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LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 401k Plan overview

Plan NameLUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN
Plan identification number 001

LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN Benefits

401k Plan TypeDefined Benefit Pension
Plan Features/Benefits
  • Benefits are primarily pay related
  • 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).

401k Sponsoring company profile

LUELLA HANNAN MEMORIAL HOME has sponsored the creation of one or more 401k plans.

Company Name:LUELLA HANNAN MEMORIAL HOME
Employer identification number (EIN):381358386
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01VINCENT TILFORD
0012016-01-01VINCENT TILFORD
0012015-01-01VINCENT TILFORD
0012014-01-01VINCENT TILFORD
0012013-01-01MICHELLE MINTER
0012012-01-01TIMOTHY WINTERMUTE
0012011-01-01TIMOTHY WINTERMUTE
0012009-01-01TIMOTHY WINTERMUTE
0012009-01-01 TIMOTHY WINTERMUTE2010-07-08

Plan Statistics for LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN

401k plan membership statisitcs for LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN

Measure Date Value
2022: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2022 401k membership
Market value of plan assets2022-12-311,446,439
Acturial value of plan assets2022-12-311,446,439
Funding target for retired participants and beneficiaries receiving payment2022-12-311,059,575
Number of terminated vested participants2022-12-312
Fundng target for terminated vested participants2022-12-3141,693
Active participant vested funding target2022-12-3164,384
Number of active participants2022-12-311
Total funding liabilities for active participants2022-12-3164,384
Total participant count2022-12-3117
Total funding target for all participants2022-12-311,165,652
Balance at beginning of prior year after applicable adjustments2022-12-310
Prefunding balance at beginning of prior year after applicable adjustments2022-12-3110,231
Amount remaining of carryover balance2022-12-310
Amount remaining of prefunding balance2022-12-3110,231
Present value of excess contributions2022-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2022-12-310
Balance of carryovers at beginning of current year2022-12-310
Balance of prefunding at beginning of current year2022-12-3111,322
Total employer contributions2022-12-310
Total employee contributions2022-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2022-12-310
Contributions made to avoid restrictions adjusted to valuation date2022-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2022-12-310
Unpaid minimum required contributions for all prior years2022-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2022-12-310
Remaining amount of unpaid minimum required contributions2022-12-310
Minimum required contributions for current year target normal cost2022-12-310
Net shortfall amortization installment of oustanding balance2022-12-310
Waiver amortization installment2022-12-310
Total funding amount beforereflecting carryover/prefunding balances2022-12-310
Carryover balance elected to use to offset funding requirement2022-12-310
Prefunding balance elected to use to offset funding requirement2022-12-310
Additional cash requirement2022-12-310
Contributions allocatedtoward minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for current year2022-12-310
Unpaid minimum required contributions for all years2022-12-310
Total participants, beginning-of-year2022-01-0117
Total number of active participants reported on line 7a of the Form 55002022-01-011
Number of retired or separated participants receiving benefits2022-01-0110
Number of other retired or separated participants entitled to future benefits2022-01-012
Total of all active and inactive participants2022-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-013
Total participants2022-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2021 401k membership
Market value of plan assets2021-12-311,421,997
Acturial value of plan assets2021-12-311,421,997
Funding target for retired participants and beneficiaries receiving payment2021-12-311,141,323
Number of terminated vested participants2021-12-313
Fundng target for terminated vested participants2021-12-3158,083
Active participant vested funding target2021-12-3164,871
Number of active participants2021-12-311
Total funding liabilities for active participants2021-12-3164,871
Total participant count2021-12-3118
Total funding target for all participants2021-12-311,264,277
Balance at beginning of prior year after applicable adjustments2021-12-310
Prefunding balance at beginning of prior year after applicable adjustments2021-12-318,500
Carryover balanced portion elected for use to offset prior years funding requirement2021-12-310
Prefunding balanced used to offset prior years funding requirement2021-12-310
Amount remaining of carryover balance2021-12-310
Amount remaining of prefunding balance2021-12-318,500
Present value of excess contributions2021-12-310
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2021-12-310
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2021-12-310
Reductions in caryover balances due to elections or deemed elections2021-12-310
Reductions in prefunding balances due to elections or deemed elections2021-12-310
Balance of carryovers at beginning of current year2021-12-310
Balance of prefunding at beginning of current year2021-12-3110,231
Total employer contributions2021-12-310
Total employee contributions2021-12-310
Remaining amount of unpaid minimum required contributions2021-12-310
Minimum required contributions for current year target normal cost2021-12-310
Total funding amount beforereflecting carryover/prefunding balances2021-12-310
Additional cash requirement2021-12-310
Unpaid minimum required contributions for current year2021-12-310
Unpaid minimum required contributions for all years2021-12-310
Total participants, beginning-of-year2021-01-0118
Total number of active participants reported on line 7a of the Form 55002021-01-011
Number of retired or separated participants receiving benefits2021-01-0111
Number of other retired or separated participants entitled to future benefits2021-01-012
Total of all active and inactive participants2021-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-013
Total participants2021-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2020 401k membership
Market value of plan assets2020-12-311,291,804
Acturial value of plan assets2020-12-311,291,804
Funding target for retired participants and beneficiaries receiving payment2020-12-311,189,164
Number of terminated vested participants2020-12-312
Fundng target for terminated vested participants2020-12-3137,416
Active participant vested funding target2020-12-3156,690
Number of active participants2020-12-311
Total funding liabilities for active participants2020-12-3156,690
Total participant count2020-12-3119
Total funding target for all participants2020-12-311,283,270
Balance at beginning of prior year after applicable adjustments2020-12-31302
Prefunding balance at beginning of prior year after applicable adjustments2020-12-3151,548
Carryover balanced portion elected for use to offset prior years funding requirement2020-12-310
Prefunding balanced used to offset prior years funding requirement2020-12-310
Amount remaining of carryover balance2020-12-31302
Amount remaining of prefunding balance2020-12-3151,548
Present value of excess contributions2020-12-31532
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2020-12-31561
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2020-12-310
Reductions in caryover balances due to elections or deemed elections2020-12-31364
Reductions in prefunding balances due to elections or deemed elections2020-12-3153,584
Balance of carryovers at beginning of current year2020-12-310
Balance of prefunding at beginning of current year2020-12-318,500
Total employer contributions2020-12-310
Total employee contributions2020-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2020-12-310
Contributions made to avoid restrictions adjusted to valuation date2020-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2020-12-310
Unpaid minimum required contributions for all prior years2020-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2020-12-310
Remaining amount of unpaid minimum required contributions2020-12-310
Minimum required contributions for current year target normal cost2020-12-310
Net shortfall amortization installment of oustanding balance2020-12-310
Waiver amortization installment2020-12-310
Total funding amount beforereflecting carryover/prefunding balances2020-12-310
Carryover balance elected to use to offset funding requirement2020-12-310
Prefunding balance elected to use to offset funding requirement2020-12-310
Additional cash requirement2020-12-310
Contributions allocatedtoward minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for current year2020-12-310
Unpaid minimum required contributions for all years2020-12-310
Total participants, beginning-of-year2020-01-0119
Total number of active participants reported on line 7a of the Form 55002020-01-011
Number of retired or separated participants receiving benefits2020-01-0112
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2019 401k membership
Market value of plan assets2019-12-311,135,746
Acturial value of plan assets2019-12-311,135,746
Funding target for retired participants and beneficiaries receiving payment2019-12-311,226,187
Number of terminated vested participants2019-12-312
Fundng target for terminated vested participants2019-12-3134,197
Active participant vested funding target2019-12-3152,165
Number of active participants2019-12-311
Total funding liabilities for active participants2019-12-3152,165
Total participant count2019-12-3119
Total funding target for all participants2019-12-311,312,549
Balance at beginning of prior year after applicable adjustments2019-12-31327
Prefunding balance at beginning of prior year after applicable adjustments2019-12-3155,788
Carryover balanced portion elected for use to offset prior years funding requirement2019-12-310
Prefunding balanced used to offset prior years funding requirement2019-12-310
Amount remaining of carryover balance2019-12-31327
Amount remaining of prefunding balance2019-12-3155,788
Present value of excess contributions2019-12-31985
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2019-12-311,039
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2019-12-310
Reductions in caryover balances due to elections or deemed elections2019-12-310
Reductions in prefunding balances due to elections or deemed elections2019-12-310
Balance of carryovers at beginning of current year2019-12-31302
Balance of prefunding at beginning of current year2019-12-3151,548
Total employer contributions2019-12-3152,200
Total employee contributions2019-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2019-12-310
Contributions made to avoid restrictions adjusted to valuation date2019-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2019-12-3151,459
Liquidity shortfalls end of Q12019-12-310
Liquidity shortfalls end of Q22019-12-310
Liquidity shortfalls end of Q32019-12-310
Liquidity shortfalls end of Q42019-12-310
Unpaid minimum required contributions for all prior years2019-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2019-12-310
Remaining amount of unpaid minimum required contributions2019-12-310
Minimum required contributions for current year target normal cost2019-12-310
Net shortfall amortization installment of oustanding balance2019-12-31228,653
Waiver amortization installment2019-12-310
Total funding amount beforereflecting carryover/prefunding balances2019-12-3150,927
Carryover balance elected to use to offset funding requirement2019-12-310
Prefunding balance elected to use to offset funding requirement2019-12-310
Additional cash requirement2019-12-3150,927
Contributions allocatedtoward minimum required contributions for current year2019-12-3151,459
Unpaid minimum required contributions for current year2019-12-310
Unpaid minimum required contributions for all years2019-12-310
Total participants, beginning-of-year2019-01-0119
Total number of active participants reported on line 7a of the Form 55002019-01-011
Number of retired or separated participants receiving benefits2019-01-0113
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-013
Total participants2019-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2018 401k membership
Market value of plan assets2018-12-311,316,178
Acturial value of plan assets2018-12-311,316,178
Funding target for retired participants and beneficiaries receiving payment2018-12-311,416,135
Number of terminated vested participants2018-12-312
Fundng target for terminated vested participants2018-12-3130,786
Active participant vested funding target2018-12-3147,254
Number of active participants2018-12-311
Total funding liabilities for active participants2018-12-3147,254
Total participant count2018-12-3120
Total funding target for all participants2018-12-311,494,175
Balance at beginning of prior year after applicable adjustments2018-12-31324
Prefunding balance at beginning of prior year after applicable adjustments2018-12-3155,274
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 balance2018-12-31324
Amount remaining of prefunding balance2018-12-3155,274
Present value of excess contributions2018-12-31184
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2018-12-31194
Total available prior years excess cotributions added at beginning of current plan year to add to prefunding balance2018-12-310
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 year2018-12-31327
Balance of prefunding at beginning of current year2018-12-3155,788
Total employer contributions2018-12-3156,000
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 date2018-12-3155,273
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 cost2018-12-316,231
Net shortfall amortization installment of oustanding balance2018-12-31234,112
Waiver amortization installment2018-12-310
Total funding amount beforereflecting carryover/prefunding balances2018-12-3154,288
Carryover balance elected to use to offset funding requirement2018-12-310
Prefunding balance elected to use to offset funding requirement2018-12-310
Additional cash requirement2018-12-3154,288
Contributions allocatedtoward minimum required contributions for current year2018-12-3155,273
Unpaid minimum required contributions for current year2018-12-310
Unpaid minimum required contributions for all years2018-12-310
Total participants, beginning-of-year2018-01-0120
Total number of active participants reported on line 7a of the Form 55002018-01-011
Number of retired or separated participants receiving benefits2018-01-0113
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-013
Total participants2018-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2017 401k membership
Market value of plan assets2017-12-311,419,904
Acturial value of plan assets2017-12-311,419,904
Funding target for retired participants and beneficiaries receiving payment2017-12-311,501,805
Number of terminated vested participants2017-12-312
Fundng target for terminated vested participants2017-12-3126,363
Active participant vested funding target2017-12-3140,767
Number of active participants2017-12-311
Total funding liabilities for active participants2017-12-3140,767
Total participant count2017-12-3121
Total funding target for all participants2017-12-311,568,935
Balance at beginning of prior year after applicable adjustments2017-12-31308
Prefunding balance at beginning of prior year after applicable adjustments2017-12-3152,507
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 balance2017-12-31308
Amount remaining of prefunding balance2017-12-3152,507
Present value of excess contributions2017-12-3191
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2017-12-3196
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 year2017-12-31324
Balance of prefunding at beginning of current year2017-12-3155,274
Total employer contributions2017-12-3158,000
Total employee contributions2017-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2017-12-310
Contributions made to avoid restrictions adjusted to valuation date2017-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2017-12-3157,073
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
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2017-12-310
Remaining amount of unpaid minimum required contributions2017-12-310
Minimum required contributions for current year target normal cost2017-12-316,225
Net shortfall amortization installment of oustanding balance2017-12-31204,629
Waiver amortization installment2017-12-310
Total funding amount beforereflecting carryover/prefunding balances2017-12-3156,889
Carryover balance elected to use to offset funding requirement2017-12-310
Prefunding balance elected to use to offset funding requirement2017-12-310
Additional cash requirement2017-12-3156,889
Contributions allocatedtoward minimum required contributions for current year2017-12-3157,073
Unpaid minimum required contributions for current year2017-12-310
Unpaid minimum required contributions for all years2017-12-310
Total participants, beginning-of-year2017-01-0121
Total number of active participants reported on line 7a of the Form 55002017-01-011
Number of retired or separated participants receiving benefits2017-01-0115
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-012
Total participants2017-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2016 401k membership
Market value of plan assets2016-12-311,494,049
Acturial value of plan assets2016-12-311,494,049
Funding target for retired participants and beneficiaries receiving payment2016-12-311,522,667
Number of terminated vested participants2016-12-312
Fundng target for terminated vested participants2016-12-3112,517
Active participant vested funding target2016-12-3147,797
Number of active participants2016-12-312
Total funding liabilities for active participants2016-12-3147,797
Total participant count2016-12-3121
Total funding target for all participants2016-12-311,582,981
Balance at beginning of prior year after applicable adjustments2016-12-31315
Prefunding balance at beginning of prior year after applicable adjustments2016-12-3153,672
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 balance2016-12-31315
Amount remaining of prefunding balance2016-12-3153,672
Present value of excess contributions2016-12-3112
Total available prior years excess cotributions available at beginning of current plan year to add to prefunding balance2016-12-3113
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 year2016-12-31308
Balance of prefunding at beginning of current year2016-12-3152,507
Total employer contributions2016-12-3132,000
Total employee contributions2016-12-310
Contributions allocated toward unpaid minimum require contributions from prior years2016-12-310
Contributions made to avoid restrictions adjusted to valuation date2016-12-310
Contributions allocated toward minimum required contributions for current year adjusted to valuation date2016-12-3131,499
Liquidity shortfalls end of Q12016-12-310
Liquidity shortfalls end of Q22016-12-310
Liquidity shortfalls end of Q32016-12-310
Liquidity shortfalls end of Q42016-12-310
Unpaid minimum required contributions for all prior years2016-12-310
iDiscounted employer contributions allocated toward unpaid minimum required contributions from prior years2016-12-310
Remaining amount of unpaid minimum required contributions2016-12-310
Minimum required contributions for current year target normal cost2016-12-316,000
Net shortfall amortization installment of oustanding balance2016-12-31142,056
Waiver amortization installment2016-12-310
Total funding amount beforereflecting carryover/prefunding balances2016-12-3131,408
Carryover balance elected to use to offset funding requirement2016-12-310
Prefunding balance elected to use to offset funding requirement2016-12-310
Additional cash requirement2016-12-3131,408
Contributions allocatedtoward minimum required contributions for current year2016-12-3131,499
Unpaid minimum required contributions for current year2016-12-310
Unpaid minimum required contributions for all years2016-12-310
Total participants, beginning-of-year2016-01-0121
Total number of active participants reported on line 7a of the Form 55002016-01-011
Number of retired or separated participants receiving benefits2016-01-0116
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-012
Total participants2016-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0123
Total number of active participants reported on line 7a of the Form 55002015-01-012
Number of retired or separated participants receiving benefits2015-01-0116
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0122
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-0115
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-012
Total participants2014-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0122
Total number of active participants reported on line 7a of the Form 55002013-01-016
Number of retired or separated participants receiving benefits2013-01-0113
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-012
Total participants2013-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0123
Total number of active participants reported on line 7a of the Form 55002012-01-018
Number of retired or separated participants receiving benefits2012-01-0112
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-012
Total participants2012-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0123
Total number of active participants reported on line 7a of the Form 55002011-01-019
Number of retired or separated participants receiving benefits2011-01-0112
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-012
Total participants2011-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0124
Total number of active participants reported on line 7a of the Form 55002009-01-0115
Number of retired or separated participants receiving benefits2009-01-018
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN

Measure Date Value
2022 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-245,411
Expenses. Total of all expenses incurred2022-12-31$120,017
Benefits paid (including direct rollovers)2022-12-31$119,202
Total plan assets at end of year2022-12-31$1,081,011
Total plan assets at beginning of year2022-12-31$1,446,439
Value of fidelity bond covering the plan2022-12-31$150,000
Expenses. Other expenses not covered elsewhere2022-12-31$815
Other income received2022-12-31$-245,411
Net income (gross income less expenses)2022-12-31$-365,428
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,081,011
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,446,439
Total contributions received or receivable from employer(s)2022-12-31$0
2021 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$145,245
Expenses. Total of all expenses incurred2021-12-31$120,803
Benefits paid (including direct rollovers)2021-12-31$119,963
Total plan assets at end of year2021-12-31$1,446,439
Total plan assets at beginning of year2021-12-31$1,421,997
Value of fidelity bond covering the plan2021-12-31$150,000
Other income received2021-12-31$145,245
Net income (gross income less expenses)2021-12-31$24,442
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,446,439
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,421,997
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$840
2020 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$251,205
Expenses. Total of all expenses incurred2020-12-31$121,012
Benefits paid (including direct rollovers)2020-12-31$120,197
Total plan assets at end of year2020-12-31$1,421,997
Total plan assets at beginning of year2020-12-31$1,291,804
Value of fidelity bond covering the plan2020-12-31$150,000
Other income received2020-12-31$251,205
Net income (gross income less expenses)2020-12-31$130,193
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,421,997
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,291,804
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$815
2019 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$279,725
Expenses. Total of all expenses incurred2019-12-31$123,667
Benefits paid (including direct rollovers)2019-12-31$122,772
Total plan assets at end of year2019-12-31$1,291,804
Total plan assets at beginning of year2019-12-31$1,135,746
Value of fidelity bond covering the plan2019-12-31$150,000
Other income received2019-12-31$227,525
Net income (gross income less expenses)2019-12-31$156,058
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,291,804
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,135,746
Total contributions received or receivable from employer(s)2019-12-31$52,200
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$895
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-41,856
Expenses. Total of all expenses incurred2018-12-31$138,576
Benefits paid (including direct rollovers)2018-12-31$137,651
Total plan assets at end of year2018-12-31$1,135,746
Total plan assets at beginning of year2018-12-31$1,316,178
Value of fidelity bond covering the plan2018-12-31$150,000
Other income received2018-12-31$-97,856
Net income (gross income less expenses)2018-12-31$-180,432
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,135,746
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,316,178
Total contributions received or receivable from employer(s)2018-12-31$56,000
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$925
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$70,735
Expenses. Total of all expenses incurred2017-12-31$174,461
Benefits paid (including direct rollovers)2017-12-31$174,461
Total plan assets at end of year2017-12-31$1,316,178
Total plan assets at beginning of year2017-12-31$1,419,904
Value of fidelity bond covering the plan2017-12-31$150,000
Other income received2017-12-31$12,735
Net income (gross income less expenses)2017-12-31$-103,726
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,316,178
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,419,904
Total contributions received or receivable from employer(s)2017-12-31$58,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$107,187
Expenses. Total of all expenses incurred2016-12-31$181,332
Benefits paid (including direct rollovers)2016-12-31$174,859
Total plan assets at end of year2016-12-31$1,419,904
Total plan assets at beginning of year2016-12-31$1,494,049
Value of fidelity bond covering the plan2016-12-31$150,000
Other income received2016-12-31$75,187
Net income (gross income less expenses)2016-12-31$-74,145
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,419,904
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,494,049
Total contributions received or receivable from employer(s)2016-12-31$32,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$6,473
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$35,843
Expenses. Total of all expenses incurred2015-12-31$189,660
Benefits paid (including direct rollovers)2015-12-31$183,255
Total plan assets at end of year2015-12-31$1,494,049
Total plan assets at beginning of year2015-12-31$1,647,866
Value of fidelity bond covering the plan2015-12-31$150,000
Other income received2015-12-31$-34,757
Net income (gross income less expenses)2015-12-31$-153,817
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,494,049
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,647,866
Total contributions received or receivable from employer(s)2015-12-31$70,600
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$6,405
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$194,536
Expenses. Total of all expenses incurred2014-12-31$140,492
Benefits paid (including direct rollovers)2014-12-31$138,567
Total plan assets at end of year2014-12-31$1,647,866
Total plan assets at beginning of year2014-12-31$1,593,822
Value of fidelity bond covering the plan2014-12-31$150,000
Other income received2014-12-31$115,729
Net income (gross income less expenses)2014-12-31$54,044
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,647,866
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,593,822
Total contributions received or receivable from employer(s)2014-12-31$78,807
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,925
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$345,740
Expenses. Total of all expenses incurred2013-12-31$139,462
Benefits paid (including direct rollovers)2013-12-31$133,970
Total plan assets at end of year2013-12-31$1,593,822
Total plan assets at beginning of year2013-12-31$1,387,544
Value of fidelity bond covering the plan2013-12-31$150,000
Other income received2013-12-31$249,293
Net income (gross income less expenses)2013-12-31$206,278
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,593,822
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,387,544
Total contributions received or receivable from employer(s)2013-12-31$96,447
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$5,492
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$292,141
Expenses. Total of all expenses incurred2012-12-31$138,975
Benefits paid (including direct rollovers)2012-12-31$132,911
Total plan assets at end of year2012-12-31$1,387,544
Total plan assets at beginning of year2012-12-31$1,234,378
Value of fidelity bond covering the plan2012-12-31$150,000
Other income received2012-12-31$146,125
Net income (gross income less expenses)2012-12-31$153,166
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,387,544
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,234,378
Total contributions received or receivable from employer(s)2012-12-31$146,016
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$6,064
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$98,466
Expenses. Total of all expenses incurred2011-12-31$124,522
Benefits paid (including direct rollovers)2011-12-31$124,522
Total plan assets at end of year2011-12-31$1,234,378
Total plan assets at beginning of year2011-12-31$1,260,434
Value of fidelity bond covering the plan2011-12-31$150,000
Other income received2011-12-31$-9,538
Net income (gross income less expenses)2011-12-31$-26,056
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,234,378
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,260,434
Total contributions received or receivable from employer(s)2011-12-31$108,004
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$252,202
Expenses. Total of all expenses incurred2010-12-31$112,882
Benefits paid (including direct rollovers)2010-12-31$103,636
Total plan assets at end of year2010-12-31$1,260,434
Total plan assets at beginning of year2010-12-31$1,121,114
Value of fidelity bond covering the plan2010-12-31$150,000
Total contributions received or receivable from participants2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$144,319
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$139,320
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,260,434
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,121,114
Total contributions received or receivable from employer(s)2010-12-31$107,883
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$9,246
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 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 LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN

2022: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LUELLA HANNAN MEMORIAL HOME EMPLOYEES' RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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 planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059-006-J-91
Policy instance 1
Insurance contract or identification number059-006-J-91
Number of Individuals Covered16
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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 number059-006-J-91
Policy instance 1
Insurance contract or identification number059-006-J-91
Number of Individuals Covered18
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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 number059-006-J-91
Policy instance 1
Insurance contract or identification number059-006-J-91
Number of Individuals Covered18
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?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 number059-006-J-91
Policy instance 1
Insurance contract or identification number059-006-J-91
Number of Individuals Covered19
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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 number059-006-J-91
Policy instance 1
Insurance contract or identification number059-006-J-91
Number of Individuals Covered20
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?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

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