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ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

ZIMMERMAN INDUSTRIES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ZIMMERMAN INDUSTRIES, INC.
Employer identification number (EIN):231678699
NAIC Classification:333100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01JOAN STONER
5012016-05-01JOAN STONER
5012015-05-01JOAN STONER
5012014-05-01JOAN STONER

Plan Statistics for ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-05-0120
Total number of active participants reported on line 7a of the Form 55002022-05-0125
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0125
2021: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-05-0126
Total number of active participants reported on line 7a of the Form 55002021-05-0120
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0120
2020: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-05-0128
Total number of active participants reported on line 7a of the Form 55002020-05-0126
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-0126
2019: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-05-0135
Total number of active participants reported on line 7a of the Form 55002019-05-0128
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0128
2018: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-05-0132
Total number of active participants reported on line 7a of the Form 55002018-05-0135
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0135
2017: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-05-0125
Total number of active participants reported on line 7a of the Form 55002017-05-0131
Number of retired or separated participants receiving benefits2017-05-011
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0132
2016: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-05-0126
Total number of active participants reported on line 7a of the Form 55002016-05-0124
Number of retired or separated participants receiving benefits2016-05-011
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0125
2015: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-0121
Total number of active participants reported on line 7a of the Form 55002015-05-0126
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0126
2014: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-0122
Total number of active participants reported on line 7a of the Form 55002014-05-0121
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0121

Financial Data on ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2023 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2023 401k financial data
Total plan liabilities at end of year2023-04-30$136,799
Total plan liabilities at beginning of year2023-04-30$23,015
Total income from all sources2023-04-30$332,130
Expenses. Total of all expenses incurred2023-04-30$414,038
Benefits paid (including direct rollovers)2023-04-30$284,239
Total plan assets at end of year2023-04-30$45,877
Total plan assets at beginning of year2023-04-30$14,001
Value of fidelity bond covering the plan2023-04-30$310,000
Total contributions received or receivable from participants2023-04-30$0
Expenses. Other expenses not covered elsewhere2023-04-30$128,194
Contributions received from other sources (not participants or employers)2023-04-30$0
Other income received2023-04-30$67
Net income (gross income less expenses)2023-04-30$-81,908
Net plan assets at end of year (total assets less liabilities)2023-04-30$-90,922
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$-9,014
Total contributions received or receivable from employer(s)2023-04-30$332,063
Value of corrective distributions2023-04-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-04-30$1,605
2022 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-04-30$23,015
Total plan liabilities at beginning of year2022-04-30$16,435
Total income from all sources2022-04-30$316,732
Expenses. Total of all expenses incurred2022-04-30$395,435
Benefits paid (including direct rollovers)2022-04-30$239,330
Total plan assets at end of year2022-04-30$14,001
Total plan assets at beginning of year2022-04-30$86,124
Value of fidelity bond covering the plan2022-04-30$310,000
Total contributions received or receivable from participants2022-04-30$54,277
Expenses. Other expenses not covered elsewhere2022-04-30$120,460
Contributions received from other sources (not participants or employers)2022-04-30$892
Net income (gross income less expenses)2022-04-30$-78,703
Net plan assets at end of year (total assets less liabilities)2022-04-30$-9,014
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$69,689
Total contributions received or receivable from employer(s)2022-04-30$261,563
Value of corrective distributions2022-04-30$28,584
Expenses. Administrative service providers (salaries,fees and commissions)2022-04-30$7,061
2021 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-04-30$16,435
Total plan liabilities at beginning of year2021-04-30$21,964
Total income from all sources2021-04-30$308,425
Expenses. Total of all expenses incurred2021-04-30$247,323
Benefits paid (including direct rollovers)2021-04-30$90,853
Total plan assets at end of year2021-04-30$86,124
Total plan assets at beginning of year2021-04-30$30,551
Value of fidelity bond covering the plan2021-04-30$310,000
Total contributions received or receivable from participants2021-04-30$52,674
Expenses. Other expenses not covered elsewhere2021-04-30$110,301
Net income (gross income less expenses)2021-04-30$61,102
Net plan assets at end of year (total assets less liabilities)2021-04-30$69,689
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$8,587
Total contributions received or receivable from employer(s)2021-04-30$255,751
Value of corrective distributions2021-04-30$37,986
Expenses. Administrative service providers (salaries,fees and commissions)2021-04-30$8,183
2020 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-04-30$21,964
Total plan liabilities at beginning of year2020-04-30$17,630
Total income from all sources2020-04-30$344,408
Expenses. Total of all expenses incurred2020-04-30$444,361
Benefits paid (including direct rollovers)2020-04-30$246,417
Total plan assets at end of year2020-04-30$30,551
Total plan assets at beginning of year2020-04-30$126,170
Value of fidelity bond covering the plan2020-04-30$310,000
Total contributions received or receivable from participants2020-04-30$62,469
Expenses. Other expenses not covered elsewhere2020-04-30$113,128
Contributions received from other sources (not participants or employers)2020-04-30$0
Other income received2020-04-30$0
Net income (gross income less expenses)2020-04-30$-99,953
Net plan assets at end of year (total assets less liabilities)2020-04-30$8,587
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$108,540
Total contributions received or receivable from employer(s)2020-04-30$281,939
Value of corrective distributions2020-04-30$75,000
Expenses. Administrative service providers (salaries,fees and commissions)2020-04-30$9,816
2018 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-04-30$19,842
Total plan liabilities at beginning of year2018-04-30$49,043
Total income from all sources2018-04-30$301,968
Expenses. Total of all expenses incurred2018-04-30$270,464
Benefits paid (including direct rollovers)2018-04-30$175,894
Total plan assets at end of year2018-04-30$33,428
Total plan assets at beginning of year2018-04-30$31,125
Value of fidelity bond covering the plan2018-04-30$160,000
Total contributions received or receivable from participants2018-04-30$58,868
Expenses. Other expenses not covered elsewhere2018-04-30$80,228
Contributions received from other sources (not participants or employers)2018-04-30$560
Net income (gross income less expenses)2018-04-30$31,504
Net plan assets at end of year (total assets less liabilities)2018-04-30$13,586
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$-17,918
Total contributions received or receivable from employer(s)2018-04-30$242,540
Expenses. Administrative service providers (salaries,fees and commissions)2018-04-30$14,342
2017 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-04-30$49,043
Total plan liabilities at beginning of year2017-04-30$39,563
Total income from all sources2017-04-30$182,929
Expenses. Total of all expenses incurred2017-04-30$186,248
Benefits paid (including direct rollovers)2017-04-30$116,309
Total plan assets at end of year2017-04-30$31,125
Total plan assets at beginning of year2017-04-30$24,964
Value of fidelity bond covering the plan2017-04-30$160,000
Total contributions received or receivable from participants2017-04-30$46,634
Expenses. Other expenses not covered elsewhere2017-04-30$58,564
Noncash contributions received2017-04-30$407
Net income (gross income less expenses)2017-04-30$-3,319
Net plan assets at end of year (total assets less liabilities)2017-04-30$-17,918
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$-14,599
Total contributions received or receivable from employer(s)2017-04-30$135,888
Expenses. Administrative service providers (salaries,fees and commissions)2017-04-30$11,375
2016 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-04-30$39,563
Total plan liabilities at beginning of year2016-04-30$18,247
Total income from all sources2016-04-30$173,052
Expenses. Total of all expenses incurred2016-04-30$169,513
Benefits paid (including direct rollovers)2016-04-30$99,686
Total plan assets at end of year2016-04-30$24,964
Total plan assets at beginning of year2016-04-30$109
Value of fidelity bond covering the plan2016-04-30$160,000
Total contributions received or receivable from participants2016-04-30$35,720
Other income received2016-04-30$12
Net income (gross income less expenses)2016-04-30$3,539
Net plan assets at end of year (total assets less liabilities)2016-04-30$-14,599
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$-18,138
Total contributions received or receivable from employer(s)2016-04-30$137,320
Value of certain deemed distributions of participant loans2016-04-30$11,535
Expenses. Administrative service providers (salaries,fees and commissions)2016-04-30$58,292
2015 : ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-04-30$18,247
Total income from all sources2015-04-30$134,421
Expenses. Total of all expenses incurred2015-04-30$152,559
Benefits paid (including direct rollovers)2015-04-30$94,908
Total plan assets at end of year2015-04-30$109
Value of fidelity bond covering the plan2015-04-30$160,000
Total contributions received or receivable from participants2015-04-30$38,184
Expenses. Other expenses not covered elsewhere2015-04-30$47,626
Contributions received from other sources (not participants or employers)2015-04-30$0
Other income received2015-04-30$16
Noncash contributions received2015-04-30$0
Net income (gross income less expenses)2015-04-30$-18,138
Net plan assets at end of year (total assets less liabilities)2015-04-30$-18,138
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$96,221
Value of certain deemed distributions of participant loans2015-04-30$0
Value of corrective distributions2015-04-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-04-30$10,025

Form 5500 Responses for ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN

2022: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: ZIMMERMAN INDUSTRIES, INC. EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01First time form 5500 has been submittedYes
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500100
Policy instance 1
Insurance contract or identification number30500100
Number of Individuals Covered23
Insurance policy start date2022-05-01
Insurance policy end date2022-12-31
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 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
Welfare Benefit Premiums Paid to CarrierUSD $68,692
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-203580
Policy instance 2
Insurance contract or identification numberUNI-203580
Number of Individuals Covered25
Insurance policy start date2023-01-01
Insurance policy end date2023-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $45,275
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 number30500100
Policy instance 1
Insurance contract or identification number30500100
Number of Individuals Covered20
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $104,927
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 number30500100
Policy instance 1
Insurance contract or identification number30500100
Number of Individuals Covered26
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $95,585
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 numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered28
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $95,744
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 numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered35
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $87,552
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 numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered32
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
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 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
Welfare Benefit Premiums Paid to CarrierUSD $73,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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