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FDI 401(K) PLAN 401k Plan overview

Plan NameFDI 401(K) PLAN
Plan identification number 001

FDI 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FDI INC. has sponsored the creation of one or more 401k plans.

Company Name:FDI INC.
Employer identification number (EIN):411750455
NAIC Classification:523900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FDI 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-04-01DAVID PRATT2023-10-25
0012021-04-01DAVID PRATT2022-09-24 DAVID PRATT2022-09-24
0012020-04-01DAVID PRATT2022-09-24 DAVID PRATT2022-09-24
0012019-04-01DAVID PRATT2021-01-10 DAVID PRATT2021-01-10
0012018-04-01DAVID PRATT2019-10-14 DAVID PRATT2019-10-14
0012017-04-01DAVID PRATT2019-01-15
0012016-04-01DAVID PRATT2018-01-11 DAVID PRATT2018-01-11
0012015-04-01DAVID PRATT DAVID PRATT2017-01-17
0012014-04-01DAVID PRATT DAVID PRATT2016-01-15
0012013-04-01DAVID PRATT DAVID PRATT2014-08-08
0012012-04-01DAVID PRATT DAVID PRATT2013-11-08
0012011-04-01DAVID PRATT
0012009-04-01DAVID PRATT
0012009-04-01 DAVID PRATT2010-10-01
0012007-04-01 DAVID PRATT2010-11-12

Plan Statistics for FDI 401(K) PLAN

401k plan membership statisitcs for FDI 401(K) PLAN

Measure Date Value
2015: FDI 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-014
Total number of active participants reported on line 7a of the Form 55002015-04-013
Number of other retired or separated participants entitled to future benefits2015-04-011
Total of all active and inactive participants2015-04-014
Total participants2015-04-014
Number of participants with account balances2015-04-014
2014: FDI 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-015
Total number of active participants reported on line 7a of the Form 55002014-04-013
Number of retired or separated participants receiving benefits2014-04-011
Number of other retired or separated participants entitled to future benefits2014-04-011
Total of all active and inactive participants2014-04-015
Total participants2014-04-015
Number of participants with account balances2014-04-014
2013: FDI 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-015
Total number of active participants reported on line 7a of the Form 55002013-04-013
Number of other retired or separated participants entitled to future benefits2013-04-012
Total of all active and inactive participants2013-04-015
Total participants2013-04-015
Number of participants with account balances2013-04-015
2012: FDI 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-015
Total number of active participants reported on line 7a of the Form 55002012-04-013
Number of other retired or separated participants entitled to future benefits2012-04-012
Total of all active and inactive participants2012-04-015
Total participants2012-04-015
Number of participants with account balances2012-04-015
2011: FDI 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-016
Total number of active participants reported on line 7a of the Form 55002011-04-013
Number of other retired or separated participants entitled to future benefits2011-04-012
Total of all active and inactive participants2011-04-015
Total participants2011-04-015
Number of participants with account balances2011-04-015
2009: FDI 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-016
Total number of active participants reported on line 7a of the Form 55002009-04-013
Number of retired or separated participants receiving benefits2009-04-010
Number of other retired or separated participants entitled to future benefits2009-04-013
Total of all active and inactive participants2009-04-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-016
Number of participants with account balances2009-04-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010
2007: FDI 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year2007-04-016
Total number of active participants reported on line 7a of the Form 55002007-04-014
Number of retired or separated participants receiving benefits2007-04-010
Number of other retired or separated participants entitled to future benefits2007-04-012
Total of all active and inactive participants2007-04-016
Total participants2007-04-016
Number of participants with account balances2007-04-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-04-010

Financial Data on FDI 401(K) PLAN

Measure Date Value
2016 : FDI 401(K) PLAN 2016 401k financial data
Total income from all sources2016-03-31$-18,176
Expenses. Total of all expenses incurred2016-03-31$30,795
Benefits paid (including direct rollovers)2016-03-31$27,598
Total plan assets at end of year2016-03-31$855,611
Total plan assets at beginning of year2016-03-31$904,582
Value of fidelity bond covering the plan2016-03-31$85,561
Total contributions received or receivable from participants2016-03-31$10,363
Expenses. Other expenses not covered elsewhere2016-03-31$3,197
Other income received2016-03-31$-32,942
Net income (gross income less expenses)2016-03-31$-48,971
Net plan assets at end of year (total assets less liabilities)2016-03-31$855,611
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$904,582
Assets. Value of participant loans2016-03-31$91,419
Total contributions received or receivable from employer(s)2016-03-31$4,403
2015 : FDI 401(K) PLAN 2015 401k financial data
Total income from all sources2015-03-31$109,660
Expenses. Total of all expenses incurred2015-03-31$46,465
Benefits paid (including direct rollovers)2015-03-31$43,212
Total plan assets at end of year2015-03-31$904,583
Total plan assets at beginning of year2015-03-31$841,388
Value of fidelity bond covering the plan2015-03-31$91,000
Total contributions received or receivable from participants2015-03-31$12,206
Other income received2015-03-31$71,452
Net income (gross income less expenses)2015-03-31$63,195
Net plan assets at end of year (total assets less liabilities)2015-03-31$904,583
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$841,388
Assets. Value of participant loans2015-03-31$30,129
Total contributions received or receivable from employer(s)2015-03-31$26,002
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$3,253
2014 : FDI 401(K) PLAN 2014 401k financial data
Total income from all sources2014-03-31$109,503
Expenses. Total of all expenses incurred2014-03-31$28,781
Benefits paid (including direct rollovers)2014-03-31$23,565
Total plan assets at end of year2014-03-31$841,388
Total plan assets at beginning of year2014-03-31$760,666
Value of fidelity bond covering the plan2014-03-31$85,000
Total contributions received or receivable from participants2014-03-31$7,900
Expenses. Other expenses not covered elsewhere2014-03-31$2,098
Other income received2014-03-31$94,069
Net income (gross income less expenses)2014-03-31$80,722
Net plan assets at end of year (total assets less liabilities)2014-03-31$841,388
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$760,666
Assets. Value of participant loans2014-03-31$48,700
Total contributions received or receivable from employer(s)2014-03-31$7,534
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$3,118
2013 : FDI 401(K) PLAN 2013 401k financial data
Total income from all sources2013-03-31$54,442
Expenses. Total of all expenses incurred2013-03-31$5,017
Total plan assets at end of year2013-03-31$760,666
Total plan assets at beginning of year2013-03-31$711,241
Value of fidelity bond covering the plan2013-03-31$77,000
Total contributions received or receivable from participants2013-03-31$2,707
Expenses. Other expenses not covered elsewhere2013-03-31$2,098
Other income received2013-03-31$46,455
Net income (gross income less expenses)2013-03-31$49,425
Net plan assets at end of year (total assets less liabilities)2013-03-31$760,666
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$711,241
Assets. Value of participant loans2013-03-31$70,890
Total contributions received or receivable from employer(s)2013-03-31$5,280
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$2,919
2012 : FDI 401(K) PLAN 2012 401k financial data
Total income from all sources2012-03-31$11,036
Expenses. Total of all expenses incurred2012-03-31$54,439
Benefits paid (including direct rollovers)2012-03-31$49,494
Total plan assets at end of year2012-03-31$711,241
Total plan assets at beginning of year2012-03-31$754,644
Value of fidelity bond covering the plan2012-03-31$72,000
Total contributions received or receivable from participants2012-03-31$4,200
Expenses. Other expenses not covered elsewhere2012-03-31$2,098
Other income received2012-03-31$4,464
Net income (gross income less expenses)2012-03-31$-43,403
Net plan assets at end of year (total assets less liabilities)2012-03-31$711,241
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$754,644
Assets. Value of participant loans2012-03-31$71,049
Total contributions received or receivable from employer(s)2012-03-31$2,372
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$2,847
2011 : FDI 401(K) PLAN 2011 401k financial data
Total income from all sources2011-03-31$72,072
Expenses. Total of all expenses incurred2011-03-31$2,808
Total plan assets at end of year2011-03-31$754,644
Total plan assets at beginning of year2011-03-31$685,380
Value of fidelity bond covering the plan2011-03-31$75,465
Total contributions received or receivable from participants2011-03-31$3,883
Expenses. Other expenses not covered elsewhere2011-03-31$2,808
Other income received2011-03-31$65,851
Net income (gross income less expenses)2011-03-31$69,264
Net plan assets at end of year (total assets less liabilities)2011-03-31$754,644
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$685,380
Assets. Value of participant loans2011-03-31$57,939
Total contributions received or receivable from employer(s)2011-03-31$2,338
2008 : FDI 401(K) PLAN 2008 401k financial data
Total income from all sources2008-03-31$15,467
Expenses. Total of all expenses incurred2008-03-31$2,849
Total plan assets at end of year2008-03-31$688,795
Total plan assets at beginning of year2008-03-31$676,176
Value of fidelity bond covering the plan2008-03-31$68,879
Total contributions received or receivable from participants2008-03-31$14,049
Expenses. Other expenses not covered elsewhere2008-03-31$2,849
Other income received2008-03-31$-5,087
Net income (gross income less expenses)2008-03-31$12,618
Net plan assets at end of year (total assets less liabilities)2008-03-31$688,795
Net plan assets at beginning of year (total assets less liabilities)2008-03-31$676,176
Assets. Value of participant loans2008-03-31$5,000
Total contributions received or receivable from employer(s)2008-03-31$6,505

Form 5500 Responses for FDI 401(K) PLAN

2015: FDI 401(K) PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: FDI 401(K) PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: FDI 401(K) PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: FDI 401(K) PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: FDI 401(K) PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2009: FDI 401(K) PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedYes
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes
2007: FDI 401(K) PLAN 2007 form 5500 responses
2007-04-01Type of plan entitySingle employer plan
2007-04-01Submission has been amendedNo
2007-04-01This submission is the final filingNo
2007-04-01This return/report is a short plan year return/report (less than 12 months)No
2007-04-01Plan is a collectively bargained planNo
2007-04-01Plan funding arrangement – InsuranceYes
2007-04-01Plan funding arrangement – TrustYes
2007-04-01Plan benefit arrangement – InsuranceYes
2007-04-01Plan 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 number5874460
Policy instance 2
Insurance contract or identification number5874460
Number of Individuals Covered1
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
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
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 number51802
Policy instance 1
Insurance contract or identification number51802
Number of Individuals Covered4
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
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
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 number5874460
Policy instance 1
Insurance contract or identification number5874460
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
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?Yes
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 number51802
Policy instance 2
Insurance contract or identification number51802
Number of Individuals Covered4
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
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
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 number4874460
Policy instance 1
Insurance contract or identification number4874460
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
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?Yes
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number51802
Policy instance 2
Insurance contract or identification number51802
Number of Individuals Covered5
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number4874460
Policy instance 1
Insurance contract or identification number4874460
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2013-03-31
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?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number51802
Policy instance 2
Insurance contract or identification number51802
Number of Individuals Covered5
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number4874460
Policy instance 1
Insurance contract or identification number4874460
Number of Individuals Covered1
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
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?Yes
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 number51802
Policy instance 2
Insurance contract or identification number51802
Number of Individuals Covered5
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of fees paid to insurance companyUSD $24
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 number51802
Policy instance 1
Insurance contract or identification number51802
Number of Individuals Covered6
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number4874460
Policy instance 2
Insurance contract or identification number4874460
Number of Individuals Covered1
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number51802
Policy instance 1
Insurance contract or identification number51802
Number of Individuals Covered6
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number4874460
Policy instance 2
Insurance contract or identification number4874460
Number of Individuals Covered1
Insurance policy start date2007-04-01
Insurance policy end date2008-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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