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FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 401k Plan overview

Plan NameFARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN
Plan identification number 001

FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 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.
  • 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

FARIN & ASSOCIATES, INC. has sponsored the creation of one or more 401k plans.

Company Name:FARIN & ASSOCIATES, INC.
Employer identification number (EIN):391535006
NAIC Classification:541519
NAIC Description:Other Computer Related Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01SARA HOGAN2021-08-24 SARA HOGAN2021-08-24
0012018-01-01SARA HOGAN2021-08-24 SARA HOGAN2021-08-24
0012017-01-01CHRISTOPHER A. ACKER
0012016-01-01CHRISTOPHER A. ACKER
0012016-01-01
0012015-01-01CHRISTOPHER A ACKER
0012014-01-01CHRISTOPHER ACKER
0012013-01-01S. KIM RICKARD
0012012-01-01S. KIM RICKARD
0012011-01-01S. KIM RICKARD
0012010-01-01KIM RICKARD2011-06-07

Plan Statistics for FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN

401k plan membership statisitcs for FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2017: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0134
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-013
Number of other retired or separated participants entitled to future benefits2017-01-019
Total of all active and inactive participants2017-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0134
Number of participants with account balances2017-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0132
Total number of active participants reported on line 7a of the Form 55002016-01-0126
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-018
Total of all active and inactive participants2016-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0134
Number of participants with account balances2016-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0133
Total number of active participants reported on line 7a of the Form 55002015-01-0123
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-019
Total of all active and inactive participants2015-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0132
Number of participants with account balances2015-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0132
Total number of active participants reported on line 7a of the Form 55002014-01-0123
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0110
Total of all active and inactive participants2014-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0133
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0132
Total number of active participants reported on line 7a of the Form 55002013-01-0123
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0132
Number of participants with account balances2013-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0130
Total number of active participants reported on line 7a of the Form 55002012-01-0124
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-018
Total of all active and inactive participants2012-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0132
Number of participants with account balances2012-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0134
Total number of active participants reported on line 7a of the Form 55002011-01-0120
Number of retired or separated participants receiving benefits2011-01-0110
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0130
Number of participants with account balances2011-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011

Financial Data on FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN

Measure Date Value
2017 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,026,333
Expenses. Total of all expenses incurred2017-12-31$263,487
Benefits paid (including direct rollovers)2017-12-31$222,701
Total plan assets at end of year2017-12-31$6,326,642
Total plan assets at beginning of year2017-12-31$5,563,796
Value of fidelity bond covering the plan2017-12-31$600,000
Total contributions received or receivable from participants2017-12-31$191,345
Contributions received from other sources (not participants or employers)2017-12-31$28,385
Other income received2017-12-31$751,589
Net income (gross income less expenses)2017-12-31$762,846
Net plan assets at end of year (total assets less liabilities)2017-12-31$6,326,642
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,563,796
Assets. Value of participant loans2017-12-31$147,457
Assets. Value of employer securities2017-12-31$167,400
Total contributions received or receivable from employer(s)2017-12-31$55,014
Value of certain deemed distributions of participant loans2017-12-31$22,484
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$18,302
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$618,262
Expenses. Total of all expenses incurred2016-12-31$107,343
Benefits paid (including direct rollovers)2016-12-31$93,625
Total plan assets at end of year2016-12-31$5,563,796
Total plan assets at beginning of year2016-12-31$5,052,877
Value of fidelity bond covering the plan2016-12-31$600,000
Total contributions received or receivable from participants2016-12-31$203,168
Expenses. Other expenses not covered elsewhere2016-12-31$13,718
Contributions received from other sources (not participants or employers)2016-12-31$37,458
Other income received2016-12-31$314,092
Net income (gross income less expenses)2016-12-31$510,919
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,563,796
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$5,052,877
Assets. Value of participant loans2016-12-31$123,205
Assets. Value of employer securities2016-12-31$167,400
Total contributions received or receivable from employer(s)2016-12-31$63,544
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2015 401k financial data
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$246,873
Expenses. Total of all expenses incurred2015-12-31$842,091
Benefits paid (including direct rollovers)2015-12-31$839,509
Total plan assets at end of year2015-12-31$5,052,877
Total plan assets at beginning of year2015-12-31$5,648,095
Value of fidelity bond covering the plan2015-12-31$600,000
Total contributions received or receivable from participants2015-12-31$208,318
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-26,452
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$-595,218
Net plan assets at end of year (total assets less liabilities)2015-12-31$5,052,877
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,648,095
Assets. Value of participant loans2015-12-31$118,469
Assets. Value of employer securities2015-12-31$172,500
Total contributions received or receivable from employer(s)2015-12-31$65,007
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$2,582
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,212,285
Expenses. Total of all expenses incurred2014-12-31$3,569
Total plan assets at end of year2014-12-31$5,648,095
Total plan assets at beginning of year2014-12-31$4,439,379
Value of fidelity bond covering the plan2014-12-31$600,000
Total contributions received or receivable from participants2014-12-31$188,956
Expenses. Other expenses not covered elsewhere2014-12-31$3,569
Contributions received from other sources (not participants or employers)2014-12-31$571,832
Other income received2014-12-31$384,619
Net income (gross income less expenses)2014-12-31$1,208,716
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,648,095
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,439,379
Assets. Value of participant loans2014-12-31$112,934
Assets. Value of employer securities2014-12-31$172,500
Total contributions received or receivable from employer(s)2014-12-31$66,878
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,166,872
Expenses. Total of all expenses incurred2013-12-31$211,981
Benefits paid (including direct rollovers)2013-12-31$211,943
Total plan assets at end of year2013-12-31$4,439,379
Total plan assets at beginning of year2013-12-31$3,484,488
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$190,777
Expenses. Other expenses not covered elsewhere2013-12-31$38
Contributions received from other sources (not participants or employers)2013-12-31$125,192
Other income received2013-12-31$778,084
Net income (gross income less expenses)2013-12-31$954,891
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,439,379
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,484,488
Assets. Value of participant loans2013-12-31$163,292
Assets. Value of employer securities2013-12-31$172,500
Total contributions received or receivable from employer(s)2013-12-31$72,819
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$629,903
Expenses. Total of all expenses incurred2012-12-31$26,341
Benefits paid (including direct rollovers)2012-12-31$26,145
Total plan assets at end of year2012-12-31$3,484,488
Total plan assets at beginning of year2012-12-31$2,880,926
Value of fidelity bond covering the plan2012-12-31$400,000
Total contributions received or receivable from participants2012-12-31$161,939
Expenses. Other expenses not covered elsewhere2012-12-31$196
Contributions received from other sources (not participants or employers)2012-12-31$23,123
Other income received2012-12-31$384,046
Net income (gross income less expenses)2012-12-31$603,562
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,484,488
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,880,926
Assets. Value of participant loans2012-12-31$114,024
Assets. Value of employer securities2012-12-31$172,500
Total contributions received or receivable from employer(s)2012-12-31$60,795
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$186,836
Expenses. Total of all expenses incurred2011-12-31$71,184
Benefits paid (including direct rollovers)2011-12-31$71,134
Total plan assets at end of year2011-12-31$2,880,926
Total plan assets at beginning of year2011-12-31$2,765,274
Value of fidelity bond covering the plan2011-12-31$300,000
Total contributions received or receivable from participants2011-12-31$150,388
Expenses. Other expenses not covered elsewhere2011-12-31$50
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-21,357
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$115,652
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,880,926
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,765,274
Assets. Value of participant loans2011-12-31$125,918
Assets. Value of employer securities2011-12-31$172,500
Total contributions received or receivable from employer(s)2011-12-31$57,805
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0

Form 5500 Responses for FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN

2017: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FARIN & ASSOCIATES, INC. SAFE HARBOR 401(K) AND PROFIT SHARING 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered12
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered11
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered11
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number337884-01
Policy instance 1
Insurance contract or identification number337884-01
Number of Individuals Covered12
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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