HARTFORD HEALTHCARE CORPORATION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN
401k plan membership statisitcs for HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN
| Measure | Date | Value |
|---|
| 2022 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2022 401k financial data |
|---|
| Total income from all sources (including contributions) | 2022-12-31 | $-103,829,108 |
| Total of all expenses incurred | 2022-12-31 | $41,933,963 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2022-12-31 | $41,698,447 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2022-12-31 | $1,235,893 |
| Value of total assets at end of year | 2022-12-31 | $609,896,794 |
| Value of total assets at beginning of year | 2022-12-31 | $755,659,865 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2022-12-31 | $235,516 |
| Total interest from all sources | 2022-12-31 | $389,318 |
| Total dividends received (eg from common stock, registered investment company shares) | 2022-12-31 | $18,093,137 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2022-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2022-12-31 | $18,093,137 |
| Was this plan covered by a fidelity bond | 2022-12-31 | Yes |
| Value of fidelity bond cover | 2022-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2022-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2022-12-31 | No |
| Participant contributions at end of year | 2022-12-31 | $4,082,055 |
| Participant contributions at beginning of year | 2022-12-31 | $4,938,905 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2022-12-31 | $1,235,893 |
| Administrative expenses (other) incurred | 2022-12-31 | $175,312 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Value of net income/loss | 2022-12-31 | $-145,763,071 |
| Value of net assets at end of year (total assets less liabilities) | 2022-12-31 | $609,896,794 |
| Value of net assets at beginning of year (total assets less liabilities) | 2022-12-31 | $755,659,865 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2022-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2022-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2022-12-31 | No |
| Investment advisory and management fees | 2022-12-31 | $60,204 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2022-12-31 | $373,672,642 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2022-12-31 | $473,894,559 |
| Value of interest in pooled separate accounts at end of year | 2022-12-31 | $124,529,050 |
| Value of interest in pooled separate accounts at beginning of year | 2022-12-31 | $168,678,006 |
| Interest on participant loans | 2022-12-31 | $389,318 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2022-12-31 | $107,613,047 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2022-12-31 | $108,148,395 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2022-12-31 | $-123,547,456 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2022-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2022-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2022-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2022-12-31 | $41,698,447 |
| Did the plan have assets held for investment | 2022-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2022-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2022-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2022-12-31 | Disclaimer |
| Accountancy firm name | 2022-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2022-12-31 | 061648707 |
| 2021 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2021 401k financial data |
|---|
| 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 | $14,104 |
| Total income from all sources (including contributions) | 2021-12-31 | $97,484,561 |
| Total of all expenses incurred | 2021-12-31 | $53,915,712 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2021-12-31 | $53,658,014 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2021-12-31 | $828,063 |
| Value of total assets at end of year | 2021-12-31 | $755,659,865 |
| Value of total assets at beginning of year | 2021-12-31 | $712,105,120 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2021-12-31 | $257,698 |
| Total interest from all sources | 2021-12-31 | $491,180 |
| Total dividends received (eg from common stock, registered investment company shares) | 2021-12-31 | $27,873,479 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2021-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2021-12-31 | $27,873,479 |
| Was this plan covered by a fidelity bond | 2021-12-31 | Yes |
| Value of fidelity bond cover | 2021-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2021-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2021-12-31 | No |
| Participant contributions at end of year | 2021-12-31 | $4,938,905 |
| Participant contributions at beginning of year | 2021-12-31 | $5,800,731 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2021-12-31 | $828,063 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Value of net income/loss | 2021-12-31 | $43,568,849 |
| Value of net assets at end of year (total assets less liabilities) | 2021-12-31 | $755,659,865 |
| Value of net assets at beginning of year (total assets less liabilities) | 2021-12-31 | $712,091,016 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2021-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2021-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2021-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2021-12-31 | $473,894,559 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2021-12-31 | $439,909,501 |
| Value of interest in pooled separate accounts at end of year | 2021-12-31 | $168,678,006 |
| Value of interest in pooled separate accounts at beginning of year | 2021-12-31 | $154,800,386 |
| Interest on participant loans | 2021-12-31 | $491,180 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2021-12-31 | $108,148,395 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2021-12-31 | $111,594,502 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2021-12-31 | $68,291,839 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2021-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2021-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2021-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2021-12-31 | $53,658,014 |
| Contract administrator fees | 2021-12-31 | $257,698 |
| Liabilities. Value of benefit claims payable at beginning of year | 2021-12-31 | $14,104 |
| Did the plan have assets held for investment | 2021-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2021-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2021-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2021-12-31 | Disclaimer |
| Accountancy firm name | 2021-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2021-12-31 | 061648707 |
| 2020 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2020 401k financial data |
|---|
| Total transfer of assets to this plan | 2020-12-31 | $1,210,101 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $14,104 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2020-12-31 | $14,104 |
| Total income from all sources (including contributions) | 2020-12-31 | $92,529,668 |
| Total of all expenses incurred | 2020-12-31 | $44,895,294 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2020-12-31 | $44,616,654 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2020-12-31 | $2,781,408 |
| Value of total assets at end of year | 2020-12-31 | $712,105,120 |
| Value of total assets at beginning of year | 2020-12-31 | $663,260,645 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2020-12-31 | $278,640 |
| Total interest from all sources | 2020-12-31 | $527,719 |
| Total dividends received (eg from common stock, registered investment company shares) | 2020-12-31 | $16,422,986 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2020-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2020-12-31 | $16,422,986 |
| Was this plan covered by a fidelity bond | 2020-12-31 | Yes |
| Value of fidelity bond cover | 2020-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2020-12-31 | No |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2020-12-31 | 0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2020-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2020-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2020-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2020-12-31 | No |
| Participant contributions at end of year | 2020-12-31 | $5,800,731 |
| Participant contributions at beginning of year | 2020-12-31 | $6,064,749 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2020-12-31 | $2,781,408 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2020-12-31 | $0 |
| Value of other receiveables (less allowance for doubtful accounts) at beginning of year | 2020-12-31 | $42,393,172 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Value of net income/loss | 2020-12-31 | $47,634,374 |
| Value of net assets at end of year (total assets less liabilities) | 2020-12-31 | $712,091,016 |
| Value of net assets at beginning of year (total assets less liabilities) | 2020-12-31 | $663,246,541 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2020-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2020-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2020-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2020-12-31 | $439,909,501 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2020-12-31 | $371,321,853 |
| Value of interest in pooled separate accounts at end of year | 2020-12-31 | $154,800,386 |
| Value of interest in pooled separate accounts at beginning of year | 2020-12-31 | $142,854,920 |
| Interest on participant loans | 2020-12-31 | $527,719 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2020-12-31 | $111,594,502 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2020-12-31 | $99,942,548 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2020-12-31 | $72,797,555 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2020-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2020-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2020-12-31 | No |
| Employer contributions (assets) at end of year | 2020-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2020-12-31 | $683,403 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2020-12-31 | $44,616,654 |
| Contract administrator fees | 2020-12-31 | $278,640 |
| Liabilities. Value of benefit claims payable at end of year | 2020-12-31 | $14,104 |
| Liabilities. Value of benefit claims payable at beginning of year | 2020-12-31 | $14,104 |
| Did the plan have assets held for investment | 2020-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2020-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2020-12-31 | No |
| Opinion of an independent qualified public accountant for this plan | 2020-12-31 | Disclaimer |
| Accountancy firm name | 2020-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2020-12-31 | 061648707 |
| 2019 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2019 401k financial data |
|---|
| Total transfer of assets to this plan | 2019-12-31 | $43,062,471 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $14,104 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $14,104 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $0 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2019-12-31 | $0 |
| Total income from all sources (including contributions) | 2019-12-31 | $104,333,813 |
| Total of all expenses incurred | 2019-12-31 | $43,777,858 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2019-12-31 | $43,539,708 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,814,580 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2019-12-31 | $1,814,580 |
| Value of total assets at end of year | 2019-12-31 | $663,260,645 |
| Value of total assets at end of year | 2019-12-31 | $663,260,645 |
| Value of total assets at beginning of year | 2019-12-31 | $559,628,115 |
| Value of total assets at beginning of year | 2019-12-31 | $559,628,115 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2019-12-31 | $238,150 |
| Total interest from all sources | 2019-12-31 | $493,565 |
| Total interest from all sources | 2019-12-31 | $493,565 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $17,160,817 |
| Total dividends received (eg from common stock, registered investment company shares) | 2019-12-31 | $17,160,817 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2019-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $17,160,817 |
| Total dividends received from registered investment company shares (eg mutual funds) | 2019-12-31 | $17,160,817 |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Was this plan covered by a fidelity bond | 2019-12-31 | Yes |
| Value of fidelity bond cover | 2019-12-31 | $5,000,000 |
| Value of fidelity bond cover | 2019-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| If this is an individual account plan, was there a blackout period | 2019-12-31 | No |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2019-12-31 | 0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2019-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2019-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2019-12-31 | No |
| Participant contributions at end of year | 2019-12-31 | $6,064,749 |
| Participant contributions at end of year | 2019-12-31 | $6,064,749 |
| Participant contributions at beginning of year | 2019-12-31 | $6,241,815 |
| Participant contributions at beginning of year | 2019-12-31 | $6,241,815 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $1,814,580 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2019-12-31 | $1,814,580 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $42,393,172 |
| Value of other receiveables (less allowance for doubtful accounts) at end of year | 2019-12-31 | $42,393,172 |
| Total non interest bearing cash at end of year | 2019-12-31 | $0 |
| Total non interest bearing cash at end of year | 2019-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $1,025,878 |
| Total non interest bearing cash at beginning of year | 2019-12-31 | $1,025,878 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Value of net income/loss | 2019-12-31 | $60,555,955 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $663,246,541 |
| Value of net assets at end of year (total assets less liabilities) | 2019-12-31 | $663,246,541 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $559,628,115 |
| Value of net assets at beginning of year (total assets less liabilities) | 2019-12-31 | $559,628,115 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2019-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $371,321,853 |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2019-12-31 | $371,321,853 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $322,668,311 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2019-12-31 | $322,668,311 |
| Value of interest in pooled separate accounts at end of year | 2019-12-31 | $142,854,920 |
| Value of interest in pooled separate accounts at end of year | 2019-12-31 | $142,854,920 |
| Value of interest in pooled separate accounts at beginning of year | 2019-12-31 | $126,478,809 |
| Value of interest in pooled separate accounts at beginning of year | 2019-12-31 | $126,478,809 |
| Interest on participant loans | 2019-12-31 | $493,565 |
| Interest on participant loans | 2019-12-31 | $493,565 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2019-12-31 | $99,942,548 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2019-12-31 | $99,942,548 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2019-12-31 | $103,033,787 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2019-12-31 | $103,033,787 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2019-12-31 | $84,864,851 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2019-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2019-12-31 | No |
| Employer contributions (assets) at end of year | 2019-12-31 | $683,403 |
| Employer contributions (assets) at end of year | 2019-12-31 | $683,403 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $179,515 |
| Employer contributions (assets) at beginning of year | 2019-12-31 | $179,515 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2019-12-31 | $43,539,708 |
| Contract administrator fees | 2019-12-31 | $238,150 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $14,104 |
| Liabilities. Value of benefit claims payable at end of year | 2019-12-31 | $14,104 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $0 |
| Liabilities. Value of benefit claims payable at beginning of year | 2019-12-31 | $0 |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan have assets held for investment | 2019-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2019-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2019-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2019-12-31 | Disclaimer |
| Accountancy firm name | 2019-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2019-12-31 | 061648707 |
| 2018 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2018 401k financial data |
|---|
| Total transfer of assets to this plan | 2018-12-31 | $22,771,339 |
| Total income from all sources (including contributions) | 2018-12-31 | $-24,999,266 |
| Total of all expenses incurred | 2018-12-31 | $52,358,507 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2018-12-31 | $51,539,712 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2018-12-31 | $2,811,971 |
| Value of total assets at end of year | 2018-12-31 | $559,628,115 |
| Value of total assets at beginning of year | 2018-12-31 | $614,214,549 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2018-12-31 | $818,795 |
| Total interest from all sources | 2018-12-31 | $317,579 |
| Total dividends received (eg from common stock, registered investment company shares) | 2018-12-31 | $19,209,421 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2018-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2018-12-31 | $19,209,421 |
| Was this plan covered by a fidelity bond | 2018-12-31 | Yes |
| Value of fidelity bond cover | 2018-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2018-12-31 | No |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2018-12-31 | 0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2018-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2018-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2018-12-31 | No |
| Participant contributions at end of year | 2018-12-31 | $6,241,815 |
| Participant contributions at beginning of year | 2018-12-31 | $6,491,287 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2018-12-31 | $2,811,971 |
| Total non interest bearing cash at end of year | 2018-12-31 | $1,025,878 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Value of net income/loss | 2018-12-31 | $-77,357,773 |
| Value of net assets at end of year (total assets less liabilities) | 2018-12-31 | $559,628,115 |
| Value of net assets at beginning of year (total assets less liabilities) | 2018-12-31 | $614,214,549 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2018-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2018-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2018-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2018-12-31 | $322,668,311 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2018-12-31 | $314,462,584 |
| Value of interest in pooled separate accounts at end of year | 2018-12-31 | $126,478,809 |
| Value of interest in pooled separate accounts at beginning of year | 2018-12-31 | $149,390,885 |
| Interest on participant loans | 2018-12-31 | $317,579 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2018-12-31 | $103,033,787 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2018-12-31 | $143,869,793 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2018-12-31 | $-47,338,237 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2018-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2018-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2018-12-31 | No |
| Employer contributions (assets) at end of year | 2018-12-31 | $179,515 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2018-12-31 | $51,539,712 |
| Contract administrator fees | 2018-12-31 | $818,795 |
| Did the plan have assets held for investment | 2018-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2018-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2018-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2018-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2018-12-31 | Disclaimer |
| Accountancy firm name | 2018-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2018-12-31 | 061648707 |
| 2017 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2017 401k financial data |
|---|
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2017-12-31 | $60,751 |
| Total income from all sources (including contributions) | 2017-12-31 | $81,883,437 |
| Total of all expenses incurred | 2017-12-31 | $47,681,952 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-12-31 | $47,005,381 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-12-31 | $4,512,733 |
| Value of total assets at end of year | 2017-12-31 | $614,214,549 |
| Value of total assets at beginning of year | 2017-12-31 | $580,073,815 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2017-12-31 | $676,571 |
| Total interest from all sources | 2017-12-31 | $338,112 |
| Total dividends received (eg from common stock, registered investment company shares) | 2017-12-31 | $8,838,085 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2017-12-31 | $8,838,085 |
| Was this plan covered by a fidelity bond | 2017-12-31 | Yes |
| Value of fidelity bond cover | 2017-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-12-31 | No |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2017-12-31 | 0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2017-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2017-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2017-12-31 | No |
| Participant contributions at end of year | 2017-12-31 | $6,491,287 |
| Participant contributions at beginning of year | 2017-12-31 | $7,022,100 |
| Assets. Other investments not covered elsewhere at end of year | 2017-12-31 | $0 |
| Assets. Other investments not covered elsewhere at beginning of year | 2017-12-31 | $276,927 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2017-12-31 | $4,512,733 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2017-12-31 | $60,751 |
| Total non interest bearing cash at end of year | 2017-12-31 | $0 |
| Total non interest bearing cash at beginning of year | 2017-12-31 | $256 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Value of net income/loss | 2017-12-31 | $34,201,485 |
| Value of net assets at end of year (total assets less liabilities) | 2017-12-31 | $614,214,549 |
| Value of net assets at beginning of year (total assets less liabilities) | 2017-12-31 | $580,013,064 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2017-12-31 | $314,462,584 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2017-12-31 | $289,870,891 |
| Value of interest in pooled separate accounts at end of year | 2017-12-31 | $149,390,885 |
| Value of interest in pooled separate accounts at beginning of year | 2017-12-31 | $140,931,050 |
| Interest on participant loans | 2017-12-31 | $338,112 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2017-12-31 | $143,869,793 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2017-12-31 | $141,972,591 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2017-12-31 | $68,194,507 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-12-31 | No |
| Contributions received in cash from employer | 2017-12-31 | $0 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2017-12-31 | $47,005,381 |
| Contract administrator fees | 2017-12-31 | $676,571 |
| Did the plan have assets held for investment | 2017-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2017-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2017-12-31 | Disclaimer |
| Accountancy firm name | 2017-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2017-12-31 | 061648707 |
| 2016 : HARTFORD HEALTHCARE 403(B) PLAN FKA HARTFORD HOSPITAL SECTION 403(B)/TSA PLAN 2016 401k financial data |
|---|
| Total transfer of assets to this plan | 2016-12-31 | $221,106,442 |
| Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $60,751 |
| Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities) | 2016-12-31 | $0 |
| Total income from all sources (including contributions) | 2016-12-31 | $32,426,293 |
| Total of all expenses incurred | 2016-12-31 | $40,412,974 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-12-31 | $40,067,933 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-12-31 | $3,774,292 |
| Value of total assets at end of year | 2016-12-31 | $580,073,815 |
| Value of total assets at beginning of year | 2016-12-31 | $366,893,303 |
| Total of administrative expenses incurred including professional, contract, advisory and management fees | 2016-12-31 | $345,041 |
| Total interest from all sources | 2016-12-31 | $202,897 |
| Total dividends received (eg from common stock, registered investment company shares) | 2016-12-31 | $5,851,419 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-12-31 | No |
| Total dividends received from registered investment company shares (eg mutual funds) | 2016-12-31 | $5,851,419 |
| Was this plan covered by a fidelity bond | 2016-12-31 | Yes |
| Value of fidelity bond cover | 2016-12-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-12-31 | No |
| Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers | 2016-12-31 | 0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| Minimum employer required contribution for this plan year | 2016-12-31 | $0 |
| Amount contributed by the employer to the plan for this plan year | 2016-12-31 | $0 |
| Were there any nonexempt tranactions with any party-in-interest | 2016-12-31 | No |
| Participant contributions at end of year | 2016-12-31 | $7,022,100 |
| Participant contributions at beginning of year | 2016-12-31 | $4,282,809 |
| Assets. Other investments not covered elsewhere at end of year | 2016-12-31 | $276,927 |
| Assets. Other investments not covered elsewhere at beginning of year | 2016-12-31 | $0 |
| Income. Received or receivable in cash from other sources (including rollovers) | 2016-12-31 | $3,990,243 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year | 2016-12-31 | $60,751 |
| Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year | 2016-12-31 | $0 |
| Total non interest bearing cash at end of year | 2016-12-31 | $256 |
| Total non interest bearing cash at beginning of year | 2016-12-31 | $101 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Value of net income/loss | 2016-12-31 | $-7,986,681 |
| Value of net assets at end of year (total assets less liabilities) | 2016-12-31 | $580,013,064 |
| Value of net assets at beginning of year (total assets less liabilities) | 2016-12-31 | $366,893,303 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-12-31 | No |
| Value of interest in registered invesment companies (eg mutual funds) at end of year | 2016-12-31 | $289,870,891 |
| Value of interest in registered invesment companies (eg mutual funds) at beginning of year | 2016-12-31 | $108,990,168 |
| Value of interest in pooled separate accounts at end of year | 2016-12-31 | $140,931,050 |
| Value of interest in pooled separate accounts at beginning of year | 2016-12-31 | $234,212,817 |
| Interest on participant loans | 2016-12-31 | $202,897 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2016-12-31 | $141,972,591 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2016-12-31 | $15,505,946 |
| Net investment gain/loss from registered investment companies (e.g. mutual funds) | 2016-12-31 | $22,597,685 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-12-31 | No |
| Contributions received in cash from employer | 2016-12-31 | $-215,951 |
| Employer contributions (assets) at end of year | 2016-12-31 | $0 |
| Employer contributions (assets) at beginning of year | 2016-12-31 | $3,901,462 |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2016-12-31 | $40,067,933 |
| Contract administrator fees | 2016-12-31 | $345,041 |
| Did the plan have assets held for investment | 2016-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2016-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2016-12-31 | Disclaimer |
| Accountancy firm name | 2016-12-31 | FIONDELLA, MILONE & LASARACINA LLP |
| Accountancy firm EIN | 2016-12-31 | 061648707 |
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $4,628 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,479 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $1,902 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,902 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $240,455 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $239,544 | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 381 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 80 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $3,888 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,888 | | Insurance broker organization code? | 3 |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Number of Individuals Covered | 274 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $70,807 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68,420 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 8 |
| Insurance contract or identification number | 010104-G | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 9 |
| Insurance contract or identification number | 052222-C | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,583 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,542 | | Insurance broker organization code? | 3 |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 86 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $5,655 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,647 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 8 |
| Insurance contract or identification number | 010104-G | | Number of Individuals Covered | 129 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of fees paid to insurance company | USD $3,468 | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3468 | | Additional information about fees paid to insurance broker | PORTION OF INCENTIVE COMP. PROGRAM | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 371 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 9 |
| Insurance contract or identification number | 052222-C | | Number of Individuals Covered | 3 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $303,275 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $301,544 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 93 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $3,598 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,584 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 9 |
| Insurance contract or identification number | 052222-C | | Number of Individuals Covered | 3 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 8 |
| Insurance contract or identification number | 010104-G | | Number of Individuals Covered | 134 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $3,468 | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $0 | | Amount paid for insurance broker fees | 3468 | | Additional information about fees paid to insurance broker | PORTION OF INCENTIVE COMP. PROGRAM | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $54,771 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $54,771 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $1,804 | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | Yes | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Other information about contract | GROUP ANNUITY CONTRACT | | Commission paid to Insurance Broker | USD $1,804 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $26,958 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $146 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $232,369 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $230,346 | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 583 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Number of Individuals Covered | 302 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Total amount of commissions paid to insurance broker | USD $69,806 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,458 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 9 |
| Insurance contract or identification number | 052222-C | | Number of Individuals Covered | 3 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 8 |
| Insurance contract or identification number | 010104-G | | Number of Individuals Covered | 144 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of fees paid to insurance company | USD $2,581 | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2581 | | Additional information about fees paid to insurance broker | PARTICIPANT CHARGES, PROFESSIONAL SERVCES CHARGES, ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Number of Individuals Covered | 478 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $11,292 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $213 | | Insurance broker organization code? | 3 |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 95 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $3,556 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,544 | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 481 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $29,010 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $68 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $1,933 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,933 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $5,500 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,500 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $235,597 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $233,329 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $2,352 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,342 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $17,500 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $17,500 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $26,470 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $496 | | Insurance broker organization code? | 3 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $254,583 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $249,203 | | Insurance broker organization code? | 3 |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 496 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 100 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $3,651 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1 | | Insurance broker organization code? | 3 |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Number of Individuals Covered | 490 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $12,566 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $213 | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 8 |
| Insurance contract or identification number | 010104-G | | Number of Individuals Covered | 144 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $2,563 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 2563 | | Additional information about fees paid to insurance broker | PARTICIPANT CHARGES, PROFESSIONAL SERVCES CHARGES, ADMINISTRATION FEE | | Insurance broker organization code? | 3 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 9 |
| Insurance contract or identification number | 052222-C | | Number of Individuals Covered | 3 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 054004-C |
| Policy instance | 10 |
| Insurance contract or identification number | 054004-C | | Number of Individuals Covered | 0 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 010588 |
| Policy instance | 3 |
| Insurance contract or identification number | 010588 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $42,546 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5,513 | | Insurance broker organization code? | 3 | | Insurance broker name | CETERA ADVISOR NETWORK LLC |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 942121 |
| Policy instance | 4 |
| Insurance contract or identification number | 942121 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $250,682 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $246,548 | | Insurance broker organization code? | 3 | | Insurance broker name | MSI FINANCIAL SERVICES |
|
| PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 ) |
| Policy contract number | 074117 |
| Policy instance | 5 |
| Insurance contract or identification number | 074117 | | Number of Individuals Covered | 7086 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 6 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 113 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-10-27 | | Total amount of commissions paid to insurance broker | USD $3,082 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $5 | | Insurance broker organization code? | 3 | | Insurance broker name | CETERA ADVISOR NETWORKS INSURANCE |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VFZ046 |
| Policy instance | 7 |
| Insurance contract or identification number | VFZ046 | | Number of Individuals Covered | 491 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $12,330 | | Total amount of fees paid to insurance company | USD $1 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $134 | | Amount paid for insurance broker fees | 1 | | Insurance broker organization code? | 3 | | Insurance broker name | CETERA ADVISOR NETWORKS INSURANCE |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 010104-G |
| Policy instance | 9 |
| Insurance contract or identification number | 010104-G | | Number of Individuals Covered | 185 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $3,183 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 3183 | | Additional information about fees paid to insurance broker | PARTICIPANT CHARGES, PROFESSIONAL SERVCES CHARGES, ADMINISTRATION FEES | | Insurance broker organization code? | 3 | | Insurance broker name | MUTUAL OF AMERICA LIFE INSURANCE CO |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | VE0979 |
| Policy instance | 8 |
| Insurance contract or identification number | VE0979 | | Number of Individuals Covered | 105 | | Insurance policy start date | 2017-10-28 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $615 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $615 | | Insurance broker organization code? | 3 | | Insurance broker name | CETERA ADVISOR NETWORKS INSURANCE |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 052222-C |
| Policy instance | 10 |
| Insurance contract or identification number | 052222-C | | Number of Individuals Covered | 5 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 054004-C |
| Policy instance | 11 |
| Insurance contract or identification number | 054004-C | | Number of Individuals Covered | 31 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 869815 |
| Policy instance | 1 |
| Insurance contract or identification number | 869815 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $32,500 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32,500 | | Insurance broker organization code? | 3 | | Insurance broker name | CETERA ADVISOR NETWORK LLC |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 934533 |
| Policy instance | 2 |
| Insurance contract or identification number | 934533 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $2,047 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,030 | | Insurance broker organization code? | 3 | | Insurance broker name | MAFFETT/BAXTER HALL |
|
