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EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 401k Plan overview

Plan NameEMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY
Plan identification number 002

EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

EAST CENTRAL ILLINOIS COMMUNITY ACT ION AGENCY has sponsored the creation of one or more 401k plans.

Company Name:EAST CENTRAL ILLINOIS COMMUNITY ACT ION AGENCY
Employer identification number (EIN):370867327
NAIC Classification:624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-07-01ODETTE HYATT-WATSON2024-02-08
0022021-07-01ODETTE HYATT-WATSON2023-04-17
0022019-07-01LAURA BROOKS2021-04-15
0022018-07-01ALEX BERG2020-04-14
0022017-07-01
0022017-07-01
0022017-07-01
0022016-07-01ANDREW MELTON ANDREW MELTON2018-04-13
0022015-07-01SERGIO GONZALEZ SERGIO GONZALEZ2017-01-25
0022014-07-01LAURA BROOKS LAURA BROOKS2016-04-14
0022013-07-01LAURA BROOKS LAURA BROOKS2015-04-14
0022012-07-01LAURA BROOKS LAURA BROOKS2014-02-05
0022011-07-01DWIGHT A. LUCAS DWIGHT A. LUCAS2013-01-11
0022010-07-01DWIGHT A. LUCAS2012-02-07

Plan Statistics for EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY

401k plan membership statisitcs for EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY

Measure Date Value
2017: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2017 401k membership
Total participants, beginning-of-year2017-07-01102
Total number of active participants reported on line 7a of the Form 55002017-07-0168
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0121
Total of all active and inactive participants2017-07-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-011
Total participants2017-07-0190
Number of participants with account balances2017-07-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-019
2016: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2016 401k membership
Total participants, beginning-of-year2016-07-01101
Total number of active participants reported on line 7a of the Form 55002016-07-0182
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0119
Total of all active and inactive participants2016-07-01101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-011
Total participants2016-07-01102
Number of participants with account balances2016-07-0197
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-018
2015: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2015 401k membership
Total participants, beginning-of-year2015-07-01104
Total number of active participants reported on line 7a of the Form 55002015-07-01101
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0117
Total of all active and inactive participants2015-07-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-011
Total participants2015-07-01119
Number of participants with account balances2015-07-01101
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-0114
2014: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2014 401k membership
Total participants, beginning-of-year2014-07-01110
Total number of active participants reported on line 7a of the Form 55002014-07-0182
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-018
Total of all active and inactive participants2014-07-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-011
Total participants2014-07-0191
Number of participants with account balances2014-07-01104
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-018
2013: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2013 401k membership
Total participants, beginning-of-year2013-07-01134
Total number of active participants reported on line 7a of the Form 55002013-07-01100
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-019
Total of all active and inactive participants2013-07-01109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-011
Total participants2013-07-01110
Number of participants with account balances2013-07-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-015
2012: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2012 401k membership
Total participants, beginning-of-year2012-07-01116
Total number of active participants reported on line 7a of the Form 55002012-07-01101
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0115
Total of all active and inactive participants2012-07-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-011
Total participants2012-07-01117
Number of participants with account balances2012-07-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-015
2011: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2011 401k membership
Total participants, beginning-of-year2011-07-01117
Total number of active participants reported on line 7a of the Form 55002011-07-01102
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0114
Total of all active and inactive participants2011-07-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01116
Number of participants with account balances2011-07-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-016

Financial Data on EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY

Measure Date Value
2018 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2017 401k financial data
Transfers to/from the plan2017-06-30$0
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$0
Total income from all sources2017-06-30$218,399
Expenses. Total of all expenses incurred2017-06-30$263,456
Benefits paid (including direct rollovers)2017-06-30$262,008
Total plan assets at end of year2017-06-30$1,449,094
Total plan assets at beginning of year2017-06-30$1,494,151
Value of fidelity bond covering the plan2017-06-30$200,000
Total contributions received or receivable from participants2017-06-30$51,297
Expenses. Other expenses not covered elsewhere2017-06-30$1,448
Contributions received from other sources (not participants or employers)2017-06-30$767
Other income received2017-06-30$120,196
Net income (gross income less expenses)2017-06-30$-45,057
Net plan assets at end of year (total assets less liabilities)2017-06-30$1,449,094
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$1,494,151
Total contributions received or receivable from employer(s)2017-06-30$46,139
Value of certain deemed distributions of participant loans2017-06-30$0
2016 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2016 401k financial data
Transfers to/from the plan2016-06-30$0
Total plan liabilities at end of year2016-06-30$0
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$111,676
Expenses. Total of all expenses incurred2016-06-30$96,971
Benefits paid (including direct rollovers)2016-06-30$95,478
Total plan assets at end of year2016-06-30$1,494,151
Total plan assets at beginning of year2016-06-30$1,479,446
Value of fidelity bond covering the plan2016-06-30$200,000
Total contributions received or receivable from participants2016-06-30$58,722
Expenses. Other expenses not covered elsewhere2016-06-30$1,493
Contributions received from other sources (not participants or employers)2016-06-30$3,614
Other income received2016-06-30$3,453
Net income (gross income less expenses)2016-06-30$14,705
Net plan assets at end of year (total assets less liabilities)2016-06-30$1,494,151
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$1,479,446
Total contributions received or receivable from employer(s)2016-06-30$45,887
Value of certain deemed distributions of participant loans2016-06-30$0
2015 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2015 401k financial data
Total income from all sources2015-06-30$139,437
Expenses. Total of all expenses incurred2015-06-30$311,890
Benefits paid (including direct rollovers)2015-06-30$311,679
Total plan assets at end of year2015-06-30$1,479,446
Total plan assets at beginning of year2015-06-30$1,651,899
Value of fidelity bond covering the plan2015-06-30$650,000
Total contributions received or receivable from participants2015-06-30$58,121
Expenses. Other expenses not covered elsewhere2015-06-30$211
Other income received2015-06-30$37,235
Net income (gross income less expenses)2015-06-30$-172,453
Net plan assets at end of year (total assets less liabilities)2015-06-30$1,479,446
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$1,651,899
Total contributions received or receivable from employer(s)2015-06-30$44,081
Value of certain deemed distributions of participant loans2015-06-30$0
Value of corrective distributions2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$290,314
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$239,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$237,907
Expenses. Certain deemed distributions of participant loans2014-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$112,480
Value of total assets at end of year2014-06-30$1,651,899
Value of total assets at beginning of year2014-06-30$1,601,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,650
Total interest from all sources2014-06-30$4,932
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$650,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$66,764
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$0
Other income not declared elsewhere2014-06-30$0
Administrative expenses (other) incurred2014-06-30$1,650
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$50,757
Value of net assets at end of year (total assets less liabilities)2014-06-30$1,651,899
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$1,601,142
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$1,180,261
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$1,145,077
Interest on participant loans2014-06-30$0
Interest earned on other investments2014-06-30$4,932
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$471,638
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$456,065
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$0
Net investment gain/loss from pooled separate accounts2014-06-30$172,902
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$45,716
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$237,907
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
2013 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2013 401k financial data
Total income from all sources2013-06-30$259,342
Expenses. Total of all expenses incurred2013-06-30$201,424
Benefits paid (including direct rollovers)2013-06-30$191,863
Total plan assets at end of year2013-06-30$1,601,142
Total plan assets at beginning of year2013-06-30$1,543,224
Value of fidelity bond covering the plan2013-06-30$650,000
Total contributions received or receivable from participants2013-06-30$82,102
Expenses. Other expenses not covered elsewhere2013-06-30$9,561
Contributions received from other sources (not participants or employers)2013-06-30$1,070
Other income received2013-06-30$117,750
Noncash contributions received2013-06-30$0
Net income (gross income less expenses)2013-06-30$57,918
Net plan assets at end of year (total assets less liabilities)2013-06-30$1,601,142
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$1,543,224
Total contributions received or receivable from employer(s)2013-06-30$58,420
Value of certain deemed distributions of participant loans2013-06-30$0
Value of corrective distributions2013-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2012 401k financial data
Total income from all sources2012-06-30$150,610
Expenses. Total of all expenses incurred2012-06-30$81,599
Benefits paid (including direct rollovers)2012-06-30$77,716
Total plan assets at end of year2012-06-30$1,543,224
Total plan assets at beginning of year2012-06-30$1,474,213
Value of fidelity bond covering the plan2012-06-30$650,000
Total contributions received or receivable from participants2012-06-30$79,493
Expenses. Other expenses not covered elsewhere2012-06-30$3,883
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$22,127
Net income (gross income less expenses)2012-06-30$69,011
Net plan assets at end of year (total assets less liabilities)2012-06-30$1,543,224
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$1,474,213
Total contributions received or receivable from employer(s)2012-06-30$48,990
Value of certain deemed distributions of participant loans2012-06-30$0
Value of corrective distributions2012-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0

Form 5500 Responses for EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY

2017: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – InsuranceYes
2016: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – InsuranceYes
2015: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – InsuranceYes
2014: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – InsuranceYes
2013: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – InsuranceYes
2012: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – InsuranceYes
2011: EMPLOYEE BENEFIT PLAN OF EAST CENTRAL ILLINOIS COMMUNITY ACTION AGENCY 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered90
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $265
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 Administration1
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
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered101
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $369
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees369
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameCHICAGO REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered104
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $183
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees183
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameCHICAGO REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered110
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $171
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees171
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameCHICAGO REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered134
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $195
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 Administration1
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees59
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameRAFAEL
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number057451J
Policy instance 1
Insurance contract or identification number057451J
Number of Individuals Covered116
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $580
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 Administration1
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
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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