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OHIO BANKERS BENEFITS TRUST 401k Plan overview

Plan NameOHIO BANKERS BENEFITS TRUST
Plan identification number 501

OHIO BANKERS BENEFITS TRUST Benefits

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

401k Sponsoring company profile

OHIO BANKERS BENEFITS TRUST has sponsored the creation of one or more 401k plans.

Company Name:OHIO BANKERS BENEFITS TRUST
Employer identification number (EIN):316172509
NAIC Classification:525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OHIO BANKERS BENEFITS TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01GAURI AIRI
5012023-01-01
5012023-01-01GAURI AIRI
5012023-01-01GAURI AIRI
5012022-01-01
5012022-01-01GAURI AIRI
5012021-01-01
5012021-01-01GAURI AIRI
5012020-01-01
5012019-01-01
5012019-01-01
5012018-01-01
5012017-01-01JEFFREY QUAYLE JEFFREY QUAYLE2018-07-31

Financial Data on OHIO BANKERS BENEFITS TRUST

Measure Date Value
2023 : OHIO BANKERS BENEFITS TRUST 2023 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2023-12-31$416,762
Total unrealized appreciation/depreciation of assets2023-12-31$416,762
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$6,187,339
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$405,067
Total income from all sources (including contributions)2023-12-31$34,831,219
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$43,891,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$41,205,970
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$34,256,767
Value of total assets at end of year2023-12-31$11,435,978
Value of total assets at beginning of year2023-12-31$14,714,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$2,685,950
Total interest from all sources2023-12-31$157,690
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$1,000,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Assets. Other investments not covered elsewhere at end of year2023-12-31$4,616
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$19,351
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$1,146,734
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$774,520
Administrative expenses (other) incurred2023-12-31$109,464
Liabilities. Value of operating payables at end of year2023-12-31$337,989
Liabilities. Value of operating payables at beginning of year2023-12-31$405,067
Total non interest bearing cash at end of year2023-12-31$319,105
Total non interest bearing cash at beginning of year2023-12-31$116,808
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-9,060,701
Value of net assets at end of year (total assets less liabilities)2023-12-31$5,248,639
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$14,309,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$1,865,578
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$4,406,954
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$4,406,954
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$157,690
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$2,055,178
Asset value of US Government securities at end of year2023-12-31$4,449,822
Asset value of US Government securities at beginning of year2023-12-31$5,364,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$34,256,767
Employer contributions (assets) at end of year2023-12-31$246,414
Employer contributions (assets) at beginning of year2023-12-31$33,356
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$39,150,792
Asset. Corporate debt instrument debt (other) at end of year2023-12-31$1,693,032
Asset. Corporate debt instrument debt (other) at beginning of year2023-12-31$2,030,405
Contract administrator fees2023-12-31$2,176,294
Assets. Corporate common stocks other than exployer securities at end of year2023-12-31$1,710,677
Assets. Corporate common stocks other than exployer securities at beginning of year2023-12-31$1,968,426
Liabilities. Value of benefit claims payable at end of year2023-12-31$5,849,350
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$0
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31MALONEY + NOVOTNY LLC
Accountancy firm EIN2023-12-31340677006
Unrealized appreciation/depreciation of other (non real estate) assets2023-01-01$416,762
Total unrealized appreciation/depreciation of assets2023-01-01$416,762
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$6,187,339
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$405,067
Total income from all sources (including contributions)2023-01-01$34,831,219
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$43,891,920
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$41,205,970
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$34,256,767
Value of total assets at end of year2023-01-01$11,435,978
Value of total assets at beginning of year2023-01-01$14,714,407
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$2,685,950
Total interest from all sources2023-01-01$157,690
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$1,000,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Assets. Other investments not covered elsewhere at end of year2023-01-01$4,616
Assets. Other investments not covered elsewhere at beginning of year2023-01-01$19,351
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-01-01$1,146,734
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-01-01$774,520
Administrative expenses (other) incurred2023-01-01$109,464
Liabilities. Value of operating payables at end of year2023-01-01$337,989
Liabilities. Value of operating payables at beginning of year2023-01-01$405,067
Total non interest bearing cash at end of year2023-01-01$319,105
Total non interest bearing cash at beginning of year2023-01-01$116,808
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$-9,060,701
Value of net assets at end of year (total assets less liabilities)2023-01-01$5,248,639
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$14,309,340
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-01-01$1,865,578
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-01-01$157,690
Expenses. Payments to insurance carriers foe the provision of benefits2023-01-01$2,055,178
Asset value of US Government securities at end of year2023-01-01$4,449,822
Asset value of US Government securities at beginning of year2023-01-01$5,364,587
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01Yes
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$34,256,767
Employer contributions (assets) at end of year2023-01-01$246,414
Employer contributions (assets) at beginning of year2023-01-01$33,356
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$39,150,792
Asset. Corporate debt instrument debt (other) at end of year2023-01-01$1,693,032
Asset. Corporate debt instrument debt (other) at beginning of year2023-01-01$2,030,405
Contract administrator fees2023-01-01$2,176,294
Assets. Corporate common stocks other than exployer securities at end of year2023-01-01$1,710,677
Assets. Corporate common stocks other than exployer securities at beginning of year2023-01-01$1,968,426
Liabilities. Value of benefit claims payable at end of year2023-01-01$5,849,350
Liabilities. Value of benefit claims payable at beginning of year2023-01-01$0
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01MALONEY + NOVOTNY LLC
Accountancy firm EIN2023-01-01340677006
2022 : OHIO BANKERS BENEFITS TRUST 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-1,118,917
Total unrealized appreciation/depreciation of assets2022-12-31$-1,118,917
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$405,067
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$194,640
Total income from all sources (including contributions)2022-12-31$26,202,110
Total loss/gain on sale of assets2022-12-31$6,328
Total of all expenses incurred2022-12-31$31,343,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$29,066,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$27,156,365
Value of total assets at end of year2022-12-31$14,714,407
Value of total assets at beginning of year2022-12-31$19,645,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,276,714
Total interest from all sources2022-12-31$158,334
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$122,710
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$1,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Assets. Other investments not covered elsewhere at end of year2022-12-31$19,351
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$774,520
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$596,111
Administrative expenses (other) incurred2022-12-31$685,523
Liabilities. Value of operating payables at end of year2022-12-31$405,067
Liabilities. Value of operating payables at beginning of year2022-12-31$194,640
Total non interest bearing cash at end of year2022-12-31$116,808
Total non interest bearing cash at beginning of year2022-12-31$4,455,274
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-5,141,040
Value of net assets at end of year (total assets less liabilities)2022-12-31$14,309,340
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$19,450,380
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$4,406,954
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$5,722,137
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$5,722,137
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$158,334
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,534,702
Asset value of US Government securities at end of year2022-12-31$5,364,587
Asset value of US Government securities at beginning of year2022-12-31$5,497,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$27,156,365
Employer contributions (assets) at end of year2022-12-31$33,356
Employer contributions (assets) at beginning of year2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$27,531,734
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$2,030,405
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$1,419,527
Contract administrator fees2022-12-31$1,468,481
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$1,968,426
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$1,954,328
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$2,838,178
Aggregate carrying amount (costs) on sale of assets2022-12-31$2,831,850
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MALONEY & NOVOTNY
Accountancy firm EIN2022-12-31340677006
Unrealized appreciation/depreciation of other (non real estate) assets2022-01-01$-1,118,917
Total unrealized appreciation/depreciation of assets2022-01-01$-1,118,917
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$405,067
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$194,640
Total income from all sources (including contributions)2022-01-01$26,202,110
Total loss/gain on sale of assets2022-01-01$6,328
Total of all expenses incurred2022-01-01$31,343,150
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$29,066,436
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$27,156,365
Value of total assets at end of year2022-01-01$14,714,407
Value of total assets at beginning of year2022-01-01$19,645,020
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$2,276,714
Total interest from all sources2022-01-01$158,334
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Administrative expenses professional fees incurred2022-01-01$122,710
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$1,000,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Assets. Other investments not covered elsewhere at end of year2022-01-01$19,351
Assets. Other investments not covered elsewhere at beginning of year2022-01-01$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-01-01$774,520
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-01-01$596,111
Administrative expenses (other) incurred2022-01-01$685,523
Liabilities. Value of operating payables at end of year2022-01-01$405,067
Liabilities. Value of operating payables at beginning of year2022-01-01$194,640
Total non interest bearing cash at end of year2022-01-01$116,808
Total non interest bearing cash at beginning of year2022-01-01$4,455,274
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-5,141,040
Value of net assets at end of year (total assets less liabilities)2022-01-01$14,309,340
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$19,450,380
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-01-01$4,406,954
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-01-01$158,334
Expenses. Payments to insurance carriers foe the provision of benefits2022-01-01$1,534,702
Asset value of US Government securities at end of year2022-01-01$5,364,587
Asset value of US Government securities at beginning of year2022-01-01$5,497,643
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01Yes
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$27,156,365
Employer contributions (assets) at end of year2022-01-01$33,356
Employer contributions (assets) at beginning of year2022-01-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$27,531,734
Asset. Corporate debt instrument debt (other) at end of year2022-01-01$2,030,405
Asset. Corporate debt instrument debt (other) at beginning of year2022-01-01$1,419,527
Contract administrator fees2022-01-01$1,468,481
Assets. Corporate common stocks other than exployer securities at end of year2022-01-01$1,968,426
Assets. Corporate common stocks other than exployer securities at beginning of year2022-01-01$1,954,328
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Aggregate proceeds on sale of assets2022-01-01$2,838,178
Aggregate carrying amount (costs) on sale of assets2022-01-01$2,831,850
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01MALONEY & NOVOTNY
Accountancy firm EIN2022-01-01340677006
2021 : OHIO BANKERS BENEFITS TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$172,269
Total unrealized appreciation/depreciation of assets2021-12-31$172,269
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$26,755
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$33,424
Total income from all sources (including contributions)2021-12-31$22,668,741
Total loss/gain on sale of assets2021-12-31$39,254
Total of all expenses incurred2021-12-31$20,234,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$18,049,503
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$20,641,843
Value of total assets at end of year2021-12-31$19,645,020
Value of total assets at beginning of year2021-12-31$17,217,514
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,185,063
Total interest from all sources2021-12-31$211,401
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$214,519
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$596,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$540,593
Other income not declared elsewhere2021-12-31$1,603,974
Administrative expenses (other) incurred2021-12-31$907,365
Liabilities. Value of operating payables at end of year2021-12-31$26,755
Liabilities. Value of operating payables at beginning of year2021-12-31$33,424
Total non interest bearing cash at end of year2021-12-31$4,455,274
Total non interest bearing cash at beginning of year2021-12-31$3,162,117
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,434,175
Value of net assets at end of year (total assets less liabilities)2021-12-31$19,618,265
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$17,184,090
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$47,332
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$5,722,137
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,353,834
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,353,834
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$211,401
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$637,354
Asset value of US Government securities at end of year2021-12-31$5,497,643
Asset value of US Government securities at beginning of year2021-12-31$3,851,851
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$20,641,843
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$17,412,149
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$1,419,527
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$783,509
Contract administrator fees2021-12-31$1,015,847
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$1,954,328
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$1,525,610
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$39,254
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31HIRTH NORRIS & GARRISON
Accountancy firm EIN2021-12-31311158488
2020 : OHIO BANKERS BENEFITS TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$449,952
Total unrealized appreciation/depreciation of assets2020-12-31$449,952
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$33,424
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$30,567
Total income from all sources (including contributions)2020-12-31$21,015,655
Total loss/gain on sale of assets2020-12-31$39,597
Total of all expenses incurred2020-12-31$19,239,833
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$16,917,660
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$19,647,787
Value of total assets at end of year2020-12-31$17,217,514
Value of total assets at beginning of year2020-12-31$15,438,835
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,322,173
Total interest from all sources2020-12-31$260,160
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$162,808
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$540,593
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$644,027
Other income not declared elsewhere2020-12-31$618,159
Administrative expenses (other) incurred2020-12-31$1,105,333
Liabilities. Value of operating payables at end of year2020-12-31$33,424
Liabilities. Value of operating payables at beginning of year2020-12-31$30,567
Total non interest bearing cash at end of year2020-12-31$3,162,117
Total non interest bearing cash at beginning of year2020-12-31$1,743,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,775,822
Value of net assets at end of year (total assets less liabilities)2020-12-31$17,184,090
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$15,408,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$44,176
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,353,834
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$6,859,042
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$6,859,042
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$260,160
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$486,094
Asset value of US Government securities at end of year2020-12-31$3,851,851
Asset value of US Government securities at beginning of year2020-12-31$4,433,935
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$19,647,787
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$16,431,566
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$783,509
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$682,574
Contract administrator fees2020-12-31$1,009,856
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$1,525,610
Assets. Corporate common stocks other than exployer securities at beginning of year2020-12-31$1,075,657
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$39,597
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31HIRTH NORRIS AND GARRIISON
Accountancy firm EIN2020-12-31311158488
2019 : OHIO BANKERS BENEFITS TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$307,696
Total unrealized appreciation/depreciation of assets2019-12-31$307,696
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$30,567
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$24,026
Total income from all sources (including contributions)2019-12-31$20,495,301
Total loss/gain on sale of assets2019-12-31$2,731
Total of all expenses incurred2019-12-31$18,636,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$16,275,696
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$19,160,770
Value of total assets at end of year2019-12-31$15,438,835
Value of total assets at beginning of year2019-12-31$13,573,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,361,084
Total interest from all sources2019-12-31$289,062
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$157,029
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$108,284
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$644,027
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$49,742
Other income not declared elsewhere2019-12-31$735,042
Administrative expenses (other) incurred2019-12-31$994,261
Liabilities. Value of operating payables at end of year2019-12-31$30,567
Liabilities. Value of operating payables at beginning of year2019-12-31$24,026
Total non interest bearing cash at end of year2019-12-31$1,743,600
Total non interest bearing cash at beginning of year2019-12-31$590,169
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,858,521
Value of net assets at end of year (total assets less liabilities)2019-12-31$15,408,268
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,549,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$41,571
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$6,859,042
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$6,880,090
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$6,880,090
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$289,062
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$454,672
Asset value of US Government securities at end of year2019-12-31$4,433,935
Asset value of US Government securities at beginning of year2019-12-31$5,135,500
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$19,160,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$15,821,024
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$682,574
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$809,988
Contract administrator fees2019-12-31$1,168,223
Assets. Corporate common stocks other than exployer securities at end of year2019-12-31$1,075,657
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$2,731
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31HIRTH, NORRIS & GARRISON
Accountancy firm EIN2019-12-31311158488
2018 : OHIO BANKERS BENEFITS TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-103,968
Total unrealized appreciation/depreciation of assets2018-12-31$-103,968
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$24,026
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$16,831
Total income from all sources (including contributions)2018-12-31$17,467,432
Total loss/gain on sale of assets2018-12-31$-1,818
Total of all expenses incurred2018-12-31$18,927,348
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$16,985,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$17,313,436
Value of total assets at end of year2018-12-31$13,573,773
Value of total assets at beginning of year2018-12-31$15,026,494
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,941,892
Total interest from all sources2018-12-31$259,782
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$204,348
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Assets. Other investments not covered elsewhere at end of year2018-12-31$108,284
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$49,742
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$43,041
Administrative expenses (other) incurred2018-12-31$990,776
Liabilities. Value of operating payables at end of year2018-12-31$24,026
Liabilities. Value of operating payables at beginning of year2018-12-31$16,831
Total non interest bearing cash at end of year2018-12-31$590,169
Total non interest bearing cash at beginning of year2018-12-31$2,214,768
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-1,459,916
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,549,747
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$15,009,663
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$40,615
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$6,880,090
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$6,704,953
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$6,704,953
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$259,782
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$308,357
Asset value of US Government securities at end of year2018-12-31$5,135,500
Asset value of US Government securities at beginning of year2018-12-31$5,216,556
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$17,313,436
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$23,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$16,677,099
Asset. Corporate debt instrument preferred debt at end of year2018-12-31$809,988
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$824,153
Contract administrator fees2018-12-31$706,153
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$548,182
Aggregate carrying amount (costs) on sale of assets2018-12-31$550,000
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31HIRTH, NORRIS AND GARRISON
Accountancy firm EIN2018-12-31311158488
2017 : OHIO BANKERS BENEFITS TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-149,009
Total unrealized appreciation/depreciation of assets2017-12-31$-149,009
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$16,831
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$81,540
Total income from all sources (including contributions)2017-12-31$17,039,222
Total loss/gain on sale of assets2017-12-31$-10,828
Total of all expenses incurred2017-12-31$16,061,724
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$14,403,379
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$16,084,000
Value of total assets at end of year2017-12-31$15,026,494
Value of total assets at beginning of year2017-12-31$14,113,705
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$1,658,345
Total interest from all sources2017-12-31$219,537
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$153,299
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$43,041
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$38,647
Other income not declared elsewhere2017-12-31$895,522
Administrative expenses (other) incurred2017-12-31$830,683
Liabilities. Value of operating payables at end of year2017-12-31$16,831
Liabilities. Value of operating payables at beginning of year2017-12-31$81,540
Total non interest bearing cash at end of year2017-12-31$2,214,768
Total non interest bearing cash at beginning of year2017-12-31$3,321,848
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$977,498
Value of net assets at end of year (total assets less liabilities)2017-12-31$15,009,663
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$14,032,165
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
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
Investment advisory and management fees2017-12-31$35,893
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$6,704,953
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$6,194,857
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$6,194,857
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$219,537
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$327,386
Asset value of US Government securities at end of year2017-12-31$6,040,709
Asset value of US Government securities at beginning of year2017-12-31$4,558,353
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$16,084,000
Employer contributions (assets) at end of year2017-12-31$23,023
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$14,075,993
Contract administrator fees2017-12-31$638,470
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$750,000
Aggregate carrying amount (costs) on sale of assets2017-12-31$760,828
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31HIRTH NORRIS AND GARRISON
Accountancy firm EIN2017-12-31311158488

Form 5500 Responses for OHIO BANKERS BENEFITS TRUST

2023: OHIO BANKERS BENEFITS TRUST 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Submission has been amendedYes
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 funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: OHIO BANKERS BENEFITS TRUST 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedYes
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 funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: OHIO BANKERS BENEFITS TRUST 2021 form 5500 responses
2021-01-01Type of plan entityMulitple 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 funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: OHIO BANKERS BENEFITS TRUST 2020 form 5500 responses
2020-01-01Type of plan entityMulitple 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 funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: OHIO BANKERS BENEFITS TRUST 2019 form 5500 responses
2019-01-01Type of plan entityMulitple 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: OHIO BANKERS BENEFITS TRUST 2018 form 5500 responses
2018-01-01Type of plan entityMulitple employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: OHIO BANKERS BENEFITS TRUST 2017 form 5500 responses
2017-01-01Type of plan entityMulitple employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL165362
Policy instance 5
Insurance contract or identification numberGL165362
Number of Individuals Covered1082
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $37,641
Total amount of fees paid to insurance companyUSD $7,528
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 providedAD&D
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 $250,941
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL165062
Policy instance 4
Insurance contract or identification numberGL165062
Number of Individuals Covered612
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $28,622
Total amount of fees paid to insurance companyUSD $5,724
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 $190,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30036465
Policy instance 3
Insurance contract or identification number30036465
Number of Individuals Covered1827
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 2
Insurance contract or identification numberOH2102
Number of Individuals Covered265
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $72,310
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 1
Insurance contract or identification numberOH2102
Number of Individuals Covered3115
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $2,027,828
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 1
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30036465
Policy instance 3
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberGL165062
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30036465
Policy instance 4
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberOH2102
Policy instance 3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 2
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30036465
Policy instance 4
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 2
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 1
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 3
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2101
Policy instance 1
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2102
Policy instance 2
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberOH2102
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number30036465
Policy instance 4
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberOH2396
Policy instance 5
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract numberOH2102
Policy instance 1
COMMUNITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 10345 )
Policy contract numberOH2101
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0835830-SL
Policy instance 1
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473505
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number802207
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number30036465
Policy instance 4
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 54380 )
Policy contract number30036465
Policy instance 4
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number802207
Policy instance 3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0473505
Policy instance 2
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0835830-SL
Policy instance 1

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