TANG INDUSTRIES INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN
401k plan membership statisitcs for TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN
| Measure | Date | Value |
|---|
| 2021: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-09-01 | 611 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-09-01 | 634 |
| Total of all active and inactive participants | 2021-09-01 | 634 |
| Total participants | 2021-09-01 | 634 |
| 2020: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-09-01 | 604 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-09-01 | 611 |
| Total of all active and inactive participants | 2020-09-01 | 611 |
| Total participants | 2020-09-01 | 611 |
| 2019: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-09-01 | 440 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 604 |
| Total of all active and inactive participants | 2019-09-01 | 604 |
| Total participants | 2019-09-01 | 604 |
| 2018: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-09-01 | 1,024 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 440 |
| Total of all active and inactive participants | 2018-09-01 | 440 |
| Total participants | 2018-09-01 | 440 |
| 2017: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-09-01 | 833 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 1,024 |
| Total of all active and inactive participants | 2017-09-01 | 1,024 |
| Total participants | 2017-09-01 | 1,024 |
| 2016: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-09-01 | 789 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 833 |
| Total of all active and inactive participants | 2016-09-01 | 833 |
| Total participants | 2016-09-01 | 833 |
| 2015: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-09-01 | 787 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 789 |
| Total of all active and inactive participants | 2015-09-01 | 789 |
| Total participants | 2015-09-01 | 789 |
| 2014: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-09-01 | 748 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-09-01 | 787 |
| Total of all active and inactive participants | 2014-09-01 | 787 |
| Total participants | 2014-09-01 | 787 |
| 2013: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-09-01 | 545 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-09-01 | 748 |
| Total of all active and inactive participants | 2013-09-01 | 748 |
| Total participants | 2013-09-01 | 748 |
| 2011: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-09-01 | 900 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 949 |
| Total of all active and inactive participants | 2011-09-01 | 949 |
| Total participants | 2011-09-01 | 949 |
| Measure | Date | Value |
|---|
| 2017 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2017 401k financial data |
|---|
| Total income from all sources (including contributions) | 2017-08-31 | $1,453,880 |
| Total of all expenses incurred | 2017-08-31 | $1,453,880 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2017-08-31 | $1,453,880 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2017-08-31 | $1,453,880 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2017-08-31 | No |
| Was this plan covered by a fidelity bond | 2017-08-31 | Yes |
| Value of fidelity bond cover | 2017-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2017-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2017-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2017-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2017-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2017-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2017-08-31 | $1,453,880 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2017-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2017-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2017-08-31 | No |
| Contributions received in cash from employer | 2017-08-31 | $1,453,880 |
| Did the plan have assets held for investment | 2017-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2017-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2017-08-31 | No |
| 2016 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2016 401k financial data |
|---|
| Total income from all sources (including contributions) | 2016-08-31 | $1,362,954 |
| Total of all expenses incurred | 2016-08-31 | $1,362,954 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2016-08-31 | $1,362,954 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2016-08-31 | $1,362,954 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2016-08-31 | No |
| Was this plan covered by a fidelity bond | 2016-08-31 | Yes |
| Value of fidelity bond cover | 2016-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2016-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2016-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2016-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2016-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2016-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2016-08-31 | $1,362,954 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2016-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2016-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2016-08-31 | No |
| Contributions received in cash from employer | 2016-08-31 | $1,362,954 |
| Did the plan have assets held for investment | 2016-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2016-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2016-08-31 | No |
| 2015 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2015 401k financial data |
|---|
| Total income from all sources (including contributions) | 2015-08-31 | $1,057,538 |
| Total of all expenses incurred | 2015-08-31 | $1,057,538 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2015-08-31 | $1,057,538 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2015-08-31 | $1,057,538 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2015-08-31 | No |
| Was this plan covered by a fidelity bond | 2015-08-31 | Yes |
| Value of fidelity bond cover | 2015-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2015-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2015-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2015-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2015-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2015-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2015-08-31 | $1,057,538 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2015-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2015-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2015-08-31 | No |
| Contributions received in cash from employer | 2015-08-31 | $1,057,538 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2015-08-31 | No |
| Did the plan have assets held for investment | 2015-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2015-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2015-08-31 | No |
| 2014 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2014 401k financial data |
|---|
| Total income from all sources (including contributions) | 2014-08-31 | $909,559 |
| Total of all expenses incurred | 2014-08-31 | $909,559 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2014-08-31 | $909,559 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2014-08-31 | $909,559 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2014-08-31 | No |
| Was this plan covered by a fidelity bond | 2014-08-31 | Yes |
| Value of fidelity bond cover | 2014-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2014-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2014-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2014-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2014-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2014-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2014-08-31 | $909,559 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2014-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2014-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2014-08-31 | No |
| Contributions received in cash from employer | 2014-08-31 | $909,559 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2014-08-31 | No |
| Did the plan have assets held for investment | 2014-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2014-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2014-08-31 | No |
| 2012 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2012 401k financial data |
|---|
| Total income from all sources (including contributions) | 2012-08-31 | $154,792 |
| Total of all expenses incurred | 2012-08-31 | $154,792 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2012-08-31 | $154,792 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2012-08-31 | $154,792 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2012-08-31 | No |
| Was this plan covered by a fidelity bond | 2012-08-31 | Yes |
| Value of fidelity bond cover | 2012-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2012-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2012-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2012-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2012-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2012-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2012-08-31 | $154,792 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2012-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2012-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2012-08-31 | No |
| Contributions received in cash from employer | 2012-08-31 | $154,792 |
| Did the plan have assets held for investment | 2012-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2012-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2012-08-31 | No |
| 2010 : TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2010 401k financial data |
|---|
| Total income from all sources (including contributions) | 2010-08-31 | $150,226 |
| Total of all expenses incurred | 2010-08-31 | $150,226 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-08-31 | $150,226 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-08-31 | $150,226 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-08-31 | No |
| Was this plan covered by a fidelity bond | 2010-08-31 | Yes |
| Value of fidelity bond cover | 2010-08-31 | $5,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-08-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-08-31 | No |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-08-31 | No |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-08-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-08-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-08-31 | No |
| Expenses. Payments to insurance carriers foe the provision of benefits | 2010-08-31 | $150,226 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-08-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-08-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-08-31 | No |
| Contributions received in cash from employer | 2010-08-31 | $150,226 |
| Did the plan have assets held for investment | 2010-08-31 | No |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-08-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-08-31 | No |
| 2021: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2021 form 5500 responses |
|---|
| 2021-09-01 | Type of plan entity | Single employer plan |
| 2021-09-01 | Submission has been amended | No |
| 2021-09-01 | This submission is the final filing | No |
| 2021-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-09-01 | Plan is a collectively bargained plan | No |
| 2021-09-01 | Plan funding arrangement – Insurance | Yes |
| 2021-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2020 form 5500 responses |
|---|
| 2020-09-01 | Type of plan entity | Single employer plan |
| 2020-09-01 | Submission has been amended | No |
| 2020-09-01 | This submission is the final filing | No |
| 2020-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-09-01 | Plan is a collectively bargained plan | No |
| 2020-09-01 | Plan funding arrangement – Insurance | Yes |
| 2020-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2019 form 5500 responses |
|---|
| 2019-09-01 | Type of plan entity | Single employer plan |
| 2019-09-01 | Submission has been amended | No |
| 2019-09-01 | This submission is the final filing | No |
| 2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-09-01 | Plan is a collectively bargained plan | No |
| 2019-09-01 | Plan funding arrangement – Insurance | Yes |
| 2019-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2018 form 5500 responses |
|---|
| 2018-09-01 | Type of plan entity | Single employer plan |
| 2018-09-01 | Submission has been amended | No |
| 2018-09-01 | This submission is the final filing | No |
| 2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-09-01 | Plan is a collectively bargained plan | No |
| 2018-09-01 | Plan funding arrangement – Insurance | Yes |
| 2018-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2017 form 5500 responses |
|---|
| 2017-09-01 | Type of plan entity | Single employer plan |
| 2017-09-01 | Submission has been amended | No |
| 2017-09-01 | This submission is the final filing | No |
| 2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-09-01 | Plan is a collectively bargained plan | No |
| 2017-09-01 | Plan funding arrangement – Insurance | Yes |
| 2017-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2016 form 5500 responses |
|---|
| 2016-09-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2016-09-01 | Plan funding arrangement – Insurance | Yes |
| 2016-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2015 form 5500 responses |
|---|
| 2015-09-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2015-09-01 | Plan funding arrangement – Insurance | Yes |
| 2015-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2014 form 5500 responses |
|---|
| 2014-09-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2014-09-01 | Plan funding arrangement – Insurance | Yes |
| 2014-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2013 form 5500 responses |
|---|
| 2013-09-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2013-09-01 | Plan funding arrangement – Insurance | Yes |
| 2013-09-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: TANG INDUSTRIES INC. GROUP LIFE INSURANCE PLAN 2011 form 5500 responses |
|---|
| 2011-09-01 | Type of plan entity | DFE (Diect Filing Entity) |
| 2011-09-01 | Plan funding arrangement – Insurance | Yes |
| 2011-09-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 804790G |
| Policy instance | 1 |
| Insurance contract or identification number | 804790G | | Number of Individuals Covered | 634 | | Insurance policy start date | 2021-09-01 | | Insurance policy end date | 2022-08-31 | | Total amount of commissions paid to insurance broker | USD $19,710 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 0 | | Are there contracts with allocated funds for group deferred annuity? | No | | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | | Contract purchased, in whole or in part, to distribute benefits from a terminating 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 Carrier | USD $246,572 | | Commission paid to Insurance Broker | USD $19,710 | | Amount paid for insurance broker fees | 0 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 804790G |
| Policy instance | 1 |
| Insurance contract or identification number | 804790G | | Number of Individuals Covered | 611 | | Insurance policy start date | 2020-09-01 | | Insurance policy end date | 2021-08-31 | | Total amount of commissions paid to insurance broker | USD $17,440 | | 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 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 Carrier | USD $223,838 | | Commission paid to Insurance Broker | USD $17,440 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 804790G |
| Policy instance | 1 |
| Insurance contract or identification number | 804790G | | Number of Individuals Covered | 604 | | Insurance policy start date | 2019-09-01 | | Insurance policy end date | 2020-08-31 | | Total amount of commissions paid to insurance broker | USD $18,492 | | 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 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 Carrier | USD $225,796 | | Commission paid to Insurance Broker | USD $16,788 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Number of Individuals Covered | 440 | | Insurance policy start date | 2018-09-01 | | Insurance policy end date | 2019-08-31 | | Total amount of commissions paid to insurance broker | USD $18,562 | | 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 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 Carrier | USD $194,160 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $18,562 | | Insurance broker organization code? | 3 |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Number of Individuals Covered | 1024 | | Insurance policy start date | 2017-09-01 | | Insurance policy end date | 2018-08-31 | | Total amount of commissions paid to insurance broker | USD $20,802 | | Total amount of fees paid to insurance company | USD $11 | | 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 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & DISMEMBERMENT | | 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 Carrier | USD $259,415 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Number of Individuals Covered | 833 | | Insurance policy start date | 2016-09-01 | | Insurance policy end date | 2017-08-31 | | Total amount of commissions paid to insurance broker | USD $23,372 | | Total amount of fees paid to insurance company | USD $1,000 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $23,372 | | Amount paid for insurance broker fees | 1000 | | Insurance broker name | |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Total amount of commissions paid to insurance broker | USD $19,899 | | Total amount of fees paid to insurance company | USD $904 | | Life Insurance Welfare Benefit | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $19,899 | | Amount paid for insurance broker fees | 904 | | Insurance broker name | |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Number of Individuals Covered | 748 | | Insurance policy start date | 2013-09-01 | | Insurance policy end date | 2014-08-31 | | Total amount of commissions paid to insurance broker | USD $18,559 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $18,559 | | Insurance broker name | AETNA LIFE INSURANCE COMPANY |
|
| AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 ) |
| Policy contract number | 466066 |
| Policy instance | 1 |
| Insurance contract or identification number | 466066 | | Number of Individuals Covered | 949 | | Insurance policy start date | 2011-09-01 | | Insurance policy end date | 2012-08-31 | | Total amount of commissions paid to insurance broker | USD $12,515 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,515 | | Insurance broker name | INTEGRATED INSURANCE BROKERAGE |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | 645015 |
| Policy instance | 1 |
| Insurance contract or identification number | 645015 | | Number of Individuals Covered | 985 | | Insurance policy start date | 2009-09-01 | | Insurance policy end date | 2011-08-31 | | Total amount of commissions paid to insurance broker | USD $13,745 | | Life Insurance Welfare Benefit | Yes | | Commission paid to Insurance Broker | USD $13,745 | | Insurance broker name | INTEGRATED INSURANCE BROKERAGE SERV |
|
