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BAGGETT, MCCALL LLC 401(K) PLAN 401k Plan overview

Plan NameBAGGETT, MCCALL LLC 401(K) PLAN
Plan identification number 004

BAGGETT, MCCALL LLC 401(K) 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

BAGGETT MCCALL LLC has sponsored the creation of one or more 401k plans.

Company Name:BAGGETT MCCALL LLC
Employer identification number (EIN):263936991
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BAGGETT, MCCALL LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042022-01-01
0042022-01-01
0042021-01-01
0042020-01-01
0042019-01-01
0042018-01-01ERIN M. ALLEY
0042017-01-01ERIN M. ALLEY
0042016-01-01ERIN M. ALLEY
0042015-01-01ERIN M. ALLEY
0042014-01-01ERIN M. ALLEY
0042013-01-01ERIN M. ALLEY2014-07-24
0042012-01-01ERIN M. ALLEY2013-06-18
0042011-01-01ERIN M. ALLEY2012-07-10
0042010-01-01ROBERT MCCALL
0042009-01-01ROBERT MCCALL ROBERT MCCALL2010-07-30

Plan Statistics for BAGGETT, MCCALL LLC 401(K) PLAN

401k plan membership statisitcs for BAGGETT, MCCALL LLC 401(K) PLAN

Measure Date Value
2022: BAGGETT, MCCALL LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0138
Total number of active participants reported on line 7a of the Form 55002022-01-0133
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-017
Total of all active and inactive participants2022-01-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0140
Number of participants with account balances2022-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: BAGGETT, MCCALL LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0138
Total number of active participants reported on line 7a of the Form 55002021-01-0131
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0135
Number of participants with account balances2021-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: BAGGETT, MCCALL LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0136
Total number of active participants reported on line 7a of the Form 55002020-01-0133
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0136
Number of participants with account balances2020-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BAGGETT, MCCALL LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0137
Total number of active participants reported on line 7a of the Form 55002019-01-0131
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0134
Number of participants with account balances2019-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BAGGETT, MCCALL LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0140
Total number of active participants reported on line 7a of the Form 55002018-01-0130
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-014
Total of all active and inactive participants2018-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0134
Number of participants with account balances2018-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BAGGETT, MCCALL LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0138
Total number of active participants reported on line 7a of the Form 55002017-01-0137
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0139
Number of participants with account balances2017-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BAGGETT, MCCALL LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0136
Total number of active participants reported on line 7a of the Form 55002016-01-0135
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0136
Number of participants with account balances2016-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BAGGETT, MCCALL LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0138
Total number of active participants reported on line 7a of the Form 55002015-01-0134
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0136
Number of participants with account balances2015-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BAGGETT, MCCALL LLC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0134
Total number of active participants reported on line 7a of the Form 55002014-01-0136
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0136
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2010: BAGGETT, MCCALL LLC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0128
Total number of active participants reported on line 7a of the Form 55002010-01-0129
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0130
Number of participants with account balances2010-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: BAGGETT, MCCALL LLC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0130
Total number of active participants reported on line 7a of the Form 55002009-01-0122
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0128
Number of participants with account balances2009-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on BAGGETT, MCCALL LLC 401(K) PLAN

Measure Date Value
2022 : BAGGETT, MCCALL LLC 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-536,339
Expenses. Total of all expenses incurred2022-12-31$27,792
Benefits paid (including direct rollovers)2022-12-31$7,688
Total plan assets at end of year2022-12-31$5,366,785
Total plan assets at beginning of year2022-12-31$5,930,916
Value of fidelity bond covering the plan2022-12-31$600,000
Total contributions received or receivable from participants2022-12-31$239,146
Noncash contributions received2022-12-31$-899,249
Net income (gross income less expenses)2022-12-31$-564,131
Net plan assets at end of year (total assets less liabilities)2022-12-31$5,366,785
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,930,916
Total contributions received or receivable from employer(s)2022-12-31$123,764
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$20,104
2021 : BAGGETT, MCCALL LLC 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$1,340,370
Expenses. Total of all expenses incurred2021-12-31$590,114
Benefits paid (including direct rollovers)2021-12-31$562,577
Total plan assets at end of year2021-12-31$5,930,916
Total plan assets at beginning of year2021-12-31$5,180,660
Value of fidelity bond covering the plan2021-12-31$600,000
Total contributions received or receivable from participants2021-12-31$210,016
Other income received2021-12-31$1,030,651
Net income (gross income less expenses)2021-12-31$750,256
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,930,916
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$5,180,660
Total contributions received or receivable from employer(s)2021-12-31$99,703
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$27,537
2020 : BAGGETT, MCCALL LLC 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$877,799
Expenses. Total of all expenses incurred2020-12-31$55,442
Benefits paid (including direct rollovers)2020-12-31$29,959
Total plan assets at end of year2020-12-31$5,180,660
Total plan assets at beginning of year2020-12-31$4,358,303
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$205,043
Other income received2020-12-31$575,977
Net income (gross income less expenses)2020-12-31$822,357
Net plan assets at end of year (total assets less liabilities)2020-12-31$5,180,660
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,358,303
Total contributions received or receivable from employer(s)2020-12-31$96,779
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$25,483
2019 : BAGGETT, MCCALL LLC 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$1,031,545
Expenses. Total of all expenses incurred2019-12-31$92,512
Benefits paid (including direct rollovers)2019-12-31$69,830
Total plan assets at end of year2019-12-31$4,358,303
Total plan assets at beginning of year2019-12-31$3,419,270
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$193,848
Other income received2019-12-31$743,766
Net income (gross income less expenses)2019-12-31$939,033
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,358,303
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,419,270
Total contributions received or receivable from employer(s)2019-12-31$93,931
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$22,682
2018 : BAGGETT, MCCALL LLC 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$60,497
Expenses. Total of all expenses incurred2018-12-31$967,473
Benefits paid (including direct rollovers)2018-12-31$941,776
Total plan assets at end of year2018-12-31$3,419,270
Total plan assets at beginning of year2018-12-31$4,326,246
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$198,487
Other income received2018-12-31$-231,552
Net income (gross income less expenses)2018-12-31$-906,976
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,419,270
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,326,246
Total contributions received or receivable from employer(s)2018-12-31$93,562
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$25,697
2017 : BAGGETT, MCCALL LLC 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$920,074
Expenses. Total of all expenses incurred2017-12-31$124,306
Benefits paid (including direct rollovers)2017-12-31$110,000
Total plan assets at end of year2017-12-31$4,326,247
Total plan assets at beginning of year2017-12-31$3,530,479
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$229,951
Other income received2017-12-31$591,288
Net income (gross income less expenses)2017-12-31$795,768
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,326,247
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,530,479
Total contributions received or receivable from employer(s)2017-12-31$98,835
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$14,306
2016 : BAGGETT, MCCALL LLC 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$585,452
Expenses. Total of all expenses incurred2016-12-31$31,323
Benefits paid (including direct rollovers)2016-12-31$30,711
Total plan assets at end of year2016-12-31$3,530,479
Total plan assets at beginning of year2016-12-31$2,976,350
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$221,443
Other income received2016-12-31$266,771
Net income (gross income less expenses)2016-12-31$554,129
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,530,479
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,976,350
Total contributions received or receivable from employer(s)2016-12-31$97,238
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$612
2015 : BAGGETT, MCCALL LLC 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$320,205
Expenses. Total of all expenses incurred2015-12-31$35,326
Benefits paid (including direct rollovers)2015-12-31$34,564
Total plan assets at end of year2015-12-31$2,976,350
Total plan assets at beginning of year2015-12-31$2,691,471
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$222,320
Noncash contributions received2015-12-31$-6,585
Net income (gross income less expenses)2015-12-31$284,879
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,976,350
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,691,471
Total contributions received or receivable from employer(s)2015-12-31$104,470
Value of certain deemed distributions of participant loans2015-12-31$762
2014 : BAGGETT, MCCALL LLC 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$449,830
Expenses. Total of all expenses incurred2014-12-31$19,262
Benefits paid (including direct rollovers)2014-12-31$17,484
Total plan assets at end of year2014-12-31$2,691,471
Total plan assets at beginning of year2014-12-31$2,260,903
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$223,183
Other income received2014-12-31$137,434
Net income (gross income less expenses)2014-12-31$430,568
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,691,471
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,260,903
Total contributions received or receivable from employer(s)2014-12-31$89,213
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,778
2010 : BAGGETT, MCCALL LLC 401(K) PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$266,743
Expenses. Total of all expenses incurred2010-12-31$64,707
Benefits paid (including direct rollovers)2010-12-31$64,707
Total plan assets at end of year2010-12-31$985,848
Total plan assets at beginning of year2010-12-31$783,812
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$79,203
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$10,666
Other income received2010-12-31$135,285
Net income (gross income less expenses)2010-12-31$202,036
Net plan assets at end of year (total assets less liabilities)2010-12-31$985,848
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$783,812
Total contributions received or receivable from employer(s)2010-12-31$41,589
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : BAGGETT, MCCALL LLC 401(K) PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for BAGGETT, MCCALL LLC 401(K) PLAN

2022: BAGGETT, MCCALL LLC 401(K) 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: BAGGETT, MCCALL LLC 401(K) 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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BAGGETT, MCCALL LLC 401(K) 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BAGGETT, MCCALL LLC 401(K) 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BAGGETT, MCCALL LLC 401(K) 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BAGGETT, MCCALL LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BAGGETT, MCCALL LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BAGGETT, MCCALL LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BAGGETT, MCCALL LLC 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2010: BAGGETT, MCCALL LLC 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: BAGGETT, MCCALL LLC 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-022160
Policy instance 1
Insurance contract or identification numberGA-022160
Number of Individuals Covered30
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,455
Total amount of fees paid to insurance companyUSD $1,544
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
Commission paid to Insurance BrokerUSD $3,455
Insurance broker organization code?3
Amount paid for insurance broker fees1544
Additional information about fees paid to insurance brokerSALES/MARKETING
Insurance broker nameEDWARD D JONES & CO

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