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ANAI 401(K) PLAN 401k Plan overview

Plan NameANAI 401(K) PLAN
Plan identification number 001

ANAI 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Money purchase (other than target benefit)
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ANCHORAGE NEUROSURGICAL ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name:ANCHORAGE NEUROSURGICAL ASSOCIATES, INC.
Employer identification number (EIN):231899916
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about ANCHORAGE NEUROSURGICAL ASSOCIATES, INC.

Jurisdiction of Incorporation: Alaska Department Commerce, Community & Economic Development
Incorporation Date: 1980-12-15
Company Identification Number: 23060D
Legal Registered Office Address: 3831 PIPER ST. STE S450

ANCHORAGE
United States of America (USA)
99508

More information about ANCHORAGE NEUROSURGICAL ASSOCIATES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ANAI 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JACINTA SHARR2023-08-30
0012021-01-01LOUIS L. KRALICK2022-09-16
0012020-01-01LOUIS L. KRALICK2021-06-02
0012019-01-01LOUIS L. KRALICK2020-06-25
0012018-01-01LOUIS KRALICK2019-10-09
0012017-01-01LOUIS KRALICK
0012016-01-01LOUIS L. KRALICK
0012015-01-01
0012014-01-01LOUIS L. KRALICK
0012013-01-01LOUIS L. KRALICK
0012012-01-01LOUIS L. KRALICK
0012011-01-01LOUIS L. KRALICK
0012009-01-01LOUIS L. KRALICK

Plan Statistics for ANAI 401(K) PLAN

401k plan membership statisitcs for ANAI 401(K) PLAN

Measure Date Value
2017: ANAI 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0145
Total number of active participants reported on line 7a of the Form 55002017-01-0133
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0113
Total of all active and inactive participants2017-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0146
Number of participants with account balances2017-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: ANAI 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0140
Total number of active participants reported on line 7a of the Form 55002016-01-0128
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0117
Total of all active and inactive participants2016-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0145
Number of participants with account balances2016-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: ANAI 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0137
Total number of active participants reported on line 7a of the Form 55002015-01-0128
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0111
Total of all active and inactive participants2015-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0139
Number of participants with account balances2015-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-017
2014: ANAI 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0134
Total number of active participants reported on line 7a of the Form 55002014-01-0126
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0130
Number of participants with account balances2014-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: ANAI 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0131
Total number of active participants reported on line 7a of the Form 55002013-01-0123
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0132
Number of participants with account balances2013-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-014
2012: ANAI 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0126
Total number of active participants reported on line 7a of the Form 55002012-01-0124
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0129
Number of participants with account balances2012-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: ANAI 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0118
Total number of active participants reported on line 7a of the Form 55002011-01-0125
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0126
Number of participants with account balances2011-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2009: ANAI 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-019
Total number of active participants reported on line 7a of the Form 55002009-01-0111
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0112
Number of participants with account balances2009-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ANAI 401(K) PLAN

Measure Date Value
2017 : ANAI 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,458,468
Expenses. Total of all expenses incurred2017-12-31$445,453
Benefits paid (including direct rollovers)2017-12-31$407,852
Total plan assets at end of year2017-12-31$6,407,393
Total plan assets at beginning of year2017-12-31$5,394,378
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$188,339
Contributions received from other sources (not participants or employers)2017-12-31$30,000
Other income received2017-12-31$1,031,479
Net income (gross income less expenses)2017-12-31$1,013,015
Net plan assets at end of year (total assets less liabilities)2017-12-31$6,407,393
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,394,378
Assets. Value of assets in partnership/joint-venture interests2017-12-31$9,997
Total contributions received or receivable from employer(s)2017-12-31$208,650
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$37,601
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ANAI 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$647,752
Expenses. Total of all expenses incurred2016-12-31$677,088
Benefits paid (including direct rollovers)2016-12-31$635,774
Total plan assets at end of year2016-12-31$5,394,378
Total plan assets at beginning of year2016-12-31$5,423,714
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$155,805
Contributions received from other sources (not participants or employers)2016-12-31$30,376
Other income received2016-12-31$226,773
Net income (gross income less expenses)2016-12-31$-29,336
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,394,378
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$5,423,714
Assets. Value of assets in partnership/joint-venture interests2016-12-31$9,997
Total contributions received or receivable from employer(s)2016-12-31$234,798
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$41,314
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ANAI 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$131,060
Expenses. Total of all expenses incurred2015-12-31$58,344
Benefits paid (including direct rollovers)2015-12-31$14,694
Total plan assets at end of year2015-12-31$5,423,714
Total plan assets at beginning of year2015-12-31$5,350,998
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$207,781
Other income received2015-12-31$-303,941
Net income (gross income less expenses)2015-12-31$72,716
Net plan assets at end of year (total assets less liabilities)2015-12-31$5,423,714
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,350,998
Assets. Value of assets in partnership/joint-venture interests2015-12-31$9,997
Total contributions received or receivable from employer(s)2015-12-31$227,220
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$43,650
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ANAI 401(K) PLAN 2014 401k financial data
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$407,151
Expenses. Total of all expenses incurred2014-12-31$97,052
Benefits paid (including direct rollovers)2014-12-31$43,216
Total plan assets at end of year2014-12-31$5,350,998
Total plan assets at beginning of year2014-12-31$5,040,899
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$165,055
Expenses. Other expenses not covered elsewhere2014-12-31$53,836
Contributions received from other sources (not participants or employers)2014-12-31$278,228
Other income received2014-12-31$-240,478
Net income (gross income less expenses)2014-12-31$310,099
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,350,998
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$5,040,899
Assets. Value of assets in partnership/joint-venture interests2014-12-31$9,997
Total contributions received or receivable from employer(s)2014-12-31$204,346
2013 : ANAI 401(K) PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$982,625
Expenses. Total of all expenses incurred2013-12-31$49,073
Total plan assets at end of year2013-12-31$5,040,899
Total plan assets at beginning of year2013-12-31$4,107,347
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$148,089
Expenses. Other expenses not covered elsewhere2013-12-31$5,990
Other income received2013-12-31$650,690
Net income (gross income less expenses)2013-12-31$933,552
Net plan assets at end of year (total assets less liabilities)2013-12-31$5,040,899
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,107,347
Assets. Value of assets in partnership/joint-venture interests2013-12-31$9,997
Total contributions received or receivable from employer(s)2013-12-31$183,846
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$43,083
2012 : ANAI 401(K) PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$2,175
Total income from all sources2012-12-31$758,067
Expenses. Total of all expenses incurred2012-12-31$105,077
Benefits paid (including direct rollovers)2012-12-31$64,773
Total plan assets at end of year2012-12-31$4,107,347
Total plan assets at beginning of year2012-12-31$3,456,532
Value of fidelity bond covering the plan2012-12-31$400,000
Total contributions received or receivable from participants2012-12-31$122,613
Expenses. Other expenses not covered elsewhere2012-12-31$40,304
Other income received2012-12-31$479,613
Net income (gross income less expenses)2012-12-31$652,990
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,107,347
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,454,357
Assets. Value of assets in partnership/joint-venture interests2012-12-31$9,997
Total contributions received or receivable from employer(s)2012-12-31$155,841
2011 : ANAI 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$2,175
Total plan liabilities at beginning of year2011-12-31$1,425
Total income from all sources2011-12-31$-161,603
Expenses. Total of all expenses incurred2011-12-31$41,490
Total plan assets at end of year2011-12-31$3,456,532
Total plan assets at beginning of year2011-12-31$3,658,875
Value of fidelity bond covering the plan2011-12-31$300,000
Total contributions received or receivable from participants2011-12-31$128,200
Other income received2011-12-31$-436,987
Net income (gross income less expenses)2011-12-31$-203,093
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,454,357
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,657,450
Assets. Value of assets in partnership/joint-venture interests2011-12-31$9,997
Total contributions received or receivable from employer(s)2011-12-31$147,184
Value of corrective distributions2011-12-31$741
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$40,749
2010 : ANAI 401(K) PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$1,425
Total plan liabilities at beginning of year2010-12-31$625
Total income from all sources2010-12-31$712,668
Expenses. Total of all expenses incurred2010-12-31$84,892
Benefits paid (including direct rollovers)2010-12-31$50,832
Total plan assets at end of year2010-12-31$3,658,875
Total plan assets at beginning of year2010-12-31$3,030,299
Value of fidelity bond covering the plan2010-12-31$300,000
Total contributions received or receivable from participants2010-12-31$111,013
Other income received2010-12-31$485,437
Net income (gross income less expenses)2010-12-31$627,776
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,657,450
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,029,674
Assets. Value of assets in partnership/joint-venture interests2010-12-31$9,997
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$55,900
Total contributions received or receivable from employer(s)2010-12-31$116,218
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$34,060

Form 5500 Responses for ANAI 401(K) PLAN

2017: ANAI 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ANAI 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ANAI 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ANAI 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ANAI 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ANAI 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ANAI 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: ANAI 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number371513-01
Policy instance 1
Insurance contract or identification number371513-01
Number of Individuals Covered46
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $19
Total amount of fees paid to insurance companyUSD $0
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?Yes
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $9
Insurance broker organization code?3
Insurance broker nameDOMINIC CORLETO
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number371513-01
Policy instance 1
Insurance contract or identification number371513-01
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $28
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?Yes
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT
Commission paid to Insurance BrokerUSD $6
Insurance broker organization code?3
Insurance broker nameDOMINIC CORLETO
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number371513-01
Policy instance 1
Insurance contract or identification number371513-01
Number of Individuals Covered20
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?Yes
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
Other information about contractGROUP ANNUITY CONTRACT

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