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ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 401k Plan overview

Plan NameADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES
Plan identification number 508

ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Long-term disability cover

401k Sponsoring company profile

ARCHER DANIELS MIDLAND COMPANY has sponsored the creation of one or more 401k plans.

Company Name:ARCHER DANIELS MIDLAND COMPANY
Employer identification number (EIN):410129150
NAIC Classification:311900
NAIC Description: Other Food Manufacturing

Additional information about ARCHER DANIELS MIDLAND COMPANY

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0152524

More information about ARCHER DANIELS MIDLAND COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5082022-01-01LEANN HARRIS2023-10-04
5082021-01-01JENNIFER WEBER2022-09-21
5082020-01-01JENNIFER WEBER2021-10-12
5082019-01-01RAY YOUNG2020-10-07
5082018-01-01MICHAEL D'AMBROSE2019-10-11
5082017-01-01
5082016-01-01
5082015-01-01
5082014-01-01MICHAEL D'AMBROSE MICHAEL D'AMBROSE2015-10-08
5082013-01-01MICHAEL D'AMBROSE MICHAEL D'AMBROSE2014-10-13
5082012-01-01MICHAEL D'AMBROSE
5082011-01-01TERESA HICKS

Plan Statistics for ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES

401k plan membership statisitcs for ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES

Measure Date Value
2022: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2022 401k membership
Total participants, beginning-of-year2022-01-011,788
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-011,672
Number of other retired or separated participants entitled to future benefits2022-01-01132
Total of all active and inactive participants2022-01-011,804
2021: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2021 401k membership
Total participants, beginning-of-year2021-01-011,880
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-011,764
Number of other retired or separated participants entitled to future benefits2021-01-01133
Total of all active and inactive participants2021-01-011,897
2020: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2020 401k membership
Total participants, beginning-of-year2020-01-011,960
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-011,850
Number of other retired or separated participants entitled to future benefits2020-01-01126
Total of all active and inactive participants2020-01-011,976
2019: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2019 401k membership
Total participants, beginning-of-year2019-01-011,771
Total number of active participants reported on line 7a of the Form 55002019-01-010
Number of retired or separated participants receiving benefits2019-01-011,665
Number of other retired or separated participants entitled to future benefits2019-01-0135
Total of all active and inactive participants2019-01-011,700
2018: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2018 401k membership
Total participants, beginning-of-year2018-01-011,816
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-011,711
Number of other retired or separated participants entitled to future benefits2018-01-0174
Total of all active and inactive participants2018-01-011,785
2017: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2017 401k membership
Total participants, beginning-of-year2017-01-011,883
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-011,730
Number of other retired or separated participants entitled to future benefits2017-01-0151
Total of all active and inactive participants2017-01-011,781
2016: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2016 401k membership
Total participants, beginning-of-year2016-01-011,963
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-011,815
Number of other retired or separated participants entitled to future benefits2016-01-0135
Total of all active and inactive participants2016-01-011,850
2015: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2015 401k membership
Total participants, beginning-of-year2015-01-012,056
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-011,914
Number of other retired or separated participants entitled to future benefits2015-01-0151
Total of all active and inactive participants2015-01-011,965
2014: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2014 401k membership
Total participants, beginning-of-year2014-01-012,137
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-012,020
Number of other retired or separated participants entitled to future benefits2014-01-01108
Total of all active and inactive participants2014-01-012,128
2013: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2013 401k membership
Total participants, beginning-of-year2013-01-012,625
Total number of active participants reported on line 7a of the Form 55002013-01-011
Number of retired or separated participants receiving benefits2013-01-012,092
Number of other retired or separated participants entitled to future benefits2013-01-01113
Total of all active and inactive participants2013-01-012,206
2012: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2012 401k membership
Total participants, beginning-of-year2012-01-01868
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-01848
Number of other retired or separated participants entitled to future benefits2012-01-0147
Total of all active and inactive participants2012-01-01895
2011: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2011 401k membership
Total participants, beginning-of-year2011-01-01905
Total number of active participants reported on line 7a of the Form 55002011-01-010
Number of retired or separated participants receiving benefits2011-01-01882
Number of other retired or separated participants entitled to future benefits2011-01-0126
Total of all active and inactive participants2011-01-01908

Financial Data on ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES

Measure Date Value
2013 : ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$81,783
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$98,985
Total income from all sources (including contributions)2013-12-31$943,022
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$925,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$880,483
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$943,022
Value of total assets at end of year2013-12-31$0
Value of total assets at beginning of year2013-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$45,337
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$30,000,000
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$17,202
Value of net assets at end of year (total assets less liabilities)2013-12-31$-81,783
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$-98,985
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$943,022
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$880,483
Contract administrator fees2013-12-31$45,337
Liabilities. Value of benefit claims payable at end of year2013-12-31$81,783
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$98,985
Did the plan have assets held for investment2013-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ERNST & YOUNG LLP
Accountancy firm EIN2013-12-31346565596
2012 : ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$28,878
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$111,845
Total income from all sources (including contributions)2012-12-31$290,610
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$207,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$192,428
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$290,610
Value of total assets at end of year2012-12-31$0
Value of total assets at beginning of year2012-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$15,215
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$20,000,000
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$80,364
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$82,967
Value of net assets at end of year (total assets less liabilities)2012-12-31$-28,878
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-111,845
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$210,246
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$192,428
Contract administrator fees2012-12-31$15,215
Liabilities. Value of benefit claims payable at end of year2012-12-31$28,878
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$111,845
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ERNST & YOUNG
Accountancy firm EIN2012-12-31346565596
2011 : ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$111,845
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$663,156
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$775,001
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$735,009
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$663,156
Value of total assets at end of year2011-12-31$0
Value of total assets at beginning of year2011-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$39,992
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$25,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,527
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-111,845
Value of net assets at end of year (total assets less liabilities)2011-12-31$-111,845
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$1,527
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$661,629
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$733,482
Contract administrator fees2011-12-31$39,992
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$111,845
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$0
Did the plan have assets held for investment2011-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ERNST AND YOUNG
Accountancy firm EIN2011-12-31346565596

Form 5500 Responses for ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES

2022: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 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 planYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 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 planYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 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 planYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 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 planYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ADM MEDICAL BENEFITS PLAN FOR HOURLY AND HRA RETIREES 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number326028-RHA
Policy instance 1
Insurance contract or identification number326028-RHA
Number of Individuals Covered0
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $-20,504
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?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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $-20,504
Insurance broker organization code?3
Insurance broker nameALLIANT INSURANCE SRVCS HOUSTON LLC
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number*469613
Policy instance 1
Insurance contract or identification number*469613
Number of Individuals Covered15198
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $61,955
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $2,468,026
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number811530-RHA
Policy instance 1
Insurance contract or identification number811530-RHA
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Welfare Benefit Premiums Paid to CarrierUSD $1,266
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number*469613
Policy instance 1
Insurance contract or identification number*469613
Number of Individuals Covered15098
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $2,364,132
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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