BERKOWITZ, COOK, GONDRING & DRISKELL has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN
401k plan membership statisitcs for BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN
| Measure | Date | Value |
|---|
| 2016: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 0 |
| Number of participants with account balances | 2016-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 2 |
| Total of all active and inactive participants | 2015-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 13 |
| Number of participants with account balances | 2015-01-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 13 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 12 |
| Number of participants with account balances | 2014-01-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 12 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 1 |
| Total of all active and inactive participants | 2013-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 13 |
| Number of participants with account balances | 2013-01-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 13 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 1 |
| Total of all active and inactive participants | 2012-01-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 14 |
| Number of participants with account balances | 2012-01-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 12 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 12 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 1 |
| Total of all active and inactive participants | 2011-01-01 | 13 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 13 |
| Number of participants with account balances | 2011-01-01 | 13 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2016 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2016 401k financial data |
|---|
| Transfers to/from the plan | 2016-07-26 | $-1,106,227 |
| Total income from all sources | 2016-07-26 | $70,799 |
| Expenses. Total of all expenses incurred | 2016-07-26 | $0 |
| Benefits paid (including direct rollovers) | 2016-07-26 | $0 |
| Total plan assets at end of year | 2016-07-26 | $0 |
| Total plan assets at beginning of year | 2016-07-26 | $1,035,428 |
| Value of fidelity bond covering the plan | 2016-07-26 | $150,000 |
| Total contributions received or receivable from participants | 2016-07-26 | $19,438 |
| Other income received | 2016-07-26 | $32,458 |
| Net income (gross income less expenses) | 2016-07-26 | $70,799 |
| Net plan assets at end of year (total assets less liabilities) | 2016-07-26 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-07-26 | $1,035,428 |
| Assets. Value of participant loans | 2016-07-26 | $0 |
| Total contributions received or receivable from employer(s) | 2016-07-26 | $18,903 |
| 2015 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $145,520 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $34,671 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $18,200 |
| Total plan assets at end of year | 2015-12-31 | $1,035,428 |
| Total plan assets at beginning of year | 2015-12-31 | $924,579 |
| Value of fidelity bond covering the plan | 2015-12-31 | $150,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $30,047 |
| Other income received | 2015-12-31 | $85,998 |
| Net income (gross income less expenses) | 2015-12-31 | $110,849 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $1,035,428 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $924,579 |
| Assets. Value of participant loans | 2015-12-31 | $57,856 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $29,475 |
| Value of certain deemed distributions of participant loans | 2015-12-31 | $16,421 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $50 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $104,426 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $11,815 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $11,815 |
| Total plan assets at end of year | 2014-12-31 | $924,579 |
| Total plan assets at beginning of year | 2014-12-31 | $831,968 |
| Value of fidelity bond covering the plan | 2014-12-31 | $125,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $36,102 |
| Other income received | 2014-12-31 | $37,200 |
| Net income (gross income less expenses) | 2014-12-31 | $92,611 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $924,579 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $831,968 |
| Assets. Value of participant loans | 2014-12-31 | $68,038 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $31,124 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $187,438 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $506,933 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $506,833 |
| Total plan assets at end of year | 2013-12-31 | $831,968 |
| Total plan assets at beginning of year | 2013-12-31 | $1,151,463 |
| Value of fidelity bond covering the plan | 2013-12-31 | $125,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $41,161 |
| Other income received | 2013-12-31 | $112,659 |
| Net income (gross income less expenses) | 2013-12-31 | $-319,495 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $831,968 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,151,463 |
| Assets. Value of participant loans | 2013-12-31 | $90,805 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $33,618 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $100 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2012 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $188,289 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $96,264 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $94,749 |
| Total plan assets at end of year | 2012-12-31 | $1,151,463 |
| Total plan assets at beginning of year | 2012-12-31 | $1,059,438 |
| Value of fidelity bond covering the plan | 2012-12-31 | $125,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $51,255 |
| Expenses. Other expenses not covered elsewhere | 2012-12-31 | $1,515 |
| Other income received | 2012-12-31 | $96,132 |
| Net income (gross income less expenses) | 2012-12-31 | $92,025 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $1,151,463 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,059,438 |
| Assets. Value of participant loans | 2012-12-31 | $79,587 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $40,902 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $92,135 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $74,500 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $74,400 |
| Total plan assets at end of year | 2011-12-31 | $1,059,438 |
| Total plan assets at beginning of year | 2011-12-31 | $1,041,803 |
| Value of fidelity bond covering the plan | 2011-12-31 | $110,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $52,420 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $100 |
| Other income received | 2011-12-31 | $5,729 |
| Net income (gross income less expenses) | 2011-12-31 | $17,635 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,059,438 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,041,803 |
| Assets. Value of participant loans | 2011-12-31 | $60,349 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $33,986 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2016: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: BERKOWITZ, COOK, GONDRING & DRISKELL SAFE HARBOR 401(K) & PROFIT SHARING PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-07-15 | | Total amount of commissions paid to insurance broker | USD $2,722 | | Total amount of fees paid to insurance company | USD $680 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,361 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 680 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker name | TAX FAVORED BENEFITS, INC. |
|
| AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $4,652 | | Total amount of fees paid to insurance company | USD $1,163 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,326 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1163 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker name | TAX FAVORED BENEFITS, INC. |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $4,126 | | Total amount of fees paid to insurance company | USD $1,032 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $2,063 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1032 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker name | TAX FAVORED BENEFITS, INC. |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 12 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $4,004 | | Total amount of fees paid to insurance company | USD $1,001 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $2,002 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1001 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker name | TAX FAVORED BENEFITS, INC. |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $5,904 | | Total amount of fees paid to insurance company | USD $1,476 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Commission paid to Insurance Broker | USD $2,952 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 1476 | | Additional information about fees paid to insurance broker | SERVICE FEE | | Insurance broker name | TAX FAVORED BENEFITS, INC. |
|
| UNION CENTRAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 80837 ) |
| Policy contract number | 706441 |
| Policy instance | 1 |
| Insurance contract or identification number | 706441 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $5,900 | | Total amount of fees paid to insurance company | USD $1,475 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
