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COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 401k Plan overview

Plan NameCOLEGIO SAN JOSE 1165(E) RETIREMENT PLAN
Plan identification number 001

COLEGIO SAN JOSE 1165(E) RETIREMENT 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

COLEGIO SAN JOSE MARIANIST CORP. has sponsored the creation of one or more 401k plans.

Company Name:COLEGIO SAN JOSE MARIANIST CORP.
Employer identification number (EIN):660197896
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01
0012020-07-01
0012020-01-01
0012019-07-01
0012018-01-01
0012017-01-01BROTHER FRANCISCO GONZALEZ BROTHER FRANCISCO GONZALEZ2018-09-26
0012016-07-01 BROTHER FRANCISCO GONZALEZ2020-07-27
0012016-01-01BROTHER FRANCISCO GONZALEZ BROTHER FRANCISCO GONZALEZ2018-02-07
0012015-07-01MARILOLA MARTINEZ2017-04-12
0012014-07-01MARILOLA MARTINEZ2016-04-13
0012013-07-01DALIA MONTALVO2014-09-30

Plan Statistics for COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN

401k plan membership statisitcs for COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN

Measure Date Value
2022: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-0166
Total number of active participants reported on line 7a of the Form 55002022-07-0158
Number of retired or separated participants receiving benefits2022-07-010
Number of other retired or separated participants entitled to future benefits2022-07-0112
Total of all active and inactive participants2022-07-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-010
Total participants2022-07-0170
Number of participants with account balances2022-07-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-010
2021: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-0167
Total number of active participants reported on line 7a of the Form 55002021-07-0163
Number of retired or separated participants receiving benefits2021-07-010
Number of other retired or separated participants entitled to future benefits2021-07-013
Total of all active and inactive participants2021-07-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-010
Total participants2021-07-0166
Number of participants with account balances2021-07-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-011
2020: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-0167
Total number of active participants reported on line 7a of the Form 55002020-07-0162
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-014
Total of all active and inactive participants2020-07-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-0166
Number of participants with account balances2020-07-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-011
Total participants, beginning-of-year2020-01-0166
Total number of active participants reported on line 7a of the Form 55002020-01-0165
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-012
Total of all active and inactive participants2020-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0167
Number of participants with account balances2020-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0167
Total number of active participants reported on line 7a of the Form 55002019-07-0162
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-014
Total of all active and inactive participants2019-07-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-0166
Number of participants with account balances2019-07-0163
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-011
2018: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0165
Total number of active participants reported on line 7a of the Form 55002018-01-0166
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0167
Number of participants with account balances2018-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0161
Total number of active participants reported on line 7a of the Form 55002017-01-0162
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
Total of all active and inactive participants2017-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0165
Number of participants with account balances2017-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0152
Total number of active participants reported on line 7a of the Form 55002016-07-0159
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-012
Total of all active and inactive participants2016-07-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0161
Number of participants with account balances2016-07-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
Total participants, beginning-of-year2016-01-0152
Total number of active participants reported on line 7a of the Form 55002016-01-0159
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0161
Number of participants with account balances2016-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN

Measure Date Value
2023 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2023 401k financial data
Total income from all sources2023-06-30$413,472
Expenses. Total of all expenses incurred2023-06-30$242,594
Benefits paid (including direct rollovers)2023-06-30$202,686
Total plan assets at end of year2023-06-30$2,996,060
Total plan assets at beginning of year2023-06-30$2,825,182
Value of fidelity bond covering the plan2023-06-30$200,000
Total contributions received or receivable from participants2023-06-30$87,091
Expenses. Other expenses not covered elsewhere2023-06-30$39,908
Other income received2023-06-30$263,195
Net income (gross income less expenses)2023-06-30$170,878
Net plan assets at end of year (total assets less liabilities)2023-06-30$2,996,060
Net plan assets at beginning of year (total assets less liabilities)2023-06-30$2,825,182
Total contributions received or receivable from employer(s)2023-06-30$63,186
2022 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2022 401k financial data
Total income from all sources2022-06-30$-158,439
Expenses. Total of all expenses incurred2022-06-30$161,762
Benefits paid (including direct rollovers)2022-06-30$118,076
Total plan assets at end of year2022-06-30$2,825,182
Total plan assets at beginning of year2022-06-30$3,145,383
Value of fidelity bond covering the plan2022-06-30$200,000
Total contributions received or receivable from participants2022-06-30$98,589
Expenses. Other expenses not covered elsewhere2022-06-30$43,686
Contributions received from other sources (not participants or employers)2022-06-30$6,593
Other income received2022-06-30$-321,348
Net income (gross income less expenses)2022-06-30$-320,201
Net plan assets at end of year (total assets less liabilities)2022-06-30$2,825,182
Net plan assets at beginning of year (total assets less liabilities)2022-06-30$3,145,383
Total contributions received or receivable from employer(s)2022-06-30$57,727
2021 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2021 401k financial data
Total income from all sources2021-06-30$0
Expenses. Total of all expenses incurred2021-06-30$0
Benefits paid (including direct rollovers)2021-06-30$144,889
Total plan assets at end of year2021-06-30$2,556,408
Total plan assets at beginning of year2021-06-30$2,556,408
Value of fidelity bond covering the plan2021-06-30$200,000
Total contributions received or receivable from participants2021-06-30$106,571
Expenses. Other expenses not covered elsewhere2021-06-30$43,309
Other income received2021-06-30$605,800
Net income (gross income less expenses)2021-06-30$0
Net plan assets at end of year (total assets less liabilities)2021-06-30$2,556,408
Net plan assets at beginning of year (total assets less liabilities)2021-06-30$2,556,408
Total contributions received or receivable from employer(s)2021-06-30$64,802
2020 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-12-31$777,173
Expenses. Total of all expenses incurred2020-12-31$188,198
Benefits paid (including direct rollovers)2020-12-31$144,889
Total plan assets at end of year2020-12-31$3,145,383
Total plan assets at beginning of year2020-12-31$2,556,408
Value of fidelity bond covering the plan2020-12-31$200,000
Total contributions received or receivable from participants2020-12-31$106,571
Expenses. Other expenses not covered elsewhere2020-12-31$43,309
Other income received2020-12-31$605,800
Net income (gross income less expenses)2020-12-31$588,975
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,145,383
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$2,556,408
Total contributions received or receivable from employer(s)2020-12-31$64,802
Total income from all sources2020-06-30$224,030
Expenses. Total of all expenses incurred2020-06-30$111,592
Benefits paid (including direct rollovers)2020-06-30$75,151
Total plan assets at end of year2020-06-30$2,556,408
Total plan assets at beginning of year2020-06-30$2,443,970
Value of fidelity bond covering the plan2020-06-30$200,000
Total contributions received or receivable from participants2020-06-30$110,260
Expenses. Other expenses not covered elsewhere2020-06-30$34,567
Other income received2020-06-30$49,913
Net income (gross income less expenses)2020-06-30$112,438
Net plan assets at end of year (total assets less liabilities)2020-06-30$2,556,408
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$2,443,970
Total contributions received or receivable from employer(s)2020-06-30$63,857
Value of corrective distributions2020-06-30$1,874
2018 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$292,791
Expenses. Total of all expenses incurred2018-12-31$90,593
Benefits paid (including direct rollovers)2018-12-31$72,697
Total plan assets at end of year2018-12-31$2,443,970
Total plan assets at beginning of year2018-12-31$2,241,772
Value of fidelity bond covering the plan2018-12-31$200,000
Total contributions received or receivable from participants2018-12-31$101,089
Expenses. Other expenses not covered elsewhere2018-12-31$17,269
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$130,908
Net income (gross income less expenses)2018-12-31$202,198
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,443,970
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,241,772
Total contributions received or receivable from employer(s)2018-12-31$60,794
Value of corrective distributions2018-12-31$627
2017 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$301,932
Expenses. Total of all expenses incurred2017-12-31$281,577
Benefits paid (including direct rollovers)2017-12-31$264,164
Total plan assets at end of year2017-12-31$2,241,772
Total plan assets at beginning of year2017-12-31$2,221,417
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$83,377
Expenses. Other expenses not covered elsewhere2017-12-31$17,413
Other income received2017-12-31$159,920
Net income (gross income less expenses)2017-12-31$20,355
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,241,772
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,221,417
Total contributions received or receivable from employer(s)2017-12-31$58,635
2016 : COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$300,928
Expenses. Total of all expenses incurred2016-12-31$46,947
Benefits paid (including direct rollovers)2016-12-31$36,797
Total plan assets at end of year2016-12-31$2,221,417
Total plan assets at beginning of year2016-12-31$1,967,436
Value of fidelity bond covering the plan2016-12-31$200,000
Total contributions received or receivable from participants2016-12-31$73,756
Expenses. Other expenses not covered elsewhere2016-12-31$10,150
Other income received2016-12-31$174,089
Net income (gross income less expenses)2016-12-31$253,981
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,221,417
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,967,436
Total contributions received or receivable from employer(s)2016-12-31$53,083

Form 5500 Responses for COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN

2022: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01Submission has been amendedNo
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planNo
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01Submission has been amendedNo
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planNo
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedYes
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: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: COLEGIO SAN JOSE 1165(E) RETIREMENT 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: COLEGIO SAN JOSE 1165(E) RETIREMENT 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: COLEGIO SAN JOSE 1165(E) RETIREMENT PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedYes
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number769210-P1
Policy instance 1
Insurance contract or identification number769210-P1
Number of Individuals Covered70
Insurance policy start date2022-09-10
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $10,934
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,467
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 2
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered70
Insurance policy start date2022-07-01
Insurance policy end date2022-09-09
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered66
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $16,747
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,771
Insurance broker organization code?4
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered67
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,899
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,650
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $16,899
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,650
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered62
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $8,196
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $6,241
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered51
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $11,891
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $5,796
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86353-1
Policy instance 1
Insurance contract or identification numberRM 86353-1
Number of Individuals Covered58
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $14,421
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $8,355
Insurance broker organization code?3
Insurance broker nameFERNANDO LOPEZ

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