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HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 401k Plan overview

Plan NameHOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN
Plan identification number 503

HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that will not file a Form 5500 for next plan year pursuant to 29 CFR 2520.104-20.
  • Unfunded, fully insured, or combination unfunded/insured welfare plan that stopped filing form 5500s in an earlier plan year pursuant to 29 CFR 2520.104-20.

401k Sponsoring company profile

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

Company Name:HOMEWOOD CORPORATION
Employer identification number (EIN):310685947
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01BETH CLARK
5032023-01-01
5032023-01-01BETH CLARK
5032022-01-01
5032022-01-01BETH CLARK
5032021-01-01
5032021-01-01BETH CLARK
5032020-01-01
5032019-01-01BETH CLARK2021-06-28
5032015-05-01ERIC CORDLE
5032015-05-01BETH CLARK2021-06-28
5032014-05-01ERIC CORDLE
5032013-05-01ERIC CORDLE
5032012-05-01ERIC CORDLE
5032011-05-01TRACY GOLUB
5032010-05-01ADAM SCOTT ADAM SCOTT2011-10-21
5032009-05-01ADAM SCOTT ADAM SCOTT2010-10-25

Plan Statistics for HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

401k plan membership statisitcs for HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2023: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01110
Total number of active participants reported on line 7a of the Form 55002023-01-01131
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-01131
2022: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01149
Total number of active participants reported on line 7a of the Form 55002022-01-01110
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01110
2021: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01143
Total number of active participants reported on line 7a of the Form 55002021-01-01149
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01149
2020: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01145
Total number of active participants reported on line 7a of the Form 55002020-01-01143
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01143
2019: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01120
Total number of active participants reported on line 7a of the Form 55002019-01-01145
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01145
2015: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-05-010
Total number of active participants reported on line 7a of the Form 55002015-05-010
Total of all active and inactive participants2015-05-010
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
2014: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-05-0143
Total number of active participants reported on line 7a of the Form 55002014-05-0140
Total of all active and inactive participants2014-05-0140
2013: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-05-0151
Total number of active participants reported on line 7a of the Form 55002013-05-0142
Total of all active and inactive participants2013-05-0142
2012: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-05-0151
Total number of active participants reported on line 7a of the Form 55002012-05-0153
Total of all active and inactive participants2012-05-0153
2011: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-05-0151
Total number of active participants reported on line 7a of the Form 55002011-05-0151
Total of all active and inactive participants2011-05-0151
2010: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2010 401k membership
Total participants, beginning-of-year2010-05-0163
Total number of active participants reported on line 7a of the Form 55002010-05-0152
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-0152
2009: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-05-0167
Total number of active participants reported on line 7a of the Form 55002009-05-0165
Number of retired or separated participants receiving benefits2009-05-010
Number of other retired or separated participants entitled to future benefits2009-05-010
Total of all active and inactive participants2009-05-0165

Financial Data on HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

Measure Date Value
2016 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$4,902
Total income from all sources2016-04-30$16,781
Expenses. Total of all expenses incurred2016-04-30$47,806
Benefits paid (including direct rollovers)2016-04-30$29,948
Total plan assets at end of year2016-04-30$4,671
Total plan assets at beginning of year2016-04-30$40,598
Value of fidelity bond covering the plan2016-04-30$500,000
Total contributions received or receivable from participants2016-04-30$5,492
Expenses. Other expenses not covered elsewhere2016-04-30$388
Other income received2016-04-30$18
Net income (gross income less expenses)2016-04-30$-31,025
Net plan assets at end of year (total assets less liabilities)2016-04-30$4,671
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$35,696
Total contributions received or receivable from employer(s)2016-04-30$11,271
Value of corrective distributions2016-04-30$10,592
Expenses. Administrative service providers (salaries,fees and commissions)2016-04-30$6,878
2015 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-04-30$4,902
Total plan liabilities at beginning of year2015-04-30$88
Total income from all sources2015-04-30$576,945
Expenses. Total of all expenses incurred2015-04-30$578,137
Benefits paid (including direct rollovers)2015-04-30$536,771
Total plan assets at end of year2015-04-30$40,598
Total plan assets at beginning of year2015-04-30$36,976
Value of fidelity bond covering the plan2015-04-30$500,000
Total contributions received or receivable from participants2015-04-30$154,157
Expenses. Other expenses not covered elsewhere2015-04-30$590
Other income received2015-04-30$31
Net income (gross income less expenses)2015-04-30$-1,192
Net plan assets at end of year (total assets less liabilities)2015-04-30$35,696
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$36,888
Total contributions received or receivable from employer(s)2015-04-30$422,757
Expenses. Administrative service providers (salaries,fees and commissions)2015-04-30$40,776
2014 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year2014-04-30$88
Total plan liabilities at beginning of year2014-04-30$445
Total income from all sources2014-04-30$538,095
Expenses. Total of all expenses incurred2014-04-30$569,387
Benefits paid (including direct rollovers)2014-04-30$527,344
Total plan assets at end of year2014-04-30$36,976
Total plan assets at beginning of year2014-04-30$68,625
Value of fidelity bond covering the plan2014-04-30$500,000
Total contributions received or receivable from participants2014-04-30$226,975
Expenses. Other expenses not covered elsewhere2014-04-30$689
Other income received2014-04-30$24
Net income (gross income less expenses)2014-04-30$-31,292
Net plan assets at end of year (total assets less liabilities)2014-04-30$36,888
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$68,180
Total contributions received or receivable from employer(s)2014-04-30$311,096
Expenses. Administrative service providers (salaries,fees and commissions)2014-04-30$41,354
2013 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year2013-04-30$445
Total plan liabilities at beginning of year2013-04-30$6,915
Total income from all sources2013-04-30$569,835
Expenses. Total of all expenses incurred2013-04-30$558,343
Benefits paid (including direct rollovers)2013-04-30$516,009
Total plan assets at end of year2013-04-30$68,625
Total plan assets at beginning of year2013-04-30$63,603
Value of fidelity bond covering the plan2013-04-30$500,000
Total contributions received or receivable from participants2013-04-30$170,714
Expenses. Other expenses not covered elsewhere2013-04-30$598
Other income received2013-04-30$23
Net income (gross income less expenses)2013-04-30$11,492
Net plan assets at end of year (total assets less liabilities)2013-04-30$68,180
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$56,688
Total contributions received or receivable from employer(s)2013-04-30$399,098
Expenses. Administrative service providers (salaries,fees and commissions)2013-04-30$41,736
2012 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2012 401k financial data
Total plan liabilities at end of year2012-04-30$6,915
Total plan liabilities at beginning of year2012-04-30$7,968
Total income from all sources2012-04-30$399,645
Expenses. Total of all expenses incurred2012-04-30$411,182
Benefits paid (including direct rollovers)2012-04-30$372,038
Total plan assets at end of year2012-04-30$63,603
Total plan assets at beginning of year2012-04-30$76,193
Value of fidelity bond covering the plan2012-04-30$500,000
Total contributions received or receivable from participants2012-04-30$182,910
Expenses. Other expenses not covered elsewhere2012-04-30$599
Other income received2012-04-30$12
Net income (gross income less expenses)2012-04-30$-11,537
Net plan assets at end of year (total assets less liabilities)2012-04-30$56,688
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$68,225
Total contributions received or receivable from employer(s)2012-04-30$216,723
Expenses. Administrative service providers (salaries,fees and commissions)2012-04-30$38,545
2011 : HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2011 401k financial data
Total plan liabilities at end of year2011-04-30$7,968
Total plan liabilities at beginning of year2011-04-30$4,921
Total income from all sources2011-04-30$361,510
Expenses. Total of all expenses incurred2011-04-30$362,923
Benefits paid (including direct rollovers)2011-04-30$324,440
Total plan assets at end of year2011-04-30$76,193
Total plan assets at beginning of year2011-04-30$74,559
Value of fidelity bond covering the plan2011-04-30$500,000
Total contributions received or receivable from participants2011-04-30$179,792
Expenses. Other expenses not covered elsewhere2011-04-30$555
Net income (gross income less expenses)2011-04-30$-1,413
Net plan assets at end of year (total assets less liabilities)2011-04-30$68,225
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$69,638
Total contributions received or receivable from employer(s)2011-04-30$181,718
Expenses. Administrative service providers (salaries,fees and commissions)2011-04-30$37,928

Form 5500 Responses for HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN

2023: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE 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 planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE 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 planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE 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 planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE 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 planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2015: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement - TrustYes
2014: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedYes
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedYes
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2010 form 5500 responses
2010-05-01Type of plan entityMulti-employer plan
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes
2009: HOMEWOOD & ASSOCIATES EMPLOYEE HEALTH & WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-05-01Type of plan entityMulti-employer plan
2009-05-01Submission has been amendedNo
2009-05-01This submission is the final filingNo
2009-05-01This return/report is a short plan year return/report (less than 12 months)No
2009-05-01Plan is a collectively bargained planNo
2009-05-01Plan funding arrangement – InsuranceYes
2009-05-01Plan funding arrangement – TrustYes
2009-05-01Plan benefit arrangement – InsuranceYes
2009-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MEDICAL MUTUAL OF OHIO (National Association of Insurance Commissioners NAIC id number: 29076 )
Policy contract number0124350-02
Policy instance 3
Insurance contract or identification number0124350-02
Number of Individuals Covered87
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $25,205
Total amount of fees paid to insurance companyUSD $8,165
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 BenefitYes
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 $1,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STARMOUNT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68985 )
Policy contract number449160
Policy instance 2
Insurance contract or identification number449160
Number of Individuals Covered58
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $6,411
Total amount of fees paid to insurance companyUSD $762
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 BenefitYes
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 $38,219
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number44158
Policy instance 1
Insurance contract or identification number44158
Number of Individuals Covered131
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $13,724
Total amount of fees paid to insurance companyUSD $1,272
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D AND WORKSITE BENEFITS
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 $77,255
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number44158
Policy instance 1
Insurance contract or identification number44158
Number of Individuals Covered110
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $20,352
Total amount of fees paid to insurance companyUSD $6,189
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 BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D AND WORKSITE BENEFITS
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 $109,281
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 )
Policy contract number44158
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0551496
Policy instance 1
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0551496
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200028
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200028
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200028
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200028
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200028
Policy instance 1

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