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CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 401k Plan overview

Plan NameCLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.
Plan identification number 001

CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. has sponsored the creation of one or more 401k plans.

Company Name:CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.
Employer identification number (EIN):580965193
NAIC Classification:624200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01
0012020-07-01
0012019-07-01
0012018-07-01
0012017-07-01
0012017-07-01
0012016-07-01DR. RHONDA KINDRED DR. RHONDA KINDRED2017-12-11
0012015-07-01BEECHIE YATES BEECHIE YATES2016-12-29
0012014-07-01BEECHIE YATES BEECHIE YATES2015-12-28
0012013-07-01BEECHIE YATES BEECHIE YATES2014-11-11
0012012-07-01BEECHIE YATES
0012011-07-01BEECHIE YATES
0012009-07-01CHARLES W GRANT

Plan Statistics for CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.

401k plan membership statisitcs for CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.

Measure Date Value
2021: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2021 401k membership
Total participants, beginning-of-year2021-07-0167
Total number of active participants reported on line 7a of the Form 55002021-07-0145
Number of retired or separated participants receiving benefits2021-07-017
Number of other retired or separated participants entitled to future benefits2021-07-0115
Total of all active and inactive participants2021-07-0167
Total participants2021-07-0167
Number of participants with account balances2021-07-0155
2020: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2020 401k membership
Total participants, beginning-of-year2020-07-0167
Total number of active participants reported on line 7a of the Form 55002020-07-0145
Number of retired or separated participants receiving benefits2020-07-017
Number of other retired or separated participants entitled to future benefits2020-07-0115
Total of all active and inactive participants2020-07-0167
Total participants2020-07-0167
Number of participants with account balances2020-07-0162
2019: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2019 401k membership
Total participants, beginning-of-year2019-07-0161
Total number of active participants reported on line 7a of the Form 55002019-07-0145
Number of retired or separated participants receiving benefits2019-07-017
Number of other retired or separated participants entitled to future benefits2019-07-0115
Total of all active and inactive participants2019-07-0167
Total participants2019-07-0167
Number of participants with account balances2019-07-0163
2018: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2018 401k membership
Total participants, beginning-of-year2018-07-0163
Total number of active participants reported on line 7a of the Form 55002018-07-0139
Number of retired or separated participants receiving benefits2018-07-017
Number of other retired or separated participants entitled to future benefits2018-07-0115
Total of all active and inactive participants2018-07-0161
Total participants2018-07-0161
Number of participants with account balances2018-07-0157
2017: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2017 401k membership
Total participants, beginning-of-year2017-07-0165
Total number of active participants reported on line 7a of the Form 55002017-07-0148
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0115
Total of all active and inactive participants2017-07-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0163
Number of participants with account balances2017-07-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2016 401k membership
Total participants, beginning-of-year2016-07-0155
Total number of active participants reported on line 7a of the Form 55002016-07-0167
Number of retired or separated participants receiving benefits2016-07-011
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0168
Number of participants with account balances2016-07-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2015 401k membership
Total participants, beginning-of-year2015-07-0187
Total number of active participants reported on line 7a of the Form 55002015-07-0155
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0155
Number of participants with account balances2015-07-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2014 401k membership
Total participants, beginning-of-year2014-07-0165
Total number of active participants reported on line 7a of the Form 55002014-07-0164
Number of retired or separated participants receiving benefits2014-07-0123
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0187
Number of participants with account balances2014-07-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2013 401k membership
Total participants, beginning-of-year2013-07-0198
Total number of active participants reported on line 7a of the Form 55002013-07-0165
Total of all active and inactive participants2013-07-0165
Total participants2013-07-0165
Number of participants with account balances2013-07-0158
2012: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2012 401k membership
Total participants, beginning-of-year2012-07-0192
Total number of active participants reported on line 7a of the Form 55002012-07-0198
Total of all active and inactive participants2012-07-0198
Total participants2012-07-0198
Number of participants with account balances2012-07-0166
2011: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2011 401k membership
Total participants, beginning-of-year2011-07-0190
Total number of active participants reported on line 7a of the Form 55002011-07-0192
Total of all active and inactive participants2011-07-0192
Total participants2011-07-0192
Number of participants with account balances2011-07-0161
2009: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2009 401k membership
Total of all active and inactive participants2009-07-010
Total participants2009-07-010

Financial Data on CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.

Measure Date Value
2022 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2022 401k financial data
Total plan liabilities at end of year2022-06-30$0
Total plan liabilities at beginning of year2022-06-30$0
Total income from all sources2022-06-30$39,652
Expenses. Total of all expenses incurred2022-06-30$50,148
Benefits paid (including direct rollovers)2022-06-30$49,758
Total plan assets at end of year2022-06-30$602,562
Total plan assets at beginning of year2022-06-30$613,058
Total contributions received or receivable from participants2022-06-30$32,752
Other income received2022-06-30$235
Net income (gross income less expenses)2022-06-30$-10,496
Net plan assets at end of year (total assets less liabilities)2022-06-30$602,562
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$613,058
Assets. Value of participant loans2022-06-30$11,102
Total contributions received or receivable from employer(s)2022-06-30$6,665
Expenses. Administrative service providers (salaries,fees and commissions)2022-06-30$390
2021 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2021 401k financial data
Total income from all sources2021-06-30$119,839
Expenses. Total of all expenses incurred2021-06-30$103,033
Benefits paid (including direct rollovers)2021-06-30$102,522
Total plan assets at end of year2021-06-30$613,058
Total plan assets at beginning of year2021-06-30$596,252
Total contributions received or receivable from participants2021-06-30$48,206
Contributions received from other sources (not participants or employers)2021-06-30$7,045
Other income received2021-06-30$54,610
Net income (gross income less expenses)2021-06-30$16,806
Net plan assets at end of year (total assets less liabilities)2021-06-30$613,058
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$596,252
Assets. Value of participant loans2021-06-30$15,559
Total contributions received or receivable from employer(s)2021-06-30$9,978
Expenses. Administrative service providers (salaries,fees and commissions)2021-06-30$511
2020 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2020 401k financial data
Total income from all sources2020-06-30$74,030
Expenses. Total of all expenses incurred2020-06-30$23,518
Benefits paid (including direct rollovers)2020-06-30$23,019
Total plan assets at end of year2020-06-30$596,252
Total plan assets at beginning of year2020-06-30$545,740
Total contributions received or receivable from participants2020-06-30$46,596
Other income received2020-06-30$17,228
Net income (gross income less expenses)2020-06-30$50,512
Net plan assets at end of year (total assets less liabilities)2020-06-30$596,252
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$545,740
Assets. Value of participant loans2020-06-30$34,540
Total contributions received or receivable from employer(s)2020-06-30$10,206
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$499
2019 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2019 401k financial data
Total income from all sources2019-06-30$48,299
Expenses. Total of all expenses incurred2019-06-30$84,470
Benefits paid (including direct rollovers)2019-06-30$78,668
Total plan assets at end of year2019-06-30$545,740
Total plan assets at beginning of year2019-06-30$581,911
Total contributions received or receivable from participants2019-06-30$23,385
Expenses. Other expenses not covered elsewhere2019-06-30$1,342
Other income received2019-06-30$19,597
Net income (gross income less expenses)2019-06-30$-36,171
Net plan assets at end of year (total assets less liabilities)2019-06-30$545,740
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$581,911
Assets. Value of participant loans2019-06-30$43,519
Total contributions received or receivable from employer(s)2019-06-30$5,317
Value of certain deemed distributions of participant loans2019-06-30$4,032
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$428
2017 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2017 401k financial data
Total income from all sources2017-06-30$100,434
Expenses. Total of all expenses incurred2017-06-30$54,107
Benefits paid (including direct rollovers)2017-06-30$53,536
Total plan assets at end of year2017-06-30$467,374
Total plan assets at beginning of year2017-06-30$421,047
Total contributions received or receivable from participants2017-06-30$61,167
Other income received2017-06-30$28,484
Net income (gross income less expenses)2017-06-30$46,327
Net plan assets at end of year (total assets less liabilities)2017-06-30$467,374
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$421,047
Assets. Value of participant loans2017-06-30$65,568
Total contributions received or receivable from employer(s)2017-06-30$10,783
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$571
2016 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2016 401k financial data
Transfers to/from the plan2016-06-30$-5,801
Total income from all sources2016-06-30$87,707
Expenses. Total of all expenses incurred2016-06-30$56,372
Benefits paid (including direct rollovers)2016-06-30$55,883
Total plan assets at end of year2016-06-30$421,047
Total plan assets at beginning of year2016-06-30$395,513
Total contributions received or receivable from participants2016-06-30$70,321
Other income received2016-06-30$8,189
Net income (gross income less expenses)2016-06-30$31,335
Net plan assets at end of year (total assets less liabilities)2016-06-30$421,047
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$395,513
Assets. Value of participant loans2016-06-30$30,894
Total contributions received or receivable from employer(s)2016-06-30$9,197
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$489
2015 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2015 401k financial data
Transfers to/from the plan2015-06-30$-6,119
Total income from all sources2015-06-30$87,826
Expenses. Total of all expenses incurred2015-06-30$42,739
Benefits paid (including direct rollovers)2015-06-30$42,308
Total plan assets at end of year2015-06-30$395,513
Total plan assets at beginning of year2015-06-30$356,545
Total contributions received or receivable from participants2015-06-30$67,415
Other income received2015-06-30$13,162
Net income (gross income less expenses)2015-06-30$45,087
Net plan assets at end of year (total assets less liabilities)2015-06-30$395,513
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$356,545
Total contributions received or receivable from employer(s)2015-06-30$7,249
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$431
2014 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2014 401k financial data
Transfers to/from the plan2014-06-30$-23,240
Total income from all sources2014-06-30$117,782
Expenses. Total of all expenses incurred2014-06-30$86,933
Benefits paid (including direct rollovers)2014-06-30$86,446
Total plan assets at end of year2014-06-30$356,545
Total plan assets at beginning of year2014-06-30$348,936
Total contributions received or receivable from participants2014-06-30$86,729
Other income received2014-06-30$23,576
Net income (gross income less expenses)2014-06-30$30,849
Net plan assets at end of year (total assets less liabilities)2014-06-30$356,545
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$348,936
Assets. Value of participant loans2014-06-30$46,249
Total contributions received or receivable from employer(s)2014-06-30$7,477
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$487
2013 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2013 401k financial data
Transfers to/from the plan2013-06-30$-220
Total income from all sources2013-06-30$91,412
Expenses. Total of all expenses incurred2013-06-30$46,553
Benefits paid (including direct rollovers)2013-06-30$46,021
Total plan assets at end of year2013-06-30$348,936
Total plan assets at beginning of year2013-06-30$304,297
Total contributions received or receivable from participants2013-06-30$64,076
Other income received2013-06-30$18,085
Net income (gross income less expenses)2013-06-30$44,859
Net plan assets at end of year (total assets less liabilities)2013-06-30$348,936
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$304,297
Assets. Value of participant loans2013-06-30$26,062
Total contributions received or receivable from employer(s)2013-06-30$9,251
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$532
2012 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2012 401k financial data
Transfers to/from the plan2012-06-30$-241
Total income from all sources2012-06-30$54,931
Expenses. Total of all expenses incurred2012-06-30$9,815
Benefits paid (including direct rollovers)2012-06-30$9,456
Total plan assets at end of year2012-06-30$304,297
Total plan assets at beginning of year2012-06-30$259,422
Total contributions received or receivable from participants2012-06-30$38,913
Other income received2012-06-30$7,936
Net income (gross income less expenses)2012-06-30$45,116
Net plan assets at end of year (total assets less liabilities)2012-06-30$304,297
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$259,422
Assets. Value of participant loans2012-06-30$18,325
Total contributions received or receivable from employer(s)2012-06-30$8,082
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$359
2011 : CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2011 401k financial data
Total income from all sources2011-06-30$67,098
Expenses. Total of all expenses incurred2011-06-30$14,735
Benefits paid (including direct rollovers)2011-06-30$14,414
Total plan assets at end of year2011-06-30$259,422
Total plan assets at beginning of year2011-06-30$207,059
Total contributions received or receivable from participants2011-06-30$47,791
Other income received2011-06-30$11,486
Net income (gross income less expenses)2011-06-30$52,363
Net plan assets at end of year (total assets less liabilities)2011-06-30$259,422
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$207,059
Assets. Value of participant loans2011-06-30$7,932
Total contributions received or receivable from employer(s)2011-06-30$7,821
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$321

Form 5500 Responses for CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC.

2021: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan benefit arrangement – InsuranceYes
2020: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan benefit arrangement – InsuranceYes
2019: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan benefit arrangement – InsuranceYes
2018: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan benefit arrangement – InsuranceYes
2017: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedYes
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – General assets of the sponsorYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement – General assets of the sponsorYes
2016: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – General assets of the sponsorYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement – General assets of the sponsorYes
2015: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – General assets of the sponsorYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement – General assets of the sponsorYes
2014: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – General assets of the sponsorYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement – General assets of the sponsorYes
2013: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – General assets of the sponsorYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement – General assets of the sponsorYes
2012: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – General assets of the sponsorYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement – General assets of the sponsorYes
2011: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – General assets of the sponsorYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement – General assets of the sponsorYes
2009: CLAYTON COUNTY COMMUNITY SERVICES AUTHORITY, INC. 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered62
Insurance policy start date2021-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $1,494
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $508
Insurance broker organization code?3
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered62
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $2,176
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $86
Insurance broker organization code?3
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered63
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $2,119
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $87
Insurance broker organization code?3
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered61
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of fees paid to insurance companyUSD $1,092
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees462
Additional information about fees paid to insurance brokerPROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES FOR PLAN PARTICIPANT WHO ELECTED TO RECEIVE THEM
Insurance broker organization code?3
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered59
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,751
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
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
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
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered64
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $2,693
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68
Additional information about fees paid to insurance brokerPROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES WHEN ELECTED
Insurance broker organization code?3
Insurance broker nameDREHER/JOSEPH M
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered64
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $2,231
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $48
Additional information about fees paid to insurance brokerPROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES WHEN ELECTED
Insurance broker organization code?3
Insurance broker nameREYNOLDS/JEFFREY CHARLES
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered65
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,381
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $175
Additional information about fees paid to insurance brokerPROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES WHEN ELECTED BY PARTICIPANTS.
Insurance broker organization code?3
Insurance broker nameING FINANCIAL ADVISORS LLC
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered66
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $2,816
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees840
Additional information about fees paid to insurance brokerTO PROVIDE ASSET ALLOCATION ADVICE AND REBALANCING SERVICES.
Insurance broker nameREYNOLDS/ JEFFREY CHARLES
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered38
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $2,496
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number937667
Policy instance 1
Insurance contract or identification number937667
Number of Individuals Covered52
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $2,420
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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