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MAXTEC 401(K) PLAN 401k Plan overview

Plan NameMAXTEC 401(K) PLAN
Plan identification number 001

MAXTEC 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.
  • 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.
  • 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

MAXTEC has sponsored the creation of one or more 401k plans.

Company Name:MAXTEC
Employer identification number (EIN):273461171
NAIC Classification:334500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAXTEC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01ERIC WHITING2021-07-21
0012019-01-01
0012018-01-01
0012017-01-01AMY EARL
0012016-01-01AMY EARL
0012015-01-01BRUCE BRIERLEY BRUCE BRIERLEY2016-07-19
0012014-01-01BRUCE BRIERLEY BRUCE BRIERLEY2015-07-06
0012013-01-01BRUCE BRIERLEY BRUCE BRIERLEY2014-07-23
0012012-01-01BRUCE BRIERLEY BRUCE BRIERLEY2013-05-21
0012011-01-01BRUCE BRIERLEY BRUCE BRIERLEY2012-07-25

Plan Statistics for MAXTEC 401(K) PLAN

401k plan membership statisitcs for MAXTEC 401(K) PLAN

Measure Date Value
2019: MAXTEC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0195
Total number of active participants reported on line 7a of the Form 55002019-01-0185
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-0117
Total of all active and inactive participants2019-01-01103
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01103
Number of participants with account balances2019-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-013
2018: MAXTEC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01102
Total number of active participants reported on line 7a of the Form 55002018-01-0179
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0114
Total of all active and inactive participants2018-01-0193
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0193
Number of participants with account balances2018-01-0172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-016
2017: MAXTEC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0197
Total number of active participants reported on line 7a of the Form 55002017-01-0186
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0114
Total of all active and inactive participants2017-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01100
Number of participants with account balances2017-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-015
2016: MAXTEC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0188
Total number of active participants reported on line 7a of the Form 55002016-01-0176
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0188
Number of participants with account balances2016-01-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-015
2015: MAXTEC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0186
Total number of active participants reported on line 7a of the Form 55002015-01-0164
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0118
Total of all active and inactive participants2015-01-0182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0182
Number of participants with account balances2015-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-015
2014: MAXTEC 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0181
Total number of active participants reported on line 7a of the Form 55002014-01-0167
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0116
Total of all active and inactive participants2014-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0183
Number of participants with account balances2014-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-013
2013: MAXTEC 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0183
Total number of active participants reported on line 7a of the Form 55002013-01-0169
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0111
Total of all active and inactive participants2013-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0180
Number of participants with account balances2013-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: MAXTEC 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0165
Total number of active participants reported on line 7a of the Form 55002012-01-0170
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0179
Number of participants with account balances2012-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MAXTEC 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0167
Total number of active participants reported on line 7a of the Form 55002011-01-0153
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0162
Number of participants with account balances2011-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-013

Financial Data on MAXTEC 401(K) PLAN

Measure Date Value
2019 : MAXTEC 401(K) PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$29,534
Total plan liabilities at beginning of year2019-12-31$30,495
Total income from all sources2019-12-31$1,482,056
Expenses. Total of all expenses incurred2019-12-31$148,338
Benefits paid (including direct rollovers)2019-12-31$28,430
Total plan assets at end of year2019-12-31$6,698,827
Total plan assets at beginning of year2019-12-31$5,366,070
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$378,240
Expenses. Other expenses not covered elsewhere2019-12-31$64,640
Contributions received from other sources (not participants or employers)2019-12-31$43,792
Other income received2019-12-31$906,902
Net income (gross income less expenses)2019-12-31$1,333,718
Net plan assets at end of year (total assets less liabilities)2019-12-31$6,669,293
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$5,335,575
Assets. Value of participant loans2019-12-31$191,373
Total contributions received or receivable from employer(s)2019-12-31$153,122
Value of certain deemed distributions of participant loans2019-12-31$25,734
Value of corrective distributions2019-12-31$29,534
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : MAXTEC 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$30,495
Total plan liabilities at beginning of year2018-12-31$19,225
Total income from all sources2018-12-31$139,279
Expenses. Total of all expenses incurred2018-12-31$112,377
Benefits paid (including direct rollovers)2018-12-31$40,889
Total plan assets at end of year2018-12-31$5,366,070
Total plan assets at beginning of year2018-12-31$5,327,898
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$351,062
Contributions received from other sources (not participants or employers)2018-12-31$447
Other income received2018-12-31$-328,923
Net income (gross income less expenses)2018-12-31$26,902
Net plan assets at end of year (total assets less liabilities)2018-12-31$5,335,575
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$5,308,673
Assets. Value of participant loans2018-12-31$224,730
Total contributions received or receivable from employer(s)2018-12-31$116,693
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$30,495
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$40,993
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : MAXTEC 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$19,225
Total plan liabilities at beginning of year2017-12-31$26,200
Total income from all sources2017-12-31$1,086,758
Expenses. Total of all expenses incurred2017-12-31$217,716
Benefits paid (including direct rollovers)2017-12-31$159,588
Total plan assets at end of year2017-12-31$5,327,898
Total plan assets at beginning of year2017-12-31$4,465,831
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$335,986
Contributions received from other sources (not participants or employers)2017-12-31$9,778
Other income received2017-12-31$606,269
Net income (gross income less expenses)2017-12-31$869,042
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,308,673
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,439,631
Assets. Value of participant loans2017-12-31$204,043
Total contributions received or receivable from employer(s)2017-12-31$134,725
Value of corrective distributions2017-12-31$19,225
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$38,903
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MAXTEC 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$26,200
Total plan liabilities at beginning of year2016-12-31$3,783
Total income from all sources2016-12-31$660,455
Expenses. Total of all expenses incurred2016-12-31$192,520
Benefits paid (including direct rollovers)2016-12-31$163,322
Total plan assets at end of year2016-12-31$4,465,831
Total plan assets at beginning of year2016-12-31$3,975,479
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$245,181
Expenses. Other expenses not covered elsewhere2016-12-31$2,998
Contributions received from other sources (not participants or employers)2016-12-31$7,171
Other income received2016-12-31$305,529
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$467,935
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,439,631
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,971,696
Assets. Value of participant loans2016-12-31$158,799
Total contributions received or receivable from employer(s)2016-12-31$102,574
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$26,200
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MAXTEC 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$3,783
Total plan liabilities at beginning of year2015-12-31$5,171
Total income from all sources2015-12-31$150,925
Expenses. Total of all expenses incurred2015-12-31$222,452
Benefits paid (including direct rollovers)2015-12-31$215,819
Total plan assets at end of year2015-12-31$3,975,479
Total plan assets at beginning of year2015-12-31$4,048,394
Value of fidelity bond covering the plan2015-12-31$450,000
Total contributions received or receivable from participants2015-12-31$208,461
Expenses. Other expenses not covered elsewhere2015-12-31$2,850
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-127,959
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$-71,527
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,971,696
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,043,223
Assets. Value of participant loans2015-12-31$204,508
Total contributions received or receivable from employer(s)2015-12-31$70,423
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$3,783
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MAXTEC 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$5,171
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$542,609
Expenses. Total of all expenses incurred2014-12-31$148,027
Benefits paid (including direct rollovers)2014-12-31$137,947
Total plan assets at end of year2014-12-31$4,048,394
Total plan assets at beginning of year2014-12-31$3,648,641
Value of fidelity bond covering the plan2014-12-31$450,000
Total contributions received or receivable from participants2014-12-31$230,834
Expenses. Other expenses not covered elsewhere2014-12-31$4,909
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$214,718
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$394,582
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,043,223
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,648,641
Assets. Value of participant loans2014-12-31$166,564
Total contributions received or receivable from employer(s)2014-12-31$97,057
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$5,171
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MAXTEC 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$898,011
Expenses. Total of all expenses incurred2013-12-31$45,624
Benefits paid (including direct rollovers)2013-12-31$36,431
Total plan assets at end of year2013-12-31$3,648,641
Total plan assets at beginning of year2013-12-31$2,796,254
Value of fidelity bond covering the plan2013-12-31$400,000
Total contributions received or receivable from participants2013-12-31$238,457
Expenses. Other expenses not covered elsewhere2013-12-31$9,193
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$560,481
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$852,387
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,648,641
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,796,254
Assets. Value of participant loans2013-12-31$180,218
Total contributions received or receivable from employer(s)2013-12-31$99,073
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : MAXTEC 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$7,902
Total income from all sources2012-12-31$570,496
Expenses. Total of all expenses incurred2012-12-31$80,457
Benefits paid (including direct rollovers)2012-12-31$61,577
Total plan assets at end of year2012-12-31$2,796,254
Total plan assets at beginning of year2012-12-31$2,314,117
Value of fidelity bond covering the plan2012-12-31$300,000
Total contributions received or receivable from participants2012-12-31$170,796
Expenses. Other expenses not covered elsewhere2012-12-31$18,880
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$328,420
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$490,039
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,796,254
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,306,215
Assets. Value of participant loans2012-12-31$97,469
Total contributions received or receivable from employer(s)2012-12-31$71,280
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : MAXTEC 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$7,902
Total plan liabilities at beginning of year2011-12-31$4,066
Total income from all sources2011-12-31$172,710
Expenses. Total of all expenses incurred2011-12-31$27,204
Benefits paid (including direct rollovers)2011-12-31$2,473
Total plan assets at end of year2011-12-31$2,314,117
Total plan assets at beginning of year2011-12-31$2,164,775
Value of fidelity bond covering the plan2011-12-31$240,000
Total contributions received or receivable from participants2011-12-31$159,465
Expenses. Other expenses not covered elsewhere2011-12-31$16,829
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-52,407
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$145,506
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,306,215
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,160,709
Assets. Value of participant loans2011-12-31$104,316
Total contributions received or receivable from employer(s)2011-12-31$65,652
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$7,902
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0

Form 5500 Responses for MAXTEC 401(K) PLAN

2019: MAXTEC 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: MAXTEC 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: MAXTEC 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: MAXTEC 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: MAXTEC 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: MAXTEC 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
2013: MAXTEC 401(K) 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MAXTEC 401(K) 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 benefit arrangement – InsuranceYes
2011: MAXTEC 401(K) 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number374334-01
Policy instance 1
Insurance contract or identification number374334-01
Number of Individuals Covered4
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 number374334-01
Policy instance 1
Insurance contract or identification number374334-01
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?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
Insurance broker organization code?5
Insurance broker nameWC ADMINISTRATORS LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number20004
Policy instance 1
Insurance contract or identification number20004
Number of Individuals Covered54
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Amount paid for insurance broker fees15340
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameWC ADMINISTRATORS LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number20004
Policy instance 1
Insurance contract or identification number20004
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31

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