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INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 401k Plan overview

Plan NameINT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT
Plan identification number 503

INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT Benefits

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

401k Sponsoring company profile

IH CREDIT UNION, INC. has sponsored the creation of one or more 401k plans.

Company Name:IH CREDIT UNION, INC.
Employer identification number (EIN):310502711
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032023-02-01ROBB WHITE2024-11-01
5032022-02-01
5032022-02-01ROBB WHITE
5032020-02-01
5032019-02-01
5032018-02-01
5032017-02-01ROBB WHITE
5032016-02-01ROBB WHITE ROBB WHITE2017-08-03
5032015-02-01ROBB WHITE2016-08-04 ROBB WHITE2016-08-04
5032014-02-01ROBB WHITE2015-11-11 ROBB WHITE2015-11-12
5032013-02-01ROBB WHITE2014-11-14 ROBB WHITE2014-11-14
5032012-02-01JAMES KITCHEN2013-11-14 JAMES KITCHEN2013-11-14
5032011-02-01JAMES KITCHEN2012-11-14 JAMES KITCHEN2012-11-15
5032010-02-01JAMES KITCHEN2011-11-15 JAMES KITCHEN2011-11-15
5032009-02-01JAMES KITCHEN2010-11-15 JAMES KITCHEN2010-11-15

Financial Data on INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT

Measure Date Value
2024 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2024 401k financial data
Total income from all sources2024-01-31$52,653
Expenses. Total of all expenses incurred2024-01-31$55,998
Benefits paid (including direct rollovers)2024-01-31$47,471
Total plan assets at end of year2024-01-31$0
Total plan assets at beginning of year2024-01-31$3,345
Total contributions received or receivable from participants2024-01-31$0
Expenses. Other expenses not covered elsewhere2024-01-31$7,100
Contributions received from other sources (not participants or employers)2024-01-31$2,798
Net income (gross income less expenses)2024-01-31$-3,345
Net plan assets at end of year (total assets less liabilities)2024-01-31$0
Net plan assets at beginning of year (total assets less liabilities)2024-01-31$3,345
Total contributions received or receivable from employer(s)2024-01-31$49,855
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-31$1,427
2023 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2023 401k financial data
Total income from all sources2023-01-31$13,240
Expenses. Total of all expenses incurred2023-01-31$12,928
Benefits paid (including direct rollovers)2023-01-31$6,308
Total plan assets at end of year2023-01-31$3,345
Total plan assets at beginning of year2023-01-31$3,033
Value of fidelity bond covering the plan2023-01-31$5,000,000
Total contributions received or receivable from participants2023-01-31$0
Expenses. Other expenses not covered elsewhere2023-01-31$5,860
Net income (gross income less expenses)2023-01-31$312
Net plan assets at end of year (total assets less liabilities)2023-01-31$3,345
Net plan assets at beginning of year (total assets less liabilities)2023-01-31$3,033
Total contributions received or receivable from employer(s)2023-01-31$13,240
Expenses. Administrative service providers (salaries,fees and commissions)2023-01-31$760
2021 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2021 401k financial data
Total income from all sources2021-01-31$18,313
Expenses. Total of all expenses incurred2021-01-31$15,973
Benefits paid (including direct rollovers)2021-01-31$6,390
Total plan assets at end of year2021-01-31$3,297
Total plan assets at beginning of year2021-01-31$957
Value of fidelity bond covering the plan2021-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2021-01-31$8,203
Other income received2021-01-31$25
Net income (gross income less expenses)2021-01-31$2,340
Net plan assets at end of year (total assets less liabilities)2021-01-31$3,297
Net plan assets at beginning of year (total assets less liabilities)2021-01-31$957
Total contributions received or receivable from employer(s)2021-01-31$18,288
Expenses. Administrative service providers (salaries,fees and commissions)2021-01-31$1,380
2020 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2020 401k financial data
Total income from all sources2020-01-31$11,251
Expenses. Total of all expenses incurred2020-01-31$12,669
Benefits paid (including direct rollovers)2020-01-31$8,758
Total plan assets at end of year2020-01-31$957
Total plan assets at beginning of year2020-01-31$2,375
Value of fidelity bond covering the plan2020-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2020-01-31$3,198
Other income received2020-01-31$3
Net income (gross income less expenses)2020-01-31$-1,418
Net plan assets at end of year (total assets less liabilities)2020-01-31$957
Net plan assets at beginning of year (total assets less liabilities)2020-01-31$2,375
Total contributions received or receivable from employer(s)2020-01-31$11,248
Expenses. Administrative service providers (salaries,fees and commissions)2020-01-31$713
2019 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2019 401k financial data
Total income from all sources2019-01-31$8,142
Expenses. Total of all expenses incurred2019-01-31$7,415
Benefits paid (including direct rollovers)2019-01-31$3,575
Total plan assets at end of year2019-01-31$2,375
Total plan assets at beginning of year2019-01-31$1,648
Value of fidelity bond covering the plan2019-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2019-01-31$3,147
Other income received2019-01-31$13
Net income (gross income less expenses)2019-01-31$727
Net plan assets at end of year (total assets less liabilities)2019-01-31$2,375
Net plan assets at beginning of year (total assets less liabilities)2019-01-31$1,648
Total contributions received or receivable from employer(s)2019-01-31$8,129
Expenses. Administrative service providers (salaries,fees and commissions)2019-01-31$693
2018 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2018 401k financial data
Total income from all sources2018-01-31$8,283
Expenses. Total of all expenses incurred2018-01-31$9,767
Benefits paid (including direct rollovers)2018-01-31$5,755
Total plan assets at end of year2018-01-31$1,648
Total plan assets at beginning of year2018-01-31$3,132
Value of fidelity bond covering the plan2018-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2018-01-31$2,707
Net income (gross income less expenses)2018-01-31$-1,484
Net plan assets at end of year (total assets less liabilities)2018-01-31$1,648
Net plan assets at beginning of year (total assets less liabilities)2018-01-31$3,132
Total contributions received or receivable from employer(s)2018-01-31$8,283
Expenses. Administrative service providers (salaries,fees and commissions)2018-01-31$1,305
2017 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2017 401k financial data
Total income from all sources2017-01-31$5,506
Expenses. Total of all expenses incurred2017-01-31$4,854
Benefits paid (including direct rollovers)2017-01-31$1,810
Total plan assets at end of year2017-01-31$3,132
Total plan assets at beginning of year2017-01-31$2,480
Value of fidelity bond covering the plan2017-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2017-01-31$2,415
Other income received2017-01-31$13
Net income (gross income less expenses)2017-01-31$652
Net plan assets at end of year (total assets less liabilities)2017-01-31$3,132
Net plan assets at beginning of year (total assets less liabilities)2017-01-31$2,480
Total contributions received or receivable from employer(s)2017-01-31$5,493
Expenses. Administrative service providers (salaries,fees and commissions)2017-01-31$629
2016 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2016 401k financial data
Total income from all sources2016-01-31$1,987
Expenses. Total of all expenses incurred2016-01-31$3,586
Benefits paid (including direct rollovers)2016-01-31$2,076
Total plan assets at end of year2016-01-31$2,479
Total plan assets at beginning of year2016-01-31$4,078
Value of fidelity bond covering the plan2016-01-31$5,000,000
Expenses. Other expenses not covered elsewhere2016-01-31$1,175
Net income (gross income less expenses)2016-01-31$-1,599
Net plan assets at end of year (total assets less liabilities)2016-01-31$2,479
Net plan assets at beginning of year (total assets less liabilities)2016-01-31$4,078
Total contributions received or receivable from employer(s)2016-01-31$1,987
Expenses. Administrative service providers (salaries,fees and commissions)2016-01-31$335
2015 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2015 401k financial data
Total income from all sources2015-01-31$3,606
Expenses. Total of all expenses incurred2015-01-31$9,049
Benefits paid (including direct rollovers)2015-01-31$5,561
Total plan assets at end of year2015-01-31$4,078
Total plan assets at beginning of year2015-01-31$9,521
Value of fidelity bond covering the plan2015-01-31$4,700,000
Expenses. Other expenses not covered elsewhere2015-01-31$2,913
Other income received2015-01-31$118
Net income (gross income less expenses)2015-01-31$-5,443
Net plan assets at end of year (total assets less liabilities)2015-01-31$4,078
Net plan assets at beginning of year (total assets less liabilities)2015-01-31$9,521
Total contributions received or receivable from employer(s)2015-01-31$3,488
Expenses. Administrative service providers (salaries,fees and commissions)2015-01-31$575
2014 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2014 401k financial data
Total income from all sources2014-01-31$13,917
Expenses. Total of all expenses incurred2014-01-31$14,913
Benefits paid (including direct rollovers)2014-01-31$9,051
Total plan assets at end of year2014-01-31$9,521
Total plan assets at beginning of year2014-01-31$10,517
Value of fidelity bond covering the plan2014-01-31$4,700,000
Expenses. Other expenses not covered elsewhere2014-01-31$5,862
Other income received2014-01-31$37
Net income (gross income less expenses)2014-01-31$-996
Net plan assets at end of year (total assets less liabilities)2014-01-31$9,521
Net plan assets at beginning of year (total assets less liabilities)2014-01-31$10,517
Total contributions received or receivable from employer(s)2014-01-31$13,880
2013 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2013 401k financial data
Total income from all sources2013-01-31$25,522
Expenses. Total of all expenses incurred2013-01-31$15,353
Benefits paid (including direct rollovers)2013-01-31$7,799
Total plan assets at end of year2013-01-31$10,517
Total plan assets at beginning of year2013-01-31$348
Value of fidelity bond covering the plan2013-01-31$1,000,000
Expenses. Other expenses not covered elsewhere2013-01-31$7,554
Other income received2013-01-31$10,036
Net income (gross income less expenses)2013-01-31$10,169
Net plan assets at end of year (total assets less liabilities)2013-01-31$10,517
Net plan assets at beginning of year (total assets less liabilities)2013-01-31$348
Total contributions received or receivable from employer(s)2013-01-31$15,486
2012 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2012 401k financial data
Total income from all sources2012-01-31$17,648
Expenses. Total of all expenses incurred2012-01-31$23,601
Benefits paid (including direct rollovers)2012-01-31$17,164
Total plan assets at end of year2012-01-31$348
Total plan assets at beginning of year2012-01-31$6,301
Value of fidelity bond covering the plan2012-01-31$1,000,000
Expenses. Other expenses not covered elsewhere2012-01-31$6,437
Other income received2012-01-31$188
Net income (gross income less expenses)2012-01-31$-5,953
Net plan assets at end of year (total assets less liabilities)2012-01-31$348
Net plan assets at beginning of year (total assets less liabilities)2012-01-31$6,301
Total contributions received or receivable from employer(s)2012-01-31$17,460
2011 : INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2011 401k financial data
Total income from all sources2011-01-31$-19,900
Expenses. Total of all expenses incurred2011-01-31$11,561
Benefits paid (including direct rollovers)2011-01-31$5,221
Total plan assets at end of year2011-01-31$6,301
Total plan assets at beginning of year2011-01-31$37,762
Value of fidelity bond covering the plan2011-01-31$1,000,000
Expenses. Other expenses not covered elsewhere2011-01-31$6,340
Other income received2011-01-31$102
Net income (gross income less expenses)2011-01-31$-31,461
Net plan assets at end of year (total assets less liabilities)2011-01-31$6,301
Net plan assets at beginning of year (total assets less liabilities)2011-01-31$37,762
Total contributions received or receivable from employer(s)2011-01-31$-20,002

Form 5500 Responses for INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT

2023: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2023 form 5500 responses
2023-02-01Type of plan entitySingle employer plan
2023-02-01Submission has been amendedNo
2023-02-01This submission is the final filingNo
2023-02-01This return/report is a short plan year return/report (less than 12 months)No
2023-02-01Plan is a collectively bargained planNo
2023-02-01Plan funding arrangement – InsuranceYes
2023-02-01Plan funding arrangement – TrustYes
2023-02-01Plan funding arrangement – General assets of the sponsorYes
2023-02-01Plan benefit arrangement – InsuranceYes
2023-02-01Plan benefit arrangement - TrustYes
2023-02-01Plan benefit arrangement – General assets of the sponsorYes
2022: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2022 form 5500 responses
2022-02-01Type of plan entitySingle employer plan
2022-02-01Submission has been amendedNo
2022-02-01This submission is the final filingNo
2022-02-01This return/report is a short plan year return/report (less than 12 months)No
2022-02-01Plan is a collectively bargained planNo
2022-02-01Plan funding arrangement – InsuranceYes
2022-02-01Plan funding arrangement – TrustYes
2022-02-01Plan benefit arrangement – InsuranceYes
2022-02-01Plan benefit arrangement - TrustYes
2020: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2020 form 5500 responses
2020-02-01Type of plan entitySingle employer plan
2020-02-01Submission has been amendedNo
2020-02-01This submission is the final filingNo
2020-02-01This return/report is a short plan year return/report (less than 12 months)No
2020-02-01Plan is a collectively bargained planNo
2020-02-01Plan funding arrangement – InsuranceYes
2020-02-01Plan funding arrangement – TrustYes
2020-02-01Plan benefit arrangement – InsuranceYes
2020-02-01Plan benefit arrangement - TrustYes
2019: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2019 form 5500 responses
2019-02-01Type of plan entitySingle employer plan
2019-02-01Submission has been amendedNo
2019-02-01This submission is the final filingNo
2019-02-01This return/report is a short plan year return/report (less than 12 months)No
2019-02-01Plan is a collectively bargained planNo
2019-02-01Plan funding arrangement – InsuranceYes
2019-02-01Plan funding arrangement – TrustYes
2019-02-01Plan benefit arrangement – InsuranceYes
2019-02-01Plan benefit arrangement - TrustYes
2018: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2018 form 5500 responses
2018-02-01Type of plan entitySingle employer plan
2018-02-01Submission has been amendedNo
2018-02-01This submission is the final filingNo
2018-02-01This return/report is a short plan year return/report (less than 12 months)No
2018-02-01Plan is a collectively bargained planNo
2018-02-01Plan funding arrangement – InsuranceYes
2018-02-01Plan funding arrangement – TrustYes
2018-02-01Plan benefit arrangement – InsuranceYes
2018-02-01Plan benefit arrangement - TrustYes
2017: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2017 form 5500 responses
2017-02-01Type of plan entitySingle employer plan
2017-02-01Submission has been amendedNo
2017-02-01This submission is the final filingNo
2017-02-01This return/report is a short plan year return/report (less than 12 months)No
2017-02-01Plan is a collectively bargained planNo
2017-02-01Plan funding arrangement – InsuranceYes
2017-02-01Plan funding arrangement – TrustYes
2017-02-01Plan benefit arrangement – InsuranceYes
2017-02-01Plan benefit arrangement - TrustYes
2016: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2016 form 5500 responses
2016-02-01Type of plan entitySingle employer plan
2016-02-01Submission has been amendedNo
2016-02-01This submission is the final filingNo
2016-02-01This return/report is a short plan year return/report (less than 12 months)No
2016-02-01Plan is a collectively bargained planNo
2016-02-01Plan funding arrangement – InsuranceYes
2016-02-01Plan funding arrangement – TrustYes
2016-02-01Plan benefit arrangement – InsuranceYes
2016-02-01Plan benefit arrangement - TrustYes
2015: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2015 form 5500 responses
2015-02-01Type of plan entitySingle employer plan
2015-02-01Submission has been amendedNo
2015-02-01This submission is the final filingNo
2015-02-01This return/report is a short plan year return/report (less than 12 months)No
2015-02-01Plan is a collectively bargained planNo
2015-02-01Plan funding arrangement – InsuranceYes
2015-02-01Plan funding arrangement – General assets of the sponsorYes
2015-02-01Plan benefit arrangement – InsuranceYes
2015-02-01Plan benefit arrangement – General assets of the sponsorYes
2014: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2014 form 5500 responses
2014-02-01Type of plan entitySingle employer plan
2014-02-01Submission has been amendedNo
2014-02-01This submission is the final filingNo
2014-02-01This return/report is a short plan year return/report (less than 12 months)No
2014-02-01Plan is a collectively bargained planNo
2014-02-01Plan funding arrangement – InsuranceYes
2014-02-01Plan funding arrangement – TrustYes
2014-02-01Plan benefit arrangement – InsuranceYes
2014-02-01Plan benefit arrangement - TrustYes
2013: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2013 form 5500 responses
2013-02-01Type of plan entitySingle employer plan
2013-02-01Submission has been amendedNo
2013-02-01This submission is the final filingNo
2013-02-01This return/report is a short plan year return/report (less than 12 months)No
2013-02-01Plan is a collectively bargained planNo
2013-02-01Plan funding arrangement – InsuranceYes
2013-02-01Plan funding arrangement – TrustYes
2013-02-01Plan benefit arrangement – InsuranceYes
2013-02-01Plan benefit arrangement - TrustYes
2012: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)No
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan benefit arrangement – InsuranceYes
2011: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2010: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2010 form 5500 responses
2010-02-01Type of plan entitySingle employer plan
2010-02-01Submission has been amendedNo
2010-02-01This submission is the final filingNo
2010-02-01This return/report is a short plan year return/report (less than 12 months)No
2010-02-01Plan is a collectively bargained planNo
2010-02-01Plan funding arrangement – InsuranceYes
2010-02-01Plan funding arrangement – TrustYes
2010-02-01Plan benefit arrangement – InsuranceYes
2010-02-01Plan benefit arrangement - TrustYes
2009: INT. HARVESTER EMP CREDIT UNION, INC. SEN. MGMT 2009 form 5500 responses
2009-02-01Type of plan entitySingle employer plan
2009-02-01Submission has been amendedNo
2009-02-01This submission is the final filingNo
2009-02-01This return/report is a short plan year return/report (less than 12 months)No
2009-02-01Plan is a collectively bargained planNo
2009-02-01Plan funding arrangement – InsuranceYes
2009-02-01Plan funding arrangement – TrustYes
2009-02-01Plan benefit arrangement – InsuranceYes
2009-02-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
Insurance contract or identification number10142
Number of Individuals Covered1
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
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?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 providedACCIDENT, 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 $74
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
Insurance contract or identification number10142
Number of Individuals Covered1
Insurance policy start date2023-02-01
Insurance policy end date2024-01-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,025
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
Insurance contract or identification number10142
Number of Individuals Covered1
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of fees paid to insurance companyUSD $7
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?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 $77
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
Insurance contract or identification number10142
Number of Individuals Covered1
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $5,617
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 1
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 2
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
PAN-AMERICAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67539 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number10142
Policy instance 1
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2
HCC LIFE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract number10142
Policy instance 1
MEDICAL BENEFITS MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 74322 )
Policy contract number10142
Policy instance 2

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