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CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 401k Plan overview

Plan NameCB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES
Plan identification number 003

CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily flat dollar (includes dollars per year of service)
  • Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
  • Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CB&I INC. has sponsored the creation of one or more 401k plans.

Company Name:CB&I INC.
Employer identification number (EIN):363046868
NAIC Classification:238900

Additional information about CB&I INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1979-08-31
Company Identification Number: 0048888200
Legal Registered Office Address: 1999 BRYAN ST.
STE. 900 DALLAS

United States of Amercica (USA)
75201

More information about CB&I INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032018-01-01
0032017-01-01DENNIS EDGE
0032016-01-01DAVID ALLEGOOD
0032015-01-01DENNIS FOX DENNIS FOX2016-09-22
0032014-01-01DENNIS FOX DENNIS FOX2015-07-31
0032013-01-01DENNIS FOX DENNIS FOX2014-07-31
0032012-01-01DENNIS FOX DENNIS FOX2013-07-29
0032011-01-01LARRY G. PITTMAN LARRY G. PITTMAN2012-08-07
0032009-01-01LARRY G PITTMAN LARRY G PITTMAN2010-10-13

Plan Statistics for CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES

401k plan membership statisitcs for CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES

Measure Date Value
2018: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2018 401k membership
Market value of plan assets2018-12-312,391,565
Acturial value of plan assets2018-12-312,391,565
Funding target for retired participants and beneficiaries receiving payment2018-12-311,559,689
Number of terminated vested participants2018-12-3139
Fundng target for terminated vested participants2018-12-31769,128
Active participant vested funding target2018-12-310
Number of active participants2018-12-310
Total funding liabilities for active participants2018-12-310
Total participant count2018-12-3183
Total funding target for all participants2018-12-312,328,817
Balance at beginning of prior year after applicable adjustments2018-12-310
Prefunding balance at beginning of prior year after applicable adjustments2018-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2018-12-310
Prefunding balanced used to offset prior years funding requirement2018-12-310
Amount remaining of carryover balance2018-12-310
Amount remaining of prefunding balance2018-12-310
Present value of excess contributions2018-12-31312
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-31330
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-12-31330
Reductions in caryover balances due to elections or deemed elections2018-12-310
Reductions in prefunding balances due to elections or deemed elections2018-12-310
Balance of carryovers at beginning of current year2018-12-310
Balance of prefunding at beginning of current year2018-12-31330
Total employer contributions2018-12-317,946
Total employee contributions2018-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2018-12-310
Contributions made to avoid restrictions adjusted to valuation date2018-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2018-12-317,606
Liquidity shortfalls end of Q12018-12-310
Liquidity shortfalls end of Q22018-12-310
Liquidity shortfalls end of Q32018-12-310
Liquidity shortfalls end of Q42018-12-310
Unpaid minimum required contributions for all prior years2018-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2018-12-310
Remaining amount of unpaid minimum required contributions2018-12-310
Minimum required contributions for current year target normal cost2018-12-3170,000
Net shortfall amortization installment of oustanding balance2018-12-310
Waiver amortization installment2018-12-310
Total funding amount beforereflecting carryover/prefunding balances2018-12-317,582
Carryover balance elected to use to offset funding requirement2018-12-310
Prefunding balance elected to use to offset funding requirement2018-12-310
Additional cash requirement2018-12-317,582
Contributions allocatedtoward minimum required contributions for current year2018-12-317,606
Unpaid minimum required contributions for current year2018-12-310
Unpaid minimum required contributions for all years2018-12-310
Total participants, beginning-of-year2018-01-0183
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-0136
Number of other retired or separated participants entitled to future benefits2018-01-0139
Total of all active and inactive participants2018-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-018
Total participants2018-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2017 401k membership
Market value of plan assets2017-12-312,253,258
Acturial value of plan assets2017-12-312,253,258
Funding target for retired participants and beneficiaries receiving payment2017-12-311,622,983
Number of terminated vested participants2017-12-3141
Fundng target for terminated vested participants2017-12-31739,609
Active participant vested funding target2017-12-310
Number of active participants2017-12-310
Total funding liabilities for active participants2017-12-310
Total participant count2017-12-3185
Total funding target for all participants2017-12-312,362,592
Balance at beginning of prior year after applicable adjustments2017-12-310
Prefunding balance at beginning of prior year after applicable adjustments2017-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2017-12-310
Prefunding balanced used to offset prior years funding requirement2017-12-310
Amount remaining of carryover balance2017-12-310
Amount remaining of prefunding balance2017-12-310
Present value of excess contributions2017-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2017-12-310
Reductions in caryover balances due to elections or deemed elections2017-12-310
Reductions in prefunding balances due to elections or deemed elections2017-12-310
Balance of carryovers at beginning of current year2017-12-310
Balance of prefunding at beginning of current year2017-12-310
Total employer contributions2017-12-3193,381
Total employee contributions2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-3189,584
Liquidity shortfalls end of Q12017-12-310
Liquidity shortfalls end of Q22017-12-310
Liquidity shortfalls end of Q32017-12-310
Liquidity shortfalls end of Q42017-12-310
Unpaid minimum required contributions for all prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-3170,000
Net shortfall amortization installment of oustanding balance2017-12-31109,334
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-3189,272
Additional cash requirement2017-12-3189,272
Contributions allocatedtoward minimum required contributions for current year2017-12-3189,584
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-0185
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-0138
Number of other retired or separated participants entitled to future benefits2017-01-0139
Total of all active and inactive participants2017-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-016
Total participants2017-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2016 401k membership
Market value of plan assets2016-12-312,280,542
Acturial value of plan assets2016-12-312,280,542
Funding target for retired participants and beneficiaries receiving payment2016-12-311,492,936
Number of terminated vested participants2016-12-3148
Fundng target for terminated vested participants2016-12-31855,453
Active participant vested funding target2016-12-310
Number of active participants2016-12-310
Total funding liabilities for active participants2016-12-310
Total participant count2016-12-3190
Total funding target for all participants2016-12-312,348,389
Balance at beginning of prior year after applicable adjustments2016-12-310
Prefunding balance at beginning of prior year after applicable adjustments2016-12-310
Carryover balanced portion elected for use to offset prior years funding requirement2016-12-310
Prefunding balanced used to offset prior years funding requirement2016-12-310
Amount remaining of carryover balance2016-12-310
Amount remaining of prefunding balance2016-12-310
Present value of excess contributions2016-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2016-12-310
Reductions in caryover balances due to elections or deemed elections2016-12-310
Reductions in prefunding balances due to elections or deemed elections2016-12-310
Balance of carryovers at beginning of current year2016-12-310
Balance of prefunding at beginning of current year2016-12-310
Total employer contributions2016-12-3189,774
Total employee contributions2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-3181,210
Unpaid minimum required contributions for all prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-3170,000
Net shortfall amortization installment of oustanding balance2016-12-3167,847
Waiver amortization installment2016-12-310
Waived amount of outstanding balance2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-3181,210
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-310
Additional cash requirement2016-12-3181,210
Contributions allocatedtoward minimum required contributions for current year2016-12-3181,210
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-0190
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-0138
Number of other retired or separated participants entitled to future benefits2016-01-0141
Total of all active and inactive participants2016-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-016
Total participants2016-01-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-0193
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-0136
Number of other retired or separated participants entitled to future benefits2015-01-0148
Total of all active and inactive participants2015-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-016
Total participants2015-01-0190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2014 401k membership
Total participants, beginning-of-year2014-01-0195
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-0138
Number of other retired or separated participants entitled to future benefits2014-01-0149
Total of all active and inactive participants2014-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-016
Total participants2014-01-0193
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2013 401k membership
Total participants, beginning-of-year2013-01-0199
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-0139
Number of other retired or separated participants entitled to future benefits2013-01-0151
Total of all active and inactive participants2013-01-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-015
Total participants2013-01-0195
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2012 401k membership
Total participants, beginning-of-year2012-01-01103
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-0141
Number of other retired or separated participants entitled to future benefits2012-01-0154
Total of all active and inactive participants2012-01-0195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-0199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2011 401k membership
Total participants, beginning-of-year2011-01-01104
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-0141
Number of other retired or separated participants entitled to future benefits2011-01-0159
Total of all active and inactive participants2011-01-01100
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013
Total participants2011-01-01103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2009 401k membership
Total participants, beginning-of-year2009-01-01106
Total number of active participants reported on line 7a of the Form 55002009-01-010
Number of retired or separated participants receiving benefits2009-01-0138
Number of other retired or separated participants entitled to future benefits2009-01-0166
Total of all active and inactive participants2009-01-01104
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-012
Total participants2009-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES

Measure Date Value
2018 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2018 401k financial data
Total income from all sources2018-12-31$-75,531
Expenses. Total of all expenses incurred2018-12-31$209,806
Benefits paid (including direct rollovers)2018-12-31$158,470
Total plan assets at end of year2018-12-31$2,067,651
Total plan assets at beginning of year2018-12-31$2,352,988
Value of fidelity bond covering the plan2018-12-31$10,000,000
Other income received2018-12-31$-113,139
Net income (gross income less expenses)2018-12-31$-285,337
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,067,651
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,352,988
Total contributions received or receivable from employer(s)2018-12-31$37,608
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$51,336
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2017 401k financial data
Total income from all sources2017-12-31$422,510
Expenses. Total of all expenses incurred2017-12-31$228,818
Benefits paid (including direct rollovers)2017-12-31$173,786
Total plan assets at end of year2017-12-31$2,352,988
Total plan assets at beginning of year2017-12-31$2,159,296
Value of fidelity bond covering the plan2017-12-31$10,000,000
Other income received2017-12-31$271,827
Net income (gross income less expenses)2017-12-31$193,692
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,352,988
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,159,296
Total contributions received or receivable from employer(s)2017-12-31$150,683
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$55,032
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2016 401k financial data
Total income from all sources2016-12-31$118,042
Expenses. Total of all expenses incurred2016-12-31$228,771
Benefits paid (including direct rollovers)2016-12-31$176,551
Total plan assets at end of year2016-12-31$2,159,296
Total plan assets at beginning of year2016-12-31$2,270,025
Value of fidelity bond covering the plan2016-12-31$10,000,000
Other income received2016-12-31$118,042
Net income (gross income less expenses)2016-12-31$-110,729
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,159,296
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,270,025
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$52,220
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2015 401k financial data
Total income from all sources2015-12-31$26,802
Expenses. Total of all expenses incurred2015-12-31$219,905
Benefits paid (including direct rollovers)2015-12-31$164,039
Total plan assets at end of year2015-12-31$2,270,025
Total plan assets at beginning of year2015-12-31$2,463,128
Value of fidelity bond covering the plan2015-12-31$10,000,000
Total contributions received or receivable from participants2015-12-31$0
Other income received2015-12-31$26,802
Net income (gross income less expenses)2015-12-31$-193,103
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,270,025
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,463,128
Total contributions received or receivable from employer(s)2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$55,866
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2014 401k financial data
Total income from all sources2014-12-31$208,337
Expenses. Total of all expenses incurred2014-12-31$218,975
Benefits paid (including direct rollovers)2014-12-31$170,433
Total plan assets at end of year2014-12-31$2,463,128
Total plan assets at beginning of year2014-12-31$2,473,766
Value of fidelity bond covering the plan2014-12-31$25,000,000
Expenses. Other expenses not covered elsewhere2014-12-31$48,542
Other income received2014-12-31$149,925
Net income (gross income less expenses)2014-12-31$-10,638
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,463,128
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,473,766
Total contributions received or receivable from employer(s)2014-12-31$58,412
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2013 401k financial data
Total income from all sources2013-12-31$512,093
Expenses. Total of all expenses incurred2013-12-31$239,230
Benefits paid (including direct rollovers)2013-12-31$194,473
Total plan assets at end of year2013-12-31$2,473,766
Total plan assets at beginning of year2013-12-31$2,200,903
Value of fidelity bond covering the plan2013-12-31$25,000,000
Expenses. Other expenses not covered elsewhere2013-12-31$44,757
Other income received2013-12-31$395,924
Net income (gross income less expenses)2013-12-31$272,863
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,473,766
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,200,903
Total contributions received or receivable from employer(s)2013-12-31$116,169
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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$3,487
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$7,105
Total income from all sources (including contributions)2012-12-31$409,726
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$251,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$185,192
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$162,735
Value of total assets at end of year2012-12-31$2,204,390
Value of total assets at beginning of year2012-12-31$2,049,820
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$66,346
Total interest from all sources2012-12-31$43,742
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
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$25,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$66,346
Liabilities. Value of operating payables at end of year2012-12-31$3,487
Liabilities. Value of operating payables at beginning of year2012-12-31$7,105
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$158,188
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,200,903
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,042,715
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 in pooled separate accounts at end of year2012-12-31$1,857,503
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,675,109
Interest earned on other investments2012-12-31$43,742
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$298,785
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$321,015
Net investment gain/loss from pooled separate accounts2012-12-31$203,249
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
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$162,735
Employer contributions (assets) at end of year2012-12-31$48,102
Employer contributions (assets) at beginning of year2012-12-31$53,696
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$185,192
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)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CALVETTI, FERGUSON, & WAGNER, P.C.
Accountancy firm EIN2012-12-31134255527
2011 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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$7,105
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,533
Total income from all sources (including contributions)2011-12-31$142,442
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$245,151
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$185,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$157,372
Value of total assets at end of year2011-12-31$2,049,820
Value of total assets at beginning of year2011-12-31$2,148,957
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$59,486
Total interest from all sources2011-12-31$39,551
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$25,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Administrative expenses (other) incurred2011-12-31$59,486
Liabilities. Value of operating payables at end of year2011-12-31$7,105
Liabilities. Value of operating payables at beginning of year2011-12-31$3,533
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-102,709
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,042,715
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$2,145,424
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 in pooled separate accounts at end of year2011-12-31$1,675,109
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,898,478
Interest earned on other investments2011-12-31$39,551
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$321,015
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$211,227
Net investment gain/loss from pooled separate accounts2011-12-31$-54,481
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
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$157,372
Employer contributions (assets) at end of year2011-12-31$53,696
Employer contributions (assets) at beginning of year2011-12-31$39,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$185,665
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)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CALVETTI, FERGUSON, & WAGNER, P.C.
Accountancy firm EIN2011-12-31134255527
2010 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$3,533
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$2,097
Total income from all sources (including contributions)2010-12-31$427,759
Total of all expenses incurred2010-12-31$268,658
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$213,591
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$171,155
Value of total assets at end of year2010-12-31$2,148,957
Value of total assets at beginning of year2010-12-31$1,988,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$55,067
Total interest from all sources2010-12-31$10,699
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$9,850
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$25,000,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Administrative expenses (other) incurred2010-12-31$14,672
Liabilities. Value of operating payables at end of year2010-12-31$3,533
Liabilities. Value of operating payables at beginning of year2010-12-31$2,097
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$159,101
Value of net assets at end of year (total assets less liabilities)2010-12-31$2,145,424
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,986,323
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 in pooled separate accounts at end of year2010-12-31$1,898,478
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,679,573
Interest earned on other investments2010-12-31$10,699
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$211,227
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$150,778
Net investment gain/loss from pooled separate accounts2010-12-31$245,905
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
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$171,155
Employer contributions (assets) at end of year2010-12-31$39,252
Employer contributions (assets) at beginning of year2010-12-31$158,069
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$213,591
Contract administrator fees2010-12-31$30,545
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)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CALVETTI, FERGUSON & WAGNER, P.C.
Accountancy firm EIN2010-12-31134255527
2009 : CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES

2018: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
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: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
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: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
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: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
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: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
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: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 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 planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CB&I PENSION PLAN FOR PROVO SHOP EMPLOYEES 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered83
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered63
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered90
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
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered93
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered95
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered99
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number016968
Policy instance 1
Insurance contract or identification number016968
Number of Individuals Covered103
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number16968
Policy instance 1
Insurance contract or identification number16968
Number of Individuals Covered104
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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