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HUMANA RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameHUMANA RETIREMENT SAVINGS PLAN
Plan identification number 002

HUMANA RETIREMENT SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • ESOP other than a leveraged ESOP - A completed Schedule E must be attached to a Form 5500 filed for an Employee Stock Ownership Plan (ESOP).
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Life insurance

401k Sponsoring company profile

HUMANA INC. has sponsored the creation of one or more 401k plans.

Company Name:HUMANA INC.
Employer identification number (EIN):610647538
NAIC Classification:484120
NAIC Description: General Freight Trucking, Long-Distance

Additional information about HUMANA INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 0613712

More information about HUMANA INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HUMANA RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01ERIK ANDERSON
0022017-01-01ERIK ANDERSON
0022016-01-01DEBORAH M TRIPLETT
0022015-01-01DEBORAH M TRIPLETT
0022014-01-01DEBORAH M TRIPLETT
0022013-01-01DEBORAH M TRIPLETT
0022012-01-01DEBORAH M TRIPLETT
0022011-01-01DEBORAH M TRIPLETT
0022009-01-01DEBORAH M TRIPLETT

Plan Statistics for HUMANA RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for HUMANA RETIREMENT SAVINGS PLAN

Measure Date Value
2022: HUMANA RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0157,839
Total number of active participants reported on line 7a of the Form 55002022-01-0144,251
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0115,133
Total of all active and inactive participants2022-01-0159,384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-01249
Total participants2022-01-0159,633
Number of participants with account balances2022-01-0158,735
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-014,046
2021: HUMANA RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0152,557
Total number of active participants reported on line 7a of the Form 55002021-01-0143,599
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0113,834
Total of all active and inactive participants2021-01-0157,433
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-01240
Total participants2021-01-0157,673
Number of participants with account balances2021-01-0157,246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013,880
2020: HUMANA RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0150,205
Total number of active participants reported on line 7a of the Form 55002020-01-0140,141
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0112,201
Total of all active and inactive participants2020-01-0152,342
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-01215
Total participants2020-01-0152,557
Number of participants with account balances2020-01-0152,238
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-012,070
2019: HUMANA RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0149,112
Total number of active participants reported on line 7a of the Form 55002019-01-0138,197
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0111,816
Total of all active and inactive participants2019-01-0150,013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-01192
Total participants2019-01-0150,205
Number of participants with account balances2019-01-0149,901
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012,206
2018: HUMANA RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0149,626
Total number of active participants reported on line 7a of the Form 55002018-01-0137,173
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0111,759
Total of all active and inactive participants2018-01-0148,932
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-01180
Total participants2018-01-0149,112
Number of participants with account balances2018-01-0148,314
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012,154
2017: HUMANA RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0151,029
Total number of active participants reported on line 7a of the Form 55002017-01-0139,259
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110,210
Total of all active and inactive participants2017-01-0149,469
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-01157
Total participants2017-01-0149,626
Number of participants with account balances2017-01-0149,344
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012,684
2016: HUMANA RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0149,462
Total number of active participants reported on line 7a of the Form 55002016-01-0141,596
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-019,266
Total of all active and inactive participants2016-01-0150,862
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-01167
Total participants2016-01-0151,029
Number of participants with account balances2016-01-0150,722
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012,717
2015: HUMANA RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0146,886
Total number of active participants reported on line 7a of the Form 55002015-01-0141,032
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-018,277
Total of all active and inactive participants2015-01-0149,309
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-01153
Total participants2015-01-0149,462
Number of participants with account balances2015-01-0149,150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012,743
2014: HUMANA RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0143,147
Total number of active participants reported on line 7a of the Form 55002014-01-0139,396
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-017,365
Total of all active and inactive participants2014-01-0146,761
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-01125
Total participants2014-01-0146,886
Number of participants with account balances2014-01-0146,563
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012,243
2013: HUMANA RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0139,359
Total number of active participants reported on line 7a of the Form 55002013-01-0136,151
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-016,871
Total of all active and inactive participants2013-01-0143,022
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-01125
Total participants2013-01-0143,147
Number of participants with account balances2013-01-0142,802
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012,318
2012: HUMANA RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0136,646
Total number of active participants reported on line 7a of the Form 55002012-01-0132,713
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-016,555
Total of all active and inactive participants2012-01-0139,268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-0191
Total participants2012-01-0139,359
Number of participants with account balances2012-01-0139,142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012,199
2011: HUMANA RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0133,014
Total number of active participants reported on line 7a of the Form 55002011-01-0130,254
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-016,392
Total of all active and inactive participants2011-01-0136,646
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0136,646
Number of participants with account balances2011-01-0136,460
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011,341
2009: HUMANA RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0134,100
Total number of active participants reported on line 7a of the Form 55002009-01-0127,298
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-016,817
Total of all active and inactive participants2009-01-0134,115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0134,115
Number of participants with account balances2009-01-0133,800
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011,688

Financial Data on HUMANA RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : HUMANA RETIREMENT SAVINGS PLAN 2022 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$67,176,320
Total unrealized appreciation/depreciation of assets2022-12-31$67,176,320
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$404,648
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$1,121,000
Total income from all sources (including contributions)2022-12-31$-385,857,583
Total loss/gain on sale of assets2022-12-31$453,558
Total of all expenses incurred2022-12-31$514,903,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$511,414,827
Expenses. Certain deemed distributions of participant loans2022-12-31$62,757
Value of total corrective distributions2022-12-31$45,499
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$611,299,145
Value of total assets at end of year2022-12-31$6,444,257,970
Value of total assets at beginning of year2022-12-31$7,345,735,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$3,380,251
Total interest from all sources2022-12-31$16,312,365
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$8,174,531
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$4,150,814
Administrative expenses professional fees incurred2022-12-31$100
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$20,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$321,542,940
Participant contributions at end of year2022-12-31$121,723,163
Participant contributions at beginning of year2022-12-31$118,396,289
Participant contributions at end of year2022-12-31$149,615
Participant contributions at beginning of year2022-12-31$1,565
Assets. Other investments not covered elsewhere at end of year2022-12-31$265,847,986
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$315,290,684
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$39,651,197
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$3,820,318
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$48,754
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$705,445
Other income not declared elsewhere2022-12-31$-82,613,256
Administrative expenses (other) incurred2022-12-31$2,897,258
Liabilities. Value of operating payables at end of year2022-12-31$355,894
Liabilities. Value of operating payables at beginning of year2022-12-31$415,555
Total non interest bearing cash at end of year2022-12-31$32,728
Total non interest bearing cash at beginning of year2022-12-31$20,522
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-900,760,917
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,443,853,322
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$7,344,614,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$11,977
Assets. partnership/joint venture interests at beginning of year2022-12-31$25,892
Investment advisory and management fees2022-12-31$482,893
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$99,379,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$112,836,961
Income. Interest from loans (other than to participants)2022-12-31$5,139,703
Value of interest in common/collective trusts at end of year2022-12-31$5,235,193,397
Value of interest in common/collective trusts at beginning of year2022-12-31$6,122,916,378
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$12,779,667
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$14,127,932
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$14,127,932
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$11,172,662
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-18,202,072
Net investment gain or loss from common/collective trusts2022-12-31$-988,458,174
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$696,898,112
Assets. Invements in employer securities at beginning of year2022-12-31$645,684,422
Contributions received in cash from employer2022-12-31$250,105,008
Employer contributions (assets) at end of year2022-12-31$12,241,637
Employer contributions (assets) at beginning of year2022-12-31$12,614,276
Income. Dividends from common stock2022-12-31$4,023,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$511,414,827
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$156,166,063
Aggregate carrying amount (costs) on sale of assets2022-12-31$155,712,505
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2022-12-31134008324
2021 : HUMANA RETIREMENT SAVINGS PLAN 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-12-31$70,470,047
Total unrealized appreciation/depreciation of assets2021-12-31$70,470,047
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$1,121,000
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$368,765
Total income from all sources (including contributions)2021-12-31$1,485,667,258
Total loss/gain on sale of assets2021-12-31$7,232,361
Total of all expenses incurred2021-12-31$438,296,765
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$435,146,387
Expenses. Certain deemed distributions of participant loans2021-12-31$57,658
Value of total corrective distributions2021-12-31$67,071
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$594,479,324
Value of total assets at end of year2021-12-31$7,345,735,239
Value of total assets at beginning of year2021-12-31$6,297,612,511
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$3,025,649
Total interest from all sources2021-12-31$5,332,942
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$8,499,881
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$4,723,152
Administrative expenses professional fees incurred2021-12-31$100
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$20,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
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$304,357,434
Participant contributions at end of year2021-12-31$118,396,289
Participant contributions at beginning of year2021-12-31$114,181,997
Participant contributions at end of year2021-12-31$1,565
Participant contributions at beginning of year2021-12-31$4,265
Assets. Other investments not covered elsewhere at end of year2021-12-31$315,290,684
Assets. Other investments not covered elsewhere at beginning of year2021-12-31$257,012,239
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$50,869,898
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$3,820,318
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$17,545,388
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$705,445
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$76,054
Other income not declared elsewhere2021-12-31$30,641,928
Administrative expenses (other) incurred2021-12-31$2,613,404
Liabilities. Value of operating payables at end of year2021-12-31$415,555
Liabilities. Value of operating payables at beginning of year2021-12-31$292,711
Total non interest bearing cash at end of year2021-12-31$20,522
Total non interest bearing cash at beginning of year2021-12-31$12,187
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,047,370,493
Value of net assets at end of year (total assets less liabilities)2021-12-31$7,344,614,239
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$6,297,243,746
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
Assets. partnership/joint venture interests at end of year2021-12-31$25,892
Assets. partnership/joint venture interests at beginning of year2021-12-31$0
Investment advisory and management fees2021-12-31$412,145
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$112,836,961
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$598,271,256
Interest on participant loans2021-12-31$5,332,942
Value of interest in common/collective trusts at end of year2021-12-31$6,122,916,378
Value of interest in common/collective trusts at beginning of year2021-12-31$4,698,643,530
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$14,127,932
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$7,906,368
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$7,906,368
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$24,582,019
Net investment gain or loss from common/collective trusts2021-12-31$744,428,756
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Assets. Invements in employer securities at end of year2021-12-31$645,684,422
Assets. Invements in employer securities at beginning of year2021-12-31$592,898,024
Contributions received in cash from employer2021-12-31$239,251,992
Employer contributions (assets) at end of year2021-12-31$12,614,276
Employer contributions (assets) at beginning of year2021-12-31$11,137,257
Income. Dividends from common stock2021-12-31$3,776,729
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$435,146,387
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Aggregate proceeds on sale of assets2021-12-31$138,172,593
Aggregate carrying amount (costs) on sale of assets2021-12-31$130,940,232
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2021-12-31134008324
2020 : HUMANA RETIREMENT SAVINGS PLAN 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$66,679,906
Total unrealized appreciation/depreciation of assets2020-12-31$66,679,906
Total transfer of assets to this plan2020-12-31$6,574,803
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$368,765
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$420,356
Total income from all sources (including contributions)2020-12-31$1,395,128,375
Total loss/gain on sale of assets2020-12-31$3,830,147
Total of all expenses incurred2020-12-31$458,231,899
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$456,450,764
Expenses. Certain deemed distributions of participant loans2020-12-31$20,268
Value of total corrective distributions2020-12-31$34,184
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$514,354,836
Value of total assets at end of year2020-12-31$6,297,612,511
Value of total assets at beginning of year2020-12-31$5,354,192,823
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$1,726,683
Total interest from all sources2020-12-31$6,282,112
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$21,650,186
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$18,121,413
Administrative expenses professional fees incurred2020-12-31$50
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$20,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
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$265,581,923
Participant contributions at end of year2020-12-31$114,181,997
Participant contributions at beginning of year2020-12-31$122,096,339
Participant contributions at end of year2020-12-31$4,265
Participant contributions at beginning of year2020-12-31$97,362
Assets. Other investments not covered elsewhere at end of year2020-12-31$257,012,239
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$168,519,761
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$34,304,297
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$17,545,388
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$76,054
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$124,105
Other income not declared elsewhere2020-12-31$51,570,914
Administrative expenses (other) incurred2020-12-31$1,465,915
Liabilities. Value of operating payables at end of year2020-12-31$292,711
Liabilities. Value of operating payables at beginning of year2020-12-31$296,251
Total non interest bearing cash at end of year2020-12-31$12,187
Total non interest bearing cash at beginning of year2020-12-31$16,409
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$936,896,476
Value of net assets at end of year (total assets less liabilities)2020-12-31$6,297,243,746
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$5,353,772,467
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$260,718
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$598,271,256
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$488,822,032
Interest on participant loans2020-12-31$6,282,112
Value of interest in common/collective trusts at end of year2020-12-31$4,698,643,530
Value of interest in common/collective trusts at beginning of year2020-12-31$3,972,814,467
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$7,906,368
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$11,391,012
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$11,391,012
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$18,165,900
Net investment gain or loss from common/collective trusts2020-12-31$712,594,374
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 contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Assets. Invements in employer securities at end of year2020-12-31$592,898,024
Assets. Invements in employer securities at beginning of year2020-12-31$580,790,070
Contributions received in cash from employer2020-12-31$214,468,616
Employer contributions (assets) at end of year2020-12-31$11,137,257
Employer contributions (assets) at beginning of year2020-12-31$9,645,371
Income. Dividends from common stock2020-12-31$3,528,773
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$456,450,764
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Aggregate proceeds on sale of assets2020-12-31$200,202,409
Aggregate carrying amount (costs) on sale of assets2020-12-31$196,372,262
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2020-12-31134008324
2019 : HUMANA RETIREMENT SAVINGS PLAN 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$125,836,929
Total unrealized appreciation/depreciation of assets2019-12-31$125,836,929
Total transfer of assets from this plan2019-12-31$2,955
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$420,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$497,356
Total income from all sources (including contributions)2019-12-31$1,439,542,756
Total loss/gain on sale of assets2019-12-31$2,995,653
Total of all expenses incurred2019-12-31$379,247,757
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$376,553,909
Expenses. Certain deemed distributions of participant loans2019-12-31$149,279
Value of total corrective distributions2019-12-31$36,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$469,904,231
Value of total assets at end of year2019-12-31$5,354,192,823
Value of total assets at beginning of year2019-12-31$4,293,977,779
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,508,504
Total interest from all sources2019-12-31$6,208,767
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$9,469,620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$5,870,048
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$20,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$244,269,899
Participant contributions at end of year2019-12-31$122,096,339
Participant contributions at beginning of year2019-12-31$119,471,323
Participant contributions at end of year2019-12-31$97,362
Participant contributions at beginning of year2019-12-31$89,613
Assets. Other investments not covered elsewhere at end of year2019-12-31$168,519,761
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$133,320,795
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$25,984,162
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$124,105
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$35,337
Other income not declared elsewhere2019-12-31$27,687,557
Administrative expenses (other) incurred2019-12-31$2,307,801
Liabilities. Value of operating payables at end of year2019-12-31$296,251
Liabilities. Value of operating payables at beginning of year2019-12-31$462,019
Total non interest bearing cash at end of year2019-12-31$16,409
Total non interest bearing cash at beginning of year2019-12-31$1,858
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,060,294,999
Value of net assets at end of year (total assets less liabilities)2019-12-31$5,353,772,467
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,293,480,423
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$200,703
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$488,822,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$419,565,825
Interest on participant loans2019-12-31$6,208,767
Value of interest in common/collective trusts at end of year2019-12-31$3,972,814,467
Value of interest in common/collective trusts at beginning of year2019-12-31$3,079,793,484
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$11,391,012
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$19,408,561
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$19,408,561
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$42,176,547
Net investment gain or loss from common/collective trusts2019-12-31$755,263,452
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Assets. Invements in employer securities at end of year2019-12-31$580,790,070
Assets. Invements in employer securities at beginning of year2019-12-31$512,626,220
Contributions received in cash from employer2019-12-31$199,650,170
Employer contributions (assets) at end of year2019-12-31$9,645,371
Employer contributions (assets) at beginning of year2019-12-31$9,700,100
Income. Dividends from common stock2019-12-31$3,599,572
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$376,553,909
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Aggregate proceeds on sale of assets2019-12-31$148,460,676
Aggregate carrying amount (costs) on sale of assets2019-12-31$145,465,023
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2019-12-31134008324
2018 : HUMANA RETIREMENT SAVINGS PLAN 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$48,485,857
Total unrealized appreciation/depreciation of assets2018-12-31$48,485,857
Total transfer of assets from this plan2018-12-31$36,045,694
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$497,356
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,182,495
Total income from all sources (including contributions)2018-12-31$288,961,331
Total loss/gain on sale of assets2018-12-31$28,374,897
Total of all expenses incurred2018-12-31$605,848,587
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$602,925,531
Expenses. Certain deemed distributions of participant loans2018-12-31$6,349
Value of total corrective distributions2018-12-31$34,681
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$429,096,414
Value of total assets at end of year2018-12-31$4,293,977,779
Value of total assets at beginning of year2018-12-31$4,648,595,868
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$2,882,026
Total interest from all sources2018-12-31$5,320,850
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$9,684,337
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$6,350,506
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$20,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$224,113,951
Participant contributions at end of year2018-12-31$119,471,323
Participant contributions at beginning of year2018-12-31$122,442,849
Participant contributions at end of year2018-12-31$89,613
Participant contributions at beginning of year2018-12-31$116,880
Assets. Other investments not covered elsewhere at end of year2018-12-31$133,320,795
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$139,294,988
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$21,777,967
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$35,337
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$2,131,466
Other income not declared elsewhere2018-12-31$-7,727,469
Administrative expenses (other) incurred2018-12-31$2,565,099
Liabilities. Value of operating payables at end of year2018-12-31$462,019
Liabilities. Value of operating payables at beginning of year2018-12-31$51,029
Total non interest bearing cash at end of year2018-12-31$1,858
Total non interest bearing cash at beginning of year2018-12-31$4,917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-316,887,256
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,293,480,423
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,646,413,373
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$316,927
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$419,565,825
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$450,458,575
Interest on participant loans2018-12-31$5,320,850
Value of interest in common/collective trusts at end of year2018-12-31$3,079,793,484
Value of interest in common/collective trusts at beginning of year2018-12-31$3,426,091,612
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$19,408,561
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$6,702,153
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$6,702,153
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-23,011,073
Net investment gain or loss from common/collective trusts2018-12-31$-201,262,482
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Assets. Invements in employer securities at end of year2018-12-31$512,626,220
Assets. Invements in employer securities at beginning of year2018-12-31$494,920,656
Contributions received in cash from employer2018-12-31$183,204,496
Employer contributions (assets) at end of year2018-12-31$9,700,100
Employer contributions (assets) at beginning of year2018-12-31$8,563,238
Income. Dividends from common stock2018-12-31$3,333,831
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$602,925,531
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Aggregate proceeds on sale of assets2018-12-31$166,377,194
Aggregate carrying amount (costs) on sale of assets2018-12-31$138,002,297
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2018-12-31134008324
2017 : HUMANA RETIREMENT SAVINGS PLAN 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$74,595,841
Total unrealized appreciation/depreciation of assets2017-12-31$74,595,841
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,182,495
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$896,274
Total income from all sources (including contributions)2017-12-31$1,128,928,724
Total loss/gain on sale of assets2017-12-31$17,090,162
Total of all expenses incurred2017-12-31$388,170,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$385,749,451
Expenses. Certain deemed distributions of participant loans2017-12-31$86,324
Value of total corrective distributions2017-12-31$12,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$435,054,090
Value of total assets at end of year2017-12-31$4,648,595,868
Value of total assets at beginning of year2017-12-31$3,906,551,252
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,321,945
Total interest from all sources2017-12-31$4,734,653
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$4,202,818
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$1,194,086
Administrative expenses professional fees incurred2017-12-31$500
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$20,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$228,981,748
Participant contributions at end of year2017-12-31$122,442,849
Participant contributions at beginning of year2017-12-31$109,760,249
Participant contributions at end of year2017-12-31$116,880
Participant contributions at beginning of year2017-12-31$113,131
Assets. Other investments not covered elsewhere at end of year2017-12-31$139,294,988
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$115,567,010
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$18,381,816
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$2,131,466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$411,981
Other income not declared elsewhere2017-12-31$14,979,626
Administrative expenses (other) incurred2017-12-31$2,230,264
Liabilities. Value of operating payables at end of year2017-12-31$51,029
Liabilities. Value of operating payables at beginning of year2017-12-31$484,293
Total non interest bearing cash at end of year2017-12-31$4,917
Total non interest bearing cash at beginning of year2017-12-31$17,804
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$740,758,395
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,646,413,373
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,905,654,978
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$3,515
Investment advisory and management fees2017-12-31$91,181
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$450,458,575
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$524,520,209
Interest on participant loans2017-12-31$4,734,653
Value of interest in common/collective trusts at end of year2017-12-31$3,426,091,612
Value of interest in common/collective trusts at beginning of year2017-12-31$2,633,080,666
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$6,702,153
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$20,358,920
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$20,358,920
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$45,759,791
Net investment gain or loss from common/collective trusts2017-12-31$532,511,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$494,920,656
Assets. Invements in employer securities at beginning of year2017-12-31$496,778,653
Contributions received in cash from employer2017-12-31$187,690,526
Employer contributions (assets) at end of year2017-12-31$8,563,238
Employer contributions (assets) at beginning of year2017-12-31$6,351,095
Income. Dividends from common stock2017-12-31$3,008,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$385,749,451
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Aggregate proceeds on sale of assets2017-12-31$188,706,704
Aggregate carrying amount (costs) on sale of assets2017-12-31$171,616,542
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2017-12-31134008324
2016 : HUMANA RETIREMENT SAVINGS PLAN 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$62,471,160
Total unrealized appreciation/depreciation of assets2016-12-31$62,471,160
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$896,274
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$384,150
Total income from all sources (including contributions)2016-12-31$708,165,732
Total loss/gain on sale of assets2016-12-31$2,050,082
Total of all expenses incurred2016-12-31$247,099,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$244,266,116
Value of total corrective distributions2016-12-31$17,213
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$417,734,069
Value of total assets at end of year2016-12-31$3,906,551,252
Value of total assets at beginning of year2016-12-31$3,444,973,186
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$2,816,461
Total interest from all sources2016-12-31$4,060,476
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$11,003,096
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$8,239,792
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$20,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$217,851,445
Participant contributions at end of year2016-12-31$109,760,249
Participant contributions at beginning of year2016-12-31$99,583,807
Participant contributions at end of year2016-12-31$113,131
Participant contributions at beginning of year2016-12-31$133
Assets. Other investments not covered elsewhere at end of year2016-12-31$115,567,010
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$102,657,155
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$15,974,038
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$411,981
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$4,614
Other income not declared elsewhere2016-12-31$6,134,917
Administrative expenses (other) incurred2016-12-31$2,619,237
Liabilities. Value of operating payables at end of year2016-12-31$484,293
Liabilities. Value of operating payables at beginning of year2016-12-31$379,536
Total non interest bearing cash at end of year2016-12-31$17,804
Total non interest bearing cash at beginning of year2016-12-31$10,796
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$461,065,942
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,905,654,978
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$3,444,589,036
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Assets. partnership/joint venture interests at end of year2016-12-31$3,515
Assets. partnership/joint venture interests at beginning of year2016-12-31$2,626
Investment advisory and management fees2016-12-31$197,224
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$524,520,209
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$459,554,731
Interest on participant loans2016-12-31$4,060,476
Value of interest in common/collective trusts at end of year2016-12-31$2,633,080,666
Value of interest in common/collective trusts at beginning of year2016-12-31$2,307,086,180
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$20,358,920
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$22,455,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$22,455,175
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$32,225,572
Net investment gain or loss from common/collective trusts2016-12-31$172,486,360
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Assets. Invements in employer securities at end of year2016-12-31$496,778,653
Assets. Invements in employer securities at beginning of year2016-12-31$446,480,958
Contributions received in cash from employer2016-12-31$183,908,586
Employer contributions (assets) at end of year2016-12-31$6,351,095
Employer contributions (assets) at beginning of year2016-12-31$7,141,625
Income. Dividends from common stock2016-12-31$2,763,304
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$244,266,116
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Aggregate proceeds on sale of assets2016-12-31$122,481,487
Aggregate carrying amount (costs) on sale of assets2016-12-31$120,431,405
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2016-12-31134008324
2015 : HUMANA RETIREMENT SAVINGS PLAN 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$62,702,049
Total unrealized appreciation/depreciation of assets2015-12-31$62,702,049
Total transfer of assets to this plan2015-12-31$3,227,443
Total transfer of assets from this plan2015-12-31$1,221,942
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$384,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$422,371
Total income from all sources (including contributions)2015-12-31$494,149,564
Total loss/gain on sale of assets2015-12-31$40,605,579
Total of all expenses incurred2015-12-31$267,210,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$264,928,525
Value of total corrective distributions2015-12-31$29,915
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$412,491,088
Value of total assets at end of year2015-12-31$3,444,973,186
Value of total assets at beginning of year2015-12-31$3,216,067,040
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$2,252,258
Total interest from all sources2015-12-31$3,846,849
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$32,316,500
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$29,531,407
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$20,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$210,401,177
Participant contributions at end of year2015-12-31$99,583,807
Participant contributions at beginning of year2015-12-31$92,608,695
Participant contributions at end of year2015-12-31$133
Participant contributions at beginning of year2015-12-31$100,573
Assets. Other investments not covered elsewhere at end of year2015-12-31$102,657,155
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$99,389,791
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$19,439,383
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$4,614
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$50,102
Other income not declared elsewhere2015-12-31$-3,804,826
Administrative expenses (other) incurred2015-12-31$1,975,216
Liabilities. Value of operating payables at end of year2015-12-31$379,536
Liabilities. Value of operating payables at beginning of year2015-12-31$372,269
Total non interest bearing cash at end of year2015-12-31$10,796
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$226,938,866
Value of net assets at end of year (total assets less liabilities)2015-12-31$3,444,589,036
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$3,215,644,669
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Assets. partnership/joint venture interests at end of year2015-12-31$2,626
Assets. partnership/joint venture interests at beginning of year2015-12-31$28,670
Investment advisory and management fees2015-12-31$277,042
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$459,554,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$434,681,923
Interest on participant loans2015-12-31$3,846,849
Value of interest in common/collective trusts at end of year2015-12-31$2,307,086,180
Value of interest in common/collective trusts at beginning of year2015-12-31$2,182,571,605
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$22,455,175
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-35,574,914
Net investment gain or loss from common/collective trusts2015-12-31$-18,432,761
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Assets. Invements in employer securities at end of year2015-12-31$446,480,958
Assets. Invements in employer securities at beginning of year2015-12-31$400,173,588
Contributions received in cash from employer2015-12-31$182,650,528
Employer contributions (assets) at end of year2015-12-31$7,141,625
Employer contributions (assets) at beginning of year2015-12-31$6,512,195
Income. Dividends from common stock2015-12-31$2,785,093
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$264,928,525
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Aggregate proceeds on sale of assets2015-12-31$165,888,279
Aggregate carrying amount (costs) on sale of assets2015-12-31$125,282,700
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2015-12-31134008324
2014 : HUMANA RETIREMENT SAVINGS PLAN 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$102,027,713
Total unrealized appreciation/depreciation of assets2014-12-31$102,027,713
Total transfer of assets to this plan2014-12-31$6,942,581
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$422,371
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$551,120
Total income from all sources (including contributions)2014-12-31$642,822,366
Total loss/gain on sale of assets2014-12-31$12,238,223
Total of all expenses incurred2014-12-31$224,094,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$221,240,543
Value of total corrective distributions2014-12-31$219,088
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$363,640,535
Value of total assets at end of year2014-12-31$3,216,067,040
Value of total assets at beginning of year2014-12-31$2,790,525,761
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$2,635,288
Total interest from all sources2014-12-31$3,052,508
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$31,519,306
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$28,508,524
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$20,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$182,610,032
Participant contributions at end of year2014-12-31$92,608,695
Participant contributions at beginning of year2014-12-31$79,794,696
Participant contributions at end of year2014-12-31$100,573
Participant contributions at beginning of year2014-12-31$160,833
Assets. Other investments not covered elsewhere at end of year2014-12-31$99,389,791
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$87,338,767
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$19,394,176
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$50,102
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$29,666
Other income not declared elsewhere2014-12-31$3,771,503
Administrative expenses (other) incurred2014-12-31$2,378,070
Liabilities. Value of operating payables at end of year2014-12-31$372,269
Liabilities. Value of operating payables at beginning of year2014-12-31$521,454
Total non interest bearing cash at end of year2014-12-31$0
Total non interest bearing cash at beginning of year2014-12-31$31,829
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$418,727,447
Value of net assets at end of year (total assets less liabilities)2014-12-31$3,215,644,669
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$2,789,974,641
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Assets. partnership/joint venture interests at end of year2014-12-31$28,670
Assets. partnership/joint venture interests at beginning of year2014-12-31$2,162
Investment advisory and management fees2014-12-31$257,218
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$434,681,923
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$382,914,943
Interest on participant loans2014-12-31$3,052,508
Value of interest in common/collective trusts at end of year2014-12-31$2,182,571,605
Value of interest in common/collective trusts at beginning of year2014-12-31$1,924,390,048
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$-5,147,580
Net investment gain or loss from common/collective trusts2014-12-31$131,720,158
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$400,173,588
Assets. Invements in employer securities at beginning of year2014-12-31$310,983,343
Contributions received in cash from employer2014-12-31$161,636,327
Employer contributions (assets) at end of year2014-12-31$6,512,195
Employer contributions (assets) at beginning of year2014-12-31$4,909,140
Income. Dividends from common stock2014-12-31$3,010,782
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$221,240,543
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Aggregate proceeds on sale of assets2014-12-31$83,833,368
Aggregate carrying amount (costs) on sale of assets2014-12-31$71,595,145
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2014-12-31134008324
2013 : HUMANA RETIREMENT SAVINGS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$92,971,593
Total unrealized appreciation/depreciation of assets2013-12-31$92,971,593
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$551,120
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$614,689
Total income from all sources (including contributions)2013-12-31$819,991,986
Total loss/gain on sale of assets2013-12-31$16,583,526
Total of all expenses incurred2013-12-31$189,832,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$186,769,807
Value of total corrective distributions2013-12-31$4,791
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$309,525,912
Value of total assets at end of year2013-12-31$2,790,525,761
Value of total assets at beginning of year2013-12-31$2,160,429,437
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,057,495
Total interest from all sources2013-12-31$2,774,638
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$16,972,492
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$13,694,166
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$20,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$155,270,620
Participant contributions at end of year2013-12-31$79,794,696
Participant contributions at beginning of year2013-12-31$65,678,336
Participant contributions at end of year2013-12-31$160,833
Participant contributions at beginning of year2013-12-31$181,029
Assets. Other investments not covered elsewhere at end of year2013-12-31$87,338,767
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$70,240,085
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$16,547,970
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$29,666
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$61,501
Other income not declared elsewhere2013-12-31$9,918,043
Administrative expenses (other) incurred2013-12-31$2,837,208
Liabilities. Value of operating payables at end of year2013-12-31$521,454
Liabilities. Value of operating payables at beginning of year2013-12-31$553,188
Total non interest bearing cash at end of year2013-12-31$31,829
Total non interest bearing cash at beginning of year2013-12-31$16,607
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$630,159,893
Value of net assets at end of year (total assets less liabilities)2013-12-31$2,789,974,641
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$2,159,814,748
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Assets. partnership/joint venture interests at end of year2013-12-31$2,162
Assets. partnership/joint venture interests at beginning of year2013-12-31$1,925
Investment advisory and management fees2013-12-31$220,287
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$382,914,943
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$330,668,560
Interest on participant loans2013-12-31$2,774,638
Value of interest in common/collective trusts at end of year2013-12-31$1,924,390,048
Value of interest in common/collective trusts at beginning of year2013-12-31$1,455,325,218
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$20,725,811
Net investment gain or loss from common/collective trusts2013-12-31$350,519,971
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$310,983,343
Assets. Invements in employer securities at beginning of year2013-12-31$233,357,409
Contributions received in cash from employer2013-12-31$137,707,322
Employer contributions (assets) at end of year2013-12-31$4,909,140
Employer contributions (assets) at beginning of year2013-12-31$4,960,268
Income. Dividends from common stock2013-12-31$3,278,326
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$186,769,807
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Aggregate proceeds on sale of assets2013-12-31$85,305,864
Aggregate carrying amount (costs) on sale of assets2013-12-31$68,722,338
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2013-12-31134008324
2012 : HUMANA RETIREMENT SAVINGS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$-55,332,250
Total unrealized appreciation/depreciation of assets2012-12-31$-55,332,250
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$614,689
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$545,627
Total income from all sources (including contributions)2012-12-31$423,325,501
Total loss/gain on sale of assets2012-12-31$-10,437,818
Total of all expenses incurred2012-12-31$155,520,476
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$153,001,863
Value of total corrective distributions2012-12-31$16,526
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$279,856,614
Value of total assets at end of year2012-12-31$2,160,429,437
Value of total assets at beginning of year2012-12-31$1,892,555,350
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,502,087
Total interest from all sources2012-12-31$2,251,400
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$11,136,829
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$7,652,495
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$20,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$138,573,076
Participant contributions at end of year2012-12-31$65,678,336
Participant contributions at beginning of year2012-12-31$49,439,897
Participant contributions at end of year2012-12-31$181,029
Participant contributions at beginning of year2012-12-31$220,789
Assets. Other investments not covered elsewhere at end of year2012-12-31$70,240,085
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$57,461,901
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$15,173,963
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$540,231
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$61,501
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$6,915
Other income not declared elsewhere2012-12-31$4,744,741
Administrative expenses (other) incurred2012-12-31$2,340,764
Liabilities. Value of operating payables at end of year2012-12-31$553,188
Liabilities. Value of operating payables at beginning of year2012-12-31$538,712
Total non interest bearing cash at end of year2012-12-31$16,607
Total non interest bearing cash at beginning of year2012-12-31$1,026
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$267,805,025
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,159,814,748
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,892,009,723
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Assets. partnership/joint venture interests at end of year2012-12-31$1,925
Assets. partnership/joint venture interests at beginning of year2012-12-31$30,777
Investment advisory and management fees2012-12-31$161,323
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$330,668,560
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$280,380,686
Interest on participant loans2012-12-31$2,251,400
Value of interest in common/collective trusts at end of year2012-12-31$1,455,325,218
Value of interest in common/collective trusts at beginning of year2012-12-31$1,180,199,611
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$25,117,250
Net investment gain or loss from common/collective trusts2012-12-31$165,988,735
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$233,357,409
Assets. Invements in employer securities at beginning of year2012-12-31$319,840,267
Contributions received in cash from employer2012-12-31$126,109,575
Employer contributions (assets) at end of year2012-12-31$4,960,268
Employer contributions (assets) at beginning of year2012-12-31$4,440,165
Income. Dividends from common stock2012-12-31$3,484,334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$153,001,863
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$89,569,442
Aggregate carrying amount (costs) on sale of assets2012-12-31$100,007,260
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2012-12-31134008324
2011 : HUMANA RETIREMENT SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$98,938,654
Total unrealized appreciation/depreciation of assets2011-12-31$98,938,654
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$545,627
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$648,011
Total income from all sources (including contributions)2011-12-31$347,622,749
Total loss/gain on sale of assets2011-12-31$29,921,249
Total of all expenses incurred2011-12-31$144,787,586
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$141,741,060
Expenses. Certain deemed distributions of participant loans2011-12-31$4,695
Value of total corrective distributions2011-12-31$20,713
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$237,681,108
Value of total assets at end of year2011-12-31$1,892,555,350
Value of total assets at beginning of year2011-12-31$1,689,822,571
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,021,118
Total interest from all sources2011-12-31$1,594,036
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$1,349,018
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$1,348,293
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$20,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$119,610,702
Participant contributions at end of year2011-12-31$49,439,897
Participant contributions at beginning of year2011-12-31$37,270,294
Participant contributions at end of year2011-12-31$220,789
Participant contributions at beginning of year2011-12-31$810,299
Assets. Other investments not covered elsewhere at end of year2011-12-31$57,461,901
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$52,678,525
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$8,018,264
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$540,231
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$642,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$6,915
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$50,502
Other income not declared elsewhere2011-12-31$-4,596,998
Administrative expenses (other) incurred2011-12-31$2,909,893
Liabilities. Value of operating payables at end of year2011-12-31$538,712
Liabilities. Value of operating payables at beginning of year2011-12-31$597,509
Total non interest bearing cash at end of year2011-12-31$1,026
Total non interest bearing cash at beginning of year2011-12-31$5,719
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$202,835,163
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,892,009,723
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,689,174,560
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Assets. partnership/joint venture interests at end of year2011-12-31$30,777
Investment advisory and management fees2011-12-31$111,225
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$280,380,686
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$258,152,073
Interest on participant loans2011-12-31$1,594,036
Value of interest in common/collective trusts at end of year2011-12-31$1,180,199,611
Value of interest in common/collective trusts at beginning of year2011-12-31$1,061,473,251
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$2,747,262
Net investment gain or loss from common/collective trusts2011-12-31$-20,011,580
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$319,840,267
Assets. Invements in employer securities at beginning of year2011-12-31$220,646,148
Contributions received in cash from employer2011-12-31$110,052,142
Employer contributions (assets) at end of year2011-12-31$4,440,165
Employer contributions (assets) at beginning of year2011-12-31$58,143,410
Income. Dividends from common stock2011-12-31$725
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$141,741,060
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Aggregate proceeds on sale of assets2011-12-31$112,839,394
Aggregate carrying amount (costs) on sale of assets2011-12-31$82,918,145
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2011-12-31134008324
2010 : HUMANA RETIREMENT SAVINGS PLAN 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$38,262,296
Total unrealized appreciation/depreciation of assets2010-12-31$38,262,296
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$648,011
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$590,236
Total income from all sources (including contributions)2010-12-31$406,395,388
Total loss/gain on sale of assets2010-12-31$7,822,837
Total of all expenses incurred2010-12-31$116,919,313
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$113,935,508
Value of total corrective distributions2010-12-31$19,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$211,553,875
Value of total assets at end of year2010-12-31$1,689,822,571
Value of total assets at beginning of year2010-12-31$1,400,288,721
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$2,964,333
Total interest from all sources2010-12-31$1,613,876
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$8,058,515
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$8,058,515
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$20,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$105,832,673
Participant contributions at end of year2010-12-31$37,270,294
Participant contributions at beginning of year2010-12-31$30,174,858
Participant contributions at end of year2010-12-31$810,299
Participant contributions at beginning of year2010-12-31$838,620
Assets. Other investments not covered elsewhere at end of year2010-12-31$52,678,525
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$41,700,438
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$4,058,054
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$642,852
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$445,735
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$50,502
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$13,734
Other income not declared elsewhere2010-12-31$3,539,051
Administrative expenses (other) incurred2010-12-31$2,879,842
Liabilities. Value of operating payables at end of year2010-12-31$597,509
Liabilities. Value of operating payables at beginning of year2010-12-31$576,502
Total non interest bearing cash at end of year2010-12-31$5,719
Total non interest bearing cash at beginning of year2010-12-31$3,959
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$289,476,075
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,689,174,560
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,399,698,485
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Assets. partnership/joint venture interests at beginning of year2010-12-31$6,293
Investment advisory and management fees2010-12-31$84,491
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$258,152,073
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$210,452,016
Interest on participant loans2010-12-31$1,613,876
Value of interest in common/collective trusts at end of year2010-12-31$1,061,473,251
Value of interest in common/collective trusts at beginning of year2010-12-31$866,081,123
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$23,355,391
Net investment gain or loss from common/collective trusts2010-12-31$112,189,547
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$220,646,148
Assets. Invements in employer securities at beginning of year2010-12-31$196,933,607
Contributions received in cash from employer2010-12-31$101,663,148
Employer contributions (assets) at end of year2010-12-31$58,143,410
Employer contributions (assets) at beginning of year2010-12-31$53,652,072
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$113,935,508
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Aggregate proceeds on sale of assets2010-12-31$64,348,056
Aggregate carrying amount (costs) on sale of assets2010-12-31$56,525,219
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31PRICEWATERHOUSECOOPERS
Accountancy firm EIN2010-12-31134008324
2009 : HUMANA RETIREMENT SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for HUMANA RETIREMENT SAVINGS PLAN

2022: HUMANA RETIREMENT SAVINGS PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HUMANA RETIREMENT SAVINGS 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: HUMANA RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HUMANA RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HUMANA RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HUMANA RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HUMANA RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HUMANA RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HUMANA RETIREMENT SAVINGS PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: HUMANA RETIREMENT SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: HUMANA RETIREMENT SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: HUMANA RETIREMENT SAVINGS PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: HUMANA RETIREMENT SAVINGS PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 5
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 4
Insurance contract or identification numberGA-62459
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 3
Insurance contract or identification numberRGA00029
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398
Policy instance 2
Insurance contract or identification number60398
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberBVW00941
Policy instance 6
Insurance contract or identification numberBVW00941
Number of Individuals Covered8072
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberBVW00941
Policy instance 7
Insurance contract or identification numberBVW00941
Number of Individuals Covered8881
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberBVW00941
Policy instance 7
Insurance contract or identification numberBVW00941
Number of Individuals Covered8516
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered6891
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered7171
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered7821
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberGA-62459
Policy instance 5
Insurance contract or identification numberGA-62459
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
MONUMENTAL LIFE (National Association of Insurance Commissioners NAIC id number: 66281 )
Policy contract numberMDA00640TR
Policy instance 6
Insurance contract or identification numberMDA00640TR
Number of Individuals Covered9015
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered9709
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered9709
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered9709
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered9709
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
RGA REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93572 )
Policy contract numberRGA00029
Policy instance 4
Insurance contract or identification numberRGA00029
Number of Individuals Covered10565
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-B
Policy instance 3
Insurance contract or identification number60398-B
Number of Individuals Covered10565
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number60398-A
Policy instance 2
Insurance contract or identification number60398-A
Number of Individuals Covered10565
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered10565
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered11632
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered12507
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberG-26956.01.0001
Policy instance 1
Insurance contract or identification numberG-26956.01.0001
Number of Individuals Covered13706
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare 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

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