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THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 401k Plan overview

Plan NameTHE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN
Plan identification number 501

THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Other welfare benefit cover

401k Sponsoring company profile

THE DAYTON POWER AND LIGHT COMPANY has sponsored the creation of one or more 401k plans.

Company Name:THE DAYTON POWER AND LIGHT COMPANY
Employer identification number (EIN):310258470
NAIC Classification:221100

Additional information about THE DAYTON POWER AND LIGHT COMPANY

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1911-03-23
Company Identification Number: 27514
Legal Registered Office Address: 1065 WOODMAN DRIVE
-
DAYTON
United States of America (USA)
45432

More information about THE DAYTON POWER AND LIGHT COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01MATTHEW H. ROACH
5012016-01-01EDWARD J. KUNZ
5012015-01-01EDWARD J. KUNZ
5012014-01-01EDWARD J. KUNZ
5012013-01-01EDWARD J. KUNZ
5012012-01-01CRAIG JACKSON CRAIG JACKSON2013-10-10
5012011-01-01CRAIG JACKSON CRAIG JACKSON2012-10-15
5012009-01-01DANIEL J. MCCABE

Plan Statistics for THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN

401k plan membership statisitcs for THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN

Measure Date Value
2022: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0123
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-0118
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0118
2021: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0129
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-0123
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0123
2020: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0137
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-0129
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0129
2019: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0150
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-0137
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0137
2018: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0166
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-0150
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0150
2017: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0177
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-0166
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0166
2016: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0195
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-0177
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0177
2015: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01107
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-0195
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0195
2014: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,677
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-01107
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01107
2013: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,664
Total number of active participants reported on line 7a of the Form 55002013-01-011,337
Number of retired or separated participants receiving benefits2013-01-011,340
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-012,677
2012: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-012,984
Total number of active participants reported on line 7a of the Form 55002012-01-011,319
Number of retired or separated participants receiving benefits2012-01-011,345
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-012,664
2011: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013,011
Total number of active participants reported on line 7a of the Form 55002011-01-011,432
Number of retired or separated participants receiving benefits2011-01-011,552
Total of all active and inactive participants2011-01-012,984
2009: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012,776
Total number of active participants reported on line 7a of the Form 55002009-01-011,411
Number of retired or separated participants receiving benefits2009-01-011,365
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012,776

Financial Data on THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN

Measure Date Value
2022 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$61,336
Total plan liabilities at beginning of year2022-12-31$46,348
Total income from all sources2022-12-31$-141,111
Expenses. Total of all expenses incurred2022-12-31$616,851
Benefits paid (including direct rollovers)2022-12-31$577,289
Total plan assets at end of year2022-12-31$1,361,462
Total plan assets at beginning of year2022-12-31$2,104,436
Value of fidelity bond covering the plan2022-12-31$1,000,000
Other income received2022-12-31$-250,334
Net income (gross income less expenses)2022-12-31$-757,962
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,300,126
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$2,058,088
Total contributions received or receivable from employer(s)2022-12-31$109,223
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$39,562
2021 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$46,348
Total plan liabilities at beginning of year2021-12-31$63,285
Total income from all sources2021-12-31$132,050
Expenses. Total of all expenses incurred2021-12-31$735,425
Benefits paid (including direct rollovers)2021-12-31$692,850
Total plan assets at end of year2021-12-31$2,104,436
Total plan assets at beginning of year2021-12-31$2,724,748
Value of fidelity bond covering the plan2021-12-31$1,000,000
Other income received2021-12-31$-84,962
Net income (gross income less expenses)2021-12-31$-603,375
Net plan assets at end of year (total assets less liabilities)2021-12-31$2,058,088
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,661,463
Total contributions received or receivable from employer(s)2021-12-31$217,012
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$42,575
2020 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$63,285
Total plan liabilities at beginning of year2020-12-31$72,107
Total income from all sources2020-12-31$889,582
Expenses. Total of all expenses incurred2020-12-31$651,386
Benefits paid (including direct rollovers)2020-12-31$596,738
Total plan assets at end of year2020-12-31$2,724,748
Total plan assets at beginning of year2020-12-31$2,495,374
Value of fidelity bond covering the plan2020-12-31$1,000,000
Other income received2020-12-31$235,107
Net income (gross income less expenses)2020-12-31$238,196
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,661,463
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,423,267
Total contributions received or receivable from employer(s)2020-12-31$654,475
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$54,648
2019 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$72,107
Total plan liabilities at beginning of year2019-12-31$49,328
Total income from all sources2019-12-31$770,448
Expenses. Total of all expenses incurred2019-12-31$589,105
Benefits paid (including direct rollovers)2019-12-31$521,051
Total plan assets at end of year2019-12-31$2,495,374
Total plan assets at beginning of year2019-12-31$2,291,252
Value of fidelity bond covering the plan2019-12-31$1,000,000
Other income received2019-12-31$214,484
Net income (gross income less expenses)2019-12-31$181,343
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,423,267
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,241,924
Total contributions received or receivable from employer(s)2019-12-31$555,964
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$68,054
2018 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$49,328
Total plan liabilities at beginning of year2018-12-31$132,003
Total income from all sources2018-12-31$729,479
Expenses. Total of all expenses incurred2018-12-31$863,317
Benefits paid (including direct rollovers)2018-12-31$803,700
Total plan assets at end of year2018-12-31$2,291,252
Total plan assets at beginning of year2018-12-31$2,507,765
Value of fidelity bond covering the plan2018-12-31$1,000,000
Other income received2018-12-31$-448
Net income (gross income less expenses)2018-12-31$-133,838
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,241,924
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,375,762
Total contributions received or receivable from employer(s)2018-12-31$729,927
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$59,617
2017 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$132,003
Total plan liabilities at beginning of year2017-12-31$93,302
Total income from all sources2017-12-31$709,196
Expenses. Total of all expenses incurred2017-12-31$844,703
Benefits paid (including direct rollovers)2017-12-31$793,352
Total plan assets at end of year2017-12-31$2,507,765
Total plan assets at beginning of year2017-12-31$2,604,571
Value of fidelity bond covering the plan2017-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2017-12-31$51,351
Other income received2017-12-31$105,605
Net income (gross income less expenses)2017-12-31$-135,507
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,375,762
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,511,269
Total contributions received or receivable from employer(s)2017-12-31$603,591
2016 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$93,302
Total plan liabilities at beginning of year2016-12-31$235,260
Total income from all sources2016-12-31$789,924
Expenses. Total of all expenses incurred2016-12-31$968,311
Benefits paid (including direct rollovers)2016-12-31$895,455
Total plan assets at end of year2016-12-31$2,604,571
Total plan assets at beginning of year2016-12-31$2,924,916
Value of fidelity bond covering the plan2016-12-31$1,000,000
Expenses. Other expenses not covered elsewhere2016-12-31$72,856
Other income received2016-12-31$96,129
Net income (gross income less expenses)2016-12-31$-178,387
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,511,269
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,689,656
Total contributions received or receivable from employer(s)2016-12-31$693,795
2015 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$235,260
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$184,035
Total income from all sources (including contributions)2015-12-31$826,826
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,192,878
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,120,536
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$794,448
Value of total assets at end of year2015-12-31$2,924,916
Value of total assets at beginning of year2015-12-31$3,239,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$72,342
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$83,694
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$83,694
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Administrative expenses (other) incurred2015-12-31$72,342
Liabilities. Value of operating payables at end of year2015-12-31$66,474
Liabilities. Value of operating payables at beginning of year2015-12-31$33,406
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-366,052
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,689,656
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,055,708
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,924,916
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$3,239,743
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-51,316
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$0
Assets. Invements in employer securities at beginning of year2015-12-31$0
Contributions received in cash from employer2015-12-31$794,448
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,120,536
Liabilities. Value of benefit claims payable at end of year2015-12-31$168,786
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$150,629
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ERNST & YOUNG LLP
Accountancy firm EIN2015-12-31356565596
2014 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$184,035
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$290,921
Total income from all sources (including contributions)2014-12-31$990,062
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,294,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,215,033
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$801,852
Value of total assets at end of year2014-12-31$3,239,743
Value of total assets at beginning of year2014-12-31$3,651,170
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$79,570
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$99,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$99,492
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$10,465
Administrative expenses (other) incurred2014-12-31$79,570
Liabilities. Value of operating payables at end of year2014-12-31$33,406
Liabilities. Value of operating payables at beginning of year2014-12-31$170,852
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-304,541
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,055,708
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$3,360,249
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$3,239,743
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$3,640,705
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$88,718
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$801,852
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,215,033
Liabilities. Value of benefit claims payable at end of year2014-12-31$150,629
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$120,069
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31356565596
2013 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$290,921
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$128,951
Total income from all sources (including contributions)2013-12-31$1,192,538
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,867,051
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,782,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,255,485
Value of total assets at end of year2013-12-31$3,651,170
Value of total assets at beginning of year2013-12-31$4,163,713
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$84,973
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$128,135
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$128,135
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$5,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$173,704
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$10,465
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$11,010
Administrative expenses (other) incurred2013-12-31$84,973
Liabilities. Value of operating payables at end of year2013-12-31$170,852
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-674,513
Value of net assets at end of year (total assets less liabilities)2013-12-31$3,360,249
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,034,762
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$3,640,705
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,152,703
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$545,208
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$-191,082
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,081,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,236,870
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$120,069
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$128,951
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BATTELLE RIPPE KINGSTON LLP
Accountancy firm EIN2013-12-31310210560
2012 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$128,951
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$141,416
Total income from all sources (including contributions)2012-12-31$1,800,464
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,110,572
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,011,903
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,580,055
Value of total assets at end of year2012-12-31$4,163,713
Value of total assets at beginning of year2012-12-31$4,486,286
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$98,669
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$139,270
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$139,270
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$5,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$169,664
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$11,010
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$13,599
Administrative expenses (other) incurred2012-12-31$98,669
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-310,108
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,034,762
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,344,870
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,152,703
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$4,472,687
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$545,044
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$81,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,410,391
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,466,859
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$128,951
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$141,416
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2012-12-31310210560
2011 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$141,416
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$168,645
Total income from all sources (including contributions)2011-12-31$2,235,331
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,482,828
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,376,155
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,908,189
Value of total assets at end of year2011-12-31$4,486,286
Value of total assets at beginning of year2011-12-31$4,761,012
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$106,673
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$184,698
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$184,698
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$5,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$183,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$13,599
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$16,546
Administrative expenses (other) incurred2011-12-31$106,673
Liabilities. Value of operating payables at end of year2011-12-31$0
Liabilities. Value of operating payables at beginning of year2011-12-31$1,102
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-247,497
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,344,870
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,592,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$4,472,687
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$4,744,466
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$714,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$142,444
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,724,510
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$1,661,582
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$141,416
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$167,543
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2011-12-31310210560
2010 : THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$168,645
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$158,430
Total income from all sources (including contributions)2010-12-31$2,229,865
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,588,201
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,476,084
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,864,466
Value of total assets at end of year2010-12-31$4,761,012
Value of total assets at beginning of year2010-12-31$5,109,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$112,117
Total interest from all sources2010-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$201,158
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$201,158
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$191,006
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$16,546
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$20,093
Administrative expenses (other) incurred2010-12-31$10,080
Liabilities. Value of operating payables at end of year2010-12-31$1,102
Liabilities. Value of operating payables at beginning of year2010-12-31$438
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-358,336
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,592,367
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$4,950,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$4,744,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$4,956,324
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$708,703
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$164,241
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,673,460
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$132,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,767,381
Contract administrator fees2010-12-31$102,037
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$167,543
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$157,992
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31BATTELLE & BATTELLE LLP
Accountancy firm EIN2010-12-31310210560

Form 5500 Responses for THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN

2022: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan funding arrangement – General assets of the sponsorYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan funding arrangement – General assets of the sponsorYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: THE DAYTON POWER & LIGHT CO. HEALTH BENEFIT 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 planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan funding arrangement – General assets of the sponsorYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50028
Policy instance 1
Insurance contract or identification number50028
Number of Individuals Covered2651
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $16,454
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $545,208
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,988
Insurance broker organization code?3
Insurance broker nameRIVERSIDE CONSULTING GROUP INC
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50028
Policy instance 1
Insurance contract or identification number50028
Number of Individuals Covered2666
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $17,470
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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 $545,056
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,180
Insurance broker organization code?3
Insurance broker nameMCGOHAN BRABENDER AGENCY INC
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302111
Policy instance 1
Insurance contract or identification number302111
Number of Individuals Covered2789
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $19,607
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $714,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number302111
Policy instance 1
Insurance contract or identification number302111
Number of Individuals Covered3580
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $21,149
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $692,522
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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