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DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 401k Plan overview

Plan NameDELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN
Plan identification number 501

DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN Benefits

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

401k Sponsoring company profile

DELVAL EQUIPMENT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:DELVAL EQUIPMENT CORPORATION
Employer identification number (EIN):232435212
NAIC Classification:423700

Additional information about DELVAL EQUIPMENT CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0485512

More information about DELVAL EQUIPMENT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01JAMES HOFFMAN
5012016-01-01JAMES HOFFMAN
5012015-01-01JAMES HOFFMAN
5012014-10-01JIM MCDONOUGH

Plan Statistics for DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN

401k plan membership statisitcs for DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN

Measure Date Value
2022: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0187
Total number of active participants reported on line 7a of the Form 55002022-01-0179
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-011
Total of all active and inactive participants2022-01-0180
2021: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0191
Total number of active participants reported on line 7a of the Form 55002021-01-0187
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0187
2020: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0183
Total number of active participants reported on line 7a of the Form 55002020-01-0190
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0191
2019: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0177
Total number of active participants reported on line 7a of the Form 55002019-01-0182
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0183
2018: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0174
Total number of active participants reported on line 7a of the Form 55002018-01-0177
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0177
2017: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0166
Total number of active participants reported on line 7a of the Form 55002017-01-0174
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 participants2017-01-0174
2016: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0172
Total number of active participants reported on line 7a of the Form 55002016-01-0166
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0166
2015: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0161
Total number of active participants reported on line 7a of the Form 55002015-01-0172
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0172
2014: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0161
Total number of active participants reported on line 7a of the Form 55002014-10-0161
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-0161

Financial Data on DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN

Measure Date Value
2022 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$120,442
Total plan liabilities at beginning of year2022-12-31$78,112
Total income from all sources2022-12-31$1,563,508
Expenses. Total of all expenses incurred2022-12-31$1,657,546
Benefits paid (including direct rollovers)2022-12-31$850,621
Total plan assets at end of year2022-12-31$40,801
Total plan assets at beginning of year2022-12-31$92,509
Value of fidelity bond covering the plan2022-12-31$800,000
Total contributions received or receivable from participants2022-12-31$433,923
Expenses. Other expenses not covered elsewhere2022-12-31$648,148
Contributions received from other sources (not participants or employers)2022-12-31$6,390
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-94,038
Net plan assets at end of year (total assets less liabilities)2022-12-31$-79,641
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$14,397
Total contributions received or receivable from employer(s)2022-12-31$1,123,195
Value of corrective distributions2022-12-31$110,000
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$48,777
2021 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$78,112
Total plan liabilities at beginning of year2021-12-31$65,366
Total income from all sources2021-12-31$1,512,109
Expenses. Total of all expenses incurred2021-12-31$1,667,662
Benefits paid (including direct rollovers)2021-12-31$882,846
Total plan assets at end of year2021-12-31$92,509
Total plan assets at beginning of year2021-12-31$235,316
Value of fidelity bond covering the plan2021-12-31$800,000
Total contributions received or receivable from participants2021-12-31$421,489
Expenses. Other expenses not covered elsewhere2021-12-31$595,482
Contributions received from other sources (not participants or employers)2021-12-31$5,311
Net income (gross income less expenses)2021-12-31$-155,553
Net plan assets at end of year (total assets less liabilities)2021-12-31$14,397
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$169,950
Total contributions received or receivable from employer(s)2021-12-31$1,085,309
Value of corrective distributions2021-12-31$140,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$49,334
2020 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$65,366
Total plan liabilities at beginning of year2020-12-31$93,078
Total income from all sources2020-12-31$1,512,893
Expenses. Total of all expenses incurred2020-12-31$1,411,734
Benefits paid (including direct rollovers)2020-12-31$616,180
Total plan assets at end of year2020-12-31$235,316
Total plan assets at beginning of year2020-12-31$161,869
Value of fidelity bond covering the plan2020-12-31$800,000
Total contributions received or receivable from participants2020-12-31$418,752
Expenses. Other expenses not covered elsewhere2020-12-31$518,311
Contributions received from other sources (not participants or employers)2020-12-31$9,965
Net income (gross income less expenses)2020-12-31$101,159
Net plan assets at end of year (total assets less liabilities)2020-12-31$169,950
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$68,791
Total contributions received or receivable from employer(s)2020-12-31$1,084,176
Value of corrective distributions2020-12-31$229,975
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$47,268
2019 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$93,078
Total plan liabilities at beginning of year2019-12-31$96,201
Total income from all sources2019-12-31$1,352,872
Expenses. Total of all expenses incurred2019-12-31$1,343,320
Benefits paid (including direct rollovers)2019-12-31$789,418
Total plan assets at end of year2019-12-31$161,869
Total plan assets at beginning of year2019-12-31$155,440
Value of fidelity bond covering the plan2019-12-31$800,000
Total contributions received or receivable from participants2019-12-31$359,602
Expenses. Other expenses not covered elsewhere2019-12-31$488,706
Contributions received from other sources (not participants or employers)2019-12-31$4,342
Other income received2019-12-31$0
Net income (gross income less expenses)2019-12-31$9,552
Net plan assets at end of year (total assets less liabilities)2019-12-31$68,791
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$59,239
Total contributions received or receivable from employer(s)2019-12-31$988,928
Value of corrective distributions2019-12-31$22,791
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$42,405
2018 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$96,201
Total plan liabilities at beginning of year2018-12-31$73,353
Total income from all sources2018-12-31$1,077,866
Expenses. Total of all expenses incurred2018-12-31$1,005,043
Benefits paid (including direct rollovers)2018-12-31$573,388
Total plan assets at end of year2018-12-31$155,440
Total plan assets at beginning of year2018-12-31$59,769
Value of fidelity bond covering the plan2018-12-31$800,000
Total contributions received or receivable from participants2018-12-31$304,690
Expenses. Other expenses not covered elsewhere2018-12-31$392,437
Contributions received from other sources (not participants or employers)2018-12-31$7,429
Other income received2018-12-31$16
Net income (gross income less expenses)2018-12-31$72,823
Net plan assets at end of year (total assets less liabilities)2018-12-31$59,239
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$-13,584
Total contributions received or receivable from employer(s)2018-12-31$765,731
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$39,218
2017 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$73,353
Total plan liabilities at beginning of year2017-12-31$91,264
Total income from all sources2017-12-31$837,092
Expenses. Total of all expenses incurred2017-12-31$819,856
Benefits paid (including direct rollovers)2017-12-31$517,387
Total plan assets at end of year2017-12-31$59,769
Total plan assets at beginning of year2017-12-31$60,444
Value of fidelity bond covering the plan2017-12-31$800,000
Total contributions received or receivable from participants2017-12-31$267,675
Expenses. Other expenses not covered elsewhere2017-12-31$266,529
Other income received2017-12-31$91
Net income (gross income less expenses)2017-12-31$17,236
Net plan assets at end of year (total assets less liabilities)2017-12-31$-13,584
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-30,820
Total contributions received or receivable from employer(s)2017-12-31$569,326
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$35,940
2016 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$91,264
Total plan liabilities at beginning of year2016-12-31$313,158
Total income from all sources2016-12-31$758,511
Expenses. Total of all expenses incurred2016-12-31$542,053
Benefits paid (including direct rollovers)2016-12-31$300,052
Total plan assets at end of year2016-12-31$60,444
Total plan assets at beginning of year2016-12-31$65,880
Value of fidelity bond covering the plan2016-12-31$800,000
Total contributions received or receivable from participants2016-12-31$231,834
Expenses. Other expenses not covered elsewhere2016-12-31$206,460
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$107
Net income (gross income less expenses)2016-12-31$216,458
Net plan assets at end of year (total assets less liabilities)2016-12-31$-30,820
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$-247,278
Total contributions received or receivable from employer(s)2016-12-31$526,570
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$35,541
2015 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$313,158
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$547,863
Expenses. Total of all expenses incurred2015-12-31$806,447
Benefits paid (including direct rollovers)2015-12-31$558,943
Total plan assets at end of year2015-12-31$65,880
Total plan assets at beginning of year2015-12-31$11,306
Value of fidelity bond covering the plan2015-12-31$800,000
Total contributions received or receivable from participants2015-12-31$196,882
Expenses. Other expenses not covered elsewhere2015-12-31$215,522
Other income received2015-12-31$38
Net income (gross income less expenses)2015-12-31$-258,584
Net plan assets at end of year (total assets less liabilities)2015-12-31$-247,278
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$11,306
Total contributions received or receivable from employer(s)2015-12-31$350,943
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$31,982
2014 : DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$128,915
Expenses. Total of all expenses incurred2014-12-31$117,608
Benefits paid (including direct rollovers)2014-12-31$64,567
Total plan assets at end of year2014-12-31$11,307
Total plan assets at beginning of year2014-12-31$0
Value of fidelity bond covering the plan2014-12-31$800,000
Total contributions received or receivable from participants2014-12-31$40,307
Expenses. Other expenses not covered elsewhere2014-12-31$45,842
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$3
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$11,307
Net plan assets at end of year (total assets less liabilities)2014-12-31$11,307
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$0
Total contributions received or receivable from employer(s)2014-12-31$88,605
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$7,199

Form 5500 Responses for DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN

2022: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: DELVAL EQUIPMENT EMPLOYEE BENEFITS 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: DELVAL EQUIPMENT EMPLOYEE BENEFITS 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DELVAL EQUIPMENT EMPLOYEE BENEFITS 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: DELVAL EQUIPMENT EMPLOYEE BENEFITS PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01First time form 5500 has been submittedYes
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan funding arrangement – General assets of the sponsorYes
2014-10-01Plan benefit arrangement - TrustYes
2014-10-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500021
Policy instance 1
Insurance contract or identification number30500021
Number of Individuals Covered80
Insurance policy start date2022-01-01
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 $0
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 number30500021
Policy instance 1
Insurance contract or identification number30500021
Number of Individuals Covered87
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $478,353
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 number30500021
Policy instance 1
Insurance contract or identification number30500021
Number of Individuals Covered90
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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 $436,809
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 Covered82
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 $347,454
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 Covered74
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 $216,080
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 Covered72
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?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 $144,560
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 Covered0
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?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 $33,947
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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