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ASCENSION WELFARE BENEFIT PLAN 401k Plan overview

Plan NameASCENSION WELFARE BENEFIT PLAN
Plan identification number 512

ASCENSION WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

SMARTHEALTH INNOVATIONS CHOICE PLAN has sponsored the creation of one or more 401k plans.

Company Name:SMARTHEALTH INNOVATIONS CHOICE PLAN
Employer identification number (EIN):453358926
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Additional information about SMARTHEALTH INNOVATIONS CHOICE PLAN

Jurisdiction of Incorporation: Colorado Department of State
Incorporation Date: 2006-11-19
Company Identification Number: 20061472082
Legal Registered Office Address: 411 Willow Ave.

Eaton
United States of America (USA)
80615

More information about SMARTHEALTH INNOVATIONS CHOICE PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASCENSION WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5122022-01-01
5122021-01-01
5122020-01-01
5122019-01-01
5122018-01-01
5122017-01-01KERRY BRUNNER, ASSOC VP BENEFITS KERRY BRUNNER, ASSOC VP BENEFITS2018-10-15
5122016-01-01KERRY BRUNNER, SR DIR BENEFITS KERRY BRUNNER, SR DIR BENEFITS2017-10-06
5122015-01-01KERRY BRUNNER, SR DIR BENEFITS KERRY BRUNNER, SR DIR BENEFITS2016-10-17
5122014-01-01SUSAN SOUTHERN, SR DIR BENEFITS

Plan Statistics for ASCENSION WELFARE BENEFIT PLAN

401k plan membership statisitcs for ASCENSION WELFARE BENEFIT PLAN

Measure Date Value
2022: ASCENSION WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01116,780
Total number of active participants reported on line 7a of the Form 55002022-01-01111,911
Number of retired or separated participants receiving benefits2022-01-01322
Total of all active and inactive participants2022-01-01112,233
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
2021: ASCENSION WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01123,004
Total number of active participants reported on line 7a of the Form 55002021-01-01116,688
Number of retired or separated participants receiving benefits2021-01-01415
Total of all active and inactive participants2021-01-01117,103
2020: ASCENSION WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01112,835
Total number of active participants reported on line 7a of the Form 55002020-01-01111,040
Number of retired or separated participants receiving benefits2020-01-011,471
Total of all active and inactive participants2020-01-01112,511
2019: ASCENSION WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01111,166
Total number of active participants reported on line 7a of the Form 55002019-01-01114,300
Number of retired or separated participants receiving benefits2019-01-01982
Total of all active and inactive participants2019-01-01115,282
2018: ASCENSION WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01114,109
Total number of active participants reported on line 7a of the Form 55002018-01-01109,939
Number of retired or separated participants receiving benefits2018-01-011,479
Total of all active and inactive participants2018-01-01111,418
2017: ASCENSION WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01123,538
Total number of active participants reported on line 7a of the Form 55002017-01-01112,357
Number of retired or separated participants receiving benefits2017-01-011,752
Total of all active and inactive participants2017-01-01114,109
2016: ASCENSION WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01126,085
Total number of active participants reported on line 7a of the Form 55002016-01-01121,310
Number of retired or separated participants receiving benefits2016-01-012,228
Total of all active and inactive participants2016-01-01123,538
2015: ASCENSION WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01121,414
Total number of active participants reported on line 7a of the Form 55002015-01-01123,673
Number of retired or separated participants receiving benefits2015-01-012,412
Total of all active and inactive participants2015-01-01126,085
2014: ASCENSION WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01125,642
Total number of active participants reported on line 7a of the Form 55002014-01-01120,091
Number of retired or separated participants receiving benefits2014-01-01979
Number of other retired or separated participants entitled to future benefits2014-01-01344
Total of all active and inactive participants2014-01-01121,414

Financial Data on ASCENSION WELFARE BENEFIT PLAN

Measure Date Value
2022 : ASCENSION WELFARE BENEFIT PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$-7,813,660
Total unrealized appreciation/depreciation of assets2022-12-31$-7,813,660
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$147,222,587
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$167,007,221
Total income from all sources (including contributions)2022-12-31$195,882,894
Total loss/gain on sale of assets2022-12-31$-13,604,549
Total of all expenses incurred2022-12-31$185,137,931
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$173,934,714
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$219,590,040
Value of total assets at end of year2022-12-31$212,166,370
Value of total assets at beginning of year2022-12-31$221,206,041
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$11,203,217
Total interest from all sources2022-12-31$2,901,419
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$175,391
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$154,669
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$20,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$102,302,410
Participant contributions at end of year2022-12-31$5,600
Participant contributions at beginning of year2022-12-31$5,100
Assets. Other investments not covered elsewhere at end of year2022-12-31$3,213,076
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$2,120,824
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$6,044,803
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,353,301
Other income not declared elsewhere2022-12-31$100,830
Liabilities. Value of operating payables at end of year2022-12-31$17,780,380
Liabilities. Value of operating payables at beginning of year2022-12-31$10,921,633
Total non interest bearing cash at end of year2022-12-31$691,189
Total non interest bearing cash at beginning of year2022-12-31$1,330,323
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$10,744,963
Value of net assets at end of year (total assets less liabilities)2022-12-31$64,943,783
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$54,198,820
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
Investment advisory and management fees2022-12-31$225,267
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,102,316
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$15,173,738
Interest earned on other investments2022-12-31$54,361
Income. Interest from US Government securities2022-12-31$1,447,199
Income. Interest from corporate debt instruments2022-12-31$1,414,468
Value of interest in common/collective trusts at end of year2022-12-31$87,552,047
Value of interest in common/collective trusts at beginning of year2022-12-31$76,975,245
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$40,384
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$5
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$5
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$-14,609
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$41,117,082
Asset value of US Government securities at end of year2022-12-31$70,006,251
Asset value of US Government securities at beginning of year2022-12-31$63,594,737
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-752,489
Net investment gain or loss from common/collective trusts2022-12-31$-4,714,088
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
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$117,287,630
Employer contributions (assets) at end of year2022-12-31$40,179
Employer contributions (assets) at beginning of year2022-12-31$39,138
Income. Dividends from common stock2022-12-31$20,722
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$132,817,632
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$197,233
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$797,198
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$37,273,292
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$48,124,336
Contract administrator fees2022-12-31$10,977,950
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$10,692,096
Liabilities. Value of benefit claims payable at end of year2022-12-31$129,442,207
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$156,085,588
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
Aggregate proceeds on sale of assets2022-12-31$429,679,272
Aggregate carrying amount (costs) on sale of assets2022-12-31$443,283,821
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : ASCENSION WELFARE BENEFIT PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$-367,125
Total unrealized appreciation/depreciation of assets2021-12-31$-367,125
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$167,007,221
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$157,780,583
Total income from all sources (including contributions)2021-12-31$226,421,032
Total loss/gain on sale of assets2021-12-31$-1,062,821
Total of all expenses incurred2021-12-31$224,540,120
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$217,538,658
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$219,285,519
Value of total assets at end of year2021-12-31$221,206,041
Value of total assets at beginning of year2021-12-31$210,098,491
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$7,001,462
Total interest from all sources2021-12-31$2,442,077
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$443,964
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$368,097
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$20,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$102,895,121
Participant contributions at end of year2021-12-31$5,100
Participant contributions at beginning of year2021-12-31$2,241
Assets. Other investments not covered elsewhere at end of year2021-12-31$2,120,824
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$3,097,751
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,353,301
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$3,712,129
Other income not declared elsewhere2021-12-31$111,213
Liabilities. Value of operating payables at end of year2021-12-31$10,921,633
Liabilities. Value of operating payables at beginning of year2021-12-31$11,443,895
Total non interest bearing cash at end of year2021-12-31$1,330,323
Total non interest bearing cash at beginning of year2021-12-31$1,422,669
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
Value of net income/loss2021-12-31$1,880,912
Value of net assets at end of year (total assets less liabilities)2021-12-31$54,198,820
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$52,317,908
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$258,550
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$15,173,738
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$13,666,813
Interest earned on other investments2021-12-31$48,082
Income. Interest from US Government securities2021-12-31$982,817
Income. Interest from corporate debt instruments2021-12-31$1,402,184
Value of interest in common/collective trusts at end of year2021-12-31$76,975,245
Value of interest in common/collective trusts at beginning of year2021-12-31$67,086,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$5
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$3,925,508
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$3,925,508
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$8,994
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$41,298,861
Asset value of US Government securities at end of year2021-12-31$63,594,737
Asset value of US Government securities at beginning of year2021-12-31$56,095,540
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,138,828
Net investment gain or loss from common/collective trusts2021-12-31$4,429,377
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
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
Contributions received in cash from employer2021-12-31$116,390,398
Employer contributions (assets) at end of year2021-12-31$39,138
Employer contributions (assets) at beginning of year2021-12-31$42,119
Income. Dividends from common stock2021-12-31$75,867
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$176,239,797
Asset. Corporate debt instrument preferred debt at end of year2021-12-31$797,198
Asset. Corporate debt instrument preferred debt at beginning of year2021-12-31$964,298
Asset. Corporate debt instrument debt (other) at end of year2021-12-31$48,124,336
Asset. Corporate debt instrument debt (other) at beginning of year2021-12-31$51,731,784
Contract administrator fees2021-12-31$6,742,912
Assets. Corporate common stocks other than exployer securities at end of year2021-12-31$10,692,096
Assets. Corporate common stocks other than exployer securities at beginning of year2021-12-31$8,351,469
Liabilities. Value of benefit claims payable at end of year2021-12-31$156,085,588
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$146,336,688
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
Aggregate proceeds on sale of assets2021-12-31$347,244,350
Aggregate carrying amount (costs) on sale of assets2021-12-31$348,307,171
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : ASCENSION WELFARE BENEFIT PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$4,008,004
Total unrealized appreciation/depreciation of assets2020-12-31$4,008,004
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$157,780,583
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$152,950,902
Total income from all sources (including contributions)2020-12-31$388,091,873
Total loss/gain on sale of assets2020-12-31$1,061,987
Total of all expenses incurred2020-12-31$358,642,235
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$352,248,308
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$374,226,651
Value of total assets at end of year2020-12-31$210,098,491
Value of total assets at beginning of year2020-12-31$175,819,172
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$6,393,927
Total interest from all sources2020-12-31$3,577,163
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$307,618
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$248,687
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$20,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$144,405,342
Participant contributions at end of year2020-12-31$2,241
Participant contributions at beginning of year2020-12-31$1,782,744
Assets. Other investments not covered elsewhere at end of year2020-12-31$3,097,751
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$3,712,129
Other income not declared elsewhere2020-12-31$174,018
Liabilities. Value of operating payables at end of year2020-12-31$11,443,895
Liabilities. Value of operating payables at beginning of year2020-12-31$170,353
Total non interest bearing cash at end of year2020-12-31$1,422,669
Total non interest bearing cash at beginning of year2020-12-31$1,200,000
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$29,449,638
Value of net assets at end of year (total assets less liabilities)2020-12-31$52,317,908
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$22,868,270
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$272,788
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$13,666,813
Interest earned on other investments2020-12-31$113,624
Income. Interest from US Government securities2020-12-31$1,904,397
Income. Interest from corporate debt instruments2020-12-31$1,613,682
Value of interest in master investment trust accounts at beginning of year2020-12-31$166,098,343
Value of interest in common/collective trusts at end of year2020-12-31$67,086,170
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$3,925,508
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$-54,540
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$37,880,810
Asset value of US Government securities at end of year2020-12-31$56,095,540
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$32,018
Net investment gain or loss from common/collective trusts2020-12-31$4,704,414
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$229,821,309
Employer contributions (assets) at end of year2020-12-31$42,119
Employer contributions (assets) at beginning of year2020-12-31$6,738,085
Income. Dividends from common stock2020-12-31$58,931
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$314,367,498
Asset. Corporate debt instrument preferred debt at end of year2020-12-31$964,298
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$51,731,784
Contract administrator fees2020-12-31$6,121,139
Assets. Corporate common stocks other than exployer securities at end of year2020-12-31$8,351,469
Liabilities. Value of benefit claims payable at end of year2020-12-31$146,336,688
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$152,780,549
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
Aggregate proceeds on sale of assets2020-12-31$324,655,097
Aggregate carrying amount (costs) on sale of assets2020-12-31$323,593,110
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : ASCENSION WELFARE BENEFIT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total transfer of assets to this plan2019-12-31$13,485,653
Total transfer of assets to this plan2019-12-31$13,485,653
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$152,950,902
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$152,950,902
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$119,122,769
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$119,122,769
Total income from all sources (including contributions)2019-12-31$326,046,990
Total income from all sources (including contributions)2019-12-31$326,046,990
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$334,044,076
Total of all expenses incurred2019-12-31$334,044,076
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$327,025,126
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$327,025,126
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$308,972,964
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$308,972,964
Value of total assets at end of year2019-12-31$175,819,172
Value of total assets at end of year2019-12-31$175,819,172
Value of total assets at beginning of year2019-12-31$136,502,472
Value of total assets at beginning of year2019-12-31$136,502,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$7,018,950
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$7,018,950
Total interest from all sources2019-12-31$0
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$20,000,000
Value of fidelity bond cover2019-12-31$20,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$130,238,190
Contributions received from participants2019-12-31$130,238,190
Participant contributions at end of year2019-12-31$1,782,744
Participant contributions at end of year2019-12-31$1,782,744
Participant contributions at beginning of year2019-12-31$2,753,544
Participant contributions at beginning of year2019-12-31$2,753,544
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$130,133
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$130,133
Liabilities. Value of operating payables at end of year2019-12-31$170,353
Liabilities. Value of operating payables at end of year2019-12-31$170,353
Liabilities. Value of operating payables at beginning of year2019-12-31$225,991
Liabilities. Value of operating payables at beginning of year2019-12-31$225,991
Total non interest bearing cash at end of year2019-12-31$1,200,000
Total non interest bearing cash at end of year2019-12-31$1,200,000
Total non interest bearing cash at beginning of year2019-12-31$1,200,000
Total non interest bearing cash at beginning of year2019-12-31$1,200,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-7,997,086
Value of net income/loss2019-12-31$-7,997,086
Value of net assets at end of year (total assets less liabilities)2019-12-31$22,868,270
Value of net assets at end of year (total assets less liabilities)2019-12-31$22,868,270
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,379,703
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$17,379,703
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$270,958
Investment advisory and management fees2019-12-31$270,958
Value of interest in master investment trust accounts at end of year2019-12-31$166,098,343
Value of interest in master investment trust accounts at end of year2019-12-31$166,098,343
Value of interest in master investment trust accounts at beginning of year2019-12-31$130,664,210
Value of interest in master investment trust accounts at beginning of year2019-12-31$130,664,210
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$36,554,926
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$36,554,926
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$178,734,774
Contributions received in cash from employer2019-12-31$178,734,774
Employer contributions (assets) at end of year2019-12-31$6,738,085
Employer contributions (assets) at end of year2019-12-31$6,738,085
Employer contributions (assets) at beginning of year2019-12-31$1,884,718
Employer contributions (assets) at beginning of year2019-12-31$1,884,718
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$290,340,067
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$290,340,067
Contract administrator fees2019-12-31$6,747,992
Contract administrator fees2019-12-31$6,747,992
Liabilities. Value of benefit claims payable at end of year2019-12-31$152,780,549
Liabilities. Value of benefit claims payable at end of year2019-12-31$152,780,549
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$118,896,778
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$118,896,778
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm name2019-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2019-12-31410746749
Accountancy firm EIN2019-12-31410746749
2018 : ASCENSION WELFARE BENEFIT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$119,122,769
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$163,498,664
Total income from all sources (including contributions)2018-12-31$300,174,883
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$315,412,614
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$307,983,916
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$302,393,587
Value of total assets at end of year2018-12-31$136,502,472
Value of total assets at beginning of year2018-12-31$196,116,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$7,428,698
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-12-31$39,846
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$20,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$131,195,986
Participant contributions at end of year2018-12-31$2,753,544
Participant contributions at beginning of year2018-12-31$2,809,996
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$2,303,123
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$5,425,323
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$30,066,099
Liabilities. Value of operating payables at end of year2018-12-31$225,991
Liabilities. Value of operating payables at beginning of year2018-12-31$19,954,821
Total non interest bearing cash at end of year2018-12-31$1,200,000
Total non interest bearing cash at beginning of year2018-12-31$1,446,821
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-15,237,731
Value of net assets at end of year (total assets less liabilities)2018-12-31$17,379,703
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$32,617,434
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$241,433
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$13,293,480
Value of interest in master investment trust accounts at end of year2018-12-31$130,664,210
Value of interest in common/collective trusts at beginning of year2018-12-31$52,784,869
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$9,463,974
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$9,463,974
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$35,535,764
Asset value of US Government securities at beginning of year2018-12-31$52,374,537
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$171,197,601
Employer contributions (assets) at end of year2018-12-31$1,884,718
Employer contributions (assets) at beginning of year2018-12-31$4,712,778
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$272,448,152
Asset. Corporate debt instrument preferred debt at beginning of year2018-12-31$1,798,703
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$40,811,312
Contract administrator fees2018-12-31$7,187,265
Assets. Corporate common stocks other than exployer securities at beginning of year2018-12-31$8,851,336
Liabilities. Value of benefit claims payable at end of year2018-12-31$118,896,778
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$113,477,744
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2018-12-31410746749
2017 : ASCENSION WELFARE BENEFIT PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$49,844
Total unrealized appreciation/depreciation of assets2017-12-31$49,844
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$163,498,664
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$144,194,413
Total income from all sources (including contributions)2017-12-31$330,880,233
Total loss/gain on sale of assets2017-12-31$2,596,288
Total of all expenses incurred2017-12-31$333,728,522
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$325,491,954
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$321,010,293
Value of total assets at end of year2017-12-31$196,116,098
Value of total assets at beginning of year2017-12-31$179,660,136
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$8,236,568
Total interest from all sources2017-12-31$2,202,574
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$278,303
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$204,083
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$39,846
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$49,058
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$20,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$133,818,458
Participant contributions at end of year2017-12-31$2,809,996
Participant contributions at beginning of year2017-12-31$2,721,015
Assets. Other investments not covered elsewhere at end of year2017-12-31$2,303,123
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$1,851,466
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$5,425,323
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$2,332,108
Assets. Loans (other than to participants) at beginning of year2017-12-31$9,428,772
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$30,066,099
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$26,319,361
Other income not declared elsewhere2017-12-31$70,025
Liabilities. Value of operating payables at end of year2017-12-31$19,954,821
Liabilities. Value of operating payables at beginning of year2017-12-31$15,403,076
Total non interest bearing cash at end of year2017-12-31$1,446,821
Total non interest bearing cash at beginning of year2017-12-31$8,402,700
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$-2,848,289
Value of net assets at end of year (total assets less liabilities)2017-12-31$32,617,434
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$35,465,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$236,826
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$13,293,480
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$13,040,267
Income. Interest from loans (other than to participants)2017-12-31$42,392
Interest earned on other investments2017-12-31$41,779
Income. Interest from US Government securities2017-12-31$628,391
Income. Interest from corporate debt instruments2017-12-31$1,403,818
Value of interest in common/collective trusts at end of year2017-12-31$52,784,869
Value of interest in common/collective trusts at beginning of year2017-12-31$14,152,950
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$9,463,974
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$24,601,125
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$24,601,125
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$86,194
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$5,361,075
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$36,814,529
Asset value of US Government securities at end of year2017-12-31$52,374,537
Asset value of US Government securities at beginning of year2017-12-31$51,872,962
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,799,080
Net investment gain or loss from common/collective trusts2017-12-31$2,836,353
Net gain/loss from 103.12 investment entities2017-12-31$37,473
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$187,191,835
Employer contributions (assets) at end of year2017-12-31$4,712,778
Employer contributions (assets) at beginning of year2017-12-31$6,453,512
Income. Dividends from preferred stock2017-12-31$2,560
Income. Dividends from common stock2017-12-31$71,660
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$288,677,425
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$1,798,703
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$12,722,617
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$40,811,312
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$17,882,017
Contract administrator fees2017-12-31$7,999,742
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$8,851,336
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$8,788,492
Liabilities. Value of benefit claims payable at end of year2017-12-31$113,477,744
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$102,471,976
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$336,290,921
Aggregate carrying amount (costs) on sale of assets2017-12-31$333,694,633
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2017-12-31410746749
2016 : ASCENSION WELFARE BENEFIT PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$1,218,701
Total unrealized appreciation/depreciation of assets2016-12-31$1,218,701
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$144,194,413
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$130,433,957
Expenses. Interest paid2016-12-31$10,377
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022016-12-31$10,377
Total income from all sources (including contributions)2016-12-31$318,270,455
Total loss/gain on sale of assets2016-12-31$-518,767
Total of all expenses incurred2016-12-31$316,602,064
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$307,924,144
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$311,667,915
Value of total assets at end of year2016-12-31$179,660,136
Value of total assets at beginning of year2016-12-31$164,231,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$8,667,543
Total interest from all sources2016-12-31$2,490,651
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$100,059
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2016-12-31$49,058
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2016-12-31$49,381
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$20,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$131,088,058
Participant contributions at end of year2016-12-31$2,721,015
Participant contributions at beginning of year2016-12-31$2,911,662
Assets. Other investments not covered elsewhere at end of year2016-12-31$1,851,466
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$4,887,084
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$2,332,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$2,827,051
Assets. Loans (other than to participants) at end of year2016-12-31$9,428,772
Assets. Loans (other than to participants) at beginning of year2016-12-31$13,477,217
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$26,319,361
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$26,271,084
Other income not declared elsewhere2016-12-31$39,332
Liabilities. Value of operating payables at end of year2016-12-31$15,403,076
Liabilities. Value of operating payables at beginning of year2016-12-31$8,436,254
Total non interest bearing cash at end of year2016-12-31$8,402,700
Total non interest bearing cash at beginning of year2016-12-31$1,850,690
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,668,391
Value of net assets at end of year (total assets less liabilities)2016-12-31$35,465,723
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$33,797,332
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Investment advisory and management fees2016-12-31$234,468
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$13,040,267
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$9,681,524
Income. Interest from loans (other than to participants)2016-12-31$812,831
Interest earned on other investments2016-12-31$-55,841
Income. Interest from US Government securities2016-12-31$759,983
Income. Interest from corporate debt instruments2016-12-31$947,624
Value of interest in common/collective trusts at end of year2016-12-31$14,152,950
Value of interest in common/collective trusts at beginning of year2016-12-31$13,164,037
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$24,601,125
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$25,063,525
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$25,063,525
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$26,054
Assets. Value of investments in 103.12 investment entities at end of year2016-12-31$5,361,075
Assets. Value of investments in 103.12 investment entities at beginning of year2016-12-31$6,217,361
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$34,793,173
Asset value of US Government securities at end of year2016-12-31$51,872,962
Asset value of US Government securities at beginning of year2016-12-31$41,173,252
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$626,664
Net investment gain or loss from common/collective trusts2016-12-31$1,944,228
Net gain/loss from 103.12 investment entities2016-12-31$701,672
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$180,579,857
Employer contributions (assets) at end of year2016-12-31$6,453,512
Employer contributions (assets) at beginning of year2016-12-31$6,050,486
Income. Dividends from preferred stock2016-12-31$3,367
Income. Dividends from common stock2016-12-31$96,692
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$273,130,971
Asset. Corporate debt instrument preferred debt at end of year2016-12-31$12,722,617
Asset. Corporate debt instrument preferred debt at beginning of year2016-12-31$10,581,387
Asset. Corporate debt instrument debt (other) at end of year2016-12-31$17,882,017
Asset. Corporate debt instrument debt (other) at beginning of year2016-12-31$18,578,042
Contract administrator fees2016-12-31$8,433,075
Assets. Corporate common stocks other than exployer securities at end of year2016-12-31$8,788,492
Assets. Corporate common stocks other than exployer securities at beginning of year2016-12-31$7,718,590
Liabilities. Value of benefit claims payable at end of year2016-12-31$102,471,976
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$95,726,619
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$585,460,755
Aggregate carrying amount (costs) on sale of assets2016-12-31$585,979,522
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2016-12-31410746749
2015 : ASCENSION WELFARE BENEFIT PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$-977,708
Total unrealized appreciation/depreciation of assets2015-12-31$-977,708
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$130,433,957
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$138,792,092
Expenses. Interest paid2015-12-31$13,993
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022015-12-31$13,993
Total income from all sources (including contributions)2015-12-31$273,430,892
Total loss/gain on sale of assets2015-12-31$-1,564,215
Total of all expenses incurred2015-12-31$278,253,241
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$269,762,608
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$274,138,127
Value of total assets at end of year2015-12-31$164,231,289
Value of total assets at beginning of year2015-12-31$177,411,773
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$8,476,640
Total interest from all sources2015-12-31$2,737,200
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$86,920
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Assets. Corporate prefeered stocks other than exployer securities at end of year2015-12-31$49,381
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2015-12-31$50,502
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$20,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$121,146,115
Participant contributions at end of year2015-12-31$2,911,662
Participant contributions at beginning of year2015-12-31$2,399,956
Assets. Other investments not covered elsewhere at end of year2015-12-31$4,887,084
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$7,053,397
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$2,827,051
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$5,764,927
Assets. Loans (other than to participants) at end of year2015-12-31$13,477,217
Assets. Loans (other than to participants) at beginning of year2015-12-31$12,370,870
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$26,271,084
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$28,185,539
Other income not declared elsewhere2015-12-31$7,638
Liabilities. Value of operating payables at end of year2015-12-31$8,436,254
Liabilities. Value of operating payables at beginning of year2015-12-31$17,611,921
Total non interest bearing cash at end of year2015-12-31$1,850,690
Total non interest bearing cash at beginning of year2015-12-31$2,036,608
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-4,822,349
Value of net assets at end of year (total assets less liabilities)2015-12-31$33,797,332
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$38,619,681
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$239,601
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$9,681,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$11,175,685
Income. Interest from loans (other than to participants)2015-12-31$802,209
Interest earned on other investments2015-12-31$280,485
Income. Interest from US Government securities2015-12-31$648,253
Income. Interest from corporate debt instruments2015-12-31$1,006,253
Value of interest in common/collective trusts at end of year2015-12-31$13,164,037
Value of interest in common/collective trusts at beginning of year2015-12-31$20,692,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$25,063,525
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$10,560,323
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$10,560,323
Assets. Value of investments in 103.12 investment entities at end of year2015-12-31$6,217,361
Assets. Value of investments in 103.12 investment entities at beginning of year2015-12-31$5,930,933
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$33,482,285
Asset value of US Government securities at end of year2015-12-31$41,173,252
Asset value of US Government securities at beginning of year2015-12-31$49,068,923
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-642,051
Net investment gain or loss from common/collective trusts2015-12-31$-280,755
Net gain/loss from 103.12 investment entities2015-12-31$-74,264
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$152,992,012
Employer contributions (assets) at end of year2015-12-31$6,050,486
Employer contributions (assets) at beginning of year2015-12-31$13,192,298
Income. Dividends from preferred stock2015-12-31$3,741
Income. Dividends from common stock2015-12-31$83,179
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$236,280,323
Asset. Corporate debt instrument preferred debt at end of year2015-12-31$10,581,387
Asset. Corporate debt instrument preferred debt at beginning of year2015-12-31$13,281,781
Asset. Corporate debt instrument debt (other) at end of year2015-12-31$18,578,042
Asset. Corporate debt instrument debt (other) at beginning of year2015-12-31$16,129,890
Contract administrator fees2015-12-31$8,237,039
Assets. Corporate common stocks other than exployer securities at end of year2015-12-31$7,718,590
Assets. Corporate common stocks other than exployer securities at beginning of year2015-12-31$7,703,392
Liabilities. Value of benefit claims payable at end of year2015-12-31$95,726,619
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$92,994,632
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$205,261,736
Aggregate carrying amount (costs) on sale of assets2015-12-31$206,825,951
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2015-12-31410746749
2014 : ASCENSION WELFARE BENEFIT PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$3,012,079
Total unrealized appreciation/depreciation of assets2014-12-31$3,012,079
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$138,792,092
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$124,054,895
Expenses. Interest paid2014-12-31$5,610
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022014-12-31$5,610
Total income from all sources (including contributions)2014-12-31$271,907,957
Total loss/gain on sale of assets2014-12-31$-1,212,447
Total of all expenses incurred2014-12-31$274,650,643
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$265,486,027
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$265,779,746
Value of total assets at end of year2014-12-31$177,411,773
Value of total assets at beginning of year2014-12-31$165,417,262
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$9,159,006
Total interest from all sources2014-12-31$2,366,705
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$334,815
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$251,675
Assets. Corporate prefeered stocks other than exployer securities at end of year2014-12-31$50,502
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2014-12-31$51,775
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$20,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$89,068,918
Participant contributions at end of year2014-12-31$2,399,956
Participant contributions at beginning of year2014-12-31$2,622,160
Assets. Other investments not covered elsewhere at end of year2014-12-31$7,053,397
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$4,095,347
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$5,764,927
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$3,927,435
Assets. Loans (other than to participants) at end of year2014-12-31$12,370,870
Assets. Loans (other than to participants) at beginning of year2014-12-31$8,909,244
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$28,185,539
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$26,763,158
Other income not declared elsewhere2014-12-31$-675,497
Liabilities. Value of operating payables at end of year2014-12-31$17,611,921
Liabilities. Value of operating payables at beginning of year2014-12-31$10,697,555
Total non interest bearing cash at end of year2014-12-31$2,036,608
Total non interest bearing cash at beginning of year2014-12-31$1,555,272
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-2,742,686
Value of net assets at end of year (total assets less liabilities)2014-12-31$38,619,681
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$41,362,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$225,507
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$11,175,685
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$8,334,907
Income. Interest from loans (other than to participants)2014-12-31$645,561
Interest earned on other investments2014-12-31$217,790
Income. Interest from US Government securities2014-12-31$604,614
Income. Interest from corporate debt instruments2014-12-31$897,675
Value of interest in common/collective trusts at end of year2014-12-31$20,692,288
Value of interest in common/collective trusts at beginning of year2014-12-31$27,124,531
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$10,560,323
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$27,087,869
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$27,087,869
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,065
Assets. Value of investments in 103.12 investment entities at end of year2014-12-31$5,930,933
Assets. Value of investments in 103.12 investment entities at beginning of year2014-12-31$5,519,423
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$27,166,935
Asset value of US Government securities at end of year2014-12-31$49,068,923
Asset value of US Government securities at beginning of year2014-12-31$31,968,649
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-769,304
Net investment gain or loss from common/collective trusts2014-12-31$2,767,280
Net gain/loss from 103.12 investment entities2014-12-31$304,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$176,710,828
Employer contributions (assets) at end of year2014-12-31$13,192,298
Employer contributions (assets) at beginning of year2014-12-31$12,231,691
Income. Dividends from preferred stock2014-12-31$3,741
Income. Dividends from common stock2014-12-31$79,399
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$238,319,092
Asset. Corporate debt instrument preferred debt at end of year2014-12-31$13,281,781
Asset. Corporate debt instrument preferred debt at beginning of year2014-12-31$12,826,278
Asset. Corporate debt instrument debt (other) at end of year2014-12-31$16,129,890
Asset. Corporate debt instrument debt (other) at beginning of year2014-12-31$11,742,812
Contract administrator fees2014-12-31$8,933,499
Assets. Corporate common stocks other than exployer securities at end of year2014-12-31$7,703,392
Assets. Corporate common stocks other than exployer securities at beginning of year2014-12-31$7,419,869
Liabilities. Value of benefit claims payable at end of year2014-12-31$92,994,632
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$86,594,182
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$175,420,817
Aggregate carrying amount (costs) on sale of assets2014-12-31$176,633,264
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2014-12-31410746749

Form 5500 Responses for ASCENSION WELFARE BENEFIT PLAN

2022: ASCENSION WELFARE BENEFIT 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: ASCENSION WELFARE BENEFIT 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: ASCENSION WELFARE BENEFIT 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
2019: ASCENSION WELFARE BENEFIT PLAN 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 planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ASCENSION WELFARE BENEFIT PLAN 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ASCENSION WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ASCENSION WELFARE BENEFIT PLAN 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 planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ASCENSION WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ASCENSION WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 4
Insurance contract or identification number50583-2
Number of Individuals Covered95418
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $248,943
Total amount of fees paid to insurance companyUSD $267,629
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 BenefitYes
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 $30,063,613
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $98,943
Insurance broker organization code?3
Amount paid for insurance broker fees245000
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 3
Insurance contract or identification number50583-1
Number of Individuals Covered111602
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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 BenefitYes
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 $9,459,741
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0212021
Policy instance 2
Insurance contract or identification number0212021
Number of Individuals Covered280
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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 BenefitYes
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 $78,412
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered321
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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 BenefitYes
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 $77,581
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered337
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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 BenefitYes
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 $91,853
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0212021
Policy instance 2
Insurance contract or identification number0212021
Number of Individuals Covered279
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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 BenefitYes
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 $111,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 3
Insurance contract or identification number50583-1
Number of Individuals Covered116688
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?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 BenefitYes
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 $9,331,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 4
Insurance contract or identification number50583-2
Number of Individuals Covered101368
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $150,000
Total amount of fees paid to insurance companyUSD $268,586
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 BenefitYes
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 $30,272,860
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150,000
Insurance broker organization code?3
Amount paid for insurance broker fees245000
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0212021
Policy instance 2
Insurance contract or identification number0212021
Number of Individuals Covered200
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?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 BenefitYes
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 $33,559
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 3
Insurance contract or identification number50583-1
Number of Individuals Covered111040
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?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 BenefitYes
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 $8,314,327
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 4
Insurance contract or identification number50583-2
Number of Individuals Covered102110
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $150,000
Total amount of fees paid to insurance companyUSD $24,250
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 BenefitYes
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 $28,033,757
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150,000
Insurance broker organization code?3
Amount paid for insurance broker fees20343
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered481
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?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 BenefitYes
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 $122,994
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0212021
Policy instance 2
Insurance contract or identification number0212021
Number of Individuals Covered144
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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 BenefitYes
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 $29,824
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 3
Insurance contract or identification number50583-1
Number of Individuals Covered114300
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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 BenefitYes
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 $8,090,990
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 4
Insurance contract or identification number50583-2
Number of Individuals Covered103735
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $150,000
Total amount of fees paid to insurance companyUSD $46,097
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 BenefitYes
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 $26,840,362
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150,000
Insurance broker organization code?3
Amount paid for insurance broker fees46097
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered531
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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 BenefitYes
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 $124,081
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 3
Insurance contract or identification number50583-2
Number of Individuals Covered102006
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $150,000
Total amount of fees paid to insurance companyUSD $291,770
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 BenefitYes
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 $26,146,563
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $150,000
Insurance broker organization code?3
Amount paid for insurance broker fees245000
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 2
Insurance contract or identification number50583-1
Number of Individuals Covered112072
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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 BenefitYes
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 $7,867,955
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered506
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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 BenefitYes
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 $123,175
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 3
Insurance contract or identification number50583-2
Number of Individuals Covered125579
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $150,000
Total amount of fees paid to insurance companyUSD $324,929
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 BenefitYes
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
Commission paid to Insurance BrokerUSD $150,000
Insurance broker organization code?3
Amount paid for insurance broker fees270661
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
Insurance broker nameHATTERAS
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 2
Insurance contract or identification number50583-1
Number of Individuals Covered119440
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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 BenefitYes
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 $8,122,133
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered476
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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 BenefitYes
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 $109,306
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered530
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 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 $230,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 2
Insurance contract or identification number50583-1
Number of Individuals Covered122374
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitYes
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 $7,537,797
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 3
Insurance contract or identification number50583-2
Number of Individuals Covered171732
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $25,000
Total amount of fees paid to insurance companyUSD $434,254
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 BenefitYes
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 $24,599,925
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25,000
Insurance broker organization code?3
Amount paid for insurance broker fees318292
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
Insurance broker nameUNITED ENVELOPE
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-2
Policy instance 3
Insurance contract or identification number50583-2
Number of Individuals Covered103254
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $577,954
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 BenefitYes
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 $19,947,332
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $265,464
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATOR FEES
Insurance broker organization code?5
Insurance broker nameAXA ASSISTANCE, USA
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number50583-1
Policy instance 2
Insurance contract or identification number50583-1
Number of Individuals Covered99628
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 BenefitYes
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 $5,752,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0095512
Policy instance 1
Insurance contract or identification number0095512
Number of Individuals Covered1274
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 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 $354,628
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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