public accountant for this plan2016-12-21Disclaimer
    Accountancy firm name2016-12-21JOHNSON O'CONNOR FERON &CARUCCI LLP
    Accountancy firm EIN2016-12-21203985546
    2015
    Total unrealized appreciation/depreciation of assets2015-12-31$0
    Total transfer of assets from this plan2015-12-31$1,041,806,304
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$771,022
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$742,409
    Total income from all sources (including contributions)2015-12-31$269,740,984
    Total loss/gain on sale of assets2015-12-31$0
    Total of all expenses incurred2015-12-31$331,576,470
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$311,782,242
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$273,227,352
    Value of total assets at end of year2015-12-31$2,145,696,681
    Value of total assets at beginning of year2015-12-31$3,249,309,858
    Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$19,794,228
    Total interest from all sources2015-12-31$0
    Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
    Administrative expenses professional fees incurred2015-12-31$214,845
    Was this plan covered by a fidelity bond2015-12-31Yes
    Value of fidelity bond cover2015-12-31$1,000,000
    If this is an individual account plan, was there a blackout period2015-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2015-12-31No
    Contributions received from participants2015-12-31$227,352
    Administrative expenses (other) incurred2015-12-31$19,281,648
    Liabilities. Value of operating payables at end of year2015-12-31$771,022
    Liabilities. Value of operating payables at beginning of year2015-12-31$742,409
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Value of net income/loss2015-12-31$-61,835,486
    Value of net assets at end of year (total assets less liabilities)2015-12-31$2,144,925,659
    Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,248,567,449
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
    Were any leases to which the plan was party in default or uncollectible2015-12-31No
    Value of interest in master investment trust accounts at end of year2015-12-31$1,880,696,681
    Value of interest in master investment trust accounts at beginning of year2015-12-31$3,160,309,858
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
    Was there a failure to transmit to the plan any participant contributions2015-12-31No
    Has the plan failed to provide any benefit when due under the plan2015-12-31No
    Contributions received in cash from employer2015-12-31$273,000,000
    Employer contributions (assets) at end of year2015-12-31$265,000,000
    Employer contributions (assets) at beginning of year2015-12-31$89,000,000
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$311,782,242
    Contract administrator fees2015-12-31$297,735
    Did the plan have assets held for investment2015-12-31No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
    Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
    Accountancy firm name2015-12-31KPMG LLP
    Accountancy firm EIN2015-12-31135565207
    2014
    Total unrealized appreciation/depreciation of assets2014-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$742,409
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,641,332
    Total income from all sources (including contributions)2014-12-31$530,938,894
    Total loss/gain on sale of assets2014-12-31$0
    Total of all expenses incurred2014-12-31$287,638,586
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$270,576,349
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$117,470,086
    Value of total assets at end of year2014-12-31$3,249,309,858
    Value of total assets at beginning of year2014-12-31$3,007,908,473
    Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$17,062,237
    Total interest from all sources2014-12-31$0
    Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
    Administrative expenses professional fees incurred2014-12-31$941,159
    Was this plan covered by a fidelity bond2014-12-31Yes
    Value of fidelity bond cover2014-12-31$1,000,000
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2014-12-31No
    Contributions received from participants2014-12-31$470,086
    Administrative expenses (other) incurred2014-12-31$11,156,335
    Liabilities. Value of operating payables at end of year2014-12-31$742,409
    Liabilities. Value of operating payables at beginning of year2014-12-31$2,641,332
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Value of net income/loss2014-12-31$243,300,308
    Value of net assets at end of year (total assets less liabilities)2014-12-31$3,248,567,449
    Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,005,267,141
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
    Were any leases to which the plan was party in default or uncollectible2014-12-31No
    Investment advisory and management fees2014-12-31$2,985,297
    Value of interest in master investment trust accounts at end of year2014-12-31$3,160,309,858
    Value of interest in master investment trust accounts at beginning of year2014-12-31$2,830,908,473
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
    Was there a failure to transmit to the plan any participant contributions2014-12-31No
    Has the plan failed to provide any benefit when due under the plan2014-12-31No
    Contributions received in cash from employer2014-12-31$117,000,000
    Employer contributions (assets) at end of year2014-12-31$89,000,000
    Employer contributions (assets) at beginning of year2014-12-31$177,000,000
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$270,576,349
    Contract administrator fees2014-12-31$1,979,446
    Did the plan have assets held for investment2014-12-31No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
    Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
    Accountancy firm name2014-12-31KPMG LLP
    Accountancy firm EIN2014-12-31135565207
    2013
    Total unrealized appreciation/depreciation of assets2013-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,641,332
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,243,623
    Total income from all sources (including contributions)2013-12-31$209,148,981
    Total loss/gain on sale of assets2013-12-31$0
    Total of all expenses incurred2013-12-31$635,844,980
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$619,888,103
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$204,518,800
    Value of total assets at end of year2013-12-31$3,007,908,473
    Value of total assets at beginning of year2013-12-31$3,434,206,763
    Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$15,956,877
    Total interest from all sources2013-12-31$0
    Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
    Administrative expenses professional fees incurred2013-12-31$925,718
    Was this plan covered by a fidelity bond2013-12-31Yes
    Value of fidelity bond cover2013-12-31$1,000,000
    If this is an individual account plan, was there a blackout period2013-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2013-12-31No
    Contributions received from participants2013-12-31$518,800
    Administrative expenses (other) incurred2013-12-31$7,188,342
    Liabilities. Value of operating payables at end of year2013-12-31$2,641,332
    Liabilities. Value of operating payables at beginning of year2013-12-31$2,243,623
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Value of net income/loss2013-12-31$-426,695,999
    Value of net assets at end of year (total assets less liabilities)2013-12-31$3,005,267,141
    Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,431,963,140
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
    Were any leases to which the plan was party in default or uncollectible2013-12-31No
    Investment advisory and management fees2013-12-31$5,975,939
    Value of interest in master investment trust accounts at end of year2013-12-31$2,830,908,473
    Value of interest in master investment trust accounts at beginning of year2013-12-31$3,273,077,662
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$129,101
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
    Was there a failure to transmit to the plan any participant contributions2013-12-31No
    Has the plan failed to provide any benefit when due under the plan2013-12-31No
    Contributions received in cash from employer2013-12-31$204,000,000
    Employer contributions (assets) at end of year2013-12-31$177,000,000
    Employer contributions (assets) at beginning of year2013-12-31$161,000,000
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$619,888,103
    Contract administrator fees2013-12-31$1,866,878
    Did the plan have assets held for investment2013-12-31No
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
    Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
    Accountancy firm name2013-12-31KPMG LLP
    Accountancy firm EIN2013-12-31135565207
    2012
    Total unrealized appreciation/depreciation of assets2012-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,243,623
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$2,234,574
    Total income from all sources (including contributions)2012-12-31$405,852,501
    Total loss/gain on sale of assets2012-12-31$0
    Total of all expenses incurred2012-12-31$209,841,163
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$195,268,352
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$161,605,814
    Value of total assets at end of year2012-12-31$3,434,206,763
    Value of total assets at beginning of year2012-12-31$3,238,186,377
    Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$14,572,811
    Total interest from all sources2012-12-31$-337,084
    Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
    Administrative expenses professional fees incurred2012-12-31$1,039,694
    Was this plan covered by a fidelity bond2012-12-31Yes
    Value of fidelity bond cover2012-12-31$100,000,000
    If this is an individual account plan, was there a blackout period2012-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2012-12-31No
    Contributions received from participants2012-12-31$605,814
    Administrative expenses (other) incurred2012-12-31$5,649,947
    Liabilities. Value of operating payables at end of year2012-12-31$2,243,623
    Liabilities. Value of operating payables at beginning of year2012-12-31$2,234,574
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Value of net income/loss2012-12-31$196,011,338
    Value of net assets at end of year (total assets less liabilities)2012-12-31$3,431,963,140
    Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,235,951,803
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
    Were any leases to which the plan was party in default or uncollectible2012-12-31No
    Investment advisory and management fees2012-12-31$5,966,933
    Interest earned on other investments2012-12-31$-337,084
    Value of interest in master investment trust accounts at end of year2012-12-31$3,273,077,662
    Value of interest in master investment trust accounts at beginning of year2012-12-31$3,039,907,592
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$129,101
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$10,978,785
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
    Was there a failure to transmit to the plan any participant contributions2012-12-31No
    Has the plan failed to provide any benefit when due under the plan2012-12-31No
    Contributions received in cash from employer2012-12-31$161,000,000
    Employer contributions (assets) at end of year2012-12-31$161,000,000
    Employer contributions (assets) at beginning of year2012-12-31$187,300,000
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$195,268,352
    Contract administrator fees2012-12-31$1,916,237
    Did the plan have assets held for investment2012-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
    Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
    Accountancy firm name2012-12-31KPMG LLP
    Accountancy firm EIN2012-12-31135565207
    2011
    Total unrealized appreciation/depreciation of assets2011-12-31$0
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$2,234,574
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,597,957
    Total income from all sources (including contributions)2011-12-31$596,618,670
    Total loss/gain on sale of assets2011-12-31$0
    Total of all expenses incurred2011-12-31$208,722,754
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$194,270,843
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$219,055,118
    Value of total assets at end of year2011-12-31$3,238,186,377
    Value of total assets at beginning of year2011-12-31$2,851,653,844
    Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$14,451,911
    Total interest from all sources2011-12-31$1,685,424
    Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
    Was this plan covered by a fidelity bond2011-12-31Yes
    Value of fidelity bond cover2011-12-31$100,000,000
    If this is an individual account plan, was there a blackout period2011-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2011-12-31No
    Contributions received from participants2011-12-31$746,118
    Administrative expenses (other) incurred2011-12-31$14,451,911
    Liabilities. Value of operating payables at end of year2011-12-31$2,234,574
    Liabilities. Value of operating payables at beginning of year2011-12-31$3,597,957
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Value of net income/loss2011-12-31$387,895,916
    Value of net assets at end of year (total assets less liabilities)2011-12-31$3,235,951,803
    Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,848,055,887
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
    Were any leases to which the plan was party in default or uncollectible2011-12-31No
    Interest earned on other investments2011-12-31$1,685,424
    Value of interest in master investment trust accounts at end of year2011-12-31$3,039,907,592
    Value of interest in master investment trust accounts at beginning of year2011-12-31$2,566,560,422
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$10,978,785
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$33,527,842
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
    Was there a failure to transmit to the plan any participant contributions2011-12-31No
    Has the plan failed to provide any benefit when due under the plan2011-12-31No
    Contributions received in cash from employer2011-12-31$218,309,000
    Employer contributions (assets) at end of year2011-12-31$187,300,000
    Employer contributions (assets) at beginning of year2011-12-31$251,565,580
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$194,270,843
    Did the plan have assets held for investment2011-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
    Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
    Accountancy firm name2011-12-31KPMG LLP
    Accountancy firm EIN2011-12-31135565207
    2010
    Total unrealized appreciation/depreciation of assets2010-12-31$0
    Total transfer of assets to this plan2010-12-31$34,089,965
    Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,597,957
    Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,128,870
    Total income from all sources (including contributions)2010-12-31$552,209,789
    Total loss/gain on sale of assets2010-12-31$0
    Total of all expenses incurred2010-12-31$202,957,157
    Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$187,105,777
    Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$297,493,005
    Value of total assets at end of year2010-12-31$2,851,653,844
    Value of total assets at beginning of year2010-12-31$2,466,842,160
    Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$15,851,380
    Total interest from all sources2010-12-31$1,517,804
    Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
    Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
    Administrative expenses professional fees incurred2010-12-31$395,633
    Was this plan covered by a fidelity bond2010-12-31Yes
    Value of fidelity bond cover2010-12-31$100,000,000
    If this is an individual account plan, was there a blackout period2010-12-31No
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
    Were there any nonexempt tranactions with any party-in-interest2010-12-31No
    Contributions received from participants2010-12-31$761,845
    Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
    Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$11,074,198
    Administrative expenses (other) incurred2010-12-31$10,670,390
    Liabilities. Value of operating payables at end of year2010-12-31$3,597,957
    Liabilities. Value of operating payables at beginning of year2010-12-31$2,128,870
    Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Value of net income/loss2010-12-31$349,252,632
    Value of net assets at end of year (total assets less liabilities)2010-12-31$2,848,055,887
    Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,464,713,290
    Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
    Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
    Were any leases to which the plan was party in default or uncollectible2010-12-31No
    Investment advisory and management fees2010-12-31$4,785,357
    Interest earned on other investments2010-12-31$1,517,804
    Value of interest in master investment trust accounts at end of year2010-12-31$2,566,560,422
    Value of interest in master investment trust accounts at beginning of year2010-12-31$2,400,611,734
    Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$33,527,842
    Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$32,248,492
    Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
    Was there a failure to transmit to the plan any participant contributions2010-12-31No
    Has the plan failed to provide any benefit when due under the plan2010-12-31No
    Contributions received in cash from employer2010-12-31$296,731,160
    Employer contributions (assets) at end of year2010-12-31$251,565,580
    Employer contributions (assets) at beginning of year2010-12-31$22,907,736
    Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$187,105,777
    Did the plan have assets held for investment2010-12-31Yes
    Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
    Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
    Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
    Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
    Accountancy firm name2010-12-31KPMG LLP
    Accountancy firm EIN2010-12-31135565207
    2009
    Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

    Form 5500 Responses

    2016
    2016-01-01Type of plan entitySingle employer plan
    2016-01-01Submission has been amendedNo
    2016-01-01This submission is the final filingYes
    2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
    2016-01-01Plan is a collectively bargained planYes
    2016-01-01Plan funding arrangement – TrustYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement - TrustYes
    2015
    2015-01-01Type of plan entitySingle employer plan
    2015-01-01Submission has been amendedNo
    2015-01-01This submission is the final filingNo
    2015-01-01This return/report is a short plan year return/report (less than 12 months)No
    2015-01-01Plan is a collectively bargained planYes
    2015-01-01Plan funding arrangement – TrustYes
    2015-01-01Plan benefit arrangement - TrustYes
    2014
    2014-01-01Type of plan entitySingle employer plan
    2014-01-01Submission has been amendedNo
    2014-01-01This submission is the final filingNo
    2014-01-01This return/report is a short plan year return/report (less than 12 months)No
    2014-01-01Plan is a collectively bargained planYes
    2014-01-01Plan funding arrangement – TrustYes
    2014-01-01Plan benefit arrangement - TrustYes
    2013
    2013-01-01Type of plan entitySingle employer plan
    2013-01-01Submission has been amendedNo
    2013-01-01This submission is the final filingNo
    2013-01-01This return/report is a short plan year return/report (less than 12 months)No
    2013-01-01Plan is a collectively bargained planYes
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan funding arrangement – TrustYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement - TrustYes
    2012
    2012-01-01Type of plan entitySingle employer plan
    2012-01-01Submission has been amendedNo
    2012-01-01This submission is the final filingNo
    2012-01-01This return/report is a short plan year return/report (less than 12 months)No
    2012-01-01Plan is a collectively bargained planNo
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan funding arrangement – TrustYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement - TrustYes
    2011
    2011-01-01Type of plan entitySingle employer plan
    2011-01-01Submission has been amendedNo
    2011-01-01This submission is the final filingNo
    2011-01-01This return/report is a short plan year return/report (less than 12 months)No
    2011-01-01Plan is a collectively bargained planNo
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan funding arrangement – TrustYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement - TrustYes
    2010
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planNo
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan funding arrangement – TrustYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement - TrustYes
    2009
    2009-01-01Type of plan entitySingle employer plan
    2009-01-01Submission has been amendedNo
    2009-01-01This submission is the final filingNo
    2009-01-01This return/report is a short plan year return/report (less than 12 months)No
    2009-01-01Plan is a collectively bargained planNo
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan funding arrangement – Section 412(e)(3) insurance ContractsYes
    2009-01-01Plan funding arrangement – TrustYes
    2009-01-01Plan benefit arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
    2009-01-01Plan benefit arrangement - TrustYes

    Insurance Providers Used on plan

    PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
    Policy contract number5322699
    Policy instance 1
    Insurance contract or identification number5322699
    Number of Individuals Covered0
    Insurance policy start date2013-01-01
    Insurance policy end date2013-01-01
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
    Policy contract numberGAC 1399 ASSN 0
    Policy instance 1
    Insurance contract or identification numberGAC 1399 ASSN 0
    Number of Individuals Covered83
    Insurance policy start date2012-06-01
    Insurance policy end date2013-05-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PENN MUTUAL LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 67644 )
    Policy contract number5322699
    Policy instance 2
    Insurance contract or identification number5322699
    Insurance policy start date2012-05-01
    Insurance policy end date2013-04-30
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number001599
    Policy instance 2
    Insurance contract or identification number001599
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number001651
    Policy instance 3
    Insurance contract or identification number001651
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number002114
    Policy instance 4
    Insurance contract or identification number002114
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number002704
    Policy instance 5
    Insurance contract or identification number002704
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM00860
    Policy instance 6
    Insurance contract or identification numberM00860
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM00894
    Policy instance 7
    Insurance contract or identification numberM00894
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM01378
    Policy instance 8
    Insurance contract or identification numberM01378
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
    Policy contract numberGAC 1399
    Policy instance 1
    Insurance contract or identification numberGAC 1399
    Number of Individuals Covered85
    Insurance policy start date2011-06-01
    Insurance policy end date2012-05-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM02702
    Policy instance 9
    Insurance contract or identification numberM02702
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM02702
    Policy instance 9
    Insurance contract or identification numberM02702
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
    Policy contract numberGAC 1399
    Policy instance 1
    Insurance contract or identification numberGAC 1399
    Number of Individuals Covered98
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number001599
    Policy instance 2
    Insurance contract or identification number001599
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number001651
    Policy instance 3
    Insurance contract or identification number001651
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number002114
    Policy instance 4
    Insurance contract or identification number002114
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract number002704
    Policy instance 5
    Insurance contract or identification number002704
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM00860
    Policy instance 6
    Insurance contract or identification numberM00860
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM00894
    Policy instance 7
    Insurance contract or identification numberM00894
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
    Policy contract numberM01378
    Policy instance 8
    Insurance contract or identification numberM01378
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $0
    Are there contracts with allocated funds for individual policies?No
    Are there contracts with allocated funds for group deferred annuity?No
    Are there contracts with allocated funds for types other than group deferred annuity or individual?No
    Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
    Contracts With Unallocated Funds Deposit Administration0
    Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
    Are there contracts with unallocated funds for contracts of type guaranteed investment?No
    Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
    Health Insurance Welfare BenefitNo
    Dental Insurance Welfare BenefitNo
    Vision Insurance Welfare BenefitNo
    Life Insurance Welfare BenefitNo
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Were dividends or retroactive rate refunds paid in cash?No
    Were dividends or retroactive rate refunds paid as a credit?No
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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