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BLUE WATER CORPORATION RETIREMENT PLAN 401k Plan overview

Plan NameBLUE WATER CORPORATION RETIREMENT PLAN
Plan identification number 001

BLUE WATER CORPORATION 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.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

BLUE WATER CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:BLUE WATER CORPORATION
Employer identification number (EIN):660662519
NAIC Classification:484110
NAIC Description:General Freight Trucking, Local

Additional information about BLUE WATER CORPORATION

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1960-09-28
Company Identification Number: 240649

More information about BLUE WATER CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BLUE WATER CORPORATION RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2019-06-18
0012017-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2018-09-19
0012016-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2017-07-19
0012015-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2016-09-14
0012014-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2015-09-09
0012013-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2014-06-30
0012012-01-01IVELISSE MALDONADO LLANOS IVELISSE MALDONADO LLANOS2013-09-11

Plan Statistics for BLUE WATER CORPORATION RETIREMENT PLAN

401k plan membership statisitcs for BLUE WATER CORPORATION RETIREMENT PLAN

Measure Date Value
2022: BLUE WATER CORPORATION RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0125
Total number of active participants reported on line 7a of the Form 55002022-01-0116
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-016
Total of all active and inactive participants2022-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0122
Number of participants with account balances2022-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-011
2021: BLUE WATER CORPORATION RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0123
Total number of active participants reported on line 7a of the Form 55002021-01-0118
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-017
Total of all active and inactive participants2021-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0125
Number of participants with account balances2021-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: BLUE WATER CORPORATION RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0119
Total number of active participants reported on line 7a of the Form 55002020-01-0119
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0123
Number of participants with account balances2020-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BLUE WATER CORPORATION RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0120
Total number of active participants reported on line 7a of the Form 55002019-01-0119
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0119
Number of participants with account balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BLUE WATER CORPORATION RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0120
Total number of active participants reported on line 7a of the Form 55002018-01-0120
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0120
Number of participants with account balances2018-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BLUE WATER CORPORATION RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0121
Total number of active participants reported on line 7a of the Form 55002017-01-0120
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120
Number of participants with account balances2017-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BLUE WATER CORPORATION RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-0121
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0121
Number of participants with account balances2016-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BLUE WATER CORPORATION RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0115
Total number of active participants reported on line 7a of the Form 55002015-01-0114
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0114
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BLUE WATER CORPORATION RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0115
Total number of active participants reported on line 7a of the Form 55002014-01-0115
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0115
Number of participants with account balances2014-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: BLUE WATER CORPORATION RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0113
Total number of active participants reported on line 7a of the Form 55002013-01-0115
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0115
Number of participants with account balances2013-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BLUE WATER CORPORATION RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-010
Total number of active participants reported on line 7a of the Form 55002012-01-0113
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0113
Number of participants with account balances2012-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on BLUE WATER CORPORATION RETIREMENT PLAN

Measure Date Value
2022 : BLUE WATER CORPORATION RETIREMENT PLAN 2022 401k financial data
Total income from all sources2022-12-31$-1,570
Expenses. Total of all expenses incurred2022-12-31$7,534
Benefits paid (including direct rollovers)2022-12-31$2,846
Total plan assets at end of year2022-12-31$230,595
Total plan assets at beginning of year2022-12-31$239,699
Total contributions received or receivable from participants2022-12-31$41,096
Expenses. Other expenses not covered elsewhere2022-12-31$4,688
Other income received2022-12-31$-52,940
Net income (gross income less expenses)2022-12-31$-9,104
Net plan assets at end of year (total assets less liabilities)2022-12-31$230,595
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$239,699
Total contributions received or receivable from employer(s)2022-12-31$10,274
2021 : BLUE WATER CORPORATION RETIREMENT PLAN 2021 401k financial data
Total income from all sources2021-12-31$73,251
Expenses. Total of all expenses incurred2021-12-31$4,811
Benefits paid (including direct rollovers)2021-12-31$445
Total plan assets at end of year2021-12-31$239,699
Total plan assets at beginning of year2021-12-31$171,259
Total contributions received or receivable from participants2021-12-31$34,142
Expenses. Other expenses not covered elsewhere2021-12-31$4,366
Contributions received from other sources (not participants or employers)2021-12-31$994
Other income received2021-12-31$29,840
Net income (gross income less expenses)2021-12-31$68,440
Net plan assets at end of year (total assets less liabilities)2021-12-31$239,699
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$171,259
Total contributions received or receivable from employer(s)2021-12-31$8,275
2020 : BLUE WATER CORPORATION RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-12-31$59,742
Expenses. Total of all expenses incurred2020-12-31$3,588
Total plan assets at end of year2020-12-31$171,259
Total plan assets at beginning of year2020-12-31$115,105
Total contributions received or receivable from participants2020-12-31$27,204
Expenses. Other expenses not covered elsewhere2020-12-31$3,588
Other income received2020-12-31$27,896
Net income (gross income less expenses)2020-12-31$56,154
Net plan assets at end of year (total assets less liabilities)2020-12-31$171,259
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$115,105
Total contributions received or receivable from employer(s)2020-12-31$4,642
2019 : BLUE WATER CORPORATION RETIREMENT PLAN 2019 401k financial data
Total income from all sources2019-12-31$33,320
Expenses. Total of all expenses incurred2019-12-31$860
Benefits paid (including direct rollovers)2019-12-31$810
Total plan assets at end of year2019-12-31$115,105
Total plan assets at beginning of year2019-12-31$82,645
Total contributions received or receivable from participants2019-12-31$16,243
Expenses. Other expenses not covered elsewhere2019-12-31$50
Other income received2019-12-31$13,016
Net income (gross income less expenses)2019-12-31$32,460
Net plan assets at end of year (total assets less liabilities)2019-12-31$115,105
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$82,645
Total contributions received or receivable from employer(s)2019-12-31$4,061
2018 : BLUE WATER CORPORATION RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$6,732
Expenses. Total of all expenses incurred2018-12-31$16,757
Benefits paid (including direct rollovers)2018-12-31$16,757
Total plan assets at end of year2018-12-31$82,645
Total plan assets at beginning of year2018-12-31$92,670
Total contributions received or receivable from participants2018-12-31$14,347
Other income received2018-12-31$-11,201
Net income (gross income less expenses)2018-12-31$-10,025
Net plan assets at end of year (total assets less liabilities)2018-12-31$82,645
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$92,670
Total contributions received or receivable from employer(s)2018-12-31$3,586
2017 : BLUE WATER CORPORATION RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$29,258
Expenses. Total of all expenses incurred2017-12-31$15,707
Benefits paid (including direct rollovers)2017-12-31$15,707
Total plan assets at end of year2017-12-31$92,670
Total plan assets at beginning of year2017-12-31$79,119
Total contributions received or receivable from participants2017-12-31$14,509
Other income received2017-12-31$11,122
Net income (gross income less expenses)2017-12-31$13,551
Net plan assets at end of year (total assets less liabilities)2017-12-31$92,670
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$79,119
Total contributions received or receivable from employer(s)2017-12-31$3,627
2016 : BLUE WATER CORPORATION RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$23,362
Expenses. Total of all expenses incurred2016-12-31$4,564
Benefits paid (including direct rollovers)2016-12-31$4,564
Total plan assets at end of year2016-12-31$79,119
Total plan assets at beginning of year2016-12-31$60,321
Total contributions received or receivable from participants2016-12-31$14,768
Other income received2016-12-31$4,902
Net income (gross income less expenses)2016-12-31$18,798
Net plan assets at end of year (total assets less liabilities)2016-12-31$79,119
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$60,321
Total contributions received or receivable from employer(s)2016-12-31$3,692
2015 : BLUE WATER CORPORATION RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$14,224
Expenses. Total of all expenses incurred2015-12-31$3,497
Total plan assets at end of year2015-12-31$60,321
Total plan assets at beginning of year2015-12-31$49,594
Total contributions received or receivable from participants2015-12-31$13,775
Other income received2015-12-31$-2,995
Net income (gross income less expenses)2015-12-31$10,727
Net plan assets at end of year (total assets less liabilities)2015-12-31$60,321
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$49,594
Total contributions received or receivable from employer(s)2015-12-31$3,444
Value of corrective distributions2015-12-31$3,497
2014 : BLUE WATER CORPORATION RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$23,833
Expenses. Total of all expenses incurred2014-12-31$9,635
Benefits paid (including direct rollovers)2014-12-31$9,635
Total plan assets at end of year2014-12-31$49,594
Total plan assets at beginning of year2014-12-31$35,396
Total contributions received or receivable from participants2014-12-31$19,452
Other income received2014-12-31$303
Net income (gross income less expenses)2014-12-31$14,198
Net plan assets at end of year (total assets less liabilities)2014-12-31$49,594
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$35,396
Total contributions received or receivable from employer(s)2014-12-31$4,078
2013 : BLUE WATER CORPORATION RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$28,763
Expenses. Total of all expenses incurred2013-12-31$818
Benefits paid (including direct rollovers)2013-12-31$818
Total plan assets at end of year2013-12-31$35,396
Total plan assets at beginning of year2013-12-31$7,451
Total contributions received or receivable from participants2013-12-31$21,771
Other income received2013-12-31$3,371
Net income (gross income less expenses)2013-12-31$27,945
Net plan assets at end of year (total assets less liabilities)2013-12-31$35,396
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$7,451
Total contributions received or receivable from employer(s)2013-12-31$3,621
2012 : BLUE WATER CORPORATION RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$7,451
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$7,451
Total plan assets at beginning of year2012-12-31$0
Total contributions received or receivable from participants2012-12-31$6,360
Other income received2012-12-31$9
Net income (gross income less expenses)2012-12-31$7,451
Net plan assets at end of year (total assets less liabilities)2012-12-31$7,451
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$1,082

Form 5500 Responses for BLUE WATER CORPORATION RETIREMENT PLAN

2022: BLUE WATER CORPORATION RETIREMENT 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: BLUE WATER CORPORATION RETIREMENT 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: BLUE WATER CORPORATION RETIREMENT 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: BLUE WATER CORPORATION RETIREMENT 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: BLUE WATER CORPORATION 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BLUE WATER CORPORATION 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BLUE WATER CORPORATION RETIREMENT 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BLUE WATER CORPORATION RETIREMENT 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BLUE WATER CORPORATION RETIREMENT 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BLUE WATER CORPORATION RETIREMENT 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BLUE WATER CORPORATION RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
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 – TrustYes
2012-01-01Plan 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 number506562-P1
Policy instance 1
Insurance contract or identification number506562-P1
Number of Individuals Covered1
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?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 number506562-P1
Policy instance 1
Insurance contract or identification number506562-P1
Number of Individuals Covered1
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 number506562-P1
Policy instance 1
Insurance contract or identification number506562-P1
Number of Individuals Covered1
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 number506562-P1
Policy instance 1
Insurance contract or identification number506562-P1
Number of Individuals Covered2
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

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