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MAXAIR MECHANICAL 401(K) PLAN 401k Plan overview

Plan NameMAXAIR MECHANICAL 401(K) PLAN
Plan identification number 001

MAXAIR MECHANICAL 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MAXAIR MECHANICAL LLC has sponsored the creation of one or more 401k plans.

Company Name:MAXAIR MECHANICAL LLC
Employer identification number (EIN):581773064
NAIC Classification:238220
NAIC Description:Plumbing, Heating, and Air-Conditioning Contractors

Additional information about MAXAIR MECHANICAL LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2001-12-04
Company Identification Number: P01000115603
Legal Registered Office Address: 14071 WEST PARSLEY DRIVE

ST. PETERSBURG

33708

More information about MAXAIR MECHANICAL LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MAXAIR MECHANICAL 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01JENNY BUNDRICK2020-04-28 JENNY BUNDRICK2020-04-28
0012018-01-01JENNY BUNDRICK2019-05-28
0012017-01-01JENNY BUNDRICK2018-06-21
0012016-01-01JENNY HILL2017-06-27
0012015-01-01JENNY HILL2016-06-22 JENNY HILL2016-06-22
0012014-01-01JENNY HILL2015-05-29
0012013-01-01JENNY HILL2014-05-19
0012012-01-01FAE MARIE TILLIS2013-06-03 FAE MARIE TILLIS2013-06-03
0012011-01-01MAXAIR, INC2012-07-16
0012010-01-01FAE MARIE TILLIS2011-06-22

Plan Statistics for MAXAIR MECHANICAL 401(K) PLAN

401k plan membership statisitcs for MAXAIR MECHANICAL 401(K) PLAN

Measure Date Value
2022: MAXAIR MECHANICAL 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01270
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: MAXAIR MECHANICAL 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01261
Total number of active participants reported on line 7a of the Form 55002021-01-01241
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0129
Total of all active and inactive participants2021-01-01270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01270
Number of participants with account balances2021-01-01126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-014
2020: MAXAIR MECHANICAL 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01245
Total number of active participants reported on line 7a of the Form 55002020-01-01236
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0122
Total of all active and inactive participants2020-01-01258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01258
Number of participants with account balances2020-01-01109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-016

Financial Data on MAXAIR MECHANICAL 401(K) PLAN

Measure Date Value
2022 : MAXAIR MECHANICAL 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-03-01$0
Total transfer of assets from this plan2022-03-01$5,355,205
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-03-01$0
Total income from all sources (including contributions)2022-03-01$-301,927
Total loss/gain on sale of assets2022-03-01$0
Total of all expenses incurred2022-03-01$995,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-03-01$992,684
Value of total corrective distributions2022-03-01$2,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-03-01$172,102
Value of total assets at end of year2022-03-01$0
Value of total assets at beginning of year2022-03-01$6,652,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-03-01$420
Total interest from all sources2022-03-01$382
Total dividends received (eg from common stock, registered investment company shares)2022-03-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-03-01No
Was this plan covered by a fidelity bond2022-03-01Yes
Value of fidelity bond cover2022-03-01$5,000,000
If this is an individual account plan, was there a blackout period2022-03-01Yes
Were there any nonexempt tranactions with any party-in-interest2022-03-01No
Participant contributions at end of year2022-03-01$0
Participant contributions at beginning of year2022-03-01$108,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-01No
Value of net income/loss2022-03-01$-1,297,423
Value of net assets at end of year (total assets less liabilities)2022-03-01$0
Value of net assets at beginning of year (total assets less liabilities)2022-03-01$6,652,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-03-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-03-01No
Were any leases to which the plan was party in default or uncollectible2022-03-01No
Value of interest in pooled separate accounts at end of year2022-03-01$0
Value of interest in pooled separate accounts at beginning of year2022-03-01$6,543,638
Interest on participant loans2022-03-01$382
Net investment gain/loss from pooled separate accounts2022-03-01$-474,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-03-01No
Was there a failure to transmit to the plan any participant contributions2022-03-01No
Has the plan failed to provide any benefit when due under the plan2022-03-01No
Contributions received in cash from employer2022-03-01$172,102
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-03-01$992,684
Contract administrator fees2022-03-01$420
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-03-01Yes
Did the plan have assets held for investment2022-03-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-03-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-03-01Yes
Opinion of an independent qualified public accountant for this plan2022-03-01Unqualified
Accountancy firm name2022-03-01BDO USA LLP
Accountancy firm EIN2022-03-01135381590
Total unrealized appreciation/depreciation of assets2022-02-28$0
Total transfer of assets from this plan2022-02-28$5,355,205
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-02-28$0
Total income from all sources (including contributions)2022-02-28$-301,927
Total loss/gain on sale of assets2022-02-28$0
Total of all expenses incurred2022-02-28$995,496
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-02-28$992,684
Value of total corrective distributions2022-02-28$2,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-02-28$172,102
Value of total assets at end of year2022-02-28$0
Value of total assets at beginning of year2022-02-28$6,652,628
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-02-28$420
Total interest from all sources2022-02-28$382
Total dividends received (eg from common stock, registered investment company shares)2022-02-28$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-02-28No
Was this plan covered by a fidelity bond2022-02-28Yes
Value of fidelity bond cover2022-02-28$5,000,000
If this is an individual account plan, was there a blackout period2022-02-28Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2022-02-28$0
Were there any nonexempt tranactions with any party-in-interest2022-02-28No
Participant contributions at end of year2022-02-28$0
Participant contributions at beginning of year2022-02-28$108,990
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Value of net income/loss2022-02-28$-1,297,423
Value of net assets at end of year (total assets less liabilities)2022-02-28$0
Value of net assets at beginning of year (total assets less liabilities)2022-02-28$6,652,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-02-28No
Were any loans by the plan or fixed income obligations due to the plan in default2022-02-28No
Were any leases to which the plan was party in default or uncollectible2022-02-28No
Value of interest in pooled separate accounts at end of year2022-02-28$0
Value of interest in pooled separate accounts at beginning of year2022-02-28$6,543,638
Interest on participant loans2022-02-28$382
Net investment gain/loss from pooled separate accounts2022-02-28$-474,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-02-28No
Was there a failure to transmit to the plan any participant contributions2022-02-28Yes
Has the plan failed to provide any benefit when due under the plan2022-02-28No
Contributions received in cash from employer2022-02-28$172,102
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-02-28$992,684
Contract administrator fees2022-02-28$420
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-02-28Yes
Did the plan have assets held for investment2022-02-28No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-02-28No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-02-28Yes
Opinion of an independent qualified public accountant for this plan2022-02-28Unqualified
2021 : MAXAIR MECHANICAL 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,444,006
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$509,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$498,282
Expenses. Certain deemed distributions of participant loans2021-12-31$3,474
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$751,439
Value of total assets at end of year2021-12-31$6,652,628
Value of total assets at beginning of year2021-12-31$5,718,506
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$8,128
Total interest from all sources2021-12-31$5,163
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$5,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$554,265
Participant contributions at end of year2021-12-31$108,990
Participant contributions at beginning of year2021-12-31$111,580
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$21,939
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,006,121
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$934,122
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,652,628
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,718,506
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$6,543,638
Value of interest in pooled separate accounts at beginning of year2021-12-31$4,600,805
Interest on participant loans2021-12-31$5,163
Net investment gain/loss from pooled separate accounts2021-12-31$687,404
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$175,235
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$498,282
Contract administrator fees2021-12-31$8,128
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31BDO USA, LLP
Accountancy firm EIN2021-12-31135381590
2020 : MAXAIR MECHANICAL 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total transfer of assets to this plan2020-12-31$1,006,121
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,702,621
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$564,880
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$559,006
Value of total corrective distributions2020-12-31$467
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$886,759
Value of total assets at end of year2020-12-31$5,718,506
Value of total assets at beginning of year2020-12-31$3,574,644
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$5,407
Total interest from all sources2020-12-31$3,204
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$439,304
Participant contributions at end of year2020-12-31$111,580
Participant contributions at beginning of year2020-12-31$56,345
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$64,451
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,006,121
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,137,741
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,718,506
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,574,644
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$4,600,805
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,518,299
Interest on participant loans2020-12-31$3,204
Net investment gain/loss from pooled separate accounts2020-12-31$812,658
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$383,004
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$559,006
Contract administrator fees2020-12-31$5,407
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BDO USA LLP
Accountancy firm EIN2020-12-31135381590

Form 5500 Responses for MAXAIR MECHANICAL 401(K) PLAN

2022: MAXAIR MECHANICAL 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: MAXAIR MECHANICAL 401(K) 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: MAXAIR MECHANICAL 401(K) 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

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number066816
Policy instance 1
Insurance contract or identification number066816
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $1,793
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?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
Commission paid to Insurance BrokerUSD $1,793
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number066816
Policy instance 1
Insurance contract or identification number066816
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-02-28
Total amount of commissions paid to insurance brokerUSD $1,793
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?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
Commission paid to Insurance BrokerUSD $1,793
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number066816
Policy instance 1
Insurance contract or identification number066816
Number of Individuals Covered270
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $21,997
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
Commission paid to Insurance BrokerUSD $21,997
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number066816
Policy instance 1
Insurance contract or identification number066816
Number of Individuals Covered258
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $13,208
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
Commission paid to Insurance BrokerUSD $13,208
Insurance broker organization code?3

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