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PS & TERMINAL, POV FACILITY 401(K) PLAN 401k Plan overview

Plan NamePS & TERMINAL, POV FACILITY 401(K) PLAN
Plan identification number 002

PS & TERMINAL, POV FACILITY 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PASHA STEVEDORING & TERMINALS L.P. has sponsored the creation of one or more 401k plans.

Company Name:PASHA STEVEDORING & TERMINALS L.P.
Employer identification number (EIN):330525579
NAIC Classification:483000
NAIC Description: Water Transportation

Additional information about PASHA STEVEDORING & TERMINALS L.P.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2015-06-11
Company Identification Number: 0802233023
Legal Registered Office Address: PARACORP INCORPORATED
3610-2N JOSEY LANE #223
CARROLLTON
United States of America (USA)
75007

More information about PASHA STEVEDORING & TERMINALS L.P.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PS & TERMINAL, POV FACILITY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01JAY BOWDEN2023-10-03 JAY BOWDEN2023-10-03
0022021-01-01JAY BOWDEN2022-09-26 JAY BOWDEN2022-09-26
0022020-01-01JAY BOWDEN2021-10-13 JAY BOWDEN2021-10-13
0022019-01-01JAY BOWDEN2020-10-15 JAY BOWDEN2020-10-15
0022018-01-01JAY BOWDEN2019-10-10 JAY BOWDEN2019-10-10
0022017-01-01JAY BOWDEN2018-10-08 JAY BOWDEN2018-10-08
0022016-01-01GEORGE PASHA2017-10-16 GEORGE PASHA2017-10-16
0022015-01-01GEORGE PASHA GEORGE PASHA2016-10-10
0022014-01-01GEORGE PASHA
0022013-01-01GEORGE PASHA GEORGE PASHA2014-10-13
0022012-01-01HEATHER SPRUILL
0022011-01-01HEATHER SPRUILL
0022009-01-01HEATHER SPRUILL HEATHER SPRUILL2010-07-28

Plan Statistics for PS & TERMINAL, POV FACILITY 401(K) PLAN

401k plan membership statisitcs for PS & TERMINAL, POV FACILITY 401(K) PLAN

Measure Date Value
2015: PS & TERMINAL, POV FACILITY 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-017
Total number of active participants reported on line 7a of the Form 55002015-01-012
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PS & TERMINAL, POV FACILITY 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0110
Total number of active participants reported on line 7a of the Form 55002014-01-012
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-017
Number of participants with account balances2014-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PS & TERMINAL, POV FACILITY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-017
Total number of active participants reported on line 7a of the Form 55002013-01-0110
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0110
Number of participants with account balances2013-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PS & TERMINAL, POV FACILITY 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-019
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PS & TERMINAL, POV FACILITY 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0110
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-019
Number of participants with account balances2011-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: PS & TERMINAL, POV FACILITY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0111
Total number of active participants reported on line 7a of the Form 55002009-01-018
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0111
Number of participants with account balances2009-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PS & TERMINAL, POV FACILITY 401(K) PLAN

Measure Date Value
2015 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$5,656
Expenses. Total of all expenses incurred2015-12-31$442,116
Benefits paid (including direct rollovers)2015-12-31$441,966
Total plan assets at end of year2015-12-31$1,585,350
Total plan assets at beginning of year2015-12-31$2,021,810
Value of fidelity bond covering the plan2015-12-31$3,000,000
Other income received2015-12-31$5,656
Net income (gross income less expenses)2015-12-31$-436,460
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,585,350
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,021,810
Assets. Value of participant loans2015-12-31$11,166
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$150
2014 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$226,222
Expenses. Total of all expenses incurred2014-12-31$214,146
Benefits paid (including direct rollovers)2014-12-31$214,096
Total plan assets at end of year2014-12-31$2,021,810
Total plan assets at beginning of year2014-12-31$2,009,734
Value of fidelity bond covering the plan2014-12-31$3,000,000
Total contributions received or receivable from participants2014-12-31$22,083
Other income received2014-12-31$163,536
Net income (gross income less expenses)2014-12-31$12,076
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,021,810
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,009,734
Assets. Value of participant loans2014-12-31$37,127
Total contributions received or receivable from employer(s)2014-12-31$40,603
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$50
2013 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$471,991
Expenses. Total of all expenses incurred2013-12-31$3,253
Benefits paid (including direct rollovers)2013-12-31$3,153
Total plan assets at end of year2013-12-31$2,009,734
Total plan assets at beginning of year2013-12-31$1,540,996
Value of fidelity bond covering the plan2013-12-31$3,000,000
Total contributions received or receivable from participants2013-12-31$45,575
Expenses. Other expenses not covered elsewhere2013-12-31$100
Contributions received from other sources (not participants or employers)2013-12-31$24,747
Other income received2013-12-31$316,851
Net income (gross income less expenses)2013-12-31$468,738
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,009,734
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,540,996
Assets. Value of participant loans2013-12-31$86,833
Total contributions received or receivable from employer(s)2013-12-31$84,818
2012 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$282,707
Expenses. Total of all expenses incurred2012-12-31$32,224
Benefits paid (including direct rollovers)2012-12-31$31,724
Total plan assets at end of year2012-12-31$1,540,996
Total plan assets at beginning of year2012-12-31$1,290,513
Value of fidelity bond covering the plan2012-12-31$3,000,000
Total contributions received or receivable from participants2012-12-31$51,909
Expenses. Other expenses not covered elsewhere2012-12-31$500
Other income received2012-12-31$162,988
Net income (gross income less expenses)2012-12-31$250,483
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,540,996
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,290,513
Assets. Value of participant loans2012-12-31$97,118
Total contributions received or receivable from employer(s)2012-12-31$67,810
2011 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$90,407
Expenses. Total of all expenses incurred2011-12-31$500
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$1,290,513
Total plan assets at beginning of year2011-12-31$1,200,606
Value of fidelity bond covering the plan2011-12-31$3,000,000
Total contributions received or receivable from participants2011-12-31$53,346
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-29,606
Net income (gross income less expenses)2011-12-31$89,907
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,290,513
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,200,606
Assets. Value of participant loans2011-12-31$94,572
Total contributions received or receivable from employer(s)2011-12-31$66,667
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$500
2010 : PS & TERMINAL, POV FACILITY 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$292,160
Expenses. Total of all expenses incurred2010-12-31$193,595
Benefits paid (including direct rollovers)2010-12-31$191,487
Total plan assets at end of year2010-12-31$1,200,606
Total plan assets at beginning of year2010-12-31$1,102,041
Value of fidelity bond covering the plan2010-12-31$3,000,000
Total contributions received or receivable from participants2010-12-31$55,414
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$167,463
Net income (gross income less expenses)2010-12-31$98,565
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,200,606
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,102,041
Assets. Value of participant loans2010-12-31$52,996
Total contributions received or receivable from employer(s)2010-12-31$69,283
Value of certain deemed distributions of participant loans2010-12-31$1,558
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$550

Form 5500 Responses for PS & TERMINAL, POV FACILITY 401(K) PLAN

2015: PS & TERMINAL, POV FACILITY 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PS & TERMINAL, POV FACILITY 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PS & TERMINAL, POV FACILITY 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PS & TERMINAL, POV FACILITY 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PS & TERMINAL, POV FACILITY 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: PS & TERMINAL, POV FACILITY 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9588
Policy instance 1
Insurance contract or identification numberZH9588
Number of Individuals Covered6
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9588
Policy instance 1
Insurance contract or identification numberZH9588
Number of Individuals Covered7
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9587
Policy instance 1
Insurance contract or identification numberZH9587
Number of Individuals Covered10
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9587
Policy instance 1
Insurance contract or identification numberZH9587
Number of Individuals Covered7
Insurance policy start date2012-04-20
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,259
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Commission paid to Insurance BrokerUSD $3,516
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGENCY INC
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number934911
Policy instance 1
Insurance contract or identification number934911
Number of Individuals Covered8
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,387
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number934911
Policy instance 1
Insurance contract or identification number934911
Number of Individuals Covered8
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,192
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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

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