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ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 401k Plan overview

Plan NameERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE
Plan identification number 523

ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE Benefits

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

401k Sponsoring company profile

ERNST & YOUNG U.S. LLP has sponsored the creation of one or more 401k plans.

Company Name:ERNST & YOUNG U.S. LLP
Employer identification number (EIN):346565596
NAIC Classification:541211
NAIC Description:Offices of Certified Public Accountants

Additional information about ERNST & YOUNG U.S. LLP

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1997-03-10
Company Identification Number: 973612
Legal Registered Office Address: 1300 EAST NINTH STREET
-
CLEVELAND
United States of America (USA)
44114

More information about ERNST & YOUNG U.S. LLP

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5232021-01-01
5232020-01-01
5232019-01-01
5232018-01-01
5232017-01-01MICHAEL J. SPICCI
5232016-01-01MICHAEL J. SPICCI
5232015-01-01MICHAEL J. SPICCI
5232014-01-01MICHAEL J. SPICCI
5232013-01-01MICHAEL J. SPICCI

Plan Statistics for ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE

401k plan membership statisitcs for ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE

Measure Date Value
2021: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2021 401k membership
Total participants, beginning-of-year2021-01-011,077
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-011,110
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,110
2020: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2020 401k membership
Total participants, beginning-of-year2020-01-011,009
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-011,077
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,077
2019: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2019 401k membership
Total participants, beginning-of-year2019-01-011,068
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-011,009
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011,009
2018: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2018 401k membership
Total participants, beginning-of-year2018-01-01893
Number of retired or separated participants receiving benefits2018-01-011,068
Total of all active and inactive participants2018-01-011,068
Total participants2018-01-011,068
2017: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2017 401k membership
Total participants, beginning-of-year2017-01-01819
Number of retired or separated participants receiving benefits2017-01-01893
Total of all active and inactive participants2017-01-01893
Total participants2017-01-01893
2016: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2016 401k membership
Total participants, beginning-of-year2016-01-01600
Number of retired or separated participants receiving benefits2016-01-01819
Total of all active and inactive participants2016-01-01819
Total participants2016-01-01819
2015: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2015 401k membership
Total participants, beginning-of-year2015-01-01790
Number of retired or separated participants receiving benefits2015-01-01600
Total of all active and inactive participants2015-01-01600
Total participants2015-01-01600
2014: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2014 401k membership
Total participants, beginning-of-year2014-01-01798
Number of retired or separated participants receiving benefits2014-01-01790
Total of all active and inactive participants2014-01-01790
Total participants2014-01-01790
2013: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2013 401k membership
Total participants, beginning-of-year2013-01-010
Number of retired or separated participants receiving benefits2013-01-01798
Total of all active and inactive participants2013-01-01798
Total participants2013-01-01798

Financial Data on ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE

Measure Date Value
2021 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,407,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,564,000
Total income from all sources (including contributions)2021-12-31$15,006,949
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$15,900,927
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$15,296,887
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$14,939,412
Value of total assets at end of year2021-12-31$9,066,836
Value of total assets at beginning of year2021-12-31$10,117,814
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$604,040
Total interest from all sources2021-12-31$67,537
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$604,040
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
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
Contributions received from participants2021-12-31$14,848,164
Total non interest bearing cash at end of year2021-12-31$27,116
Total non interest bearing cash at beginning of year2021-12-31$32,627
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-893,978
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,659,836
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,553,814
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$9,039,720
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$10,085,187
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$10,085,187
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$67,537
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$17,689
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$91,248
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$15,279,198
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,407,000
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$1,564,000
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
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31EISNERAMPER LLP
Accountancy firm EIN2021-12-31871363769
2020 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,564,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$1,545,000
Total income from all sources (including contributions)2020-12-31$15,076,017
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$16,355,309
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$15,944,002
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$14,943,732
Value of total assets at end of year2020-12-31$10,117,814
Value of total assets at beginning of year2020-12-31$11,378,106
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$411,307
Total interest from all sources2020-12-31$132,285
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
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
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
Contributions received from participants2020-12-31$14,626,293
Total non interest bearing cash at end of year2020-12-31$32,627
Total non interest bearing cash at beginning of year2020-12-31$33,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-1,279,292
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,553,814
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$9,833,106
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$10,085,187
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$11,344,846
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$11,344,846
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$132,285
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$18,215
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$317,439
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$15,925,787
Contract administrator fees2020-12-31$411,307
Liabilities. Value of benefit claims payable at end of year2020-12-31$1,564,000
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,545,000
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
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31EISNER AMPER
Accountancy firm EIN2020-12-31131639826
2019 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,545,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$1,168,000
Total income from all sources (including contributions)2019-12-31$17,303,656
Total income from all sources (including contributions)2019-12-31$17,303,656
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$17,525,754
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$17,048,184
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$17,048,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$17,136,245
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$17,136,245
Value of total assets at end of year2019-12-31$11,378,106
Value of total assets at beginning of year2019-12-31$11,223,204
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$477,570
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$477,570
Total interest from all sources2019-12-31$167,411
Total interest from all sources2019-12-31$167,411
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
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$477,570
Administrative expenses professional fees incurred2019-12-31$477,570
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
Value of fidelity bond cover2019-12-31$10,000,000
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$14,321,483
Contributions received from participants2019-12-31$14,321,483
Total non interest bearing cash at end of year2019-12-31$33,260
Total non interest bearing cash at beginning of year2019-12-31$29,958
Total non interest bearing cash at beginning of year2019-12-31$29,958
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-222,098
Value of net assets at end of year (total assets less liabilities)2019-12-31$9,833,106
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$10,055,204
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$11,344,846
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,193,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,193,246
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,193,246
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,193,246
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$167,411
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,014
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$9,014
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
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
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$2,814,762
Contributions received in cash from employer2019-12-31$2,814,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$17,039,170
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,545,000
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,168,000
Did the plan have assets held for investment2019-12-31Yes
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
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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
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
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31EISNER AMPER
Accountancy firm name2019-12-31EISNER AMPER
Accountancy firm EIN2019-12-31131639826
Accountancy firm EIN2019-12-31131639826
2018 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,168,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,101,000
Total income from all sources (including contributions)2018-12-31$17,068,635
Total of all expenses incurred2018-12-31$16,977,725
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$16,544,414
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$16,923,026
Value of total assets at end of year2018-12-31$11,223,204
Value of total assets at beginning of year2018-12-31$11,065,294
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$433,311
Total interest from all sources2018-12-31$145,609
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$433,311
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$12,648,244
Total non interest bearing cash at end of year2018-12-31$29,958
Total non interest bearing cash at beginning of year2018-12-31$15,186
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$90,910
Value of net assets at end of year (total assets less liabilities)2018-12-31$10,055,204
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$9,964,294
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$11,193,246
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$11,050,108
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$11,050,108
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$145,609
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,018
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$4,274,782
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$16,540,396
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,168,000
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,101,000
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
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 name2018-12-31EISNER AMPER
Accountancy firm EIN2018-12-31131639826
2017 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,101,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$624,000
Total income from all sources (including contributions)2017-12-31$11,937,349
Total of all expenses incurred2017-12-31$12,344,454
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$12,038,959
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,864,529
Value of total assets at end of year2017-12-31$11,065,294
Value of total assets at beginning of year2017-12-31$10,995,399
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$305,495
Total interest from all sources2017-12-31$72,820
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$305,495
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$8,783,147
Total non interest bearing cash at end of year2017-12-31$15,186
Total non interest bearing cash at beginning of year2017-12-31$17,502
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-407,105
Value of net assets at end of year (total assets less liabilities)2017-12-31$9,964,294
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$10,371,399
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
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$11,050,108
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$10,977,897
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$10,977,897
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$72,820
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$11,151
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$3,081,382
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$12,027,808
Liabilities. Value of benefit claims payable at end of year2017-12-31$1,101,000
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$624,000
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
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 name2017-12-31EISNER AMPER
Accountancy firm EIN2017-12-31131639826
2016 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$624,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$800,000
Total income from all sources (including contributions)2016-12-31$10,349,462
Total of all expenses incurred2016-12-31$10,156,167
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$9,795,864
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$10,329,298
Value of total assets at end of year2016-12-31$10,995,399
Value of total assets at beginning of year2016-12-31$10,978,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$360,303
Total interest from all sources2016-12-31$20,164
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$360,303
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$8,284,528
Total non interest bearing cash at end of year2016-12-31$17,502
Total non interest bearing cash at beginning of year2016-12-31$14,789
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$193,295
Value of net assets at end of year (total assets less liabilities)2016-12-31$10,371,399
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$10,178,104
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$10,977,897
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$10,963,315
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$10,963,315
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$20,164
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$9,186
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$2,044,770
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$9,786,678
Liabilities. Value of benefit claims payable at end of year2016-12-31$624,000
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$800,000
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31EISNER AMPER
Accountancy firm EIN2016-12-31131639826
2015 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$800,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$700,000
Total income from all sources (including contributions)2015-12-31$9,228,636
Total of all expenses incurred2015-12-31$9,367,617
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$8,912,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$9,226,622
Value of total assets at end of year2015-12-31$10,978,104
Value of total assets at beginning of year2015-12-31$11,017,085
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$455,106
Total interest from all sources2015-12-31$2,014
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$297,705
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$6,926,607
Administrative expenses (other) incurred2015-12-31$157,401
Total non interest bearing cash at end of year2015-12-31$14,789
Total non interest bearing cash at beginning of year2015-12-31$48,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-138,981
Value of net assets at end of year (total assets less liabilities)2015-12-31$10,178,104
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$10,317,085
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$10,963,315
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$10,968,801
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$10,968,801
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$2,014
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$6,170
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$2,300,015
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$8,906,341
Liabilities. Value of benefit claims payable at end of year2015-12-31$800,000
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$700,000
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31EISNER AMPER
Accountancy firm EIN2015-12-31131639826
2014 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$700,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,100,000
Total income from all sources (including contributions)2014-12-31$11,544,427
Total of all expenses incurred2014-12-31$11,149,564
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$10,859,448
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$11,542,064
Value of total assets at end of year2014-12-31$11,017,085
Value of total assets at beginning of year2014-12-31$11,022,222
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$290,116
Total interest from all sources2014-12-31$2,363
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$290,116
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$7,379,736
Total non interest bearing cash at end of year2014-12-31$48,284
Total non interest bearing cash at beginning of year2014-12-31$48,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$394,863
Value of net assets at end of year (total assets less liabilities)2014-12-31$10,317,085
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$9,922,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$10,968,801
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$10,973,938
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$10,973,938
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$2,363
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$5,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$4,162,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$10,853,707
Liabilities. Value of benefit claims payable at end of year2014-12-31$700,000
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,100,000
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31EISNER AMPER
Accountancy firm EIN2014-12-31131639826
2013 : ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2013 401k financial data
Total transfer of assets to this plan2013-12-31$11,022,222
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,100,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$12,873,987
Total of all expenses incurred2013-12-31$13,973,987
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$13,615,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$12,871,648
Value of total assets at end of year2013-12-31$11,022,222
Value of total assets at beginning of year2013-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$358,799
Total interest from all sources2013-12-31$2,339
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$358,799
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$8,539,230
Total non interest bearing cash at end of year2013-12-31$48,284
Total non interest bearing cash at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-1,100,000
Value of net assets at end of year (total assets less liabilities)2013-12-31$9,922,222
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$10,973,938
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$2,339
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$5,453
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$4,332,418
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$13,609,735
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,100,000
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$0
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31EISNER AMPER
Accountancy firm EIN2013-12-31131639826

Form 5500 Responses for ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE

2021: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ERNST & YOUNG MEDICAL PLAN-CERTAIN RETIREES NOT ELIGIBLE FOR MEDICARE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $447
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMAJOR MEDICAL
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
Commission paid to Insurance BrokerUSD $447
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $447
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMAJOR MEDICAL
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
Commission paid to Insurance BrokerUSD $447
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered3
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $555
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMAJOR MEDICAL
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 $555
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered2
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $81
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedMAJOR MEDICAL
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 $81
Insurance broker organization code?3
MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered5
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $713
Health Insurance Welfare BenefitYes
Other welfare benefits providedMAJOR MEDICAL
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $713
Insurance broker organization code?3
MAPFRE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 77054 )
Policy contract number357642
Policy instance 1
Insurance contract or identification number357642
Number of Individuals Covered2
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $246
Health Insurance Welfare BenefitYes
Other welfare benefits providedMAJOR MEDICAL
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $246
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameMIA (JUAN M. CRUZ ORTA)

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