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SANTA CRUZ COUNTY BANK RETIREMENT TRUST 401k Plan overview

Plan NameSANTA CRUZ COUNTY BANK RETIREMENT TRUST
Plan identification number 001

SANTA CRUZ COUNTY BANK RETIREMENT TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SANTA CRUZ COUNTY BANK has sponsored the creation of one or more 401k plans.

Company Name:SANTA CRUZ COUNTY BANK
Employer identification number (EIN):134265907
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about SANTA CRUZ COUNTY BANK

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 2003-09-10
Company Identification Number: C2550801
Legal Registered Office Address: 595 Auto Center Drive

Watsonville
United States of America (USA)
95076

More information about SANTA CRUZ COUNTY BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SANTA CRUZ COUNTY BANK RETIREMENT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01STEPHANIE BANISTER2023-02-03 KRISTA SNELLING2023-02-03
0012020-01-01BRIANNA CARABBA2021-10-13 VIC DAVIS2021-10-15
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01HEATHER LA FONTAINE2015-10-06
0012013-01-01HEATHER LA FONTAINE2014-10-01
0012012-01-01HEATHER LA FONTAINE2013-09-18
0012011-01-01HEATHER LA FONTAINE2012-10-01
0012010-01-01HEATHER LA FONTAINE
0012009-01-01HEATHER LA FONTAINE

Plan Statistics for SANTA CRUZ COUNTY BANK RETIREMENT TRUST

401k plan membership statisitcs for SANTA CRUZ COUNTY BANK RETIREMENT TRUST

Measure Date Value
2022: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-01186
Total number of active participants reported on line 7a of the Form 55002022-01-01164
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0142
Total of all active and inactive participants2022-01-01207
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01207
Number of participants with account balances2022-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-01171
Total number of active participants reported on line 7a of the Form 55002021-01-01154
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0136
Total of all active and inactive participants2021-01-01190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01190
Number of participants with account balances2021-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-01131
Total number of active participants reported on line 7a of the Form 55002020-01-01145
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0126
Total of all active and inactive participants2020-01-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01171
Number of participants with account balances2020-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2010: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0167
Total number of active participants reported on line 7a of the Form 55002010-01-0162
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0162
Number of participants with account balances2010-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0167
Total number of active participants reported on line 7a of the Form 55002009-01-0167
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0174
Number of participants with account balances2009-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SANTA CRUZ COUNTY BANK RETIREMENT TRUST

Measure Date Value
2022 : SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$301,350
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,217,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,198,394
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$2,139,012
Value of total assets at end of year2022-12-31$10,105,205
Value of total assets at beginning of year2022-12-31$11,021,638
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$19,389
Total interest from all sources2022-12-31$14,679
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$639,394
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$639,394
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,041,019
Participant contributions at end of year2022-12-31$136,002
Participant contributions at beginning of year2022-12-31$235,803
Participant contributions at end of year2022-12-31$44,731
Participant contributions at beginning of year2022-12-31$36,211
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$796,935
Administrative expenses (other) incurred2022-12-31$19,389
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-916,433
Value of net assets at end of year (total assets less liabilities)2022-12-31$10,105,205
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$11,021,638
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$9,842,363
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$0
Value of interest in pooled separate accounts at end of year2022-12-31$0
Value of interest in pooled separate accounts at beginning of year2022-12-31$9,748,130
Interest on participant loans2022-12-31$7,350
Interest earned on other investments2022-12-31$7,329
Value of interest in common/collective trusts at end of year2022-12-31$70,792
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$990,837
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,491,965
Net investment gain or loss from common/collective trusts2022-12-31$230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$301,058
Employer contributions (assets) at end of year2022-12-31$11,317
Employer contributions (assets) at beginning of year2022-12-31$10,657
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,198,394
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CROWE LLP
Accountancy firm EIN2022-12-31350921680
2021 : SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$3,317,556
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,823,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,787,989
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,786,526
Value of total assets at end of year2021-12-31$11,021,638
Value of total assets at beginning of year2021-12-31$9,527,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$35,883
Total interest from all sources2021-12-31$19,521
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,136,487
Participant contributions at end of year2021-12-31$235,803
Participant contributions at beginning of year2021-12-31$169,501
Participant contributions at end of year2021-12-31$36,211
Participant contributions at beginning of year2021-12-31$32,070
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$372,384
Other income not declared elsewhere2021-12-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,493,684
Value of net assets at end of year (total assets less liabilities)2021-12-31$11,021,638
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,527,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$9,748,130
Value of interest in pooled separate accounts at beginning of year2021-12-31$8,363,470
Interest on participant loans2021-12-31$9,903
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$9,618
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$990,837
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$955,389
Net investment gain/loss from pooled separate accounts2021-12-31$1,511,508
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$277,655
Employer contributions (assets) at end of year2021-12-31$10,657
Employer contributions (assets) at beginning of year2021-12-31$7,524
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,787,989
Contract administrator fees2021-12-31$35,883
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CROWE LLP
Accountancy firm EIN2021-12-31350921680
2020 : SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,975,400
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$375,347
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$343,498
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,071,283
Value of total assets at end of year2020-12-31$9,527,954
Value of total assets at beginning of year2020-12-31$7,927,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$31,849
Total interest from all sources2020-12-31$23,622
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$866,322
Participant contributions at end of year2020-12-31$169,501
Participant contributions at beginning of year2020-12-31$208,997
Participant contributions at end of year2020-12-31$32,070
Participant contributions at beginning of year2020-12-31$0
Other income not declared elsewhere2020-12-31$647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,600,053
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,527,954
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,927,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$8,363,470
Value of interest in pooled separate accounts at beginning of year2020-12-31$7,311,136
Interest on participant loans2020-12-31$10,988
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$12,634
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$955,389
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$407,768
Net investment gain/loss from pooled separate accounts2020-12-31$879,848
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$204,961
Employer contributions (assets) at end of year2020-12-31$7,524
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$343,498
Contract administrator fees2020-12-31$31,849
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CROWE, LLP
Accountancy firm EIN2020-12-31350921680
2010 : SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$326,075
Expenses. Total of all expenses incurred2010-12-31$137,841
Benefits paid (including direct rollovers)2010-12-31$137,375
Total plan assets at end of year2010-12-31$1,447,414
Total plan assets at beginning of year2010-12-31$1,259,180
Value of fidelity bond covering the plan2010-12-31$2,000,000
Total contributions received or receivable from participants2010-12-31$205,414
Expenses. Other expenses not covered elsewhere2010-12-31$466
Contributions received from other sources (not participants or employers)2010-12-31$525
Other income received2010-12-31$120,136
Net income (gross income less expenses)2010-12-31$188,234
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,447,414
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,259,180
Assets. Value of participant loans2010-12-31$36,972
Total contributions received or receivable from employer(s)2010-12-31$0
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for SANTA CRUZ COUNTY BANK RETIREMENT TRUST

2022: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2010: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2010 form 5500 responses
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
2009: SANTA CRUZ COUNTY BANK RETIREMENT TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG38023
Policy instance 1
Insurance contract or identification numberG38023
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-10-31
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 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?Yes
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG38023
Policy instance 1
Insurance contract or identification numberG38023
Number of Individuals Covered144
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 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?Yes
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
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG38023
Policy instance 1
Insurance contract or identification numberG38023
Number of Individuals Covered114
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 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?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-801082
Policy instance 1
Insurance contract or identification numberGA-801082
Number of Individuals Covered46
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,907
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,907
Insurance broker organization code?3
Insurance broker nameFOOTHILL SEC INC

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