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DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameDD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN
Plan identification number 501

DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

D.D. HURST CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:D.D. HURST CORPORATION
Employer identification number (EIN):471944779
NAIC Classification:423800

Additional information about D.D. HURST CORPORATION

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5760700

More information about D.D. HURST CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01DONNA HURST
5012016-01-01DWIGHT HURST
5012015-01-01DWIGHT HURST

Plan Statistics for DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN

Measure Date Value
2022: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0145
Total number of active participants reported on line 7a of the Form 55002022-01-0158
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0161
2021: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0135
Total number of active participants reported on line 7a of the Form 55002021-01-0145
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0145
2020: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0136
Total number of active participants reported on line 7a of the Form 55002020-01-0135
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0135
2019: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0137
Total number of active participants reported on line 7a of the Form 55002019-01-0136
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0136
2018: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0142
Total number of active participants reported on line 7a of the Form 55002018-01-0135
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0137
2017: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0137
Total number of active participants reported on line 7a of the Form 55002017-01-0142
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0142
2016: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0133
Total number of active participants reported on line 7a of the Form 55002016-01-0137
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0137
2015: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0124
Total number of active participants reported on line 7a of the Form 55002015-01-0133
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0133

Financial Data on DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN

Measure Date Value
2022 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$46,601
Total plan liabilities at beginning of year2022-12-31$86,065
Total income from all sources2022-12-31$730,370
Expenses. Total of all expenses incurred2022-12-31$637,331
Benefits paid (including direct rollovers)2022-12-31$350,413
Total plan assets at end of year2022-12-31$62,623
Total plan assets at beginning of year2022-12-31$9,048
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$304,533
Expenses. Other expenses not covered elsewhere2022-12-31$280,070
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$91
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$93,039
Net plan assets at end of year (total assets less liabilities)2022-12-31$16,022
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-77,017
Total contributions received or receivable from employer(s)2022-12-31$425,746
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$6,848
2021 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$86,065
Total plan liabilities at beginning of year2021-12-31$19,625
Total income from all sources2021-12-31$461,403
Expenses. Total of all expenses incurred2021-12-31$650,898
Benefits paid (including direct rollovers)2021-12-31$404,888
Total plan assets at end of year2021-12-31$9,048
Total plan assets at beginning of year2021-12-31$132,103
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$133,891
Expenses. Other expenses not covered elsewhere2021-12-31$176,662
Other income received2021-12-31$176
Net income (gross income less expenses)2021-12-31$-189,495
Net plan assets at end of year (total assets less liabilities)2021-12-31$-77,017
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$112,478
Total contributions received or receivable from employer(s)2021-12-31$327,336
Value of corrective distributions2021-12-31$57,147
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$12,201
2020 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$19,625
Total plan liabilities at beginning of year2020-12-31$45,729
Total income from all sources2020-12-31$425,371
Expenses. Total of all expenses incurred2020-12-31$365,730
Benefits paid (including direct rollovers)2020-12-31$150,410
Total plan assets at end of year2020-12-31$132,103
Total plan assets at beginning of year2020-12-31$98,566
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$128,694
Expenses. Other expenses not covered elsewhere2020-12-31$152,981
Other income received2020-12-31$373
Net income (gross income less expenses)2020-12-31$59,641
Net plan assets at end of year (total assets less liabilities)2020-12-31$112,478
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$52,837
Total contributions received or receivable from employer(s)2020-12-31$296,304
Value of corrective distributions2020-12-31$46,721
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$15,618
2019 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$45,729
Total plan liabilities at beginning of year2019-12-31$46,960
Total income from all sources2019-12-31$394,375
Expenses. Total of all expenses incurred2019-12-31$366,375
Benefits paid (including direct rollovers)2019-12-31$226,003
Total plan assets at end of year2019-12-31$98,566
Total plan assets at beginning of year2019-12-31$71,797
Value of fidelity bond covering the plan2019-12-31$25,000
Total contributions received or receivable from participants2019-12-31$88,130
Expenses. Other expenses not covered elsewhere2019-12-31$124,705
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$171
Net income (gross income less expenses)2019-12-31$28,000
Net plan assets at end of year (total assets less liabilities)2019-12-31$52,837
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$24,837
Total contributions received or receivable from employer(s)2019-12-31$306,074
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15,667
2018 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$46,960
Total plan liabilities at beginning of year2018-12-31$34,257
Total income from all sources2018-12-31$367,077
Expenses. Total of all expenses incurred2018-12-31$386,877
Benefits paid (including direct rollovers)2018-12-31$249,569
Total plan assets at end of year2018-12-31$71,797
Total plan assets at beginning of year2018-12-31$78,894
Value of fidelity bond covering the plan2018-12-31$25,000
Total contributions received or receivable from participants2018-12-31$119,595
Expenses. Other expenses not covered elsewhere2018-12-31$119,601
Contributions received from other sources (not participants or employers)2018-12-31$4,432
Other income received2018-12-31$111
Net income (gross income less expenses)2018-12-31$-19,800
Net plan assets at end of year (total assets less liabilities)2018-12-31$24,837
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$44,637
Total contributions received or receivable from employer(s)2018-12-31$242,939
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$17,707
2017 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$34,257
Total plan liabilities at beginning of year2017-12-31$18,814
Total income from all sources2017-12-31$368,713
Expenses. Total of all expenses incurred2017-12-31$328,079
Benefits paid (including direct rollovers)2017-12-31$187,317
Total plan assets at end of year2017-12-31$78,894
Total plan assets at beginning of year2017-12-31$22,817
Value of fidelity bond covering the plan2017-12-31$25,000
Total contributions received or receivable from participants2017-12-31$112,293
Expenses. Other expenses not covered elsewhere2017-12-31$118,088
Contributions received from other sources (not participants or employers)2017-12-31$5,489
Other income received2017-12-31$10
Net income (gross income less expenses)2017-12-31$40,634
Net plan assets at end of year (total assets less liabilities)2017-12-31$44,637
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,003
Total contributions received or receivable from employer(s)2017-12-31$250,921
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$22,674
2016 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$18,814
Total plan liabilities at beginning of year2016-12-31$16,059
Total income from all sources2016-12-31$313,225
Expenses. Total of all expenses incurred2016-12-31$345,039
Benefits paid (including direct rollovers)2016-12-31$214,907
Total plan assets at end of year2016-12-31$22,817
Total plan assets at beginning of year2016-12-31$51,876
Value of fidelity bond covering the plan2016-12-31$25,000
Total contributions received or receivable from participants2016-12-31$94,288
Expenses. Other expenses not covered elsewhere2016-12-31$99,608
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$35
Net income (gross income less expenses)2016-12-31$-31,814
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,003
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$35,817
Total contributions received or receivable from employer(s)2016-12-31$218,902
Value of corrective distributions2016-12-31$11,419
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$19,105
2015 : DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$16,059
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$247,170
Expenses. Total of all expenses incurred2015-12-31$243,532
Benefits paid (including direct rollovers)2015-12-31$145,046
Total plan assets at end of year2015-12-31$51,876
Total plan assets at beginning of year2015-12-31$32,179
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$69,972
Expenses. Other expenses not covered elsewhere2015-12-31$82,818
Contributions received from other sources (not participants or employers)2015-12-31$1,560
Other income received2015-12-31$68
Net income (gross income less expenses)2015-12-31$3,638
Net plan assets at end of year (total assets less liabilities)2015-12-31$35,817
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$32,179
Total contributions received or receivable from employer(s)2015-12-31$175,570
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$15,668

Form 5500 Responses for DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE BENEFIT PLAN

2022: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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: DD HURST CORPORATION POWER PRO EQUIPMENT AND POWER PRO RENTS EMPLOYEE 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

Insurance Providers Used on plan

HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407359
Policy instance 1
Insurance contract or identification number407359
Number of Individuals Covered61
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $244,468
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number0047686
Policy instance 2
Insurance contract or identification number0047686
Number of Individuals Covered42
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $42,396
Total amount of fees paid to insurance companyUSD $1,671
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 $42,396
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $42,396
Amount paid for insurance broker fees1671
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?3
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407359
Policy instance 1
Insurance contract or identification number407359
Number of Individuals Covered45
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $147,835
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93440 )
Policy contract number407359
Policy instance 1
Insurance contract or identification number407359
Number of Individuals Covered35
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $126,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered36
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $102,002
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract numberVERIS
Policy instance 1
Insurance contract or identification numberVERIS
Number of Individuals Covered42
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $93,524
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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