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NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 401k Plan overview

Plan NameNATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST
Plan identification number 502

NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST Benefits

No plan benefit data available

401k Sponsoring company profile

NATIONWIDE MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name:NATIONWIDE MUTUAL INSURANCE COMPANY
Employer identification number (EIN):311432330

Additional information about NATIONWIDE MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1925-12-17
Company Identification Number: 119343
Legal Registered Office Address: -
-
-
United States of America (USA)
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More information about NATIONWIDE MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-01-01BRIAN BELL
5022016-01-01JUDITH HARPER
5022015-01-01KLAUS DIEM
5022014-01-01TINA AMBROZY ROBERT WATTS2015-10-15
5022013-01-01KAREN MACKE BARBARA SCOTT2014-10-14
5022012-01-01DAN MOYER KAREN MACKE2013-10-10

Financial Data on NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST

Measure Date Value
2017 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-3,121
Total unrealized appreciation/depreciation of assets2017-12-31$-3,121
Total transfer of assets to this plan2017-12-31$4,325,270
Total transfer of assets from this plan2017-12-31$5,191,606
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$322,453
Total income from all sources (including contributions)2017-12-31$21,308
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$259,580
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$0
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$1,427,061
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$259,580
Total interest from all sources2017-12-31$24,429
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$87,998
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Assets. Other investments not covered elsewhere at end of year2017-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$603,696
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$177,325
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$322,453
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$264,819
Value of net income/loss2017-12-31$-238,272
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,104,608
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Interest earned on other investments2017-12-31$20,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$381,221
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$381,221
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$3,872
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Contract administrator fees2017-12-31$171,582
Did the plan have assets held for investment2017-12-31No
2016 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$1,316
Total unrealized appreciation/depreciation of assets2016-12-31$1,316
Total transfer of assets to this plan2016-12-31$4,164,444
Total transfer of assets from this plan2016-12-31$4,212,643
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$322,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$337,564
Total income from all sources (including contributions)2016-12-31$24,322
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$255,107
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$0
Value of total assets at end of year2016-12-31$1,427,061
Value of total assets at beginning of year2016-12-31$1,721,156
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$255,107
Total interest from all sources2016-12-31$23,006
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Administrative expenses professional fees incurred2016-12-31$63,200
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Assets. Other investments not covered elsewhere at end of year2016-12-31$603,696
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$581,089
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$177,325
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$197,176
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$322,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$337,564
Total non interest bearing cash at end of year2016-12-31$264,819
Total non interest bearing cash at beginning of year2016-12-31$44,150
Value of net income/loss2016-12-31$-230,785
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,104,608
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,383,592
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Interest earned on other investments2016-12-31$21,290
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$381,221
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$898,741
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$898,741
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$1,716
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Contract administrator fees2016-12-31$191,907
Did the plan have assets held for investment2016-12-31Yes
2015 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-1,785
Total unrealized appreciation/depreciation of assets2015-12-31$-1,785
Total transfer of assets to this plan2015-12-31$3,831,179
Total transfer of assets from this plan2015-12-31$3,729,433
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$337,564
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$380,079
Total income from all sources (including contributions)2015-12-31$26,475
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$234,225
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$0
Value of total assets at end of year2015-12-31$1,721,156
Value of total assets at beginning of year2015-12-31$1,869,675
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$234,225
Total interest from all sources2015-12-31$22,174
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Administrative expenses professional fees incurred2015-12-31$61,600
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at end of year2015-12-31$581,089
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$562,552
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$197,176
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$75,955
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$337,564
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$380,079
Other income not declared elsewhere2015-12-31$6,086
Total non interest bearing cash at end of year2015-12-31$44,150
Total non interest bearing cash at beginning of year2015-12-31$44,150
Value of net income/loss2015-12-31$-207,750
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,383,592
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,489,596
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
Interest earned on other investments2015-12-31$281
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$898,741
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$1,187,018
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$1,187,018
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$21,893
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Contract administrator fees2015-12-31$172,625
Did the plan have assets held for investment2015-12-31Yes
2014 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$4,430,030
Total transfer of assets from this plan2014-12-31$4,569,076
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$-219,158
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$0
Value of total assets at end of year2014-12-31$1,749,579
Value of total assets at beginning of year2014-12-31$2,107,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$0
Total interest from all sources2014-12-31$-219,158
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Total non interest bearing cash at end of year2014-12-31$209,813
Total non interest bearing cash at beginning of year2014-12-31$48,867
Value of net income/loss2014-12-31$-219,158
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,749,579
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,107,783
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
Interest earned on other investments2014-12-31$22,369
Income. Interest from US Government securities2014-12-31$-241,809
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$977,214
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$1,276,924
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$1,276,924
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$282
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$562,552
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$781,992
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Did the plan have assets held for investment2014-12-31Yes
2013 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total transfer of assets to this plan2013-12-31$4,936,982
Total transfer of assets from this plan2013-12-31$5,528,578
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$198,891
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$0
Value of total assets at end of year2013-12-31$2,107,783
Value of total assets at beginning of year2013-12-31$2,500,488
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$198,891
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Total non interest bearing cash at end of year2013-12-31$48,867
Total non interest bearing cash at beginning of year2013-12-31$360,464
Value of net income/loss2013-12-31$198,891
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,107,783
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,500,488
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
Interest earned on other investments2013-12-31$21,974
Income. Interest from US Government securities2013-12-31$176,622
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$1,276,924
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$1,556,628
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$1,556,628
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$295
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$781,992
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$583,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Did the plan have assets held for investment2013-12-31Yes
2012 : NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-145,562
Total unrealized appreciation/depreciation of assets2012-12-31$-145,562
Total transfer of assets to this plan2012-12-31$7,619,357
Total transfer of assets from this plan2012-12-31$4,995,818
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$-123,051
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$0
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$0
Value of total assets at end of year2012-12-31$2,500,488
Value of total assets at beginning of year2012-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$22,511
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Total non interest bearing cash at end of year2012-12-31$360,464
Value of net income/loss2012-12-31$-123,051
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,500,488
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$0
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
Interest earned on other investments2012-12-31$22,264
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$1,556,628
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$247
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$583,396
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Did the plan have assets held for investment2012-12-31Yes

Form 5500 Responses for NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST

2017: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2017 form 5500 responses
2017-01-01Type of plan entityDFE (Diect Filing Entity)
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2016: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2016 form 5500 responses
2016-01-01Type of plan entityDFE (Diect Filing Entity)
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2015: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2015 form 5500 responses
2015-01-01Type of plan entityDFE (Diect Filing Entity)
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2014: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2014 form 5500 responses
2014-01-01Type of plan entityDFE (Diect Filing Entity)
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2013: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2013 form 5500 responses
2013-01-01Type of plan entityDFE (Diect Filing Entity)
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2012: NATIONWIDE MUTUAL FIRE INSURANCE COMPANY EMPLOYEE HEALTH CARE TRUST 2012 form 5500 responses
2012-01-01Type of plan entityDFE (Diect Filing Entity)
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-95-AD37
Policy instance 1
Insurance contract or identification numberGAP-95-AD37
Number of Individuals Covered281
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-95-AD37
Policy instance 1
Insurance contract or identification numberGAP-95-AD37
Number of Individuals Covered289
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-95-AD37
Policy instance 1
Insurance contract or identification numberGAP-95-AD37
Number of Individuals Covered331
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract numberGAP-95-AD37
Policy instance 1
Insurance contract or identification numberGAP-95-AD37
Number of Individuals Covered363
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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

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