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DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 401k Plan overview

Plan NameDAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN
Plan identification number 002

DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

DAY CARE SERVICES FOR CHILDREN, INC. has sponsored the creation of one or more 401k plans.

Company Name:DAY CARE SERVICES FOR CHILDREN, INC.
Employer identification number (EIN):391096281
NAIC Classification:624410
NAIC Description:Child Day Care Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-11-01
0022020-11-01
0022019-11-01MICHAEL EHLER2021-05-24
0022018-11-01MICHAEL EHLER2020-07-23
0022017-11-01MICHAEL EHLER2020-07-23 MICHAEL EHLER2020-07-23
0022016-11-01
0022015-11-01
0022014-11-01
0022013-11-01
0022012-11-01ED KONKOL
0022011-11-01MICHAEL EHLER
0022010-11-01MICHAEL EHLER2012-08-08 MICHAEL EHLER2012-08-08
0022010-07-01MICHAEL EHLER2011-11-15 MICHAEL EHLER2011-11-15

Plan Statistics for DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN

401k plan membership statisitcs for DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN

Measure Date Value
2021: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-11-0126
Total number of active participants reported on line 7a of the Form 55002021-11-0115
Total of all active and inactive participants2021-11-0115
Total participants2021-11-0115
Number of participants with account balances2021-11-0115
2020: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-11-0127
Total number of active participants reported on line 7a of the Form 55002020-11-0119
Number of other retired or separated participants entitled to future benefits2020-11-019
Total of all active and inactive participants2020-11-0128
Total participants2020-11-0128
Number of participants with account balances2020-11-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-11-010
2019: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-0128
Total number of active participants reported on line 7a of the Form 55002019-11-0119
Number of other retired or separated participants entitled to future benefits2019-11-018
Total of all active and inactive participants2019-11-0127
Total participants2019-11-0127
Number of participants with account balances2019-11-0127
2018: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-11-0128
Total number of active participants reported on line 7a of the Form 55002018-11-0120
Number of other retired or separated participants entitled to future benefits2018-11-018
Total of all active and inactive participants2018-11-0128
Total participants2018-11-0128
Number of participants with account balances2018-11-0128
2017: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-11-0128
Total number of active participants reported on line 7a of the Form 55002017-11-0120
Number of other retired or separated participants entitled to future benefits2017-11-018
Total of all active and inactive participants2017-11-0128
Total participants2017-11-0128
Number of participants with account balances2017-11-0128
2016: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-11-0129
Total number of active participants reported on line 7a of the Form 55002016-11-0121
Number of other retired or separated participants entitled to future benefits2016-11-018
Total of all active and inactive participants2016-11-0129
Total participants2016-11-0129
Number of participants with account balances2016-11-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-11-011
2015: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0132
Total number of active participants reported on line 7a of the Form 55002015-11-0122
Number of other retired or separated participants entitled to future benefits2015-11-018
Total of all active and inactive participants2015-11-0130
Total participants2015-11-0130
Number of participants with account balances2015-11-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-011
2014: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0139
Total number of active participants reported on line 7a of the Form 55002014-11-0125
Number of other retired or separated participants entitled to future benefits2014-11-017
Total of all active and inactive participants2014-11-0132
Total participants2014-11-0132
Number of participants with account balances2014-11-0129
2013: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0143
Total number of active participants reported on line 7a of the Form 55002013-11-0133
Number of other retired or separated participants entitled to future benefits2013-11-016
Total of all active and inactive participants2013-11-0139
Total participants2013-11-0139
Number of participants with account balances2013-11-0131
2012: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0161
Total number of active participants reported on line 7a of the Form 55002012-11-0138
Number of other retired or separated participants entitled to future benefits2012-11-015
Total of all active and inactive participants2012-11-0143
Total participants2012-11-0143
Number of participants with account balances2012-11-0131
2011: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0161
Total number of active participants reported on line 7a of the Form 55002011-11-0161
Total of all active and inactive participants2011-11-0161
Total participants2011-11-0161
Number of participants with account balances2011-11-0137

Financial Data on DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN

Measure Date Value
2022 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2022 401k financial data
Transfers to/from the plan2022-10-31$-100,140
Total income from all sources2022-10-31$-17,740
Expenses. Total of all expenses incurred2022-10-31$16,126
Benefits paid (including direct rollovers)2022-10-31$16,037
Total plan assets at end of year2022-10-31$77,232
Total plan assets at beginning of year2022-10-31$211,238
Value of fidelity bond covering the plan2022-10-31$39,930
Total contributions received or receivable from participants2022-10-31$1,335
Other income received2022-10-31$-19,075
Net income (gross income less expenses)2022-10-31$-33,866
Net plan assets at end of year (total assets less liabilities)2022-10-31$77,232
Net plan assets at beginning of year (total assets less liabilities)2022-10-31$211,238
Expenses. Administrative service providers (salaries,fees and commissions)2022-10-31$89
2021 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2021 401k financial data
Total income from all sources2021-10-31$56,576
Expenses. Total of all expenses incurred2021-10-31$88,750
Benefits paid (including direct rollovers)2021-10-31$88,644
Total plan assets at end of year2021-10-31$211,238
Total plan assets at beginning of year2021-10-31$243,412
Value of fidelity bond covering the plan2021-10-31$30,000
Total contributions received or receivable from participants2021-10-31$1,890
Other income received2021-10-31$54,686
Net income (gross income less expenses)2021-10-31$-32,174
Net plan assets at end of year (total assets less liabilities)2021-10-31$211,238
Net plan assets at beginning of year (total assets less liabilities)2021-10-31$243,412
Expenses. Administrative service providers (salaries,fees and commissions)2021-10-31$106
2020 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2020 401k financial data
Total plan liabilities at beginning of year2020-10-31$0
Total income from all sources2020-10-31$7,499
Expenses. Total of all expenses incurred2020-10-31$44,245
Benefits paid (including direct rollovers)2020-10-31$44,123
Total plan assets at end of year2020-10-31$243,412
Total plan assets at beginning of year2020-10-31$280,158
Value of fidelity bond covering the plan2020-10-31$30,000
Other income received2020-10-31$7,499
Net income (gross income less expenses)2020-10-31$-36,746
Net plan assets at end of year (total assets less liabilities)2020-10-31$243,412
Net plan assets at beginning of year (total assets less liabilities)2020-10-31$280,158
Expenses. Administrative service providers (salaries,fees and commissions)2020-10-31$122
2019 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-10-31$0
Total income from all sources2019-10-31$8,411
Expenses. Total of all expenses incurred2019-10-31$3,800
Benefits paid (including direct rollovers)2019-10-31$3,669
Total plan assets at end of year2019-10-31$280,158
Total plan assets at beginning of year2019-10-31$275,547
Value of fidelity bond covering the plan2019-10-31$30,000
Other income received2019-10-31$8,411
Net income (gross income less expenses)2019-10-31$4,611
Net plan assets at end of year (total assets less liabilities)2019-10-31$280,158
Net plan assets at beginning of year (total assets less liabilities)2019-10-31$275,547
Expenses. Administrative service providers (salaries,fees and commissions)2019-10-31$131
2017 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2017 401k financial data
Transfers to/from the plan2017-10-31$891
Total plan liabilities at beginning of year2017-10-31$0
Total income from all sources2017-10-31$-5,994
Expenses. Total of all expenses incurred2017-10-31$3,129
Benefits paid (including direct rollovers)2017-10-31$3,003
Total plan assets at end of year2017-10-31$282,901
Total plan assets at beginning of year2017-10-31$291,133
Value of fidelity bond covering the plan2017-10-31$30,000
Total contributions received or receivable from participants2017-10-31$1,020
Other income received2017-10-31$-7,014
Net income (gross income less expenses)2017-10-31$-9,123
Net plan assets at end of year (total assets less liabilities)2017-10-31$282,901
Net plan assets at beginning of year (total assets less liabilities)2017-10-31$291,133
Expenses. Administrative service providers (salaries,fees and commissions)2017-10-31$126
2016 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2016 401k financial data
Total income from all sources2016-10-31$-14,023
Expenses. Total of all expenses incurred2016-10-31$805
Benefits paid (including direct rollovers)2016-10-31$680
Total plan assets at end of year2016-10-31$291,133
Total plan assets at beginning of year2016-10-31$305,961
Value of fidelity bond covering the plan2016-10-31$30,000
Total contributions received or receivable from participants2016-10-31$2,918
Other income received2016-10-31$-16,941
Net income (gross income less expenses)2016-10-31$-14,828
Net plan assets at end of year (total assets less liabilities)2016-10-31$291,133
Net plan assets at beginning of year (total assets less liabilities)2016-10-31$305,961
Expenses. Administrative service providers (salaries,fees and commissions)2016-10-31$125
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-10-31$0
2015 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2015 401k financial data
Total income from all sources2015-10-31$6,579
Expenses. Total of all expenses incurred2015-10-31$767
Benefits paid (including direct rollovers)2015-10-31$659
Total plan assets at end of year2015-10-31$305,961
Total plan assets at beginning of year2015-10-31$300,149
Value of fidelity bond covering the plan2015-10-31$25,000
Total contributions received or receivable from participants2015-10-31$2,906
Other income received2015-10-31$3,673
Net income (gross income less expenses)2015-10-31$5,812
Net plan assets at end of year (total assets less liabilities)2015-10-31$305,961
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$300,149
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$108
2014 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2014 401k financial data
Transfers to/from the plan2014-10-31$0
Total income from all sources2014-10-31$-17,641
Expenses. Total of all expenses incurred2014-10-31$4,376
Benefits paid (including direct rollovers)2014-10-31$4,282
Total plan assets at end of year2014-10-31$300,149
Total plan assets at beginning of year2014-10-31$322,166
Value of fidelity bond covering the plan2014-10-31$200,000
Total contributions received or receivable from participants2014-10-31$3,804
Other income received2014-10-31$-21,445
Net income (gross income less expenses)2014-10-31$-22,017
Net plan assets at end of year (total assets less liabilities)2014-10-31$300,149
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$322,166
Total contributions received or receivable from employer(s)2014-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-10-31$94
2013 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2013 401k financial data
Transfers to/from the plan2013-10-31$0
Total income from all sources2013-10-31$24,939
Expenses. Total of all expenses incurred2013-10-31$777
Benefits paid (including direct rollovers)2013-10-31$691
Total plan assets at end of year2013-10-31$322,166
Total plan assets at beginning of year2013-10-31$298,004
Value of fidelity bond covering the plan2013-10-31$200,000
Total contributions received or receivable from participants2013-10-31$7,855
Other income received2013-10-31$17,084
Net income (gross income less expenses)2013-10-31$24,162
Net plan assets at end of year (total assets less liabilities)2013-10-31$322,166
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$298,004
Total contributions received or receivable from employer(s)2013-10-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-10-31$86
2012 : DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2012 401k financial data
Transfers to/from the plan2012-10-31$25,618
Total income from all sources2012-10-31$22,005
Expenses. Total of all expenses incurred2012-10-31$679
Benefits paid (including direct rollovers)2012-10-31$568
Total plan assets at end of year2012-10-31$298,004
Total plan assets at beginning of year2012-10-31$251,060
Value of fidelity bond covering the plan2012-10-31$200,000
Total contributions received or receivable from participants2012-10-31$14,344
Other income received2012-10-31$1,378
Net income (gross income less expenses)2012-10-31$21,326
Net plan assets at end of year (total assets less liabilities)2012-10-31$298,004
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$251,060
Total contributions received or receivable from employer(s)2012-10-31$6,283
Expenses. Administrative service providers (salaries,fees and commissions)2012-10-31$111

Form 5500 Responses for DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN

2021: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2021 form 5500 responses
2021-11-01Type of plan entitySingle employer plan
2021-11-01Submission has been amendedNo
2021-11-01This submission is the final filingNo
2021-11-01This return/report is a short plan year return/report (less than 12 months)No
2021-11-01Plan is a collectively bargained planNo
2021-11-01Plan funding arrangement – InsuranceYes
2021-11-01Plan funding arrangement – TrustYes
2021-11-01Plan benefit arrangement – InsuranceYes
2021-11-01Plan benefit arrangement - TrustYes
2020: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2020 form 5500 responses
2020-11-01Type of plan entitySingle employer plan
2020-11-01Submission has been amendedNo
2020-11-01This submission is the final filingNo
2020-11-01This return/report is a short plan year return/report (less than 12 months)No
2020-11-01Plan is a collectively bargained planNo
2020-11-01Plan funding arrangement – InsuranceYes
2020-11-01Plan funding arrangement – TrustYes
2020-11-01Plan benefit arrangement – InsuranceYes
2020-11-01Plan benefit arrangement - TrustYes
2019: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes
2018: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2018 form 5500 responses
2018-11-01Type of plan entitySingle employer plan
2018-11-01Plan funding arrangement – InsuranceYes
2018-11-01Plan funding arrangement – TrustYes
2018-11-01Plan benefit arrangement – InsuranceYes
2018-11-01Plan benefit arrangement - TrustYes
2017: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2017 form 5500 responses
2017-11-01Type of plan entitySingle employer plan
2017-11-01Plan funding arrangement – InsuranceYes
2017-11-01Plan funding arrangement – TrustYes
2017-11-01Plan benefit arrangement – InsuranceYes
2017-11-01Plan benefit arrangement - TrustYes
2016: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2016 form 5500 responses
2016-11-01Type of plan entitySingle employer plan
2016-11-01Plan funding arrangement – InsuranceYes
2016-11-01Plan funding arrangement – TrustYes
2016-11-01Plan benefit arrangement – InsuranceYes
2016-11-01Plan benefit arrangement - TrustYes
2015: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: DAY CARE SERVICES FOR CHILDREN INC 403(B) PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan 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 number005328-D
Policy instance 2
Insurance contract or identification number005328-D
Number of Individuals Covered0
Insurance policy start date2021-11-04
Insurance policy end date2022-10-31
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0840984
Policy instance 1
Insurance contract or identification number0840984
Number of Individuals Covered15
Insurance policy start date2021-11-01
Insurance policy end date2022-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees338
Additional information about fees paid to insurance brokerCONTRACT FEE CHARGED ON CONTRACT ANNIVERSARY
Insurance broker organization code?3
MUTUAL OF AMERICA (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number005328-D
Policy instance 2
Insurance contract or identification number005328-D
Number of Individuals Covered11
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
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
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0840984
Policy instance 1
Insurance contract or identification number0840984
Number of Individuals Covered15
Insurance policy start date2020-11-01
Insurance policy end date2021-10-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $360
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees360
Additional information about fees paid to insurance brokerCONTRACT FEE CHARGED ON CONTRACT ANNIVERSARY
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number005328-D
Policy instance 2
Insurance contract or identification number005328-D
Number of Individuals Covered12
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0840984
Policy instance 1
Insurance contract or identification number0840984
Number of Individuals Covered15
Insurance policy start date2019-11-01
Insurance policy end date2020-10-31
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number005328-D
Policy instance 2
Insurance contract or identification number005328-D
Number of Individuals Covered12
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0840984
Policy instance 1
Insurance contract or identification number0840984
Number of Individuals Covered17
Insurance policy start date2018-11-01
Insurance policy end date2019-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0840984
Policy instance 1
Insurance contract or identification number0840984
Number of Individuals Covered17
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number005328-D
Policy instance 2
Insurance contract or identification number005328-D
Number of Individuals Covered12
Insurance policy start date2017-11-01
Insurance policy end date2018-10-31

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