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VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 401k Plan overview

Plan NameVERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES
Plan identification number 558

VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES Benefits

401k Plan Type
Plan Features/Benefits

    401k Sponsoring company profile

    VERIZON COMMUNICATIONS INC. has sponsored the creation of one or more 401k plans.

    Company Name:VERIZON COMMUNICATIONS INC.
    Employer identification number (EIN):232259884
    NAIC Classification:517000

    Additional information about VERIZON COMMUNICATIONS INC.

    Jurisdiction of Incorporation: Virginia Secretary of State
    Incorporation Date: 1988-04-26
    Company Identification Number: F057483
    Legal Registered Office Address: 4701 Cox Rd Ste 285

    Glen Allen
    United States of America (USA)
    23060-6808

    More information about VERIZON COMMUNICATIONS INC.

    Form 5500 Filing Information

    Submission information for form 5500 for 401k plan VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES

    Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
    5582017-01-01KEVIN CAMMARATA KEVIN CAMMARATA2018-07-23
    5582016-01-01KEVIN CAMMARATA KEVIN CAMMARATA2017-07-05
    5582015-01-01KEVIN CAMMARATA KEVIN CAMMARATA2016-07-22
    5582014-01-01KEVIN CAMMARATA KEVIN CAMMARATA2015-06-28
    5582013-01-01KEVIN CAMMARATA KEVIN CAMMARATA2014-07-03
    5582012-01-01DONNA CHIFFRILLER DONNA CHIFFRILLER2013-08-16
    5582011-01-01DONNA CHIFFRILLER DONNA CHIFFRILLER2012-09-27
    5582010-01-01DONNA CHIFFRILLER DONNA CHIFFRILLER2011-10-09
    5582009-01-01DONNA CHIFFRILLER

    Plan Statistics for VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES

    401k plan membership statisitcs for VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES

    Measure Date Value
    2017: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2017 401k membership
    Total participants, beginning-of-year2017-01-018,969
    Total number of active participants reported on line 7a of the Form 55002017-01-010
    Number of retired or separated participants receiving benefits2017-01-010
    Number of other retired or separated participants entitled to future benefits2017-01-010
    Total of all active and inactive participants2017-01-010
    2016: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2016 401k membership
    Total participants, beginning-of-year2016-01-019,546
    Total number of active participants reported on line 7a of the Form 55002016-01-016,303
    Number of retired or separated participants receiving benefits2016-01-012,878
    Total of all active and inactive participants2016-01-019,181
    2015: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2015 401k membership
    Total participants, beginning-of-year2015-01-0110,330
    Total number of active participants reported on line 7a of the Form 55002015-01-016,500
    Number of retired or separated participants receiving benefits2015-01-013,231
    Total of all active and inactive participants2015-01-019,731
    2014: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2014 401k membership
    Total participants, beginning-of-year2014-01-0111,069
    Total number of active participants reported on line 7a of the Form 55002014-01-017,087
    Number of retired or separated participants receiving benefits2014-01-013,730
    Total of all active and inactive participants2014-01-0110,817
    2013: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2013 401k membership
    Total participants, beginning-of-year2013-01-0118,325
    Total number of active participants reported on line 7a of the Form 55002013-01-0111,662
    Number of retired or separated participants receiving benefits2013-01-016,179
    Total of all active and inactive participants2013-01-0117,841
    2012: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2012 401k membership
    Total participants, beginning-of-year2012-01-0115,857
    Total number of active participants reported on line 7a of the Form 55002012-01-0111,364
    Number of retired or separated participants receiving benefits2012-01-016,961
    Total of all active and inactive participants2012-01-0118,325
    2011: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2011 401k membership
    Total participants, beginning-of-year2011-01-016,361
    Total number of active participants reported on line 7a of the Form 55002011-01-019,412
    Number of retired or separated participants receiving benefits2011-01-016,445
    Total of all active and inactive participants2011-01-0115,857
    2010: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2010 401k membership
    Total participants, beginning-of-year2010-01-019,614
    Total number of active participants reported on line 7a of the Form 55002010-01-014,186
    Number of retired or separated participants receiving benefits2010-01-012,175
    Number of other retired or separated participants entitled to future benefits2010-01-010
    Total of all active and inactive participants2010-01-016,361
    2009: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2009 401k membership
    Total participants, beginning-of-year2009-01-0110,202
    Total number of active participants reported on line 7a of the Form 55002009-01-015,603
    Number of retired or separated participants receiving benefits2009-01-014,011
    Number of other retired or separated participants entitled to future benefits2009-01-010
    Total of all active and inactive participants2009-01-019,614

    Form 5500 Responses for VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES

    2017: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 filingYes
    2017-01-01This return/report is a short plan year return/report (less than 12 months)No
    2017-01-01Plan is a collectively bargained planYes
    2017-01-01Plan funding arrangement – InsuranceYes
    2017-01-01Plan benefit arrangement – InsuranceYes
    2016: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2016-01-01Plan funding arrangement – InsuranceYes
    2016-01-01Plan benefit arrangement – InsuranceYes
    2015: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2015-01-01Plan funding arrangement – InsuranceYes
    2015-01-01Plan benefit arrangement – InsuranceYes
    2014: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2014-01-01Plan funding arrangement – InsuranceYes
    2014-01-01Plan benefit arrangement – InsuranceYes
    2013: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2013-01-01Plan funding arrangement – InsuranceYes
    2013-01-01Plan benefit arrangement – InsuranceYes
    2012: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2012-01-01Plan funding arrangement – InsuranceYes
    2012-01-01Plan benefit arrangement – InsuranceYes
    2011: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2011-01-01Plan funding arrangement – InsuranceYes
    2011-01-01Plan benefit arrangement – InsuranceYes
    2010: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 2010 form 5500 responses
    2010-01-01Type of plan entitySingle employer plan
    2010-01-01Submission has been amendedNo
    2010-01-01This submission is the final filingNo
    2010-01-01This return/report is a short plan year return/report (less than 12 months)No
    2010-01-01Plan is a collectively bargained planYes
    2010-01-01Plan funding arrangement – InsuranceYes
    2010-01-01Plan benefit arrangement – InsuranceYes
    2009: VERIZON DEPENDENT GROUP LIFE INSURANCE PLAN FOR NEW YORK AND NEW ENGLAND ASSOCIATES 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 planYes
    2009-01-01Plan funding arrangement – InsuranceYes
    2009-01-01Plan benefit arrangement – InsuranceYes

    Insurance Providers Used on plan

    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 1
    Insurance contract or identification number50902-2
    Number of Individuals Covered13615
    Insurance policy start date2017-01-01
    Insurance policy end date2017-12-31
    Total amount of commissions paid to insurance brokerUSD $4,261
    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?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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $1,331,514
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $4,261
    Insurance broker organization code?3
    Insurance broker nameAMERICAN BENEFITS & COMPENSATION SY
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 1
    Insurance contract or identification number50902-2
    Number of Individuals Covered15390
    Insurance policy start date2015-01-01
    Insurance policy end date2015-12-31
    Total amount of commissions paid to insurance brokerUSD $5,034
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
    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 $1,511,242
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,034
    Insurance broker organization code?3
    Insurance broker nameAMERICAN BENEFITS & COMPENSATION SY
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 1
    Insurance contract or identification number50902-2
    Number of Individuals Covered17044
    Insurance policy start date2014-01-01
    Insurance policy end date2014-12-31
    Total amount of commissions paid to insurance brokerUSD $18,657
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENT DEATH AND DISMEMBERMENT
    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 $1,702,244
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $18,657
    Insurance broker organization code?3
    Insurance broker nameAMERICAN BENEFITS & COMPENSATION SY
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 1
    Insurance contract or identification number50902-2
    Number of Individuals Covered17841
    Insurance policy start date2013-01-01
    Insurance policy end date2013-12-31
    Total amount of commissions paid to insurance brokerUSD $5,573
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedACCIDENT DEATH AND DISMEMBERMENT
    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 $1,698,898
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    Commission paid to Insurance BrokerUSD $5,573
    Additional information about fees paid to insurance brokerSUPPLEMENTAL COMMISSIONS
    Insurance broker organization code?3
    Insurance broker nameAMERICAN BENEFITS & COMPENSATION SY
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 1
    Insurance contract or identification number50902-2
    Number of Individuals Covered30775
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    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 BenefitYes
    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 $12,761,878
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-1
    Policy instance 2
    Insurance contract or identification number50902-1
    Number of Individuals Covered65702
    Insurance policy start date2012-01-01
    Insurance policy end date2012-12-31
    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 BenefitYes
    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
    METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
    Policy contract number0094354
    Policy instance 1
    Insurance contract or identification number0094354
    Number of Individuals Covered0
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedDEPENDENT ACCIDENTAL DEATH & DISMEMBERMENT
    Were dividends or retroactive rate refunds paid in cash?Yes
    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
    PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
    Policy contract number50902-2
    Policy instance 2
    Insurance contract or identification number50902-2
    Number of Individuals Covered33261
    Insurance policy start date2011-01-01
    Insurance policy end date2011-12-31
    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
    Welfare Benefit Premiums Paid to CarrierUSD $12,898,341
    METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
    Policy contract number144317
    Policy instance 1
    Insurance contract or identification number144317
    Number of Individuals Covered8631
    Insurance policy start date2010-01-01
    Insurance policy end date2010-12-31
    Total amount of commissions paid to insurance brokerUSD $0
    Total amount of fees paid to insurance companyUSD $40,977
    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 BenefitYes
    Temporary Disability Insurance Welfare BenefitNo
    Long Term Disability Insurance Welfare BenefitNo
    Unemployment Insurance Welfare BenefitNo
    Other welfare benefits providedDEPENDENT ACCIDENTAL DEATH & DISMEMBERMENT
    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 $1,685,682
    Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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