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RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 401k Plan overview

Plan NameRHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN
Plan identification number 501

RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN Benefits

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

401k Sponsoring company profile

RHINEHART RAILROAD CONSTRUCTION, IN has sponsored the creation of one or more 401k plans.

Company Name:RHINEHART RAILROAD CONSTRUCTION, IN
Employer identification number (EIN):520907073
NAIC Classification:237990
NAIC Description:Other Heavy and Civil Engineering Construction

Additional information about RHINEHART RAILROAD CONSTRUCTION, IN

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2015-08-26
Company Identification Number: F200448
Legal Registered Office Address: 245 ALPINE DR

LEESBURG
United States of America (USA)
20175

More information about RHINEHART RAILROAD CONSTRUCTION, IN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01
5012021-04-01
5012020-04-01
5012019-04-01
5012017-04-01DIANE RHINEHART
5012016-04-01
5012015-04-01DIANE RHINEHART
5012014-04-01DIANE RHINEHART
5012013-04-01DIANE RHINEHART
5012012-04-01DIANE RHINEHART
5012011-04-01DIANE RHINEHART

Plan Statistics for RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN

401k plan membership statisitcs for RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN

Measure Date Value
2022: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-04-0113
Total number of active participants reported on line 7a of the Form 55002022-04-0113
Number of retired or separated participants receiving benefits2022-04-010
Number of other retired or separated participants entitled to future benefits2022-04-010
Total of all active and inactive participants2022-04-0113
2021: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-04-0113
Total number of active participants reported on line 7a of the Form 55002021-04-0113
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-0113
2020: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-04-0113
Total number of active participants reported on line 7a of the Form 55002020-04-0113
Number of retired or separated participants receiving benefits2020-04-010
Number of other retired or separated participants entitled to future benefits2020-04-010
Total of all active and inactive participants2020-04-0113
2019: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-04-0113
Total number of active participants reported on line 7a of the Form 55002019-04-0113
Number of retired or separated participants receiving benefits2019-04-010
Number of other retired or separated participants entitled to future benefits2019-04-010
Total of all active and inactive participants2019-04-0113
2017: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-04-0113
Total number of active participants reported on line 7a of the Form 55002017-04-0113
Number of retired or separated participants receiving benefits2017-04-010
Number of other retired or separated participants entitled to future benefits2017-04-010
Total of all active and inactive participants2017-04-0113
2016: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0111
Total number of active participants reported on line 7a of the Form 55002016-04-0113
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-0113
2015: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0112
Total number of active participants reported on line 7a of the Form 55002015-04-0111
Number of retired or separated participants receiving benefits2015-04-010
Number of other retired or separated participants entitled to future benefits2015-04-010
Total of all active and inactive participants2015-04-0111
2014: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-0112
Total number of active participants reported on line 7a of the Form 55002014-04-0112
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-010
Total of all active and inactive participants2014-04-0112
2013: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0111
Total number of active participants reported on line 7a of the Form 55002013-04-0111
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-010
Total of all active and inactive participants2013-04-0111
2012: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0111
Total number of active participants reported on line 7a of the Form 55002012-04-0111
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-010
Total of all active and inactive participants2012-04-0111
2011: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-016
Total number of active participants reported on line 7a of the Form 55002011-04-016
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-010
Total of all active and inactive participants2011-04-016

Financial Data on RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN

Measure Date Value
2023 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2023 401k financial data
Total plan liabilities at end of year2023-03-31$523,200
Total plan liabilities at beginning of year2023-03-31$557,894
Total income from all sources2023-03-31$498
Expenses. Total of all expenses incurred2023-03-31$0
Total plan assets at end of year2023-03-31$656,693
Total plan assets at beginning of year2023-03-31$690,889
Other income received2023-03-31$498
Net income (gross income less expenses)2023-03-31$498
Net plan assets at end of year (total assets less liabilities)2023-03-31$133,493
Net plan assets at beginning of year (total assets less liabilities)2023-03-31$132,995
2022 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-03-31$557,894
Total plan liabilities at beginning of year2022-03-31$590,626
Total income from all sources2022-03-31$94,548
Expenses. Total of all expenses incurred2022-03-31$7,999
Total plan assets at end of year2022-03-31$690,889
Total plan assets at beginning of year2022-03-31$637,072
Expenses. Other expenses not covered elsewhere2022-03-31$7,999
Other income received2022-03-31$570
Net income (gross income less expenses)2022-03-31$86,549
Net plan assets at end of year (total assets less liabilities)2022-03-31$132,995
Net plan assets at beginning of year (total assets less liabilities)2022-03-31$46,446
Total contributions received or receivable from employer(s)2022-03-31$93,978
2021 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-03-31$590,626
Total plan liabilities at beginning of year2021-03-31$601,283
Total income from all sources2021-03-31$52,480
Expenses. Total of all expenses incurred2021-03-31$5,916
Total plan assets at end of year2021-03-31$637,072
Total plan assets at beginning of year2021-03-31$601,165
Expenses. Other expenses not covered elsewhere2021-03-31$5,916
Other income received2021-03-31$733
Net income (gross income less expenses)2021-03-31$46,564
Net plan assets at end of year (total assets less liabilities)2021-03-31$46,446
Net plan assets at beginning of year (total assets less liabilities)2021-03-31$-118
Total contributions received or receivable from employer(s)2021-03-31$51,747
2020 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-03-31$601,283
Total plan liabilities at beginning of year2020-03-31$609,672
Total income from all sources2020-03-31$2,264
Expenses. Total of all expenses incurred2020-03-31$3,084
Total plan assets at end of year2020-03-31$601,165
Total plan assets at beginning of year2020-03-31$610,374
Expenses. Other expenses not covered elsewhere2020-03-31$2,884
Other income received2020-03-31$2,264
Net income (gross income less expenses)2020-03-31$-820
Net plan assets at end of year (total assets less liabilities)2020-03-31$-118
Net plan assets at beginning of year (total assets less liabilities)2020-03-31$702
Expenses. Administrative service providers (salaries,fees and commissions)2020-03-31$200
2018 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2018 401k financial data
Total plan liabilities at end of year2018-03-31$592,071
Total plan liabilities at beginning of year2018-03-31$462,257
Total income from all sources2018-03-31$129,967
Expenses. Total of all expenses incurred2018-03-31$129,967
Total plan assets at end of year2018-03-31$592,071
Total plan assets at beginning of year2018-03-31$462,257
Expenses. Other expenses not covered elsewhere2018-03-31$128,127
Net income (gross income less expenses)2018-03-31$0
Net plan assets at end of year (total assets less liabilities)2018-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2018-03-31$0
Total contributions received or receivable from employer(s)2018-03-31$129,967
Expenses. Administrative service providers (salaries,fees and commissions)2018-03-31$1,840
2017 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-03-31$462,257
Total plan liabilities at beginning of year2017-03-31$287,982
Total income from all sources2017-03-31$175,489
Expenses. Total of all expenses incurred2017-03-31$175,489
Total plan assets at end of year2017-03-31$462,257
Total plan assets at beginning of year2017-03-31$287,982
Expenses. Other expenses not covered elsewhere2017-03-31$173,769
Net income (gross income less expenses)2017-03-31$0
Net plan assets at end of year (total assets less liabilities)2017-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$0
Total contributions received or receivable from employer(s)2017-03-31$175,489
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$1,720
2016 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-03-31$287,982
Total plan liabilities at beginning of year2016-03-31$120,574
Total income from all sources2016-03-31$168,915
Expenses. Total of all expenses incurred2016-03-31$168,915
Total plan assets at end of year2016-03-31$287,982
Total plan assets at beginning of year2016-03-31$120,574
Expenses. Other expenses not covered elsewhere2016-03-31$167,255
Net income (gross income less expenses)2016-03-31$0
Net plan assets at end of year (total assets less liabilities)2016-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$0
Total contributions received or receivable from employer(s)2016-03-31$168,915
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$1,660
2015 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-03-31$120,574
Total plan liabilities at beginning of year2015-03-31$115,961
Total income from all sources2015-03-31$4,236
Expenses. Total of all expenses incurred2015-03-31$4,236
Total plan assets at end of year2015-03-31$120,574
Total plan assets at beginning of year2015-03-31$115,961
Expenses. Other expenses not covered elsewhere2015-03-31$706
Net income (gross income less expenses)2015-03-31$0
Net plan assets at end of year (total assets less liabilities)2015-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$0
Total contributions received or receivable from employer(s)2015-03-31$4,236
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$3,530
2014 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year2014-03-31$115,961
Total plan liabilities at beginning of year2014-03-31$111,094
Total income from all sources2014-03-31$7,158
Expenses. Total of all expenses incurred2014-03-31$7,158
Total plan assets at end of year2014-03-31$115,961
Total plan assets at beginning of year2014-03-31$111,094
Expenses. Other expenses not covered elsewhere2014-03-31$5,468
Net income (gross income less expenses)2014-03-31$0
Net plan assets at end of year (total assets less liabilities)2014-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$0
Total contributions received or receivable from employer(s)2014-03-31$7,158
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$1,690
2013 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year2013-03-31$111,094
Total plan liabilities at beginning of year2013-03-31$110,580
Total income from all sources2013-03-31$0
Expenses. Total of all expenses incurred2013-03-31$0
Total plan assets at end of year2013-03-31$111,094
Total plan assets at beginning of year2013-03-31$110,580
Expenses. Other expenses not covered elsewhere2013-03-31$0
Other income received2013-03-31$0
Net income (gross income less expenses)2013-03-31$0
Net plan assets at end of year (total assets less liabilities)2013-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$0
Total contributions received or receivable from employer(s)2013-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$0
2012 : RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2012 401k financial data
Total plan liabilities at end of year2012-03-31$110,580
Total plan liabilities at beginning of year2012-03-31$0
Total income from all sources2012-03-31$324,890
Expenses. Total of all expenses incurred2012-03-31$324,890
Total plan assets at end of year2012-03-31$110,580
Total plan assets at beginning of year2012-03-31$0
Expenses. Other expenses not covered elsewhere2012-03-31$320,910
Other income received2012-03-31$9
Net income (gross income less expenses)2012-03-31$0
Net plan assets at end of year (total assets less liabilities)2012-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$0
Total contributions received or receivable from employer(s)2012-03-31$324,881
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$3,980

Form 5500 Responses for RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN

2022: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01Submission has been amendedNo
2022-04-01This submission is the final filingNo
2022-04-01This return/report is a short plan year return/report (less than 12 months)No
2022-04-01Plan is a collectively bargained planNo
2022-04-01Plan funding arrangement – InsuranceYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes
2021: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2021 form 5500 responses
2021-04-01Type of plan entitySingle employer plan
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)No
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes
2020: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-04-01Type of plan entitySingle employer plan
2020-04-01Submission has been amendedNo
2020-04-01This submission is the final filingNo
2020-04-01This return/report is a short plan year return/report (less than 12 months)No
2020-04-01Plan is a collectively bargained planNo
2020-04-01Plan funding arrangement – InsuranceYes
2020-04-01Plan funding arrangement – TrustYes
2020-04-01Plan benefit arrangement – InsuranceYes
2020-04-01Plan benefit arrangement - TrustYes
2019: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-04-01Type of plan entitySingle employer plan
2019-04-01Submission has been amendedNo
2019-04-01This submission is the final filingNo
2019-04-01This return/report is a short plan year return/report (less than 12 months)No
2019-04-01Plan is a collectively bargained planNo
2019-04-01Plan funding arrangement – InsuranceYes
2019-04-01Plan funding arrangement – TrustYes
2019-04-01Plan benefit arrangement – InsuranceYes
2019-04-01Plan benefit arrangement - TrustYes
2017: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-04-01Type of plan entitySingle employer plan
2017-04-01Submission has been amendedNo
2017-04-01This submission is the final filingNo
2017-04-01This return/report is a short plan year return/report (less than 12 months)No
2017-04-01Plan is a collectively bargained planNo
2017-04-01Plan funding arrangement – InsuranceYes
2017-04-01Plan funding arrangement – TrustYes
2017-04-01Plan benefit arrangement – InsuranceYes
2017-04-01Plan benefit arrangement - TrustYes
2016: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: RHINEHART RAILROAD CONSTRUCTION, INC. WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01First time form 5500 has been submittedYes
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

FIDELITY SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered13
Insurance policy start date2022-04-01
Insurance policy end date2023-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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
Other welfare benefits providedANNUITY
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
FIDELITY SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered13
Insurance policy start date2021-04-01
Insurance policy end date2022-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
FIDELITY SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered13
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Insurance broker organization code?5
FIDELITY SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered13
Insurance policy start date2019-04-01
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
FIDELITY SECURITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered13
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,840
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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Amount paid for insurance broker fees1840
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameCJA & ASSOCIATES
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered12
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,525
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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Amount paid for insurance broker fees3350
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameSCOTT LEVIN, STRATEGIC PLANNING SER
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered11
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,973
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 BenefitYes
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
Other welfare benefits providedANNUITY
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
Amount paid for insurance broker fees1690
Additional information about fees paid to insurance brokerADMINISTRATION FEES
Insurance broker organization code?5
Insurance broker nameSCOTT LEVIN, STRATEGIC PLANNING SER
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA-566-5981
Policy instance 1
Insurance contract or identification numberFA-566-5981
Number of Individuals Covered11
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
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 BenefitYes
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
Other welfare benefits providedANNUITY
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
EYEMED VISION CARE (National Association of Insurance Commissioners NAIC id number: 71870 )
Policy contract numberFA5665981
Policy instance 1
Insurance contract or identification numberFA5665981
Number of Individuals Covered6
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $48,113
Total amount of fees paid to insurance companyUSD $3,980
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 BenefitYes
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
Other welfare benefits providedANNUITY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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