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165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 401k Plan overview

Plan Name165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES
Plan identification number 001

165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

ERICSSON CARIBBEAN, INC. has sponsored the creation of one or more 401k plans.

Company Name:ERICSSON CARIBBEAN, INC.
Employer identification number (EIN):660473345
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01DAYELLE DE PENA DAYELLE DE PENA2019-06-04
0012017-01-01DAYELLE DE PENA DAYELLE DE PENA2018-08-28
0012016-01-01DAYELLE DE PENA DAYELLE DE PENA2017-05-07
0012015-01-01DAYELLE DE PENA DAYELLE DE PENA2016-09-30

Plan Statistics for 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES

401k plan membership statisitcs for 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES

Measure Date Value
2022: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2022 401k membership
Total participants, beginning-of-year2022-01-0180
Total number of active participants reported on line 7a of the Form 55002022-01-0131
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0145
Total of all active and inactive participants2022-01-0176
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0176
Number of participants with account balances2022-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2021 401k membership
Total participants, beginning-of-year2021-01-0180
Total number of active participants reported on line 7a of the Form 55002021-01-0139
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0141
Total of all active and inactive participants2021-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0180
Number of participants with account balances2021-01-0180
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2020 401k membership
Total participants, beginning-of-year2020-01-0182
Total number of active participants reported on line 7a of the Form 55002020-01-0139
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0141
Total of all active and inactive participants2020-01-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0180
Number of participants with account balances2020-01-0179
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2019 401k membership
Total participants, beginning-of-year2019-01-0178
Total number of active participants reported on line 7a of the Form 55002019-01-0141
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0141
Total of all active and inactive participants2019-01-0182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0182
Number of participants with account balances2019-01-0178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2018 401k membership
Total participants, beginning-of-year2018-01-0174
Total number of active participants reported on line 7a of the Form 55002018-01-0136
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0142
Total of all active and inactive participants2018-01-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0178
Number of participants with account balances2018-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2017 401k membership
Total participants, beginning-of-year2017-01-0174
Total number of active participants reported on line 7a of the Form 55002017-01-0146
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0128
Total of all active and inactive participants2017-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0174
Number of participants with account balances2017-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-014
2016: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2016 401k membership
Total participants, beginning-of-year2016-01-0191
Total number of active participants reported on line 7a of the Form 55002016-01-0149
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0125
Total of all active and inactive participants2016-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0174
Number of participants with account balances2016-01-0170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2015 401k membership
Total participants, beginning-of-year2015-01-0176
Total number of active participants reported on line 7a of the Form 55002015-01-0172
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0119
Total of all active and inactive participants2015-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0191
Number of participants with account balances2015-01-0177
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES

Measure Date Value
2022 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2022 401k financial data
Total income from all sources2022-12-31$-272,668
Expenses. Total of all expenses incurred2022-12-31$399,949
Benefits paid (including direct rollovers)2022-12-31$396,638
Total plan assets at end of year2022-12-31$4,920,643
Total plan assets at beginning of year2022-12-31$5,593,260
Total contributions received or receivable from participants2022-12-31$227,004
Expenses. Other expenses not covered elsewhere2022-12-31$41,943
Other income received2022-12-31$-576,190
Net income (gross income less expenses)2022-12-31$-672,617
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,920,643
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,593,260
Assets. Value of participant loans2022-12-31$65,125
Total contributions received or receivable from employer(s)2022-12-31$76,518
Value of certain deemed distributions of participant loans2022-12-31$-38,632
2021 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2021 401k financial data
Total income from all sources2021-12-31$1,018,675
Expenses. Total of all expenses incurred2021-12-31$133,715
Benefits paid (including direct rollovers)2021-12-31$58,871
Total plan assets at end of year2021-12-31$5,593,260
Total plan assets at beginning of year2021-12-31$4,708,300
Total contributions received or receivable from participants2021-12-31$252,872
Expenses. Other expenses not covered elsewhere2021-12-31$40,597
Noncash contributions received2021-12-31$686,970
Net income (gross income less expenses)2021-12-31$884,960
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,593,260
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,708,300
Assets. Value of participant loans2021-12-31$55,618
Total contributions received or receivable from employer(s)2021-12-31$78,833
Value of certain deemed distributions of participant loans2021-12-31$34,247
2020 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2020 401k financial data
Total income from all sources2020-12-31$749,091
Expenses. Total of all expenses incurred2020-12-31$78,251
Benefits paid (including direct rollovers)2020-12-31$46,019
Total plan assets at end of year2020-12-31$4,708,300
Total plan assets at beginning of year2020-12-31$4,037,460
Total contributions received or receivable from participants2020-12-31$239,931
Expenses. Other expenses not covered elsewhere2020-12-31$31,731
Other income received2020-12-31$428,899
Net income (gross income less expenses)2020-12-31$670,840
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,708,300
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,037,460
Assets. Value of participant loans2020-12-31$52,644
Total contributions received or receivable from employer(s)2020-12-31$80,261
Value of certain deemed distributions of participant loans2020-12-31$501
2019 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2019 401k financial data
Total income from all sources2019-12-31$809,250
Expenses. Total of all expenses incurred2019-12-31$117,328
Benefits paid (including direct rollovers)2019-12-31$78,610
Total plan assets at end of year2019-12-31$4,037,460
Total plan assets at beginning of year2019-12-31$3,345,538
Total contributions received or receivable from participants2019-12-31$200,912
Expenses. Other expenses not covered elsewhere2019-12-31$27,672
Other income received2019-12-31$532,799
Net income (gross income less expenses)2019-12-31$691,922
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,037,460
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,345,538
Assets. Value of participant loans2019-12-31$55,373
Total contributions received or receivable from employer(s)2019-12-31$75,539
Value of certain deemed distributions of participant loans2019-12-31$10,481
Value of corrective distributions2019-12-31$565
2018 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2018 401k financial data
Total income from all sources2018-12-31$195,384
Expenses. Total of all expenses incurred2018-12-31$309,526
Benefits paid (including direct rollovers)2018-12-31$301,259
Total plan assets at end of year2018-12-31$3,345,538
Total plan assets at beginning of year2018-12-31$3,459,680
Total contributions received or receivable from participants2018-12-31$208,734
Expenses. Other expenses not covered elsewhere2018-12-31$8,267
Other income received2018-12-31$-96,136
Net income (gross income less expenses)2018-12-31$-114,142
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,345,538
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,459,680
Assets. Value of participant loans2018-12-31$28,314
Total contributions received or receivable from employer(s)2018-12-31$82,786
2017 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2017 401k financial data
Total income from all sources2017-12-31$636,003
Expenses. Total of all expenses incurred2017-12-31$203,489
Benefits paid (including direct rollovers)2017-12-31$168,666
Total plan assets at end of year2017-12-31$3,459,680
Total plan assets at beginning of year2017-12-31$3,027,166
Total contributions received or receivable from participants2017-12-31$208,400
Expenses. Other expenses not covered elsewhere2017-12-31$34,823
Contributions received from other sources (not participants or employers)2017-12-31$3,218
Other income received2017-12-31$338,076
Net income (gross income less expenses)2017-12-31$432,514
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,459,680
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,027,166
Assets. Value of participant loans2017-12-31$17,879
Total contributions received or receivable from employer(s)2017-12-31$86,309
2016 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2016 401k financial data
Total income from all sources2016-12-31$526,246
Expenses. Total of all expenses incurred2016-12-31$248,706
Benefits paid (including direct rollovers)2016-12-31$222,240
Total plan assets at end of year2016-12-31$3,027,166
Total plan assets at beginning of year2016-12-31$2,749,626
Total contributions received or receivable from participants2016-12-31$217,511
Expenses. Other expenses not covered elsewhere2016-12-31$26,466
Other income received2016-12-31$210,323
Net income (gross income less expenses)2016-12-31$277,540
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,027,166
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,749,626
Assets. Value of participant loans2016-12-31$22,922
Total contributions received or receivable from employer(s)2016-12-31$98,412
2015 : 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$3,454
Total income from all sources2015-12-31$329,740
Expenses. Total of all expenses incurred2015-12-31$211
Total plan assets at end of year2015-12-31$2,749,626
Total plan assets at beginning of year2015-12-31$2,423,551
Total contributions received or receivable from participants2015-12-31$299,998
Expenses. Other expenses not covered elsewhere2015-12-31$211
Other income received2015-12-31$-115,448
Net income (gross income less expenses)2015-12-31$329,529
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,749,626
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,420,097
Total contributions received or receivable from employer(s)2015-12-31$145,190

Form 5500 Responses for 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES

2022: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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: 165(E) SAVINGS DEFERRED RETIREMENT PLAN FOR ERICSSON CARIBBEAN EMPLOYEES 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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered51
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered54
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered54
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered55
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered71
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered50
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number372791-P1
Policy instance 1
Insurance contract or identification number372791-P1
Number of Individuals Covered71
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?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

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