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THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 401k Plan overview

Plan NameTHE ELI LILLY AND COMPANY RETIREE HEALTH PLAN
Plan identification number 504

THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN Benefits

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

401k Sponsoring company profile

ELI LILLY AND COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ELI LILLY AND COMPANY
Employer identification number (EIN):350470950
NAIC Classification:325410

Additional information about ELI LILLY AND COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3824464

More information about ELI LILLY AND COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01
5042021-01-01
5042020-01-01
5042019-01-01
5042018-01-01
5042017-01-01STACEY ROBERSON SUSAN RIDLEN2018-10-15
5042016-01-01STACEY ROBERSON SUSAN RIDLEN2017-10-11
5042015-01-01STACEY ROBERSON SUSAN RIDLEN2016-10-07
5042014-01-01STACEY ROBERSON SUSAN RIDLEN2015-10-09
5042013-01-01STACEY ROBERSON SUSAN RIDLEN2014-10-09

Plan Statistics for THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN

401k plan membership statisitcs for THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN

Measure Date Value
2022: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0111,625
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-0110,758
Number of other retired or separated participants entitled to future benefits2022-01-01828
Total of all active and inactive participants2022-01-0111,586
2021: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0111,941
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-0110,938
Number of other retired or separated participants entitled to future benefits2021-01-01857
Total of all active and inactive participants2021-01-0111,795
2020: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0112,148
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-0110,904
Number of other retired or separated participants entitled to future benefits2020-01-01919
Total of all active and inactive participants2020-01-0111,823
2019: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0112,347
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-0111,083
Number of other retired or separated participants entitled to future benefits2019-01-011,056
Total of all active and inactive participants2019-01-0112,139
2018: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0111,367
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-0111,361
Number of other retired or separated participants entitled to future benefits2018-01-011,050
Total of all active and inactive participants2018-01-0112,411
2017: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-019,448
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-019,672
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-019,672
2016: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019,393
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-019,379
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-019,379
2015: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-019,407
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-019,445
Total of all active and inactive participants2015-01-019,445
Total participants2015-01-019,445
2014: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-019,354
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-019,337
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-019,337
2013: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-019,362
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-019,306
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-019,306

Financial Data on THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN

Measure Date Value
2022 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$78,957,189
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$73,136,359
Total income from all sources (including contributions)2022-12-31$-612,004,770
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$93,494,282
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$89,871,096
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$17,763,916
Value of total assets at end of year2022-12-31$1,488,920,746
Value of total assets at beginning of year2022-12-31$2,188,598,968
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,623,186
Total interest from all sources2022-12-31$-661,901,701
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$118,255
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$16,629,132
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$49,767
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$643
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$77,300,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$71,100,000
Other income not declared elsewhere2022-12-31$31,759,131
Administrative expenses (other) incurred2022-12-31$111,291
Liabilities. Value of operating payables at end of year2022-12-31$347,135
Liabilities. Value of operating payables at beginning of year2022-12-31$602,471
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-705,499,052
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,409,963,557
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$2,115,462,609
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
Investment advisory and management fees2022-12-31$2,011,155
Interest earned on other investments2022-12-31$-661,901,701
Value of interest in common/collective trusts at end of year2022-12-31$14,200,058
Value of interest in common/collective trusts at beginning of year2022-12-31$17,983,521
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$1,470,830,037
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,166,788,195
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$10,617,991
Net investment gain or loss from common/collective trusts2022-12-31$373,884
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
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$1,134,784
Employer contributions (assets) at end of year2022-12-31$3,840,884
Employer contributions (assets) at beginning of year2022-12-31$3,826,609
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$79,253,105
Contract administrator fees2022-12-31$1,382,485
Liabilities. Value of benefit claims payable at end of year2022-12-31$1,310,054
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$1,433,888
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
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ERNST & YOUNG LLP
Accountancy firm EIN2022-12-31346565596
2021 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 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$73,136,359
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$67,715,153
Total income from all sources (including contributions)2021-12-31$59,855,807
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$94,969,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$91,001,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$17,835,176
Value of total assets at end of year2021-12-31$2,188,598,968
Value of total assets at beginning of year2021-12-31$2,218,291,558
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,968,485
Total interest from all sources2021-12-31$3,291,587
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$106,839
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$16,793,887
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$643
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$958
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$71,100,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$66,800,000
Other income not declared elsewhere2021-12-31$38,695,373
Administrative expenses (other) incurred2021-12-31$117,316
Liabilities. Value of operating payables at end of year2021-12-31$602,471
Liabilities. Value of operating payables at beginning of year2021-12-31$396,836
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-35,113,796
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,115,462,609
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,150,576,405
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$2,283,684
Interest earned on other investments2021-12-31$3,291,587
Value of interest in common/collective trusts at end of year2021-12-31$17,983,521
Value of interest in common/collective trusts at beginning of year2021-12-31$10,533,327
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,166,788,195
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,204,555,884
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$12,784,717
Net investment gain or loss from common/collective trusts2021-12-31$33,671
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
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$1,041,289
Employer contributions (assets) at end of year2021-12-31$3,826,609
Employer contributions (assets) at beginning of year2021-12-31$3,201,389
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$78,216,401
Contract administrator fees2021-12-31$1,460,646
Liabilities. Value of benefit claims payable at end of year2021-12-31$1,433,888
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$518,317
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 name2021-12-31ERNST & YOUNG LLP
Accountancy firm EIN2021-12-31346565596
2020 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 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$67,715,153
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$80,623,607
Total income from all sources (including contributions)2020-12-31$452,976,022
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$66,951,196
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$62,807,953
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$17,166,303
Value of total assets at end of year2020-12-31$2,218,291,558
Value of total assets at beginning of year2020-12-31$1,845,175,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$4,143,243
Total interest from all sources2020-12-31$406,652,903
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$44,933
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$44,933
Administrative expenses professional fees incurred2020-12-31$98,301
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$17,025,649
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$958
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$9,860
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$66,800,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$78,400,000
Other income not declared elsewhere2020-12-31$29,098,780
Administrative expenses (other) incurred2020-12-31$1,825,706
Liabilities. Value of operating payables at end of year2020-12-31$396,836
Liabilities. Value of operating payables at beginning of year2020-12-31$450,680
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$386,024,826
Value of net assets at end of year (total assets less liabilities)2020-12-31$2,150,576,405
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$1,764,551,579
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$2,219,236
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$8,345,460
Interest earned on other investments2020-12-31$406,652,903
Value of interest in common/collective trusts at end of year2020-12-31$10,533,327
Value of interest in common/collective trusts at beginning of year2020-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,204,555,884
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$1,832,179,317
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$11,599,777
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$-3,464
Net investment gain or loss from common/collective trusts2020-12-31$16,567
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
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$140,654
Employer contributions (assets) at end of year2020-12-31$3,201,389
Employer contributions (assets) at beginning of year2020-12-31$4,640,549
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$51,208,176
Liabilities. Value of benefit claims payable at end of year2020-12-31$518,317
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$1,772,927
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 name2020-12-31ERNST & YOUNG LLP
Accountancy firm EIN2020-12-31346565596
2019 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 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$80,623,607
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$74,206,138
Total income from all sources (including contributions)2019-12-31$339,387,659
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$99,307,046
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$95,047,812
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$19,947,923
Value of total assets at end of year2019-12-31$1,845,175,186
Value of total assets at beginning of year2019-12-31$1,598,677,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,259,234
Total interest from all sources2019-12-31$290,067,495
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$487,406
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$487,406
Administrative expenses professional fees incurred2019-12-31$103,248
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$19,521,498
Assets. Other investments not covered elsewhere at end of year2019-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$971,333
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$9,860
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$37,745
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$78,400,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$72,000,000
Other income not declared elsewhere2019-12-31$28,877,020
Administrative expenses (other) incurred2019-12-31$2,120,255
Liabilities. Value of operating payables at end of year2019-12-31$450,680
Liabilities. Value of operating payables at beginning of year2019-12-31$494,390
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$240,080,613
Value of net assets at end of year (total assets less liabilities)2019-12-31$1,764,551,579
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$1,524,470,966
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$2,035,731
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$8,345,460
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$18,212,548
Interest earned on other investments2019-12-31$290,067,495
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$1,832,179,317
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$1,574,804,292
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$11,232,354
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$7,815
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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$426,425
Employer contributions (assets) at end of year2019-12-31$4,640,549
Employer contributions (assets) at beginning of year2019-12-31$4,651,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$83,815,458
Liabilities. Value of benefit claims payable at end of year2019-12-31$1,772,927
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,711,748
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
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 name2019-12-31ERNST & YOUNG LLP
Accountancy firm EIN2019-12-31346565596
2018 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$74,206,138
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$6,145,077
Total income from all sources (including contributions)2018-12-31$115,745,027
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$119,844,052
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$115,549,840
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$19,913,822
Value of total assets at end of year2018-12-31$1,598,677,104
Value of total assets at beginning of year2018-12-31$1,534,715,068
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$4,294,212
Total interest from all sources2018-12-31$75,409,318
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$275,564
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$275,564
Administrative expenses professional fees incurred2018-12-31$108,951
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$19,647,779
Assets. Other investments not covered elsewhere at end of year2018-12-31$971,333
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$37,745
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$484,203
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$72,000,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$4,700,000
Other income not declared elsewhere2018-12-31$20,148,511
Administrative expenses (other) incurred2018-12-31$2,216,164
Liabilities. Value of operating payables at end of year2018-12-31$494,390
Liabilities. Value of operating payables at beginning of year2018-12-31$483,482
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-4,099,025
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,524,470,966
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$1,528,569,991
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$1,969,097
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$18,212,548
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$4,832,208
Interest earned on other investments2018-12-31$75,409,318
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$1,574,804,292
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,524,562,455
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$10,071,985
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,188
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
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$266,043
Employer contributions (assets) at end of year2018-12-31$4,651,186
Employer contributions (assets) at beginning of year2018-12-31$4,836,202
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$105,477,855
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,711,748
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$961,595
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 name2018-12-31ERNST & YOUNG LLP
Accountancy firm EIN2018-12-31346565596
2017 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$311,780,327
Total unrealized appreciation/depreciation of assets2017-12-31$311,780,327
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$6,145,077
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,631,179
Total income from all sources (including contributions)2017-12-31$373,918,895
Total loss/gain on sale of assets2017-12-31$17,447,491
Total of all expenses incurred2017-12-31$55,842,985
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$52,776,737
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$11,766,481
Value of total assets at end of year2017-12-31$1,534,715,068
Value of total assets at beginning of year2017-12-31$1,214,125,260
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,066,248
Total interest from all sources2017-12-31$10,988,270
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$93,493
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$93,493
Administrative expenses professional fees incurred2017-12-31$137,344
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$10,645,866
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$484,203
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$462,571
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$4,700,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$2,450,000
Other income not declared elsewhere2017-12-31$21,842,833
Administrative expenses (other) incurred2017-12-31$1,127,355
Liabilities. Value of operating payables at end of year2017-12-31$483,482
Liabilities. Value of operating payables at beginning of year2017-12-31$262,864
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$222
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$318,075,910
Value of net assets at end of year (total assets less liabilities)2017-12-31$1,528,569,991
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,210,494,081
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$1,801,549
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$4,832,208
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$0
Interest earned on other investments2017-12-31$10,988,270
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$401,961
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$401,961
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,524,562,455
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,208,546,134
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$8,277,499
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
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$1,120,615
Employer contributions (assets) at end of year2017-12-31$4,836,202
Employer contributions (assets) at beginning of year2017-12-31$4,714,372
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$44,499,238
Liabilities. Value of benefit claims payable at end of year2017-12-31$961,595
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$918,315
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$27,929,175
Aggregate carrying amount (costs) on sale of assets2017-12-31$10,481,684
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 name2017-12-31ERNST & YOUNG LLP
Accountancy firm EIN2017-12-31346565596
2016 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$7,865,162
Total unrealized appreciation/depreciation of assets2016-12-31$7,865,162
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,631,179
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$10,072,177
Total income from all sources (including contributions)2016-12-31$51,987,556
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$47,652,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$44,259,939
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$17,042,772
Value of total assets at end of year2016-12-31$1,214,125,260
Value of total assets at beginning of year2016-12-31$1,216,230,972
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,392,331
Total interest from all sources2016-12-31$12,460,351
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$95,881
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$10,645,866
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$462,571
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$1,933,771
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$2,450,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$5,800,000
Other income not declared elsewhere2016-12-31$14,619,271
Administrative expenses (other) incurred2016-12-31$1,620,362
Liabilities. Value of operating payables at end of year2016-12-31$262,864
Liabilities. Value of operating payables at beginning of year2016-12-31$1,120,529
Total non interest bearing cash at end of year2016-12-31$222
Total non interest bearing cash at beginning of year2016-12-31$222
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$4,335,286
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,210,494,081
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,206,158,795
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
Investment advisory and management fees2016-12-31$1,676,088
Interest earned on other investments2016-12-31$12,424,842
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$401,961
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$6,150,803
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$6,150,803
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$35,509
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,208,546,134
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,208,146,176
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$9,307,945
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
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$6,396,906
Employer contributions (assets) at end of year2016-12-31$4,714,372
Employer contributions (assets) at beginning of year2016-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$34,951,994
Liabilities. Value of benefit claims payable at end of year2016-12-31$918,315
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$3,151,648
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 name2016-12-31ERNST & YOUNG LLP
Accountancy firm EIN2016-12-31346565596
2015 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$81,468,481
Total unrealized appreciation/depreciation of assets2015-12-31$81,468,481
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$10,072,177
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$7,759,675
Total income from all sources (including contributions)2015-12-31$150,396,548
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$123,901,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$118,297,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$31,650,874
Value of total assets at end of year2015-12-31$1,216,230,972
Value of total assets at beginning of year2015-12-31$1,187,423,637
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$5,604,180
Total interest from all sources2015-12-31$10,400,898
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
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$76,004
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$21,281,398
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$1,933,771
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$1,465,270
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$5,800,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$4,000,000
Other income not declared elsewhere2015-12-31$26,876,295
Administrative expenses (other) incurred2015-12-31$3,810,280
Liabilities. Value of operating payables at end of year2015-12-31$1,120,529
Liabilities. Value of operating payables at beginning of year2015-12-31$987,215
Total non interest bearing cash at end of year2015-12-31$222
Total non interest bearing cash at beginning of year2015-12-31$222
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$26,494,833
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,206,158,795
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,179,663,962
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
Investment advisory and management fees2015-12-31$1,717,896
Interest earned on other investments2015-12-31$10,389,825
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$6,150,803
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$297,609
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$297,609
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$11,073
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,208,146,176
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,185,660,536
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$12,288,602
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
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$10,369,476
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$106,008,933
Liabilities. Value of benefit claims payable at end of year2015-12-31$3,151,648
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,772,460
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 name2015-12-31ERNST & YOUNG LLP
Accountancy firm EIN2015-12-31346565596
2014 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$100,702,043
Total unrealized appreciation/depreciation of assets2014-12-31$100,702,043
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$7,759,675
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$62,084,306
Total income from all sources (including contributions)2014-12-31$155,150,115
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$60,826,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$54,898,863
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$31,215,523
Value of total assets at end of year2014-12-31$1,187,423,637
Value of total assets at beginning of year2014-12-31$1,147,424,154
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$5,927,138
Total interest from all sources2014-12-31$2,360,537
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
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$73,400
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$20,055,363
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$1,465,270
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,490,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$4,000,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$58,500,000
Other income not declared elsewhere2014-12-31$20,872,012
Administrative expenses (other) incurred2014-12-31$3,940,613
Liabilities. Value of operating payables at end of year2014-12-31$987,215
Liabilities. Value of operating payables at beginning of year2014-12-31$984,913
Total non interest bearing cash at end of year2014-12-31$222
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$94,324,114
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,179,663,962
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,085,339,848
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
Investment advisory and management fees2014-12-31$1,913,125
Interest earned on other investments2014-12-31$2,356,902
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$297,609
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$7,183,826
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$7,183,826
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$3,635
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,185,660,536
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$1,138,749,745
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$2,910,047
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
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$11,160,160
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$51,988,816
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,772,460
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$2,599,393
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 name2014-12-31ERNST & YOUNG LLP
Accountancy firm EIN2014-12-31346565596
2013 : THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$270,238,336
Total unrealized appreciation/depreciation of assets2013-12-31$270,238,336
Total transfer of assets to this plan2013-12-31$875,095,362
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$62,084,306
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$317,469,996
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$107,225,510
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$101,697,793
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$33,681,551
Value of total assets at end of year2013-12-31$1,147,424,154
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$5,527,717
Total interest from all sources2013-12-31$4,067,375
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
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$74,478
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$35,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$18,262,541
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,490,583
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$58,500,000
Other income not declared elsewhere2013-12-31$9,482,734
Administrative expenses (other) incurred2013-12-31$3,916,643
Liabilities. Value of operating payables at end of year2013-12-31$984,913
Liabilities. Value of operating payables 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$210,244,486
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,085,339,848
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
Investment advisory and management fees2013-12-31$1,536,596
Interest earned on other investments2013-12-31$4,063,544
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$7,183,826
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$3,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$1,138,749,745
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,946,977
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
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$15,419,010
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$99,750,816
Liabilities. Value of benefit claims payable at end of year2013-12-31$2,599,393
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 name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596

Form 5500 Responses for THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN

2022: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan 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: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan 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: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan 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: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle 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 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: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle 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
2016: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: THE ELI LILLY AND COMPANY RETIREE HEALTH 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 planNo
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: THE ELI LILLY AND COMPANY RETIREE HEALTH 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 planNo
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: THE ELI LILLY AND COMPANY RETIREE HEALTH PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 2
Insurance contract or identification numberG-23130
Number of Individuals Covered10782
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number213062
Policy instance 1
Insurance contract or identification number213062
Number of Individuals Covered3677
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 $300,407
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number003320403
Policy instance 2
Insurance contract or identification number003320403
Number of Individuals Covered3583
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 $302,904
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered10891
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11033
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11092
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11195
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11270
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11437
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11563
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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberG-23130
Policy instance 1
Insurance contract or identification numberG-23130
Number of Individuals Covered11662
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

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