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PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 401k Plan overview

Plan NamePLAN DE AHORRO EMPLEADOS ISLAND FINANCE
Plan identification number 001

PLAN DE AHORRO EMPLEADOS ISLAND FINANCE Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan not intended to be qualified - A plan not intended to be qualified under Code sections 401, 403, or 408.

401k Sponsoring company profile

ISLAND FINANCE, LLC has sponsored the creation of one or more 401k plans.

Company Name:ISLAND FINANCE, LLC
Employer identification number (EIN):660878299
NAIC Classification:522291
NAIC Description:Consumer Lending

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PLAN DE AHORRO EMPLEADOS ISLAND FINANCE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ANGIE E. LUGO2023-07-11
0012021-01-01ANGIE E. LUGO2022-07-27 ANGIE E. LUGO2022-07-27
0012020-01-01ANGIE E. LUGO2021-07-29 ANGIE E. LUGO2021-07-29
0012020-01-01ANGIE E. LUGO2021-09-30 ANGIE E. LUGO2021-09-30
0012020-01-01ANGIE E. LUGO2021-07-29 ANGIE E. LUGO2021-07-29
0012019-01-01

Plan Statistics for PLAN DE AHORRO EMPLEADOS ISLAND FINANCE

401k plan membership statisitcs for PLAN DE AHORRO EMPLEADOS ISLAND FINANCE

Measure Date Value
2022: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2022 401k membership
Total participants, beginning-of-year2022-01-01486
Total number of active participants reported on line 7a of the Form 55002022-01-01407
Number of retired or separated participants receiving benefits2022-01-0169
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01476
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01476
Number of participants with account balances2022-01-01476
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2021 401k membership
Total participants, beginning-of-year2021-01-01563
Total number of active participants reported on line 7a of the Form 55002021-01-01410
Number of retired or separated participants receiving benefits2021-01-0176
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01486
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01486
Number of participants with account balances2021-01-01486
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2020 401k membership
Total participants, beginning-of-year2020-01-01647
Total number of active participants reported on line 7a of the Form 55002020-01-01484
Number of retired or separated participants receiving benefits2020-01-0134
Number of other retired or separated participants entitled to future benefits2020-01-0145
Total of all active and inactive participants2020-01-01563
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01563
Number of participants with account balances2020-01-01563
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2019 401k membership
Total participants, beginning-of-year2019-01-01659
Total number of active participants reported on line 7a of the Form 55002019-01-01533
Number of retired or separated participants receiving benefits2019-01-0129
Number of other retired or separated participants entitled to future benefits2019-01-0185
Total of all active and inactive participants2019-01-01647
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01647
Number of participants with account balances2019-01-01647
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on PLAN DE AHORRO EMPLEADOS ISLAND FINANCE

Measure Date Value
2022 : PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-1,085,914
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$710,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$688,052
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$701,143
Value of total assets at end of year2022-12-31$9,139,794
Value of total assets at beginning of year2022-12-31$10,935,795
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$22,035
Total interest from all sources2022-12-31$4,683
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$341,259
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$341,259
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$518,673
Participant contributions at end of year2022-12-31$48,148
Participant contributions at beginning of year2022-12-31$44,572
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$11,629
Administrative expenses (other) incurred2022-12-31$22,035
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-1,796,001
Value of net assets at end of year (total assets less liabilities)2022-12-31$9,139,794
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$10,935,795
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$6,331,831
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$8,157,164
Interest on participant loans2022-12-31$4,220
Interest earned on other investments2022-12-31$463
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$2,759,815
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$2,734,059
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-2,132,999
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$170,841
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$688,052
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31RSM PUERTO RICO
Accountancy firm EIN2022-12-31660388756
2021 : PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,954,587
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$683,430
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$662,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$667,132
Value of total assets at end of year2021-12-31$10,935,795
Value of total assets at beginning of year2021-12-31$9,664,638
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$20,615
Total interest from all sources2021-12-31$5,429
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$543,152
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$543,152
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$495,484
Participant contributions at end of year2021-12-31$44,572
Participant contributions at beginning of year2021-12-31$71,349
Administrative expenses (other) incurred2021-12-31$20,615
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,271,157
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,935,795
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,664,638
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$8,157,164
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$6,863,805
Interest on participant loans2021-12-31$4,873
Interest earned on other investments2021-12-31$556
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$2,734,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$2,729,484
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$738,874
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$171,648
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$662,815
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31RSM PUERTO RICO
Accountancy firm EIN2021-12-31660388756
2020 : PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,914,708
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$633,780
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$619,077
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$720,848
Value of total assets at end of year2020-12-31$9,664,638
Value of total assets at beginning of year2020-12-31$8,381,658
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$14,703
Total interest from all sources2020-12-31$4,460
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$243,019
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$243,019
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$514,580
Participant contributions at end of year2020-12-31$71,349
Participant contributions at beginning of year2020-12-31$62,164
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$21,395
Administrative expenses (other) incurred2020-12-31$14,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,280,928
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,664,638
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$8,381,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$6,863,805
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$5,284,685
Interest on participant loans2020-12-31$5,827
Interest earned on other investments2020-12-31$-1,367
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$2,729,484
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$3,034,809
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$946,381
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$184,873
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$619,077
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$0
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Liabilities. Value of acquisition indebtedness at beginning of year2020-12-31$0
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31RSM PUERTO RICO
Accountancy firm EIN2020-12-31660388756
2019 : PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$9,725
Total income from all sources (including contributions)2019-12-31$1,799,838
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$357,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$329,341
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$618,490
Value of total assets at end of year2019-12-31$8,381,658
Value of total assets at beginning of year2019-12-31$6,948,778
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$27,892
Total interest from all sources2019-12-31$4,460
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$178,956
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$178,956
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$461,399
Participant contributions at end of year2019-12-31$62,164
Participant contributions at beginning of year2019-12-31$61,357
Assets. Other investments not covered elsewhere at end of year2019-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$6,275
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$9,725
Administrative expenses (other) incurred2019-12-31$27,892
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Income. Non cash contributions2019-12-31$0
Value of net income/loss2019-12-31$1,442,605
Value of net assets at end of year (total assets less liabilities)2019-12-31$8,381,658
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,939,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$5,284,685
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,833,528
Interest on participant loans2019-12-31$5,542
Interest earned on other investments2019-12-31$-1,082
Income. Interest from US Government securities2019-12-31$0
Income. Interest from corporate debt instruments2019-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$3,034,809
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$3,053,893
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$997,932
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$150,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$329,341
Liabilities. Value of benefit claims payable at end of year2019-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$0
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Liabilities. Value of acquisition indebtedness at end of year2019-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-12-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31RSM PUERTO RICO
Accountancy firm EIN2019-12-31660388756

Form 5500 Responses for PLAN DE AHORRO EMPLEADOS ISLAND FINANCE

2022: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 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: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 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: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 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: PLAN DE AHORRO EMPLEADOS ISLAND FINANCE 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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number455732-P1
Policy instance 1
Insurance contract or identification number455732-P1
Number of Individuals Covered226
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,942
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,471
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number455732-P1
Policy instance 1
Insurance contract or identification number455732-P1
Number of Individuals Covered238
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,572
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,286
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number455732-P1
Policy instance 1
Insurance contract or identification number455732-P1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,418
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,209
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number455732-P1
Policy instance 1
Insurance contract or identification number455732-P1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,964
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,308
Insurance broker organization code?3

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