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CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameCITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN
Plan identification number 001

CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CITIZENS BANK GROUP INC. has sponsored the creation of one or more 401k plans.

Company Name:CITIZENS BANK GROUP INC.
Employer identification number (EIN):411704160
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01CARLIE OLSON2020-07-13 CARLIE OLSON2020-07-13
0012018-01-01CARLIE OLSON2019-07-18 CARLIE OLSON2019-07-18
0012017-01-01CARLIE OLSON2018-07-12
0012016-01-01CARLIE OLSON2017-07-25 CARLIE OLSON2017-07-25
0012015-01-01CARLIE OLSON2016-06-17
0012014-01-01CARLIE OLSON2015-07-21 CARLIE OLSON2015-07-21
0012013-01-01CARLIE OLSON2014-07-21
0012012-01-01CARLIE OLSON2013-07-25 CARLIE OLSON2013-07-25
0012011-01-01CARLIE R. OLSON2012-07-20 CARLIE R. OLSON2012-07-20
0012009-01-01CARLIE OLSON CARLIE OLSON2010-09-21

Plan Statistics for CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2022: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01139
Total number of active participants reported on line 7a of the Form 55002022-01-01135
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0115
Total of all active and inactive participants2022-01-01150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01150
Number of participants with account balances2022-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0125
2021: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01130
Total number of active participants reported on line 7a of the Form 55002021-01-01123
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0115
Total of all active and inactive participants2021-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01138
Number of participants with account balances2021-01-01110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01140
Total number of active participants reported on line 7a of the Form 55002020-01-01124
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-016
Total of all active and inactive participants2020-01-01130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01130
Number of participants with account balances2020-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2009: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0181
Total number of active participants reported on line 7a of the Form 55002009-01-0166
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0111
Total of all active and inactive participants2009-01-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0177
Number of participants with account balances2009-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$647,664
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$333,877
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$301,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,634,458
Value of total assets at end of year2022-12-31$7,141,423
Value of total assets at beginning of year2022-12-31$6,827,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$32,624
Total interest from all sources2022-12-31$2,118
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$314,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$314,171
Administrative expenses professional fees incurred2022-12-31$15,876
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
If this is an individual account plan, was there a blackout period2022-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$443,802
Participant contributions at end of year2022-12-31$43,580
Participant contributions at beginning of year2022-12-31$51,255
Participant contributions at end of year2022-12-31$17,520
Participant contributions at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$1,123,234
Other income not declared elsewhere2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$313,787
Value of net assets at end of year (total assets less liabilities)2022-12-31$7,141,423
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,827,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$6,215,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$5,873,103
Interest on participant loans2022-12-31$2,118
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$858,006
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$889,881
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,303,083
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$67,422
Employer contributions (assets) at end of year2022-12-31$7,317
Employer contributions (assets) at beginning of year2022-12-31$13,397
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$301,253
Contract administrator fees2022-12-31$16,748
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31Yes
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,187,935
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$390,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$356,768
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$419,370
Value of total assets at end of year2021-12-31$6,827,636
Value of total assets at beginning of year2021-12-31$6,030,107
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$33,638
Total interest from all sources2021-12-31$2,522
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$100,993
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$100,993
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
If this is an individual account plan, was there a blackout period2021-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$394,147
Participant contributions at end of year2021-12-31$51,255
Participant contributions at beginning of year2021-12-31$31,938
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$22,714
Other income not declared elsewhere2021-12-31$8,709
Administrative expenses (other) incurred2021-12-31$993
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$2,509
Value of net income/loss2021-12-31$797,529
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,827,636
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,030,107
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$16,518
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$5,873,103
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$5,278,599
Interest on participant loans2021-12-31$2,522
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$889,881
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$719,570
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$656,341
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Employer contributions (assets) at end of year2021-12-31$13,397
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$356,768
Contract administrator fees2021-12-31$16,127
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32021-12-31Yes
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,404,541
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$179,493
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$146,387
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$676,413
Value of total assets at end of year2020-12-31$6,030,107
Value of total assets at beginning of year2020-12-31$4,805,059
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$33,106
Total interest from all sources2020-12-31$2,920
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$81,688
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$81,688
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$379,265
Participant contributions at end of year2020-12-31$31,938
Participant contributions at beginning of year2020-12-31$59,101
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$188,485
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,225,048
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,030,107
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,805,059
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$2,188
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$5,278,599
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,260,842
Interest on participant loans2020-12-31$2,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$485,116
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$485,116
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$719,570
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$643,520
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$108,663
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$146,387
Contract administrator fees2020-12-31$30,918
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2010 : CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$213,123
Expenses. Total of all expenses incurred2010-12-31$27,033
Benefits paid (including direct rollovers)2010-12-31$17,394
Total plan assets at end of year2010-12-31$1,183,224
Total plan assets at beginning of year2010-12-31$997,134
Value of fidelity bond covering the plan2010-12-31$2,800,000
Total contributions received or receivable from participants2010-12-31$98,548
Contributions received from other sources (not participants or employers)2010-12-31$584
Other income received2010-12-31$113,991
Net income (gross income less expenses)2010-12-31$186,090
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,183,224
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$997,134
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$9,639
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN

2022: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2009: CITIZENS BANK GROUP, INC. RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberCI0902
Policy instance 1
Insurance contract or identification numberCI0902
Number of Individuals Covered123
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberCI0902
Policy instance 1
Insurance contract or identification numberCI0902
Number of Individuals Covered110
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberCI0902
Policy instance 1
Insurance contract or identification numberCI0902
Number of Individuals Covered53
Insurance policy start date2020-11-02
Insurance policy end date2020-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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