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ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 401k Plan overview

Plan NameROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST
Plan identification number 501

ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

ROSENSTEIN, FIST & RINGOLD, INC. has sponsored the creation of one or more 401k plans.

Company Name:ROSENSTEIN, FIST & RINGOLD, INC.
Employer identification number (EIN):730787744
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01
5012020-10-01
5012019-10-01
5012018-10-01
5012017-10-01
5012016-10-01JAMES HOFFMEISTER
5012015-10-01JAMES HOFFMEISTER
5012014-10-01JAMES HOFFMEISTER JAMES HOFFMEISTER2016-04-21
5012013-10-01JAMES HOFFMEISTER JAMES HOFFMEISTER2015-04-17
5012012-10-01JAMES H HOFFMEISTER JAMES H HOFFMEISTER2014-01-27
5012011-10-01JAMES H. HOFFMEISTER JAMES H. HOFFMEISTER2013-05-03
5012009-10-01JAMES H HOFFMEISTER

Plan Statistics for ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST

401k plan membership statisitcs for ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST

Measure Date Value
2021: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2021 401k membership
Total participants, beginning-of-year2021-10-0122
Total number of active participants reported on line 7a of the Form 55002021-10-010
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-010
2020: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2020 401k membership
Total participants, beginning-of-year2020-10-0122
Total number of active participants reported on line 7a of the Form 55002020-10-0121
Number of retired or separated participants receiving benefits2020-10-011
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-0122
2019: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2019 401k membership
Total participants, beginning-of-year2019-10-0118
Total number of active participants reported on line 7a of the Form 55002019-10-0122
Total of all active and inactive participants2019-10-0122
Total participants2019-10-0122
2018: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2018 401k membership
Total participants, beginning-of-year2018-10-0125
Total number of active participants reported on line 7a of the Form 55002018-10-0123
Total of all active and inactive participants2018-10-0123
Total participants2018-10-0123
2017: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2017 401k membership
Total participants, beginning-of-year2017-10-0126
Total number of active participants reported on line 7a of the Form 55002017-10-0125
Total of all active and inactive participants2017-10-0125
Total participants2017-10-0125
2016: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2016 401k membership
Total participants, beginning-of-year2016-10-0127
Total number of active participants reported on line 7a of the Form 55002016-10-0126
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-0126
2015: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2015 401k membership
Total participants, beginning-of-year2015-10-0128
Total number of active participants reported on line 7a of the Form 55002015-10-0130
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-0130
2014: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2014 401k membership
Total participants, beginning-of-year2014-10-0131
Total number of active participants reported on line 7a of the Form 55002014-10-0128
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-0128
2013: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2013 401k membership
Total participants, beginning-of-year2013-10-0130
Total number of active participants reported on line 7a of the Form 55002013-10-0130
Total of all active and inactive participants2013-10-0130
Total participants2013-10-0130
2012: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2012 401k membership
Total participants, beginning-of-year2012-10-0130
Total number of active participants reported on line 7a of the Form 55002012-10-0131
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-0131
2011: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2011 401k membership
Total participants, beginning-of-year2011-10-0131
Total number of active participants reported on line 7a of the Form 55002011-10-0130
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-010
Total of all active and inactive participants2011-10-0130
2009: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2009 401k membership
Total participants, beginning-of-year2009-10-0134
Total number of active participants reported on line 7a of the Form 55002009-10-0134
Number of retired or separated participants receiving benefits2009-10-010
Total of all active and inactive participants2009-10-0134

Financial Data on ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST

Measure Date Value
2021 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2021 401k financial data
Total income from all sources2021-10-31$26,400
Expenses. Total of all expenses incurred2021-10-31$26,644
Benefits paid (including direct rollovers)2021-10-31$22,682
Total plan assets at end of year2021-10-31$0
Total plan assets at beginning of year2021-10-31$244
Value of fidelity bond covering the plan2021-10-31$500,000
Net income (gross income less expenses)2021-10-31$-244
Net plan assets at end of year (total assets less liabilities)2021-10-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-10-31$244
Total contributions received or receivable from employer(s)2021-10-31$26,400
Expenses. Administrative service providers (salaries,fees and commissions)2021-10-31$3,962
Transfers to/from the plan2021-09-30$0
Total income from all sources2021-09-30$391,205
Expenses. Total of all expenses incurred2021-09-30$397,682
Benefits paid (including direct rollovers)2021-09-30$302,549
Total plan assets at end of year2021-09-30$244
Total plan assets at beginning of year2021-09-30$6,721
Value of fidelity bond covering the plan2021-09-30$500,000
Expenses. Other expenses not covered elsewhere2021-09-30$85,396
Other income received2021-09-30$1
Net income (gross income less expenses)2021-09-30$-6,477
Net plan assets at end of year (total assets less liabilities)2021-09-30$244
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$6,721
Total contributions received or receivable from employer(s)2021-09-30$391,204
Expenses. Administrative service providers (salaries,fees and commissions)2021-09-30$9,737
2020 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2020 401k financial data
Total plan liabilities at beginning of year2020-09-30$0
Total income from all sources2020-09-30$324,370
Expenses. Total of all expenses incurred2020-09-30$319,886
Benefits paid (including direct rollovers)2020-09-30$319,886
Total plan assets at end of year2020-09-30$6,721
Total plan assets at beginning of year2020-09-30$2,237
Value of fidelity bond covering the plan2020-09-30$500,000
Other income received2020-09-30$105
Net income (gross income less expenses)2020-09-30$4,484
Net plan assets at end of year (total assets less liabilities)2020-09-30$6,721
Net plan assets at beginning of year (total assets less liabilities)2020-09-30$2,237
Total contributions received or receivable from employer(s)2020-09-30$324,265
2019 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2019 401k financial data
Total income from all sources2019-09-30$265,327
Expenses. Total of all expenses incurred2019-09-30$263,618
Benefits paid (including direct rollovers)2019-09-30$263,618
Total plan assets at end of year2019-09-30$2,237
Total plan assets at beginning of year2019-09-30$528
Value of fidelity bond covering the plan2019-09-30$500,000
Other income received2019-09-30$327
Net income (gross income less expenses)2019-09-30$1,709
Net plan assets at end of year (total assets less liabilities)2019-09-30$2,237
Net plan assets at beginning of year (total assets less liabilities)2019-09-30$528
Total contributions received or receivable from employer(s)2019-09-30$265,000
2017 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2017 401k financial data
Total income from all sources2017-09-30$260,490
Expenses. Total of all expenses incurred2017-09-30$252,508
Benefits paid (including direct rollovers)2017-09-30$252,508
Total plan assets at end of year2017-09-30$8,415
Total plan assets at beginning of year2017-09-30$433
Value of fidelity bond covering the plan2017-09-30$500,000
Total contributions received or receivable from participants2017-09-30$530
Contributions received from other sources (not participants or employers)2017-09-30$2,407
Other income received2017-09-30$53
Net income (gross income less expenses)2017-09-30$7,982
Net plan assets at end of year (total assets less liabilities)2017-09-30$8,415
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$433
Total contributions received or receivable from employer(s)2017-09-30$257,500
2016 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2016 401k financial data
Total income from all sources2016-09-30$484,506
Expenses. Total of all expenses incurred2016-09-30$489,879
Benefits paid (including direct rollovers)2016-09-30$489,879
Total plan assets at end of year2016-09-30$433
Total plan assets at beginning of year2016-09-30$5,806
Value of fidelity bond covering the plan2016-09-30$500,000
Other income received2016-09-30$6
Net income (gross income less expenses)2016-09-30$-5,373
Net plan assets at end of year (total assets less liabilities)2016-09-30$433
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$5,806
Total contributions received or receivable from employer(s)2016-09-30$484,500
2015 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2015 401k financial data
Total income from all sources2015-09-30$348,001
Expenses. Total of all expenses incurred2015-09-30$343,058
Benefits paid (including direct rollovers)2015-09-30$343,058
Total plan assets at end of year2015-09-30$5,806
Total plan assets at beginning of year2015-09-30$863
Value of fidelity bond covering the plan2015-09-30$500,000
Other income received2015-09-30$1
Net income (gross income less expenses)2015-09-30$4,943
Net plan assets at end of year (total assets less liabilities)2015-09-30$5,806
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$863
Total contributions received or receivable from employer(s)2015-09-30$348,000
2014 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2014 401k financial data
Total income from all sources2014-09-30$374,001
Expenses. Total of all expenses incurred2014-09-30$373,540
Benefits paid (including direct rollovers)2014-09-30$373,540
Total plan assets at end of year2014-09-30$863
Total plan assets at beginning of year2014-09-30$402
Value of fidelity bond covering the plan2014-09-30$500,000
Other income received2014-09-30$1
Net income (gross income less expenses)2014-09-30$461
Net plan assets at end of year (total assets less liabilities)2014-09-30$863
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$402
Total contributions received or receivable from employer(s)2014-09-30$374,000
2013 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2013 401k financial data
Total income from all sources2013-09-30$303,501
Expenses. Total of all expenses incurred2013-09-30$308,645
Benefits paid (including direct rollovers)2013-09-30$308,645
Total plan assets at end of year2013-09-30$402
Total plan assets at beginning of year2013-09-30$5,546
Value of fidelity bond covering the plan2013-09-30$500,000
Other income received2013-09-30$1
Net income (gross income less expenses)2013-09-30$-5,144
Net plan assets at end of year (total assets less liabilities)2013-09-30$402
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$5,546
Total contributions received or receivable from employer(s)2013-09-30$303,500
2012 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2012 401k financial data
Total income from all sources2012-09-30$309,301
Expenses. Total of all expenses incurred2012-09-30$304,454
Benefits paid (including direct rollovers)2012-09-30$304,454
Total plan assets at end of year2012-09-30$5,546
Total plan assets at beginning of year2012-09-30$699
Value of fidelity bond covering the plan2012-09-30$500,000
Total contributions received or receivable from participants2012-09-30$496
Contributions received from other sources (not participants or employers)2012-09-30$36,805
Net income (gross income less expenses)2012-09-30$4,847
Net plan assets at end of year (total assets less liabilities)2012-09-30$5,546
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$699
Total contributions received or receivable from employer(s)2012-09-30$272,000
2011 : ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2011 401k financial data
Total income from all sources2011-09-30$330,758
Expenses. Total of all expenses incurred2011-09-30$353,328
Benefits paid (including direct rollovers)2011-09-30$353,328
Total plan assets at end of year2011-09-30$699
Total plan assets at beginning of year2011-09-30$23,269
Value of fidelity bond covering the plan2011-09-30$500,000
Other income received2011-09-30$16
Net income (gross income less expenses)2011-09-30$-22,570
Net plan assets at end of year (total assets less liabilities)2011-09-30$699
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$23,269
Total contributions received or receivable from employer(s)2011-09-30$330,742

Form 5500 Responses for ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST

2021: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingYes
2021-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement - TrustYes
2020: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: ROSENSTEIN FIST & RINGOLD EMPLOYEES TRUST 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ELITE UNDERWRITING (National Association of Insurance Commissioners NAIC id number: 18694 )
Policy contract number10522
Policy instance 1
Insurance contract or identification number10522
Number of Individuals Covered22
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Welfare Benefit Premiums Paid to CarrierUSD $83,058
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30647
Policy instance 1
Insurance contract or identification numberHCL30647
Number of Individuals Covered26
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
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?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $89,432
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30647
Policy instance 1
Insurance contract or identification numberHCL30647
Number of Individuals Covered30
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $95,499
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30647
Policy instance 1
Insurance contract or identification numberHCL30647
Number of Individuals Covered28
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $99,865
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL30647
Policy instance 1
Insurance contract or identification numberHCL30647
Number of Individuals Covered30
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $108,759
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberIISI 3139
Policy instance 1
Insurance contract or identification numberIISI 3139
Number of Individuals Covered31
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $110,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberIISI 3139
Policy instance 1
Insurance contract or identification numberIISI 3139
Number of Individuals Covered30
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $93,064
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AED2
Policy instance 2
Insurance contract or identification numberG000AED2
Number of Individuals Covered30
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $3,890
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
COMPANION LIFE (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract numberIISI 3139
Policy instance 1
Insurance contract or identification numberIISI 3139
Number of Individuals Covered31
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $81,903
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )
Policy contract numberG000AED2
Policy instance 2
Insurance contract or identification numberG000AED2
Number of Individuals Covered34
Insurance policy start date2010-10-01
Insurance policy end date2011-09-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $5,826
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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