M & M DISPLAYS, INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN
401k plan membership statisitcs for M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN
| Measure | Date | Value |
|---|
| 2022: M&M DISPLAYS, 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 | 21 |
| 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 | 21 |
| 2021: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 23 |
| 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: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 25 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 23 |
| 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 | 23 |
| 2019: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 28 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 25 |
| 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 | 25 |
| 2018: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 28 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 28 |
| 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 | 28 |
| 2017: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 28 |
| 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 | 28 |
| 2016: M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 31 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 31 |
| 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 | 31 |
| Measure | Date | Value |
|---|
| 2022 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data |
|---|
| Total plan liabilities at end of year | 2022-12-31 | $16,452 |
| Total plan liabilities at beginning of year | 2022-12-31 | $16,542 |
| Total income from all sources | 2022-12-31 | $439,326 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $463,560 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $115,249 |
| Total plan assets at end of year | 2022-12-31 | $166,711 |
| Total plan assets at beginning of year | 2022-12-31 | $191,035 |
| Value of fidelity bond covering the plan | 2022-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $0 |
| Expenses. Other expenses not covered elsewhere | 2022-12-31 | $206,708 |
| 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 | $-24,234 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $150,259 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $174,493 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $439,326 |
| Value of corrective distributions | 2022-12-31 | $128,048 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $13,555 |
| 2021 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data |
|---|
| Total plan liabilities at end of year | 2021-12-31 | $16,542 |
| Total plan liabilities at beginning of year | 2021-12-31 | $17,590 |
| Total income from all sources | 2021-12-31 | $424,500 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $409,898 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $56,076 |
| Total plan assets at end of year | 2021-12-31 | $191,035 |
| Total plan assets at beginning of year | 2021-12-31 | $177,481 |
| Value of fidelity bond covering the plan | 2021-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $89,188 |
| Expenses. Other expenses not covered elsewhere | 2021-12-31 | $184,582 |
| Net income (gross income less expenses) | 2021-12-31 | $14,602 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $174,493 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $159,891 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $335,312 |
| Value of corrective distributions | 2021-12-31 | $155,647 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $13,593 |
| 2020 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data |
|---|
| Total plan liabilities at end of year | 2020-12-31 | $17,590 |
| Total plan liabilities at beginning of year | 2020-12-31 | $23,139 |
| Total income from all sources | 2020-12-31 | $466,675 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $416,018 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $171,847 |
| Total plan assets at end of year | 2020-12-31 | $177,481 |
| Total plan assets at beginning of year | 2020-12-31 | $132,373 |
| Value of fidelity bond covering the plan | 2020-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $94,463 |
| Expenses. Other expenses not covered elsewhere | 2020-12-31 | $184,706 |
| Net income (gross income less expenses) | 2020-12-31 | $50,657 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $159,891 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $109,234 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $372,212 |
| Value of corrective distributions | 2020-12-31 | $44,847 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $14,618 |
| 2019 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2019 401k financial data |
|---|
| Total plan liabilities at end of year | 2019-12-31 | $23,139 |
| Total plan liabilities at beginning of year | 2019-12-31 | $38,060 |
| Total income from all sources | 2019-12-31 | $455,031 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $350,798 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $166,160 |
| Total plan assets at end of year | 2019-12-31 | $132,373 |
| Total plan assets at beginning of year | 2019-12-31 | $43,061 |
| Value of fidelity bond covering the plan | 2019-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $90,398 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $170,115 |
| 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 | $104,233 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $109,234 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $5,001 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $364,633 |
| Value of corrective distributions | 2019-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $14,523 |
| 2018 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2018 401k financial data |
|---|
| Total plan liabilities at end of year | 2018-12-31 | $38,060 |
| Total plan liabilities at beginning of year | 2018-12-31 | $78,721 |
| Total income from all sources | 2018-12-31 | $458,952 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $388,752 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $209,778 |
| Total plan assets at end of year | 2018-12-31 | $43,061 |
| Total plan assets at beginning of year | 2018-12-31 | $13,522 |
| Value of fidelity bond covering the plan | 2018-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $94,398 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $163,005 |
| Contributions received from other sources (not participants or employers) | 2018-12-31 | $0 |
| Net income (gross income less expenses) | 2018-12-31 | $70,200 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $5,001 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $-65,199 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $364,554 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $15,969 |
| 2017 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2017 401k financial data |
|---|
| Total plan liabilities at end of year | 2017-12-31 | $78,721 |
| Total plan liabilities at beginning of year | 2017-12-31 | $112,821 |
| Total income from all sources | 2017-12-31 | $424,446 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $395,160 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $227,304 |
| Total plan assets at end of year | 2017-12-31 | $13,522 |
| Total plan assets at beginning of year | 2017-12-31 | $18,336 |
| Value of fidelity bond covering the plan | 2017-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $103,996 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $154,320 |
| Net income (gross income less expenses) | 2017-12-31 | $29,286 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $-65,199 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $-94,485 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $320,450 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $13,536 |
| 2016 : M&M DISPLAYS, INC. EMPLOYEE BENEFIT PLAN 2016 401k financial data |
|---|
| Total plan liabilities at end of year | 2016-12-31 | $112,821 |
| Total income from all sources | 2016-12-31 | $391,781 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $486,266 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $325,532 |
| Total plan assets at end of year | 2016-12-31 | $18,336 |
| Value of fidelity bond covering the plan | 2016-12-31 | $250,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $112,494 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $143,913 |
| Contributions received from other sources (not participants or employers) | 2016-12-31 | $0 |
| Net income (gross income less expenses) | 2016-12-31 | $-94,485 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $-94,485 |
| 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 | $279,287 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $16,821 |
| 2022: M&M DISPLAYS, 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: M&M DISPLAYS, 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: M&M DISPLAYS, 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: M&M DISPLAYS, 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: M&M DISPLAYS, 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: M&M DISPLAYS, 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: M&M DISPLAYS, 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 | 30500537 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500537 | | Number of Individuals Covered | 22 | | 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 $179,209 | | 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 | 30500537 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500537 | | 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 $156,612 | | 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 | 30500537 |
| Policy instance | 1 |
| Insurance contract or identification number | 30500537 | | Number of Individuals Covered | 23 | | 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 $154,333 | | 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 | 25 | | 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 $137,655 | | 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 | 28 | | 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 $116,817 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
