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EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 401k Plan overview

Plan NameEBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA
Plan identification number 001

EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).

401k Sponsoring company profile

NATIONALITIES SERVICE CENTER - PA has sponsored the creation of one or more 401k plans.

Company Name:NATIONALITIES SERVICE CENTER - PA
Employer identification number (EIN):231352336
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01PAMELA JONES-BURNLEY2024-01-11 PAMELA JONES-BURNLEY2024-01-11
0012020-07-01PAMELA JONES-BURNLEY2022-03-15
0012019-07-01PAMELA JONES-BURNLEY2021-04-20
0012018-07-01PAMELA JONES-BURNLEY2021-04-20
0012017-07-01PAMELA JONES-BURNLEY2019-04-12
0012016-07-01PAMELA JONES-BURNLEY2017-12-19
0012015-07-01PAMELA JONES-BURNLEY
0012014-07-01PAMELA JONES-BURNLEY
0012013-07-01PAMELA JONES-BURNLEY
0012012-07-01PAMELA JONES-BURNLEY
0012011-07-01PAMELA JONES-BURNLEY
0012009-07-01PAMELA JONES BURNLEY
0012009-07-01PAMELA JONES BURNLEY DENNIS MULLIGAN2011-04-14

Plan Statistics for EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA

401k plan membership statisitcs for EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA

Measure Date Value
2022: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2022 401k membership
Market value of plan assets2022-06-301,010,256
Acturial value of plan assets2022-06-30909,230
Funding target for retired participants and beneficiaries receiving payment2022-06-306,963
Number of terminated vested participants2022-06-3045
Fundng target for terminated vested participants2022-06-30947,134
Active participant vested funding target2022-06-3078,080
Number of active participants2022-06-305
Total funding liabilities for active participants2022-06-3082,852
Total participant count2022-06-3051
Total funding target for all participants2022-06-301,036,949
Balance at beginning of prior year after applicable adjustments2022-06-300
Prefunding balance at beginning of prior year after applicable adjustments2022-06-3037,755
Prefunding balanced used to offset prior years funding requirement2022-06-300
Amount remaining of carryover balance2022-06-300
Amount remaining of prefunding balance2022-06-3037,755
Present value of excess contributions2022-06-3019,758
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-06-3020,908
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2022-06-3020,908
Reductions in caryover balances due to elections or deemed elections2022-06-300
Reductions in prefunding balances due to elections or deemed elections2022-06-300
Balance of carryovers at beginning of current year2022-06-300
Balance of prefunding at beginning of current year2022-06-3069,306
Total employer contributions2022-06-3016,932
Contributions allocated toward unpaid minimum require contributions from prior years2022-06-300
Contributions made to avoid restrictions adjusted to valuation date2022-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-06-3016,237
Unpaid minimum required contributions for all prior years2022-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2022-06-300
Remaining amount of unpaid minimum required contributions2022-06-300
Minimum required contributions for current year target normal cost2022-06-306,365
Net shortfall amortization installment of oustanding balance2022-06-30197,025
Waiver amortization installment2022-06-300
Total funding amount beforereflecting carryover/prefunding balances2022-06-3034,077
Prefunding balance elected to use to offset funding requirement2022-06-3017,840
Additional cash requirement2022-06-3016,237
Contributions allocatedtoward minimum required contributions for current year2022-06-3016,237
Unpaid minimum required contributions for current year2022-06-300
Unpaid minimum required contributions for all years2022-06-300
2021: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2021 401k membership
Market value of plan assets2021-06-30790,034
Acturial value of plan assets2021-06-30795,378
Funding target for retired participants and beneficiaries receiving payment2021-06-307,184
Number of terminated vested participants2021-06-3051
Fundng target for terminated vested participants2021-06-30914,456
Active participant vested funding target2021-06-300
Number of active participants2021-06-300
Total funding liabilities for active participants2021-06-300
Total participant count2021-06-3052
Total funding target for all participants2021-06-30921,640
Balance at beginning of prior year after applicable adjustments2021-06-300
Prefunding balance at beginning of prior year after applicable adjustments2021-06-300
Amount remaining of carryover balance2021-06-300
Amount remaining of prefunding balance2021-06-300
Present value of excess contributions2021-06-3035,733
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2021-06-3037,755
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2021-06-3037,755
Reductions in caryover balances due to elections or deemed elections2021-06-300
Reductions in prefunding balances due to elections or deemed elections2021-06-300
Balance of carryovers at beginning of current year2021-06-300
Balance of prefunding at beginning of current year2021-06-3037,755
Total employer contributions2021-06-3044,391
Total employee contributions2021-06-300
Contributions allocated toward unpaid minimum require contributions from prior years2021-06-300
Contributions made to avoid restrictions adjusted to valuation date2021-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2021-06-3042,334
Unpaid minimum required contributions for all prior years2021-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2021-06-300
Remaining amount of unpaid minimum required contributions2021-06-300
Minimum required contributions for current year target normal cost2021-06-306,420
Net shortfall amortization installment of oustanding balance2021-06-30164,017
Waiver amortization installment2021-06-300
Total funding amount beforereflecting carryover/prefunding balances2021-06-3022,576
Additional cash requirement2021-06-3022,576
Contributions allocatedtoward minimum required contributions for current year2021-06-3042,334
Unpaid minimum required contributions for current year2021-06-300
Unpaid minimum required contributions for all years2021-06-300
2020: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2020 401k membership
Market value of plan assets2020-06-30738,064
Acturial value of plan assets2020-06-30733,399
Funding target for retired participants and beneficiaries receiving payment2020-06-307,573
Number of terminated vested participants2020-06-3052
Fundng target for terminated vested participants2020-06-30910,290
Active participant vested funding target2020-06-300
Number of active participants2020-06-300
Total funding liabilities for active participants2020-06-300
Total participant count2020-06-3053
Total funding target for all participants2020-06-30917,863
Balance at beginning of prior year after applicable adjustments2020-06-300
Prefunding balance at beginning of prior year after applicable adjustments2020-06-300
Amount remaining of carryover balance2020-06-300
Amount remaining of prefunding balance2020-06-300
Present value of excess contributions2020-06-3012
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-06-3013
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2020-06-300
Reductions in caryover balances due to elections or deemed elections2020-06-300
Reductions in prefunding balances due to elections or deemed elections2020-06-300
Balance of carryovers at beginning of current year2020-06-300
Balance of prefunding at beginning of current year2020-06-300
Total employer contributions2020-06-3062,623
Total employee contributions2020-06-300
Contributions allocated toward unpaid minimum require contributions from prior years2020-06-300
Contributions made to avoid restrictions adjusted to valuation date2020-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2020-06-3059,187
Unpaid minimum required contributions for all prior years2020-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2020-06-300
Remaining amount of unpaid minimum required contributions2020-06-300
Minimum required contributions for current year target normal cost2020-06-306,475
Net shortfall amortization installment of oustanding balance2020-06-30184,464
Waiver amortization installment2020-06-300
Total funding amount beforereflecting carryover/prefunding balances2020-06-3059,187
Additional cash requirement2020-06-3059,187
Contributions allocatedtoward minimum required contributions for current year2020-06-3059,187
Unpaid minimum required contributions for current year2020-06-300
Unpaid minimum required contributions for all years2020-06-300
2019: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2019 401k membership
Market value of plan assets2019-06-30727,794
Acturial value of plan assets2019-06-30709,973
Funding target for retired participants and beneficiaries receiving payment2019-06-307,783
Number of terminated vested participants2019-06-3054
Fundng target for terminated vested participants2019-06-30882,620
Active participant vested funding target2019-06-300
Number of active participants2019-06-300
Total funding liabilities for active participants2019-06-300
Total participant count2019-06-3055
Total funding target for all participants2019-06-30890,403
Balance at beginning of prior year after applicable adjustments2019-06-300
Prefunding balance at beginning of prior year after applicable adjustments2019-06-300
Amount remaining of carryover balance2019-06-300
Amount remaining of prefunding balance2019-06-300
Present value of excess contributions2019-06-3091,438
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-06-3096,952
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-06-300
Reductions in caryover balances due to elections or deemed elections2019-06-300
Reductions in prefunding balances due to elections or deemed elections2019-06-300
Balance of carryovers at beginning of current year2019-06-300
Balance of prefunding at beginning of current year2019-06-300
Total employer contributions2019-06-3035,612
Contributions allocated toward unpaid minimum require contributions from prior years2019-06-300
Contributions made to avoid restrictions adjusted to valuation date2019-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-06-3033,981
Unpaid minimum required contributions for all prior years2019-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-06-300
Remaining amount of unpaid minimum required contributions2019-06-300
Minimum required contributions for current year target normal cost2019-06-306,585
Net shortfall amortization installment of oustanding balance2019-06-30180,430
Waiver amortization installment2019-06-300
Total funding amount beforereflecting carryover/prefunding balances2019-06-3033,969
Additional cash requirement2019-06-3033,969
Contributions allocatedtoward minimum required contributions for current year2019-06-3033,981
Unpaid minimum required contributions for current year2019-06-300
Unpaid minimum required contributions for all years2019-06-300
2018: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2018 401k membership
Market value of plan assets2018-06-30656,933
Acturial value of plan assets2018-06-30652,771
Funding target for retired participants and beneficiaries receiving payment2018-06-307,612
Number of terminated vested participants2018-06-3056
Fundng target for terminated vested participants2018-06-30886,563
Active participant vested funding target2018-06-300
Number of active participants2018-06-300
Total funding liabilities for active participants2018-06-300
Total participant count2018-06-3057
Total funding target for all participants2018-06-30894,175
Balance at beginning of prior year after applicable adjustments2018-06-300
Prefunding balance at beginning of prior year after applicable adjustments2018-06-300
Carryover balanced portion elected for use to offset prior years funding requirement2018-06-300
Prefunding balanced used to offset prior years funding requirement2018-06-300
Amount remaining of carryover balance2018-06-300
Amount remaining of prefunding balance2018-06-300
Present value of excess contributions2018-06-3029,077
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-06-3030,888
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-06-300
Balance of carryovers at beginning of current year2018-06-300
Balance of prefunding at beginning of current year2018-06-300
Total employer contributions2018-06-30165,622
Total employee contributions2018-06-300
Contributions allocated toward unpaid minimum require contributions from prior years2018-06-300
Contributions made to avoid restrictions adjusted to valuation date2018-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-06-30155,455
Unpaid minimum required contributions for all prior years2018-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2018-06-300
Remaining amount of unpaid minimum required contributions2018-06-300
Minimum required contributions for current year target normal cost2018-06-306,695
Net shortfall amortization installment of oustanding balance2018-06-30241,404
Total funding amount beforereflecting carryover/prefunding balances2018-06-3064,017
Additional cash requirement2018-06-3064,017
Contributions allocatedtoward minimum required contributions for current year2018-06-30155,455
Unpaid minimum required contributions for current year2018-06-300
Unpaid minimum required contributions for all years2018-06-300
2017: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2017 401k membership
Market value of plan assets2017-06-30672,795
Acturial value of plan assets2017-06-30706,695
Funding target for retired participants and beneficiaries receiving payment2017-06-307,752
Number of terminated vested participants2017-06-3059
Fundng target for terminated vested participants2017-06-30949,817
Active participant vested funding target2017-06-300
Number of active participants2017-06-300
Total funding liabilities for active participants2017-06-300
Total participant count2017-06-3060
Total funding target for all participants2017-06-30957,569
Balance at beginning of prior year after applicable adjustments2017-06-300
Prefunding balance at beginning of prior year after applicable adjustments2017-06-3033,000
Carryover balanced portion elected for use to offset prior years funding requirement2017-06-300
Prefunding balanced used to offset prior years funding requirement2017-06-3033,000
Amount remaining of carryover balance2017-06-300
Amount remaining of prefunding balance2017-06-300
Present value of excess contributions2017-06-303
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-06-303
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-06-300
Reductions in caryover balances due to elections or deemed elections2017-06-300
Reductions in prefunding balances due to elections or deemed elections2017-06-300
Balance of carryovers at beginning of current year2017-06-300
Balance of prefunding at beginning of current year2017-06-300
Total employer contributions2017-06-30117,429
Total employee contributions2017-06-300
Contributions allocated toward unpaid minimum require contributions from prior years2017-06-300
Contributions made to avoid restrictions adjusted to valuation date2017-06-300
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-06-30109,466
Unpaid minimum required contributions for all prior years2017-06-300
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-06-300
Remaining amount of unpaid minimum required contributions2017-06-300
Minimum required contributions for current year target normal cost2017-06-306,860
Net shortfall amortization installment of oustanding balance2017-06-30250,874
Waiver amortization installment2017-06-300
Total funding amount beforereflecting carryover/prefunding balances2017-06-3080,389
Carryover balance elected to use to offset funding requirement2017-06-300
Prefunding balance elected to use to offset funding requirement2017-06-300
Additional cash requirement2017-06-3080,389
Contributions allocatedtoward minimum required contributions for current year2017-06-30109,466
Unpaid minimum required contributions for current year2017-06-300
Unpaid minimum required contributions for all years2017-06-300
2015: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2015 401k membership
Total participants, beginning-of-year2015-07-0152
Total number of active participants reported on line 7a of the Form 55002015-07-016
Number of retired or separated participants receiving benefits2015-07-011
Number of other retired or separated participants entitled to future benefits2015-07-0143
Total of all active and inactive participants2015-07-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-011
Total participants2015-07-0151
Number of participants with account balances2015-07-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2014 401k membership
Total participants, beginning-of-year2014-07-0154
Total number of active participants reported on line 7a of the Form 55002014-07-0115
Number of retired or separated participants receiving benefits2014-07-011
Number of other retired or separated participants entitled to future benefits2014-07-0135
Total of all active and inactive participants2014-07-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-011
Total participants2014-07-0152
Number of participants with account balances2014-07-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2013 401k membership
Total participants, beginning-of-year2013-07-0157
Total number of active participants reported on line 7a of the Form 55002013-07-0116
Number of retired or separated participants receiving benefits2013-07-011
Number of other retired or separated participants entitled to future benefits2013-07-0135
Total of all active and inactive participants2013-07-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-012
Total participants2013-07-0154
Number of participants with account balances2013-07-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-011
2012: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2012 401k membership
Total participants, beginning-of-year2012-07-0159
Total number of active participants reported on line 7a of the Form 55002012-07-0116
Number of retired or separated participants receiving benefits2012-07-011
Number of other retired or separated participants entitled to future benefits2012-07-0138
Total of all active and inactive participants2012-07-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-012
Total participants2012-07-0157
Number of participants with account balances2012-07-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-012
2011: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2011 401k membership
Total participants, beginning-of-year2011-07-0163
Total number of active participants reported on line 7a of the Form 55002011-07-0124
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0138
Total of all active and inactive participants2011-07-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-011
Total participants2011-07-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-012
2009: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2009 401k membership
Total participants, beginning-of-year2009-07-0173
Total number of active participants reported on line 7a of the Form 55002009-07-0122
Number of retired or separated participants receiving benefits2009-07-011
Number of other retired or separated participants entitled to future benefits2009-07-0155
Total of all active and inactive participants2009-07-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-011
Total participants2009-07-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA

Measure Date Value
2012 : EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2012 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2011 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0

Form 5500 Responses for EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA

2015: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01First time form 5500 has been submittedYes
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01First time form 5500 has been submittedYes
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01First time form 5500 has been submittedYes
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes
2009: EBP OF NATIONALITIES SERVICE CENTER OF PHILADELPHIA 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedYes
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered51
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $71
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees71
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker namePHILADELPHIA REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered52
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $200
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees200
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker namePHILADELPHIA REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered54
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered57
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $138
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees9
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameCHARLES BAGLEY
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered63
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number013299-H
Policy instance 1
Insurance contract or identification number013299-H
Number of Individuals Covered63
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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