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CATALYST PRX 1165(E) SAVINGS PLAN 401k Plan overview

Plan NameCATALYST PRX 1165(E) SAVINGS PLAN
Plan identification number 002

CATALYST PRX 1165(E) SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • 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.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CATALYST PRX, LLC has sponsored the creation of one or more 401k plans.

Company Name:CATALYST PRX, LLC
Employer identification number (EIN):261424534
NAIC Classification:326100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CATALYST PRX 1165(E) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022019-01-01DAVID E. STRAUSS2019-12-13
0022018-01-01DAVID E. STRAUSS2019-07-15
0022017-01-01
0022017-01-01
0022016-01-01DAVID E. STRAUSS
0022016-01-01DAVID E. STRAUSS2019-01-31
0022015-01-01DAVID E. STRAUSS
0022015-01-01DAVID E. STRAUSS2019-01-31
0022014-01-01MONICA WOLFE MONICA WOLFE2015-03-04
0022013-01-01MONICA WOLFE MONICA WOLFE2014-05-06
0022012-01-01MONICA WOLFE MONICA WOLFE2013-09-09
0022011-01-01MONICA WOLFE MONICA WOLFE2012-10-09
0022010-03-01MONICA WOLFE

Plan Statistics for CATALYST PRX 1165(E) SAVINGS PLAN

401k plan membership statisitcs for CATALYST PRX 1165(E) SAVINGS PLAN

Measure Date Value
2019: CATALYST PRX 1165(E) SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0113
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
2018: CATALYST PRX 1165(E) SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0113
Total number of active participants reported on line 7a of the Form 55002018-01-015
Number of retired or separated participants receiving benefits2018-01-018
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0113
Number of participants with account balances2018-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CATALYST PRX 1165(E) SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0113
Total number of active participants reported on line 7a of the Form 55002017-01-013
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0113
Number of participants with account balances2017-01-010
2016: CATALYST PRX 1165(E) SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-019
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0113
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CATALYST PRX 1165(E) SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0131
Total number of active participants reported on line 7a of the Form 55002015-01-0114
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0119
Number of participants with account balances2015-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: CATALYST PRX 1165(E) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0122
Total number of active participants reported on line 7a of the Form 55002014-01-0135
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-017
Total of all active and inactive participants2014-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0142
Number of participants with account balances2014-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: CATALYST PRX 1165(E) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0122
Total number of active participants reported on line 7a of the Form 55002013-01-0114
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0122
Number of participants with account balances2013-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CATALYST PRX 1165(E) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0123
Total number of active participants reported on line 7a of the Form 55002012-01-0114
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-018
Total of all active and inactive participants2012-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0122
Number of participants with account balances2012-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: CATALYST PRX 1165(E) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0113
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0123
Number of participants with account balances2011-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CATALYST PRX 1165(E) SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-03-010
Total number of active participants reported on line 7a of the Form 55002010-03-0114
Number of retired or separated participants receiving benefits2010-03-010
Number of other retired or separated participants entitled to future benefits2010-03-015
Total of all active and inactive participants2010-03-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-03-010
Total participants2010-03-0119
Number of participants with account balances2010-03-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-03-011

Financial Data on CATALYST PRX 1165(E) SAVINGS PLAN

Measure Date Value
2019 : CATALYST PRX 1165(E) SAVINGS PLAN 2019 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-21$0
2018 : CATALYST PRX 1165(E) SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-12-31$-9,922
Expenses. Total of all expenses incurred2018-12-31$13,088
Benefits paid (including direct rollovers)2018-12-31$11,373
Total plan assets at end of year2018-12-31$276,581
Total plan assets at beginning of year2018-12-31$299,591
Value of fidelity bond covering the plan2018-12-31$200,000
Total contributions received or receivable from participants2018-12-31$6,919
Other income received2018-12-31$-20,301
Net income (gross income less expenses)2018-12-31$-23,010
Net plan assets at end of year (total assets less liabilities)2018-12-31$276,581
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$299,591
Total contributions received or receivable from employer(s)2018-12-31$3,460
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$1,715
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CATALYST PRX 1165(E) SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$48,225
Expenses. Total of all expenses incurred2017-12-31$15,872
Benefits paid (including direct rollovers)2017-12-31$9,345
Total plan assets at end of year2017-12-31$299,591
Total plan assets at beginning of year2017-12-31$267,238
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$8,090
Other income received2017-12-31$36,090
Net income (gross income less expenses)2017-12-31$32,353
Net plan assets at end of year (total assets less liabilities)2017-12-31$299,591
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$267,238
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$1,066
Total contributions received or receivable from employer(s)2017-12-31$4,045
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$6,527
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CATALYST PRX 1165(E) SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$37,696
Expenses. Total of all expenses incurred2016-12-31$34,508
Benefits paid (including direct rollovers)2016-12-31$27,275
Total plan assets at end of year2016-12-31$267,238
Total plan assets at beginning of year2016-12-31$264,050
Value of fidelity bond covering the plan2016-12-31$30,000
Total contributions received or receivable from participants2016-12-31$7,246
Other income received2016-12-31$26,771
Net income (gross income less expenses)2016-12-31$3,188
Net plan assets at end of year (total assets less liabilities)2016-12-31$267,238
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$264,050
Total contributions received or receivable from employer(s)2016-12-31$3,679
Value of corrective distributions2016-12-31$4,285
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,948
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CATALYST PRX 1165(E) SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$42,632
Expenses. Total of all expenses incurred2015-12-31$62,712
Benefits paid (including direct rollovers)2015-12-31$59,665
Total plan assets at end of year2015-12-31$264,050
Total plan assets at beginning of year2015-12-31$284,130
Value of fidelity bond covering the plan2015-12-31$30,000
Total contributions received or receivable from participants2015-12-31$32,698
Other income received2015-12-31$-5,050
Net income (gross income less expenses)2015-12-31$-20,080
Net plan assets at end of year (total assets less liabilities)2015-12-31$264,050
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$284,130
Total contributions received or receivable from employer(s)2015-12-31$14,984
Value of corrective distributions2015-12-31$1,306
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,741
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CATALYST PRX 1165(E) SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$66,558
Expenses. Total of all expenses incurred2014-12-31$11,868
Benefits paid (including direct rollovers)2014-12-31$11,052
Total plan assets at end of year2014-12-31$284,130
Total plan assets at beginning of year2014-12-31$229,440
Total contributions received or receivable from participants2014-12-31$35,807
Expenses. Other expenses not covered elsewhere2014-12-31$816
Other income received2014-12-31$14,527
Net income (gross income less expenses)2014-12-31$54,690
Net plan assets at end of year (total assets less liabilities)2014-12-31$284,130
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$229,440
Total contributions received or receivable from employer(s)2014-12-31$16,224
2013 : CATALYST PRX 1165(E) SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$92,091
Expenses. Total of all expenses incurred2013-12-31$14,106
Benefits paid (including direct rollovers)2013-12-31$13,518
Total plan assets at end of year2013-12-31$229,440
Total plan assets at beginning of year2013-12-31$151,455
Total contributions received or receivable from participants2013-12-31$38,963
Expenses. Other expenses not covered elsewhere2013-12-31$588
Other income received2013-12-31$33,747
Net income (gross income less expenses)2013-12-31$77,985
Net plan assets at end of year (total assets less liabilities)2013-12-31$229,440
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$151,455
Total contributions received or receivable from employer(s)2013-12-31$19,381
2012 : CATALYST PRX 1165(E) SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$72,916
Expenses. Total of all expenses incurred2012-12-31$9,167
Benefits paid (including direct rollovers)2012-12-31$8,811
Total plan assets at end of year2012-12-31$151,455
Total plan assets at beginning of year2012-12-31$87,706
Total contributions received or receivable from participants2012-12-31$38,537
Expenses. Other expenses not covered elsewhere2012-12-31$356
Contributions received from other sources (not participants or employers)2012-12-31$752
Other income received2012-12-31$14,119
Net income (gross income less expenses)2012-12-31$63,749
Net plan assets at end of year (total assets less liabilities)2012-12-31$151,455
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$87,706
Total contributions received or receivable from employer(s)2012-12-31$19,508
2011 : CATALYST PRX 1165(E) SAVINGS PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$50,821
Expenses. Total of all expenses incurred2011-12-31$179
Total plan assets at end of year2011-12-31$87,706
Total plan assets at beginning of year2011-12-31$37,064
Total contributions received or receivable from participants2011-12-31$35,537
Expenses. Other expenses not covered elsewhere2011-12-31$179
Other income received2011-12-31$-2,322
Net income (gross income less expenses)2011-12-31$50,642
Net plan assets at end of year (total assets less liabilities)2011-12-31$87,706
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$37,064
Total contributions received or receivable from employer(s)2011-12-31$17,606
2010 : CATALYST PRX 1165(E) SAVINGS PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$37,733
Expenses. Total of all expenses incurred2010-12-31$669
Benefits paid (including direct rollovers)2010-12-31$339
Total plan assets at end of year2010-12-31$37,064
Total plan assets at beginning of year2010-12-31$0
Total contributions received or receivable from participants2010-12-31$24,023
Expenses. Other expenses not covered elsewhere2010-12-31$330
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$2,987
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$37,064
Net plan assets at end of year (total assets less liabilities)2010-12-31$37,064
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$10,723
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for CATALYST PRX 1165(E) SAVINGS PLAN

2019: CATALYST PRX 1165(E) SAVINGS 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 filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CATALYST PRX 1165(E) SAVINGS 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 – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: CATALYST PRX 1165(E) SAVINGS 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 – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: CATALYST PRX 1165(E) SAVINGS 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 – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: CATALYST PRX 1165(E) SAVINGS 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 – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: CATALYST PRX 1165(E) SAVINGS 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CATALYST PRX 1165(E) SAVINGS 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CATALYST PRX 1165(E) SAVINGS 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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CATALYST PRX 1165(E) SAVINGS 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CATALYST PRX 1165(E) SAVINGS PLAN 2010 form 5500 responses
2010-03-01Type of plan entitySingle employer plan
2010-03-01First time form 5500 has been submittedYes
2010-03-01Submission has been amendedNo
2010-03-01This submission is the final filingNo
2010-03-01This return/report is a short plan year return/report (less than 12 months)Yes
2010-03-01Plan is a collectively bargained planNo
2010-03-01Plan funding arrangement – TrustYes
2010-03-01Plan 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 number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered0
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered3
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered4
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered4
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered4
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered6
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number331573-P1
Policy instance 1
Insurance contract or identification number331573-P1
Number of Individuals Covered6
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 $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?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
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

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