ALL POWER, INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ALL POWER, INC. INSURANCE PROGRAM
| Measure | Date | Value |
|---|
| 2023 : ALL POWER, INC. INSURANCE PROGRAM 2023 401k financial data |
|---|
| Total income from all sources | 2023-12-31 | $130,039 |
| Expenses. Total of all expenses incurred | 2023-12-31 | $155,162 |
| Benefits paid (including direct rollovers) | 2023-12-31 | $112,322 |
| Total plan assets at end of year | 2023-12-31 | $163,674 |
| Total plan assets at beginning of year | 2023-12-31 | $188,797 |
| Net income (gross income less expenses) | 2023-12-31 | $-25,123 |
| Net plan assets at end of year (total assets less liabilities) | 2023-12-31 | $163,674 |
| Net plan assets at beginning of year (total assets less liabilities) | 2023-12-31 | $188,797 |
| Total contributions received or receivable from employer(s) | 2023-12-31 | $130,039 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2023-12-31 | $42,840 |
| 2022 : ALL POWER, INC. INSURANCE PROGRAM 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $156,448 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $139,870 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $134,151 |
| Total plan assets at end of year | 2022-12-31 | $188,797 |
| Total plan assets at beginning of year | 2022-12-31 | $172,219 |
| Net income (gross income less expenses) | 2022-12-31 | $16,578 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $188,797 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $172,219 |
| Total contributions received or receivable from employer(s) | 2022-12-31 | $156,448 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2022-12-31 | $5,719 |
| 2021 : ALL POWER, INC. INSURANCE PROGRAM 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $176,318 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $205,220 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $173,221 |
| Total plan assets at end of year | 2021-12-31 | $172,219 |
| Total plan assets at beginning of year | 2021-12-31 | $201,121 |
| Net income (gross income less expenses) | 2021-12-31 | $-28,902 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $172,219 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $201,121 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $176,318 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $31,999 |
| 2020 : ALL POWER, INC. INSURANCE PROGRAM 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $318,296 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $326,888 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $317,151 |
| Total plan assets at end of year | 2020-12-31 | $201,121 |
| Total plan assets at beginning of year | 2020-12-31 | $209,713 |
| Net income (gross income less expenses) | 2020-12-31 | $-8,592 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $201,121 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $209,713 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $318,296 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $9,737 |
| 2019 : ALL POWER, INC. INSURANCE PROGRAM 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $318,283 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $286,597 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $280,460 |
| Total plan assets at end of year | 2019-12-31 | $209,713 |
| Total plan assets at beginning of year | 2019-12-31 | $178,027 |
| Net income (gross income less expenses) | 2019-12-31 | $31,686 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $209,713 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $178,027 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $318,283 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $6,137 |
| 2018 : ALL POWER, INC. INSURANCE PROGRAM 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $348,812 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $313,551 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $257,286 |
| Total plan assets at end of year | 2018-12-31 | $178,027 |
| Total plan assets at beginning of year | 2018-12-31 | $142,766 |
| Net income (gross income less expenses) | 2018-12-31 | $35,261 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $178,027 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $142,766 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $348,812 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $56,265 |
| 2017 : ALL POWER, INC. INSURANCE PROGRAM 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $196,678 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $175,674 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $162,533 |
| Total plan assets at end of year | 2017-12-31 | $142,766 |
| Total plan assets at beginning of year | 2017-12-31 | $121,762 |
| Net income (gross income less expenses) | 2017-12-31 | $21,004 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $142,766 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $121,762 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $196,678 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $13,141 |
| 2016 : ALL POWER, INC. INSURANCE PROGRAM 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $134,713 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $134,743 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $126,931 |
| Total plan assets at end of year | 2016-12-31 | $121,762 |
| Total plan assets at beginning of year | 2016-12-31 | $121,792 |
| Net income (gross income less expenses) | 2016-12-31 | $-30 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $121,762 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $121,792 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $134,713 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $7,812 |
| 2015 : ALL POWER, INC. INSURANCE PROGRAM 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $163,092 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $137,022 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $116,539 |
| Total plan assets at end of year | 2015-12-31 | $121,792 |
| Total plan assets at beginning of year | 2015-12-31 | $95,722 |
| Net income (gross income less expenses) | 2015-12-31 | $26,070 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $121,792 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $95,722 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $163,092 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $20,483 |
| 2014 : ALL POWER, INC. INSURANCE PROGRAM 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $184,833 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $191,069 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $170,670 |
| Total plan assets at end of year | 2014-12-31 | $95,722 |
| Total plan assets at beginning of year | 2014-12-31 | $101,958 |
| Value of fidelity bond covering the plan | 2014-12-31 | $11,000 |
| Net income (gross income less expenses) | 2014-12-31 | $-6,236 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $95,722 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $101,958 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $184,833 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $20,399 |
| 2013 : ALL POWER, INC. INSURANCE PROGRAM 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $183,659 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $172,910 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $167,842 |
| Total plan assets at end of year | 2013-12-31 | $101,958 |
| Total plan assets at beginning of year | 2013-12-31 | $91,209 |
| Net income (gross income less expenses) | 2013-12-31 | $10,749 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $101,958 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $91,209 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $183,659 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $5,068 |
| 2012 : ALL POWER, INC. INSURANCE PROGRAM 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $162,173 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $146,060 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $139,393 |
| Total plan assets at end of year | 2012-12-31 | $91,209 |
| Total plan assets at beginning of year | 2012-12-31 | $75,096 |
| Net income (gross income less expenses) | 2012-12-31 | $16,113 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $91,209 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $75,096 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $162,173 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $6,667 |
| 2011 : ALL POWER, INC. INSURANCE PROGRAM 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $169,973 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $144,475 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $140,116 |
| Total plan assets at end of year | 2011-12-31 | $75,096 |
| Total plan assets at beginning of year | 2011-12-31 | $49,598 |
| Net income (gross income less expenses) | 2011-12-31 | $25,498 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $75,096 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $49,598 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $169,973 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $4,359 |
| 2010 : ALL POWER, INC. INSURANCE PROGRAM 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $164,550 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $123,279 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $121,345 |
| Total plan assets at end of year | 2010-12-31 | $49,598 |
| Total plan assets at beginning of year | 2010-12-31 | $8,327 |
| Net income (gross income less expenses) | 2010-12-31 | $41,271 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $49,598 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $8,327 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $164,550 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $1,934 |
| 2023: ALL POWER, INC. INSURANCE PROGRAM 2023 form 5500 responses |
|---|
| 2023-01-01 | Type of plan entity | Single employer plan |
| 2023-01-01 | Submission has been amended | No |
| 2023-01-01 | This submission is the final filing | No |
| 2023-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-01-01 | Plan is a collectively bargained plan | No |
| 2023-01-01 | Plan funding arrangement – Insurance | Yes |
| 2023-01-01 | Plan funding arrangement – Trust | Yes |
| 2023-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2023-01-01 | Plan benefit arrangement - Trust | Yes |
| 2022: ALL POWER, INC. INSURANCE PROGRAM 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Insurance | Yes |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: ALL POWER, INC. INSURANCE PROGRAM 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Insurance | Yes |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: ALL POWER, INC. INSURANCE PROGRAM 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: ALL POWER, INC. INSURANCE PROGRAM 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: ALL POWER, INC. INSURANCE PROGRAM 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: ALL POWER, INC. INSURANCE PROGRAM 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: ALL POWER, INC. INSURANCE PROGRAM 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: ALL POWER, INC. INSURANCE PROGRAM 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: ALL POWER, INC. INSURANCE PROGRAM 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: ALL POWER, INC. INSURANCE PROGRAM 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: ALL POWER, INC. INSURANCE PROGRAM 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: ALL POWER, INC. INSURANCE PROGRAM 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: ALL POWER, INC. INSURANCE PROGRAM 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| Insurance contract or identification number | 216623010 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $582 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| Insurance contract or identification number | 78053-0000 | | Number of Individuals Covered | 7 | | Insurance policy start date | 2023-01-01 | | Insurance policy end date | 2023-12-31 | | Total amount of commissions paid to insurance broker | USD $1,473 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $52,123 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| Insurance contract or identification number | 216623010 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $690 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| Insurance contract or identification number | 78053-0000 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2022-01-01 | | Insurance policy end date | 2022-12-31 | | Total amount of commissions paid to insurance broker | USD $2,320 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | | Health Insurance Welfare Benefit | Yes | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $82,872 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623010 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 216623-010 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 202728 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 202728 |
| Policy instance | 2 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 202728 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 202728 |
| Policy instance | 2 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | 78053-0000 |
| Policy instance | 1 |
| SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 ) |
| Policy contract number | 202728 |
| Policy instance | 2 |