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SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 401k Plan overview

Plan NameSMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP
Plan identification number 001

SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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

SMITH-SONDY ASPHALT CONSTRUCTION has sponsored the creation of one or more 401k plans.

Company Name:SMITH-SONDY ASPHALT CONSTRUCTION
Employer identification number (EIN):221453733
NAIC Classification:237310
NAIC Description:Highway, Street, and Bridge Construction

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JOSEPH C SMITH2023-07-19
0012021-01-01JOSEPH C SMITH2022-07-27 JOSEPH C SMITH2022-07-27
0012020-01-01JOSEPH C SMITH2021-09-15
0012019-01-01JOSEPH C SMITH2020-07-06 JOSEPH C. SMITH2020-07-06
0012018-01-01JOSEPH C SMITH2019-08-07 JOSEPH C SMITH2019-08-07
0012017-01-01JOSEPH C SMITH2018-07-18 NICK GENCHI2018-07-18
0012016-01-01JOSEPH C. SMITH2017-06-07 JOSEPH C. SMITH2017-06-07
0012015-01-01JOSEPH SMITH2016-06-01 NICK GENCHI2016-06-01
0012014-01-01JOE SMITH
0012013-01-01JOSEPH SMITH NICOLA GENCHI2014-06-19
0012012-01-01JOSEPH SMITH2013-06-11 JOSEPH SMITH2013-06-11
0012011-01-01NICOLA GENCHI JOSEPH SMITH2012-06-28
0012010-01-01JOSEPH SMITH
0012009-01-01JOSEPH SMITH

Plan Statistics for SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP

401k plan membership statisitcs for SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP

Measure Date Value
2014: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2014 401k membership
Total participants, beginning-of-year2014-01-0126
Total number of active participants reported on line 7a of the Form 55002014-01-0119
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0123
Number of participants with account balances2014-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2013 401k membership
Total participants, beginning-of-year2013-01-0123
Total number of active participants reported on line 7a of the Form 55002013-01-0121
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0125
Number of participants with account balances2013-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2012 401k membership
Total participants, beginning-of-year2012-01-0117
Total number of active participants reported on line 7a of the Form 55002012-01-0113
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0118
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-017
2011: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2011 401k membership
Total participants, beginning-of-year2011-01-0120
Total number of active participants reported on line 7a of the Form 55002011-01-0114
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0118
Number of participants with account balances2011-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2010 401k membership
Total participants, beginning-of-year2010-01-0116
Total number of active participants reported on line 7a of the Form 55002010-01-0118
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-012
Total of all active and inactive participants2010-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0120
Number of participants with account balances2010-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2009 401k membership
Total participants, beginning-of-year2009-01-0115
Total number of active participants reported on line 7a of the Form 55002009-01-0115
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-0119
Number of participants with account balances2009-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP

Measure Date Value
2014 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2014 401k financial data
Transfers to/from the plan2014-12-31$52
Total income from all sources2014-12-31$342,333
Expenses. Total of all expenses incurred2014-12-31$83,825
Benefits paid (including direct rollovers)2014-12-31$70,104
Total plan assets at end of year2014-12-31$2,961,086
Total plan assets at beginning of year2014-12-31$2,702,526
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$153,844
Expenses. Other expenses not covered elsewhere2014-12-31$128
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$121,999
Net income (gross income less expenses)2014-12-31$258,508
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,961,086
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,702,526
Assets. Value of participant loans2014-12-31$18,906
Total contributions received or receivable from employer(s)2014-12-31$66,490
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$13,593
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2013 401k financial data
Transfers to/from the plan2013-12-31$94
Total income from all sources2013-12-31$525,816
Expenses. Total of all expenses incurred2013-12-31$14,519
Benefits paid (including direct rollovers)2013-12-31$14,478
Total plan assets at end of year2013-12-31$2,702,526
Total plan assets at beginning of year2013-12-31$2,191,135
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$112,731
Expenses. Other expenses not covered elsewhere2013-12-31$41
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$356,379
Net income (gross income less expenses)2013-12-31$511,297
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,702,526
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,191,135
Assets. Value of participant loans2013-12-31$25,072
Total contributions received or receivable from employer(s)2013-12-31$56,706
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$343,287
Expenses. Total of all expenses incurred2012-12-31$24,300
Benefits paid (including direct rollovers)2012-12-31$24,255
Total plan assets at end of year2012-12-31$2,191,135
Total plan assets at beginning of year2012-12-31$1,872,148
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$92,858
Expenses. Other expenses not covered elsewhere2012-12-31$45
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$198,807
Net income (gross income less expenses)2012-12-31$318,987
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,191,135
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,872,148
Assets. Value of participant loans2012-12-31$34,606
Total contributions received or receivable from employer(s)2012-12-31$51,622
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2011 401k financial data
Transfers to/from the plan2011-12-31$366
Total income from all sources2011-12-31$145,803
Expenses. Total of all expenses incurred2011-12-31$37,010
Benefits paid (including direct rollovers)2011-12-31$35,944
Total plan assets at end of year2011-12-31$1,872,148
Total plan assets at beginning of year2011-12-31$1,762,989
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$115,243
Expenses. Other expenses not covered elsewhere2011-12-31$165
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-23,931
Net income (gross income less expenses)2011-12-31$108,793
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,872,148
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,762,989
Assets. Value of participant loans2011-12-31$45,793
Total contributions received or receivable from employer(s)2011-12-31$54,491
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$901
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$320,692
Expenses. Total of all expenses incurred2010-12-31$38,152
Benefits paid (including direct rollovers)2010-12-31$38,069
Total plan assets at end of year2010-12-31$1,762,989
Total plan assets at beginning of year2010-12-31$1,480,449
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$111,947
Expenses. Other expenses not covered elsewhere2010-12-31$83
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$150,623
Net income (gross income less expenses)2010-12-31$282,540
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,762,989
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,480,449
Assets. Value of participant loans2010-12-31$3,034
Total contributions received or receivable from employer(s)2010-12-31$58,122
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 : SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 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 SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP

2014: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2014 form 5500 responses
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 planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2013 form 5500 responses
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 planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2012 form 5500 responses
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
2011: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 2011 form 5500 responses
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
2010: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 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: SMITH-SONDY ASPHALT CONSTRUCTION CO., INC. 401(K) PSP 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

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712147
Policy instance 1
Insurance contract or identification numberGA-712147
Number of Individuals Covered19
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,582
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 $9,582
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INS SERVICES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712147
Policy instance 1
Insurance contract or identification numberGA-712147
Number of Individuals Covered17
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,712
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 $7,712
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INS SVCS INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712147
Policy instance 1
Insurance contract or identification numberGA-712147
Number of Individuals Covered13
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,854
Total amount of fees paid to insurance companyUSD $91
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 $5,854
Insurance broker organization code?3
Amount paid for insurance broker fees66
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMORGANSTANLEY SMITHBARNEY LLC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712147
Policy instance 1
Insurance contract or identification numberGA-712147
Number of Individuals Covered18
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $5,583
Total amount of fees paid to insurance companyUSD $101
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712147
Policy instance 1
Insurance contract or identification numberGA-712147
Number of Individuals Covered20
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,916
Total amount of fees paid to insurance companyUSD $142
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 $4,916
Insurance broker organization code?3
Amount paid for insurance broker fees117
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameMORGANSTANLEY SMITHBARNEY LLC

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