TERRE HAUTE WILBERT BURIAL VAULT, INC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan TERRE HAUTE WILBERT BURIAL VAULT INC
| Measure | Date | Value |
|---|
| 2021: TERRE HAUTE WILBERT BURIAL VAULT INC 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 2 |
| Total of all active and inactive participants | 2021-01-01 | 2 |
| Total participants | 2021-01-01 | 2 |
| Number of participants with account balances | 2021-01-01 | 2 |
| 2020: TERRE HAUTE WILBERT BURIAL VAULT INC 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 4 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 4 |
| Total of all active and inactive participants | 2020-01-01 | 4 |
| Total participants | 2020-01-01 | 4 |
| 2019: TERRE HAUTE WILBERT BURIAL VAULT INC 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 5 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 4 |
| Total of all active and inactive participants | 2019-01-01 | 4 |
| Total participants | 2019-01-01 | 4 |
| 2018: TERRE HAUTE WILBERT BURIAL VAULT INC 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 3 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 5 |
| Total of all active and inactive participants | 2018-01-01 | 5 |
| Total participants | 2018-01-01 | 5 |
| 2017: TERRE HAUTE WILBERT BURIAL VAULT INC 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 3 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Total of all active and inactive participants | 2017-01-01 | 3 |
| Total participants | 2017-01-01 | 3 |
| 2016: TERRE HAUTE WILBERT BURIAL VAULT INC 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 7 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 7 |
| Total of all active and inactive participants | 2016-01-01 | 7 |
| Total participants | 2016-01-01 | 7 |
| 2015: TERRE HAUTE WILBERT BURIAL VAULT INC 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 1 |
| Total of all active and inactive participants | 2015-01-01 | 8 |
| Total participants | 2015-01-01 | 8 |
| 2014: TERRE HAUTE WILBERT BURIAL VAULT INC 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 9 |
| Total participants | 2014-01-01 | 9 |
| 2013: TERRE HAUTE WILBERT BURIAL VAULT INC 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 1 |
| Total of all active and inactive participants | 2013-01-01 | 9 |
| Total participants | 2013-01-01 | 9 |
| 2012: TERRE HAUTE WILBERT BURIAL VAULT INC 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 1 |
| Total of all active and inactive participants | 2012-01-01 | 9 |
| Total participants | 2012-01-01 | 9 |
| 2011: TERRE HAUTE WILBERT BURIAL VAULT INC 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 1 |
| Total of all active and inactive participants | 2011-01-01 | 9 |
| Total participants | 2011-01-01 | 9 |
| 2010: TERRE HAUTE WILBERT BURIAL VAULT INC 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 1 |
| Total of all active and inactive participants | 2010-01-01 | 9 |
| Total participants | 2010-01-01 | 9 |
| 2009: TERRE HAUTE WILBERT BURIAL VAULT INC 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 9 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 8 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 1 |
| Total of all active and inactive participants | 2009-01-01 | 9 |
| Total participants | 2009-01-01 | 9 |
| Measure | Date | Value |
|---|
| 2021 : TERRE HAUTE WILBERT BURIAL VAULT INC 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $6,639 |
| Total plan assets at end of year | 2021-12-31 | $86,527 |
| Total plan assets at beginning of year | 2021-12-31 | $79,888 |
| Other income received | 2021-12-31 | $6,639 |
| Net income (gross income less expenses) | 2021-12-31 | $6,639 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $86,527 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $79,888 |
| 2020 : TERRE HAUTE WILBERT BURIAL VAULT INC 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $4,287 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $0 |
| Total plan assets at end of year | 2020-12-31 | $79,888 |
| Total plan assets at beginning of year | 2020-12-31 | $75,601 |
| Other income received | 2020-12-31 | $4,287 |
| Net income (gross income less expenses) | 2020-12-31 | $4,287 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $79,888 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $75,601 |
| 2019 : TERRE HAUTE WILBERT BURIAL VAULT INC 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $11,725 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $0 |
| Total plan assets at end of year | 2019-12-31 | $75,601 |
| Total plan assets at beginning of year | 2019-12-31 | $63,876 |
| Other income received | 2019-12-31 | $11,725 |
| Net income (gross income less expenses) | 2019-12-31 | $11,725 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $75,601 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $63,876 |
| 2018 : TERRE HAUTE WILBERT BURIAL VAULT INC 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $4,161 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $4,161 |
| Total plan assets at end of year | 2018-12-31 | $63,876 |
| Total plan assets at beginning of year | 2018-12-31 | $68,037 |
| Net income (gross income less expenses) | 2018-12-31 | $-4,161 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $63,876 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $68,037 |
| 2017 : TERRE HAUTE WILBERT BURIAL VAULT INC 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $89,325 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $89,325 |
| Total plan assets at end of year | 2017-12-31 | $68,037 |
| Total plan assets at beginning of year | 2017-12-31 | $157,362 |
| Net income (gross income less expenses) | 2017-12-31 | $-89,325 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $68,037 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $157,362 |
| 2016 : TERRE HAUTE WILBERT BURIAL VAULT INC 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $192,403 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $192,403 |
| Total plan assets at end of year | 2016-12-31 | $157,362 |
| Total plan assets at beginning of year | 2016-12-31 | $349,765 |
| Net income (gross income less expenses) | 2016-12-31 | $-192,403 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $157,362 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $349,765 |
| 2015 : TERRE HAUTE WILBERT BURIAL VAULT INC 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $0 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $72,904 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $72,904 |
| Total plan assets at end of year | 2015-12-31 | $349,765 |
| Total plan assets at beginning of year | 2015-12-31 | $422,669 |
| Net income (gross income less expenses) | 2015-12-31 | $-72,904 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $349,765 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $422,669 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $72,904 |
| 2014 : TERRE HAUTE WILBERT BURIAL VAULT INC 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $16,784 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $0 |
| Total plan assets at end of year | 2014-12-31 | $422,669 |
| Total plan assets at beginning of year | 2014-12-31 | $405,885 |
| Other income received | 2014-12-31 | $16,784 |
| Net income (gross income less expenses) | 2014-12-31 | $16,784 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $422,669 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $405,885 |
| 2013 : TERRE HAUTE WILBERT BURIAL VAULT INC 2013 401k financial data |
|---|
| Transfers to/from the plan | 2013-12-31 | $0 |
| Total income from all sources | 2013-12-31 | $36,084 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $0 |
| Total plan assets at end of year | 2013-12-31 | $405,885 |
| Total plan assets at beginning of year | 2013-12-31 | $369,801 |
| Total contributions received or receivable from participants | 2013-12-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2013-12-31 | $0 |
| Other income received | 2013-12-31 | $36,084 |
| Noncash contributions received | 2013-12-31 | $0 |
| Net income (gross income less expenses) | 2013-12-31 | $36,084 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $405,885 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $369,801 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $0 |
| 2012 : TERRE HAUTE WILBERT BURIAL VAULT INC 2012 401k financial data |
|---|
| Total plan assets at end of year | 2012-12-31 | $369,801 |
| Total plan assets at beginning of year | 2012-12-31 | $330,875 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $369,801 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $330,875 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : TERRE HAUTE WILBERT BURIAL VAULT INC 2011 401k financial data |
|---|
| Total plan assets at end of year | 2011-12-31 | $330,875 |
| Total plan assets at beginning of year | 2011-12-31 | $329,375 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $330,875 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $329,375 |
| 2010 : TERRE HAUTE WILBERT BURIAL VAULT INC 2010 401k financial data |
|---|
| Total plan assets at end of year | 2010-12-31 | $329,375 |
| Total plan assets at beginning of year | 2010-12-31 | $327,875 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $329,375 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $327,875 |
| 2021: TERRE HAUTE WILBERT BURIAL VAULT INC 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: TERRE HAUTE WILBERT BURIAL VAULT INC 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: TERRE HAUTE WILBERT BURIAL VAULT INC 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: TERRE HAUTE WILBERT BURIAL VAULT INC 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: TERRE HAUTE WILBERT BURIAL VAULT INC 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: TERRE HAUTE WILBERT BURIAL VAULT INC 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: TERRE HAUTE WILBERT BURIAL VAULT INC 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: TERRE HAUTE WILBERT BURIAL VAULT INC 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: TERRE HAUTE WILBERT BURIAL VAULT INC 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: TERRE HAUTE WILBERT BURIAL VAULT INC 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: TERRE HAUTE WILBERT BURIAL VAULT INC 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: TERRE HAUTE WILBERT BURIAL VAULT INC 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Submission has been amended | No |
| 2010-01-01 | This submission is the final filing | No |
| 2010-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2010-01-01 | Plan is a collectively bargained plan | No |
| 2010-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: TERRE HAUTE WILBERT BURIAL VAULT INC 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $165 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of fees paid to insurance company | USD $270 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 | | Amount paid for insurance broker fees | 270 | | Additional information about fees paid to insurance broker | ANNUAL FEES | | Insurance broker organization code? | 3 | | Insurance broker name | MICHAEL W COLLINS |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $130 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $4 | | Insurance broker organization code? | 3 | | Insurance broker name | MICHAEL W COLLINS |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $130 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $126 | | Insurance broker organization code? | 3 | | Insurance broker name | RONALD KEITH RICH |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $130 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 24866 |
| Policy instance | 1 |
| Insurance contract or identification number | 24866 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of fees paid to insurance company | USD $130 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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