ZIEGER & SONS, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN
401k plan membership statisitcs for ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 20 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 0 |
| Total of all active and inactive participants | 2022-01-01 | 20 |
| 2021: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 22 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 0 |
| Total of all active and inactive participants | 2021-01-01 | 22 |
| 2020: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 21 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 0 |
| Total of all active and inactive participants | 2020-01-01 | 21 |
| 2019: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 23 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 23 |
| 2018: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 24 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 24 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 0 |
| Total of all active and inactive participants | 2018-01-01 | 24 |
| 2017: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 24 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 24 |
| 2016: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 28 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 29 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 29 |
| Measure | Date | Value |
|---|
| 2022 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $11,728 |
| Total plan liabilities at beginning of year | 2022-12-31 | $10,737 |
| Total income from all sources | 2022-12-31 | $262,930 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $218,228 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $83,897 |
| Total plan assets at end of year | 2022-12-31 | $199,536 |
| Total plan assets at beginning of year | 2022-12-31 | $153,843 |
| Value of fidelity bond covering the plan | 2022-12-31 | $1,000,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $77,607 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $121,234 |
| Contributions received from other sources (not participants or employers) | 2022-12-31 | $0 |
| Other income received | 2022-12-31 | $0 |
| Net income (gross income less expenses) | 2022-12-31 | $44,702 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $187,808 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $143,106 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $185,323 |
| Value of corrective distributions | 2022-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $13,097 |
| 2021 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $10,737 |
| Total plan liabilities at beginning of year | 2021-12-31 | $6,759 |
| Total income from all sources | 2021-12-31 | $252,055 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $292,227 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $166,849 |
| Total plan assets at end of year | 2021-12-31 | $153,843 |
| Total plan assets at beginning of year | 2021-12-31 | $190,037 |
| Value of fidelity bond covering the plan | 2021-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $80,766 |
| Expenses. Other expenses not covered elsewhere | 2021-12-31 | $112,650 |
| Net income (gross income less expenses) | 2021-12-31 | $-40,172 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $143,106 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $183,278 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $171,289 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $12,728 |
| 2020 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $6,759 |
| Total plan liabilities at beginning of year | 2020-12-31 | $8,456 |
| Total income from all sources | 2020-12-31 | $277,909 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $249,100 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $76,989 |
| Total plan assets at end of year | 2020-12-31 | $190,037 |
| Total plan assets at beginning of year | 2020-12-31 | $162,925 |
| Value of fidelity bond covering the plan | 2020-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $101,677 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $113,670 |
| Net income (gross income less expenses) | 2020-12-31 | $28,809 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $183,278 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $154,469 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $176,232 |
| Value of corrective distributions | 2020-12-31 | $45,000 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $13,441 |
| 2019 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-12-31 | $8,456 |
| Total plan liabilities at beginning of year | 2019-12-31 | $12,406 |
| Total income from all sources | 2019-12-31 | $272,835 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $211,591 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $77,304 |
| Total plan assets at end of year | 2019-12-31 | $162,925 |
| Total plan assets at beginning of year | 2019-12-31 | $105,631 |
| Value of fidelity bond covering the plan | 2019-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $99,190 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $101,620 |
| Contributions received from other sources (not participants or employers) | 2019-12-31 | $0 |
| Other income received | 2019-12-31 | $0 |
| Net income (gross income less expenses) | 2019-12-31 | $61,244 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $154,469 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $93,225 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $173,645 |
| Value of corrective distributions | 2019-12-31 | $20,000 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $12,667 |
| 2018 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-12-31 | $12,406 |
| Total plan liabilities at beginning of year | 2018-12-31 | $24,258 |
| Total income from all sources | 2018-12-31 | $282,824 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $231,818 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $125,449 |
| Total plan assets at end of year | 2018-12-31 | $105,631 |
| Total plan assets at beginning of year | 2018-12-31 | $66,477 |
| Value of fidelity bond covering the plan | 2018-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $108,039 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $93,396 |
| Net income (gross income less expenses) | 2018-12-31 | $51,006 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $93,225 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $42,219 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $174,785 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $12,973 |
| 2017 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-12-31 | $24,258 |
| Total plan liabilities at beginning of year | 2017-12-31 | $51,048 |
| Total income from all sources | 2017-12-31 | $270,146 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $193,510 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $84,586 |
| Total plan assets at end of year | 2017-12-31 | $66,477 |
| Total plan assets at beginning of year | 2017-12-31 | $16,631 |
| Value of fidelity bond covering the plan | 2017-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $93,891 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $97,067 |
| Net income (gross income less expenses) | 2017-12-31 | $76,636 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $42,219 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $-34,417 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $176,255 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $11,857 |
| 2016 : ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $51,048 |
| Total income from all sources | 2016-12-31 | $260,827 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $295,244 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $182,444 |
| Total plan assets at end of year | 2016-12-31 | $16,631 |
| Value of fidelity bond covering the plan | 2016-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $97,895 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $98,057 |
| Contributions received from other sources (not participants or employers) | 2016-12-31 | $0 |
| Net income (gross income less expenses) | 2016-12-31 | $-34,417 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $-34,417 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $162,932 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $14,743 |
| 2022: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: ZIEGER & SONS, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | First time form 5500 has been submitted | Yes |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500170 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500170 | | Number of Individuals Covered | 20 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $102,892 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500170 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500170 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2021-01-01 | | Insurance policy end date | 2021-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $94,081 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 30500170 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500170 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $93,629 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 23 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $82,316 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | VERIS |
| Policy instance | 1 |
| Insurance contract or identification number | VERIS | | Number of Individuals Covered | 24 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $74,497 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
