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VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 401k Plan overview

Plan NameVAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN
Plan identification number 503

VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

VAN RU CREDIT CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:VAN RU CREDIT CORPORATION
Employer identification number (EIN):362253655
NAIC Classification:522190
NAIC Description:Other Depository Credit Intermediation

Additional information about VAN RU CREDIT CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3667791

More information about VAN RU CREDIT CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032017-01-01CAROLINE FINNEGAN CAROLINE FINNEGAN2018-10-11
5032016-01-01CAROLINE FINNEGAN CAROLINE FINNEGAN2017-10-16
5032015-01-01ALICE MACIEJEWSKI ALICE MACIEJEWSKI2016-10-14
5032014-01-01ALICE MACIEJEWSKI
5032013-01-01ALICE MACIEJEWSKI ALICE MACIEJEWSKI2014-10-15
5032012-01-01ALICE MACIEJEWSKI ALICE MACIEJEWSKI2013-09-24
5032011-01-01ALICE MACIEJEWSKI ALICE MACIEJEWSKI2012-10-05

Plan Statistics for VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN

401k plan membership statisitcs for VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN

Measure Date Value
2017: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0149
Total number of active participants reported on line 7a of the Form 55002017-01-0113
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0113
2016: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01106
Total number of active participants reported on line 7a of the Form 55002016-01-0149
Total of all active and inactive participants2016-01-0149
2015: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01181
Total number of active participants reported on line 7a of the Form 55002015-01-01106
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01106
2014: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01236
Total number of active participants reported on line 7a of the Form 55002014-01-01181
Total of all active and inactive participants2014-01-01181
2013: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01222
Total number of active participants reported on line 7a of the Form 55002013-01-01236
Total of all active and inactive participants2013-01-01236
2012: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01222
Total number of active participants reported on line 7a of the Form 55002012-01-01220
Total of all active and inactive participants2012-01-01220
2011: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01197
Total number of active participants reported on line 7a of the Form 55002011-01-01222
Total of all active and inactive participants2011-01-01222

Financial Data on VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN

Measure Date Value
2017 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$81,460
Total plan liabilities at beginning of year2017-12-31$246,302
Total income from all sources2017-12-31$54,019
Expenses. Total of all expenses incurred2017-12-31$221,498
Benefits paid (including direct rollovers)2017-12-31$92,783
Total plan assets at end of year2017-12-31$408,133
Total plan assets at beginning of year2017-12-31$740,454
Value of fidelity bond covering the plan2017-12-31$150,000
Expenses. Other expenses not covered elsewhere2017-12-31$46,467
Other income received2017-12-31$4,776
Net income (gross income less expenses)2017-12-31$-167,479
Net plan assets at end of year (total assets less liabilities)2017-12-31$326,673
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$494,152
Total contributions received or receivable from employer(s)2017-12-31$49,243
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$82,248
2016 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2016 401k financial data
Total transfer of assets from this plan2016-12-31$142,106
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$246,302
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$368,453
Total income from all sources (including contributions)2016-12-31$673,075
Total of all expenses incurred2016-12-31$711,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$502,028
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$672,694
Value of total assets at end of year2016-12-31$740,454
Value of total assets at beginning of year2016-12-31$1,042,751
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$209,087
Total interest from all sources2016-12-31$381
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$12,000
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$64,628
Participant contributions at end of year2016-12-31$5,975
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$52
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$105,232
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$150,001
Administrative expenses (other) incurred2016-12-31$3,962
Liabilities. Value of operating payables at end of year2016-12-31$6,010
Liabilities. Value of operating payables at beginning of year2016-12-31$20,643
Total non interest bearing cash at end of year2016-12-31$24,975
Total non interest bearing cash at beginning of year2016-12-31$16,992
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-38,040
Value of net assets at end of year (total assets less liabilities)2016-12-31$494,152
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$674,298
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$665,642
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$831,700
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$381
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$20,546
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$608,066
Employer contributions (assets) at end of year2016-12-31$43,810
Employer contributions (assets) at beginning of year2016-12-31$194,059
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$481,482
Contract administrator fees2016-12-31$193,125
Liabilities. Value of benefit claims payable at end of year2016-12-31$135,060
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$197,809
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 name2016-12-31FGMK, LLC
Accountancy firm EIN2016-12-31362929601
2015 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2015 401k financial data
Total transfer of assets from this plan2015-12-31$419,656
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$368,453
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$393,866
Total income from all sources (including contributions)2015-12-31$1,434,175
Total of all expenses incurred2015-12-31$1,378,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,127,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,434,092
Value of total assets at end of year2015-12-31$1,042,751
Value of total assets at beginning of year2015-12-31$1,431,956
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$250,562
Total interest from all sources2015-12-31$83
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$14,634
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$9
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$150,001
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$148,358
Administrative expenses (other) incurred2015-12-31$13,386
Liabilities. Value of operating payables at end of year2015-12-31$20,643
Liabilities. Value of operating payables at beginning of year2015-12-31$33,306
Total non interest bearing cash at end of year2015-12-31$16,992
Total non interest bearing cash at beginning of year2015-12-31$53,583
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$55,864
Value of net assets at end of year (total assets less liabilities)2015-12-31$674,298
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$1,038,090
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$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$831,700
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$1,213,175
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$83
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$106,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$1,434,092
Employer contributions (assets) at end of year2015-12-31$194,059
Employer contributions (assets) at beginning of year2015-12-31$165,189
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,021,416
Contract administrator fees2015-12-31$222,542
Liabilities. Value of benefit claims payable at end of year2015-12-31$197,809
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$212,202
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 name2015-12-31FGMK, LLC
Accountancy firm EIN2015-12-31362929601
2014 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2014 401k financial data
Total transfer of assets from this plan2014-12-31$619,080
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$393,866
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$370,501
Total income from all sources (including contributions)2014-12-31$1,647,413
Total of all expenses incurred2014-12-31$1,014,944
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$776,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,647,254
Value of total assets at end of year2014-12-31$1,431,956
Value of total assets at beginning of year2014-12-31$1,395,202
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$238,721
Total interest from all sources2014-12-31$159
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$25,000
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$37,282
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$24,066
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$9
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$7
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$148,358
Administrative expenses (other) incurred2014-12-31$3,790
Liabilities. Value of operating payables at end of year2014-12-31$33,306
Liabilities. Value of operating payables at beginning of year2014-12-31$112,330
Total non interest bearing cash at end of year2014-12-31$53,583
Total non interest bearing cash at beginning of year2014-12-31$80,913
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$632,469
Value of net assets at end of year (total assets less liabilities)2014-12-31$1,038,090
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$1,024,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$1,213,175
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$1,184,744
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$159
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$93,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$1,647,254
Employer contributions (assets) at end of year2014-12-31$165,189
Employer contributions (assets) at beginning of year2014-12-31$92,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$658,282
Contract administrator fees2014-12-31$209,931
Liabilities. Value of benefit claims payable at end of year2014-12-31$212,202
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$258,171
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 name2014-12-31FGMK, LLC
Accountancy firm EIN2014-12-31362929601
2013 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$370,501
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$288,372
Total income from all sources (including contributions)2013-12-31$1,534,696
Total of all expenses incurred2013-12-31$1,519,974
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,402,933
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,534,624
Value of total assets at end of year2013-12-31$1,395,202
Value of total assets at beginning of year2013-12-31$1,298,351
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$117,041
Total interest from all sources2013-12-31$72
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$19,750
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$37,282
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$36,000
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$261,533
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$7
Administrative expenses (other) incurred2013-12-31$1,074
Liabilities. Value of operating payables at end of year2013-12-31$112,330
Liabilities. Value of operating payables at beginning of year2013-12-31$33,731
Total non interest bearing cash at end of year2013-12-31$80,913
Total non interest bearing cash at beginning of year2013-12-31$144,909
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$14,722
Value of net assets at end of year (total assets less liabilities)2013-12-31$1,024,701
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$1,009,979
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$1,184,744
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$997,035
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$72
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$1,114,570
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$1,534,624
Employer contributions (assets) at end of year2013-12-31$92,256
Employer contributions (assets) at beginning of year2013-12-31$120,407
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$26,830
Contract administrator fees2013-12-31$96,217
Liabilities. Value of benefit claims payable at end of year2013-12-31$258,171
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$254,641
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 name2013-12-31FGMK, LLC
Accountancy firm EIN2013-12-31362929601
2012 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$288,372
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$109,370
Total income from all sources (including contributions)2012-12-31$1,446,382
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,580,063
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,368,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,443,212
Value of total assets at end of year2012-12-31$1,298,351
Value of total assets at beginning of year2012-12-31$1,253,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$211,172
Total interest from all sources2012-12-31$3,170
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$18,462
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Assets. Other investments not covered elsewhere at end of year2012-12-31$36,000
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$36,000
Administrative expenses (other) incurred2012-12-31$119,980
Liabilities. Value of operating payables at end of year2012-12-31$33,731
Liabilities. Value of operating payables at beginning of year2012-12-31$18,370
Total non interest bearing cash at end of year2012-12-31$144,904
Total non interest bearing cash at beginning of year2012-12-31$75,407
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-133,681
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,009,979
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,143,660
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$997,045
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$967,161
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$967,161
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$3,170
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$131,737
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,443,212
Employer contributions (assets) at end of year2012-12-31$120,402
Employer contributions (assets) at beginning of year2012-12-31$174,462
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,237,154
Contract administrator fees2012-12-31$72,730
Liabilities. Value of benefit claims payable at end of year2012-12-31$254,641
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$91,000
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31INEICH & COMPANY, LLP
Accountancy firm EIN2012-12-31562552172
2011 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$109,370
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$105,678
Total income from all sources (including contributions)2011-12-31$1,451,257
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$920,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$716,711
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,447,148
Value of total assets at end of year2011-12-31$1,253,030
Value of total assets at beginning of year2011-12-31$718,577
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$203,785
Total interest from all sources2011-12-31$4,109
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Assets. Other investments not covered elsewhere at end of year2011-12-31$36,000
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$29,000
Administrative expenses (other) incurred2011-12-31$116,956
Liabilities. Value of operating payables at end of year2011-12-31$18,370
Liabilities. Value of operating payables at beginning of year2011-12-31$31,132
Total non interest bearing cash at end of year2011-12-31$75,407
Total non interest bearing cash at beginning of year2011-12-31$49,973
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$530,761
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,143,660
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$612,899
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$967,161
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$494,430
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$494,430
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$4,109
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$81,099
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$1,447,148
Employer contributions (assets) at end of year2011-12-31$174,462
Employer contributions (assets) at beginning of year2011-12-31$145,174
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$635,612
Contract administrator fees2011-12-31$86,829
Liabilities. Value of benefit claims payable at end of year2011-12-31$91,000
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$74,546
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31INEICH & COMPANY, LLP
Accountancy firm EIN2011-12-31562552172
2010 : VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$105,678
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$125,788
Total income from all sources (including contributions)2010-12-31$1,278,546
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$806,328
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$618,200
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,276,823
Value of total assets at end of year2010-12-31$718,577
Value of total assets at beginning of year2010-12-31$266,469
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$188,128
Total interest from all sources2010-12-31$1,723
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$150,000
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,898
Assets. Other investments not covered elsewhere at end of year2010-12-31$29,000
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$75,000
Administrative expenses (other) incurred2010-12-31$112,076
Liabilities. Value of operating payables at end of year2010-12-31$31,132
Liabilities. Value of operating payables at beginning of year2010-12-31$13,565
Total non interest bearing cash at end of year2010-12-31$49,973
Total non interest bearing cash at beginning of year2010-12-31$53,763
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$472,218
Value of net assets at end of year (total assets less liabilities)2010-12-31$612,899
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$140,681
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$494,430
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$90,239
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$90,239
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$1,723
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$73,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$1,274,925
Employer contributions (assets) at end of year2010-12-31$145,174
Employer contributions (assets) at beginning of year2010-12-31$122,467
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$544,453
Contract administrator fees2010-12-31$76,052
Liabilities. Value of benefit claims payable at end of year2010-12-31$74,546
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$37,223
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31INEICH & COMPANY, LLP
Accountancy firm EIN2010-12-31522552172

Form 5500 Responses for VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN

2017: VAN RU CREDIT CORPORATION HEALTH & WELFARE 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: VAN RU CREDIT CORPORATION HEALTH & WELFARE 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: VAN RU CREDIT CORPORATION HEALTH & WELFARE 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: VAN RU CREDIT CORPORATION HEALTH & WELFARE 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: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained 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
2012: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: VAN RU CREDIT CORPORATION HEALTH & WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number351431
Policy instance 1
Insurance contract or identification number351431
Number of Individuals Covered127
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $11,474
Total amount of fees paid to insurance companyUSD $1,880
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $112,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,474
Amount paid for insurance broker fees1880
Insurance broker organization code?3
Insurance broker nameGCG FINANCIAL, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP69966, 69967
Policy instance 2
Insurance contract or identification numberP69966, 69967
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $40,020
Total amount of fees paid to insurance companyUSD $4,170
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $232,328
Commission paid to Insurance BrokerUSD $40,020
Amount paid for insurance broker fees4170
Insurance broker organization code?3
Insurance broker nameGCG FINANCIAL, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP69966, P69967,
Policy instance 1
Insurance contract or identification numberP69966, P69967,
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $236,289
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract numberP69966, 69967
Policy instance 3
Insurance contract or identification numberP69966, 69967
Number of Individuals Covered422
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $47,245
Total amount of fees paid to insurance companyUSD $16,104
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $223,696
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $47,245
Insurance broker organization code?3
Amount paid for insurance broker fees16104
Additional information about fees paid to insurance brokerBROKER BONUS
Insurance broker nameLOCKTON COMPANIES, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number225370
Policy instance 2
Insurance contract or identification number225370
Number of Individuals Covered494
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,758
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $68,801
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,758
Insurance broker organization code?3
Insurance broker nameGCG FINANCIAL, INC.
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number225370
Policy instance 1
Insurance contract or identification number225370
Number of Individuals Covered172
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $11,537
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $90,280
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,537
Insurance broker organization code?3
Insurance broker nameGCG FINANCIAL, INC.
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number051340 P52768
Policy instance 3
Insurance contract or identification number051340 P52768
Number of Individuals Covered568
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $34,256
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,805,392
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $11,316
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number225370
Policy instance 2
Insurance contract or identification number225370
Number of Individuals Covered564
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $8,819
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $58,793
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,266
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number225370
Policy instance 1
Insurance contract or identification number225370
Number of Individuals Covered201
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $12,443
Total amount of fees paid to insurance companyUSD $0
Temporary Disability Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $82,949
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,265
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract numberADDS07032
Policy instance 2
Insurance contract or identification numberADDS07032
Number of Individuals Covered220
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $322
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,144
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $322
Insurance broker organization code?3
Insurance broker nameALAN A LEAFMAN
CIGNA HEALTH AND LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 67369 )
Policy contract number2498795
Policy instance 1
Insurance contract or identification number2498795
Number of Individuals Covered207
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $13,420
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXCESS LOSS
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 $127,708
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,420
Insurance broker organization code?3
Insurance broker nameLOCKTON COMPANIES, LLC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number2498795
Policy instance 1
Insurance contract or identification number2498795
Number of Individuals Covered188
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,498
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXCESS LOSS
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 $81,678
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number677293G
Policy instance 2
Insurance contract or identification number677293G
Number of Individuals Covered222
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $347
Total amount of fees paid to insurance companyUSD $47
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,632
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HUMANA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 73288 )
Policy contract number680275
Policy instance 1
Insurance contract or identification number680275
Number of Individuals Covered151
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,048
Total amount of fees paid to insurance companyUSD $95,272
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedEXCESS LOSS
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 $68,497
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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