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TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameTECHNIVATE, INC. EMPLOYEE BENEFIT PLAN
Plan identification number 501

TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

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

Company Name:TECHNIVATE, INC.
Employer identification number (EIN):232671070
NAIC Classification:238900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TECHNIVATE, INC. EMPLOYEE BENEFIT 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
5012017-07-01ELISA BROWN
5012016-07-01ELISA BROWN
5012015-07-01ELISA BROWN

Plan Statistics for TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN

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

Measure Date Value
2022: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0136
Total number of active participants reported on line 7a of the Form 55002022-01-0137
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0137
2021: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0144
Total number of active participants reported on line 7a of the Form 55002021-01-0132
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 participants2021-01-0132
2020: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0137
Total number of active participants reported on line 7a of the Form 55002020-01-0143
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 participants2020-01-0144
2019: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0146
Total number of active participants reported on line 7a of the Form 55002019-01-0137
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0137
2018: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0161
Total number of active participants reported on line 7a of the Form 55002018-01-0144
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0146
2017: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0161
Total number of active participants reported on line 7a of the Form 55002017-07-0161
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-0161
2016: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0161
Total number of active participants reported on line 7a of the Form 55002016-07-0161
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-0161
2015: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0158
Total number of active participants reported on line 7a of the Form 55002015-07-0161
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0161

Financial Data on TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN

Measure Date Value
2022 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$29,997
Total plan liabilities at beginning of year2022-12-31$68,651
Total income from all sources2022-12-31$566,445
Expenses. Total of all expenses incurred2022-12-31$576,293
Benefits paid (including direct rollovers)2022-12-31$248,183
Total plan assets at end of year2022-12-31$110,775
Total plan assets at beginning of year2022-12-31$159,277
Value of fidelity bond covering the plan2022-12-31$50,000
Total contributions received or receivable from participants2022-12-31$104,650
Expenses. Other expenses not covered elsewhere2022-12-31$198,160
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-9,848
Net plan assets at end of year (total assets less liabilities)2022-12-31$80,778
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$90,626
Total contributions received or receivable from employer(s)2022-12-31$461,795
Value of corrective distributions2022-12-31$114,902
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$15,048
2021 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$68,651
Total plan liabilities at beginning of year2021-12-31$-14,128
Total income from all sources2021-12-31$537,367
Expenses. Total of all expenses incurred2021-12-31$740,673
Benefits paid (including direct rollovers)2021-12-31$285,017
Total plan assets at end of year2021-12-31$159,277
Total plan assets at beginning of year2021-12-31$279,804
Value of fidelity bond covering the plan2021-12-31$50,000
Total contributions received or receivable from participants2021-12-31$101,391
Expenses. Other expenses not covered elsewhere2021-12-31$222,218
Contributions received from other sources (not participants or employers)2021-12-31$4,559
Net income (gross income less expenses)2021-12-31$-203,306
Net plan assets at end of year (total assets less liabilities)2021-12-31$90,626
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$293,932
Total contributions received or receivable from employer(s)2021-12-31$431,417
Value of corrective distributions2021-12-31$220,007
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$13,431
2020 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$-14,128
Total plan liabilities at beginning of year2020-12-31$49,814
Total income from all sources2020-12-31$650,292
Expenses. Total of all expenses incurred2020-12-31$388,258
Benefits paid (including direct rollovers)2020-12-31$216,896
Total plan assets at end of year2020-12-31$279,804
Total plan assets at beginning of year2020-12-31$81,712
Value of fidelity bond covering the plan2020-12-31$50,000
Total contributions received or receivable from participants2020-12-31$119,492
Expenses. Other expenses not covered elsewhere2020-12-31$139,142
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$0
Net income (gross income less expenses)2020-12-31$262,034
Net plan assets at end of year (total assets less liabilities)2020-12-31$293,932
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$31,898
Total contributions received or receivable from employer(s)2020-12-31$530,800
Value of corrective distributions2020-12-31$15,113
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$17,107
2019 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$49,814
Total plan liabilities at beginning of year2019-12-31$58,986
Total income from all sources2019-12-31$543,960
Expenses. Total of all expenses incurred2019-12-31$478,816
Benefits paid (including direct rollovers)2019-12-31$244,987
Total plan assets at end of year2019-12-31$81,712
Total plan assets at beginning of year2019-12-31$25,740
Value of fidelity bond covering the plan2019-12-31$50,000
Total contributions received or receivable from participants2019-12-31$115,609
Expenses. Other expenses not covered elsewhere2019-12-31$188,441
Contributions received from other sources (not participants or employers)2019-12-31$1,126
Net income (gross income less expenses)2019-12-31$65,144
Net plan assets at end of year (total assets less liabilities)2019-12-31$31,898
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-33,246
Total contributions received or receivable from employer(s)2019-12-31$427,225
Value of corrective distributions2019-12-31$23,847
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$21,541
2018 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$58,986
Total plan liabilities at beginning of year2018-12-31$61,109
Total income from all sources2018-12-31$641,581
Expenses. Total of all expenses incurred2018-12-31$624,972
Benefits paid (including direct rollovers)2018-12-31$354,185
Total plan assets at end of year2018-12-31$25,740
Total plan assets at beginning of year2018-12-31$11,254
Value of fidelity bond covering the plan2018-12-31$50,000
Total contributions received or receivable from participants2018-12-31$28,364
Expenses. Other expenses not covered elsewhere2018-12-31$242,283
Contributions received from other sources (not participants or employers)2018-12-31$7,765
Net income (gross income less expenses)2018-12-31$16,609
Net plan assets at end of year (total assets less liabilities)2018-12-31$-33,246
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$-49,855
Total contributions received or receivable from employer(s)2018-12-31$605,452
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$28,504
2017 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$61,109
Total plan liabilities at beginning of year2017-12-31$94,317
Total income from all sources2017-12-31$361,544
Expenses. Total of all expenses incurred2017-12-31$396,076
Benefits paid (including direct rollovers)2017-12-31$251,970
Total plan assets at end of year2017-12-31$11,254
Total plan assets at beginning of year2017-12-31$78,994
Value of fidelity bond covering the plan2017-12-31$50,000
Total contributions received or receivable from participants2017-12-31$74,243
Expenses. Other expenses not covered elsewhere2017-12-31$126,698
Contributions received from other sources (not participants or employers)2017-12-31$3,619
Net income (gross income less expenses)2017-12-31$-34,532
Net plan assets at end of year (total assets less liabilities)2017-12-31$-49,855
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$-15,323
Total contributions received or receivable from employer(s)2017-12-31$283,682
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$17,408
Total plan liabilities at end of year2017-06-30$94,317
Total plan liabilities at beginning of year2017-06-30$52,243
Total income from all sources2017-06-30$729,520
Expenses. Total of all expenses incurred2017-06-30$693,505
Benefits paid (including direct rollovers)2017-06-30$404,430
Total plan assets at end of year2017-06-30$78,994
Total plan assets at beginning of year2017-06-30$905
Value of fidelity bond covering the plan2017-06-30$50,000
Total contributions received or receivable from participants2017-06-30$161,040
Expenses. Other expenses not covered elsewhere2017-06-30$260,529
Contributions received from other sources (not participants or employers)2017-06-30$1
Net income (gross income less expenses)2017-06-30$36,015
Net plan assets at end of year (total assets less liabilities)2017-06-30$-15,323
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$-51,338
Total contributions received or receivable from employer(s)2017-06-30$568,479
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$28,546
2016 : TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-06-30$52,243
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$590,479
Expenses. Total of all expenses incurred2016-06-30$641,817
Benefits paid (including direct rollovers)2016-06-30$382,815
Total plan assets at end of year2016-06-30$905
Total plan assets at beginning of year2016-06-30$0
Value of fidelity bond covering the plan2016-06-30$50,000
Total contributions received or receivable from participants2016-06-30$93,418
Expenses. Other expenses not covered elsewhere2016-06-30$234,626
Contributions received from other sources (not participants or employers)2016-06-30$1,202
Net income (gross income less expenses)2016-06-30$-51,338
Net plan assets at end of year (total assets less liabilities)2016-06-30$-51,338
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$0
Total contributions received or receivable from employer(s)2016-06-30$495,859
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$24,376

Form 5500 Responses for TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN

2022: TECHNIVATE, INC. EMPLOYEE BENEFIT 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 benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: TECHNIVATE, INC. EMPLOYEE BENEFIT 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 benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: TECHNIVATE, INC. EMPLOYEE BENEFIT 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 benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: TECHNIVATE, INC. EMPLOYEE BENEFIT 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: TECHNIVATE, INC. EMPLOYEE BENEFIT 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: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: TECHNIVATE, INC. EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01First time form 5500 has been submittedYes
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500128
Policy instance 1
Insurance contract or identification number30500128
Number of Individuals Covered36
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 $212
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 number203161
Policy instance 2
Insurance contract or identification number203161
Number of Individuals Covered36
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 $168,466
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 number30500128
Policy instance 1
Insurance contract or identification number30500128
Number of Individuals Covered32
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 $143,695
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 number30500128
Policy instance 1
Insurance contract or identification number30500128
Number of Individuals Covered43
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 $163,948
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 Covered37
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 $158,106
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 Covered61
Insurance policy start date2017-07-01
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 $104,085
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 Covered61
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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 $185,876
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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