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MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 401k Plan overview

Plan NameMAUMEE ASSEMBLY & STAMPING 401(K) PLAN
Plan identification number 001

MAUMEE ASSEMBLY & STAMPING 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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

MAUMEE ASSEMBLY AND STAMPING has sponsored the creation of one or more 401k plans.

Company Name:MAUMEE ASSEMBLY AND STAMPING
Employer identification number (EIN):270176680
NAIC Classification:332110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAUMEE ASSEMBLY & STAMPING 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01NAKIA WILLIAMSON2023-10-11 NAKIA WILLIAMSON2023-10-11
0012021-01-01NAKIA WILLIAMSON2022-10-14 NAKIA WILLIAMSON2022-10-14
0012020-01-01NAKIA WILLIAMSON2021-10-14 NAKIA WILLIAMSON2021-10-14
0012019-01-01NAKIA WILLIAMSON2020-10-12 NAKIA WILLIAMSON2020-10-12
0012018-01-01
0012017-01-01

Plan Statistics for MAUMEE ASSEMBLY & STAMPING 401(K) PLAN

401k plan membership statisitcs for MAUMEE ASSEMBLY & STAMPING 401(K) PLAN

Measure Date Value
2022: MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01138
Total number of active participants reported on line 7a of the Form 55002022-01-01106
Number of retired or separated participants receiving benefits2022-01-0115
Total of all active and inactive participants2022-01-01121
Total participants2022-01-01121
Number of participants with account balances2022-01-0159
2021: MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01154
Total number of active participants reported on line 7a of the Form 55002021-01-01123
Number of retired or separated participants receiving benefits2021-01-0115
Total of all active and inactive participants2021-01-01138
Total participants2021-01-01138
Number of participants with account balances2021-01-0165
2020: MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01168
Total number of active participants reported on line 7a of the Form 55002020-01-01143
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0111
Total of all active and inactive participants2020-01-01154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01154
Number of participants with account balances2020-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01137
Total number of active participants reported on line 7a of the Form 55002019-01-01157
Number of other retired or separated participants entitled to future benefits2019-01-0111
Total of all active and inactive participants2019-01-01168
Total participants2019-01-01168
Number of participants with account balances2019-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-015

Financial Data on MAUMEE ASSEMBLY & STAMPING 401(K) PLAN

Measure Date Value
2022 : MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$127,270
Total of all expenses incurred2022-12-31$192,578
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$186,894
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$293,067
Value of total assets at end of year2022-12-31$875,950
Value of total assets at beginning of year2022-12-31$941,258
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$5,684
Total interest from all sources2022-12-31$1,334
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$200,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$187,264
Participant contributions at end of year2022-12-31$26,037
Participant contributions at beginning of year2022-12-31$37,185
Other income not declared elsewhere2022-12-31$-167,131
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-65,308
Value of net assets at end of year (total assets less liabilities)2022-12-31$875,950
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$941,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$200,768
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$160,965
Interest on participant loans2022-12-31$1,334
Value of interest in common/collective trusts at end of year2022-12-31$648,450
Value of interest in common/collective trusts at beginning of year2022-12-31$742,982
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$695
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$126
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$105,803
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$186,894
Contract administrator fees2022-12-31$5,684
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$365,190
Total of all expenses incurred2021-12-31$127,974
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$122,301
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$258,380
Value of total assets at end of year2021-12-31$941,258
Value of total assets at beginning of year2021-12-31$704,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$5,673
Total interest from all sources2021-12-31$1,630
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$200,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$158,906
Participant contributions at end of year2021-12-31$37,185
Participant contributions at beginning of year2021-12-31$4,842
Other income not declared elsewhere2021-12-31$105,180
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$237,216
Value of net assets at end of year (total assets less liabilities)2021-12-31$941,258
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$704,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$160,965
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$98,019
Interest on participant loans2021-12-31$1,630
Value of interest in common/collective trusts at end of year2021-12-31$742,982
Value of interest in common/collective trusts at beginning of year2021-12-31$601,147
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$126
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$34
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$99,474
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$122,301
Contract administrator fees2021-12-31$5,673
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31GILMORE, JASION & MAHLER, LTD
Accountancy firm EIN2021-12-31341827159
2020 : MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$296,176
Total of all expenses incurred2020-12-31$140,100
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$128,491
Expenses. Certain deemed distributions of participant loans2020-12-31$6,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$208,091
Value of total assets at end of year2020-12-31$704,042
Value of total assets at beginning of year2020-12-31$547,966
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,209
Total interest from all sources2020-12-31$825
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$200,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$125,881
Participant contributions at end of year2020-12-31$4,842
Participant contributions at beginning of year2020-12-31$18,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$156,076
Value of net assets at end of year (total assets less liabilities)2020-12-31$704,042
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$547,966
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$98,019
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$79,524
Interest on participant loans2020-12-31$0
Income. Interest from loans (other than to participants)2020-12-31$812
Value of interest in common/collective trusts at end of year2020-12-31$601,147
Value of interest in common/collective trusts at beginning of year2020-12-31$448,340
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$13
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$34
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,992
Net investment gain/loss from pooled separate accounts2020-12-31$19,283
Net investment gain or loss from common/collective trusts2020-12-31$67,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$82,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$128,491
Contract administrator fees2020-12-31$5,209
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31GILMORE, JASION & MAHLER, LTD
Accountancy firm EIN2020-12-31341827159
2019 : MAUMEE ASSEMBLY & STAMPING 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$323,061
Total income from all sources (including contributions)2019-12-31$323,061
Total of all expenses incurred2019-12-31$151,162
Total of all expenses incurred2019-12-31$151,162
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$147,631
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$147,631
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$243,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$243,929
Value of total assets at end of year2019-12-31$547,966
Value of total assets at end of year2019-12-31$547,966
Value of total assets at beginning of year2019-12-31$376,067
Value of total assets at beginning of year2019-12-31$376,067
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,531
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,531
Total interest from all sources2019-12-31$1,272
Total interest from all sources2019-12-31$1,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$200,000
Value of fidelity bond cover2019-12-31$200,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$156,715
Contributions received from participants2019-12-31$156,715
Participant contributions at end of year2019-12-31$18,110
Participant contributions at end of year2019-12-31$18,110
Participant contributions at beginning of year2019-12-31$20,155
Participant contributions at beginning of year2019-12-31$20,155
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Administrative expenses (other) incurred2019-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$171,899
Value of net income/loss2019-12-31$171,899
Value of net assets at end of year (total assets less liabilities)2019-12-31$547,966
Value of net assets at end of year (total assets less liabilities)2019-12-31$547,966
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$376,067
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$376,067
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$79,524
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$79,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$23,445
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$23,445
Income. Interest from loans (other than to participants)2019-12-31$1,259
Income. Interest from loans (other than to participants)2019-12-31$1,259
Value of interest in common/collective trusts at end of year2019-12-31$448,340
Value of interest in common/collective trusts at end of year2019-12-31$448,340
Value of interest in common/collective trusts at beginning of year2019-12-31$332,467
Value of interest in common/collective trusts at beginning of year2019-12-31$332,467
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$13
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$13
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,992
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$15,590
Net investment gain/loss from pooled separate accounts2019-12-31$15,590
Net investment gain or loss from common/collective trusts2019-12-31$62,270
Net investment gain or loss from common/collective trusts2019-12-31$62,270
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$87,214
Contributions received in cash from employer2019-12-31$87,214
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$147,631
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$147,631
Contract administrator fees2019-12-31$3,531
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31GILMORE, JASION & MAHLER, LTD
Accountancy firm name2019-12-31GILMORE, JASION & MAHLER, LTD
Accountancy firm EIN2019-12-31341827159
Accountancy firm EIN2019-12-31341827159

Form 5500 Responses for MAUMEE ASSEMBLY & STAMPING 401(K) PLAN

2022: MAUMEE ASSEMBLY & STAMPING 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MAUMEE ASSEMBLY & STAMPING 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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MAUMEE ASSEMBLY & STAMPING 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MAUMEE ASSEMBLY & STAMPING 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan 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 number504904-01
Policy instance 1
Insurance contract or identification number504904-01
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504904-01
Policy instance 1
Insurance contract or identification number504904-01
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504904-01
Policy instance 1
Insurance contract or identification number504904-01
Number of Individuals Covered2
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504904-01
Policy instance 1
Insurance contract or identification number504904-01
Number of Individuals Covered2
Total amount of commissions paid to insurance brokerUSD $9
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $9
Insurance broker organization code?3

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