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CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 401k Plan overview

Plan NameCAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN
Plan identification number 002

CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CAGLE FISHING & RENTAL TOOLS, LTD has sponsored the creation of one or more 401k plans.

Company Name:CAGLE FISHING & RENTAL TOOLS, LTD
Employer identification number (EIN):751364716
NAIC Classification:812990
NAIC Description:All Other Personal Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01JEANETTE L SMITH2023-10-13 JEANETTE L SMITH2023-10-13
0022021-01-01JEANETTE SMITH2022-09-23 JEANETTE SMITH2022-09-23
0022020-01-01TOM PASSMORE2021-09-24
0022019-01-01JEANETTE SMITH2020-07-21 JEANETTE SMITH2020-07-21
0022018-01-01VIKKI THIEBAUD2019-07-31
0022017-01-01VIKKI THIEBAUD2018-06-13 TOM PASSMORE, JR.2018-06-13
0022016-01-01VIKKI THIEBAUD2017-09-05
0022015-11-01VIKKI THIEBAUD
0022014-11-01VIKKI THIEBAUD
0022013-11-01VIKKI THIEBAUD
0022012-11-01VIKKI THIEBAUD TOM PASSMORE, JR.2014-08-06
0022011-11-01VIKKI THIEBAUD
0022010-11-01VIKKI THIEBAUD
0022009-11-01VIKKI THIEBAUD

Plan Statistics for CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN

401k plan membership statisitcs for CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN

Measure Date Value
2015: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-11-0169
Total number of active participants reported on line 7a of the Form 55002015-11-0155
Number of retired or separated participants receiving benefits2015-11-010
Number of other retired or separated participants entitled to future benefits2015-11-0113
Total of all active and inactive participants2015-11-0168
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-11-010
Total participants2015-11-0168
Number of participants with account balances2015-11-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-11-011
2014: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-11-0159
Total number of active participants reported on line 7a of the Form 55002014-11-0156
Number of retired or separated participants receiving benefits2014-11-010
Number of other retired or separated participants entitled to future benefits2014-11-0113
Total of all active and inactive participants2014-11-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-11-010
Total participants2014-11-0169
Number of participants with account balances2014-11-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-11-011
2013: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-11-0152
Total number of active participants reported on line 7a of the Form 55002013-11-0149
Number of retired or separated participants receiving benefits2013-11-010
Number of other retired or separated participants entitled to future benefits2013-11-0110
Total of all active and inactive participants2013-11-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-11-010
Total participants2013-11-0159
Number of participants with account balances2013-11-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-11-013
2012: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-11-0146
Total number of active participants reported on line 7a of the Form 55002012-11-0146
Number of retired or separated participants receiving benefits2012-11-010
Number of other retired or separated participants entitled to future benefits2012-11-016
Total of all active and inactive participants2012-11-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-11-010
Total participants2012-11-0152
Number of participants with account balances2012-11-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-11-010
2011: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-11-0145
Total number of active participants reported on line 7a of the Form 55002011-11-0145
Number of retired or separated participants receiving benefits2011-11-010
Number of other retired or separated participants entitled to future benefits2011-11-011
Total of all active and inactive participants2011-11-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-11-010
Total participants2011-11-0146
Number of participants with account balances2011-11-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-11-010
2010: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-11-0135
Total number of active participants reported on line 7a of the Form 55002010-11-0139
Number of retired or separated participants receiving benefits2010-11-010
Number of other retired or separated participants entitled to future benefits2010-11-013
Total of all active and inactive participants2010-11-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-11-010
Total participants2010-11-0142
Number of participants with account balances2010-11-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-11-010
2009: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-11-0134
Total number of active participants reported on line 7a of the Form 55002009-11-0133
Number of retired or separated participants receiving benefits2009-11-010
Number of other retired or separated participants entitled to future benefits2009-11-012
Total of all active and inactive participants2009-11-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-11-010
Total participants2009-11-0135
Number of participants with account balances2009-11-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-11-011

Financial Data on CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN

Measure Date Value
2015 : CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$-7,839
Expenses. Total of all expenses incurred2015-12-31$190,129
Benefits paid (including direct rollovers)2015-12-31$190,029
Total plan assets at end of year2015-12-31$4,238,132
Total plan assets at beginning of year2015-12-31$4,436,100
Value of fidelity bond covering the plan2015-12-31$2,000,000
Total contributions received or receivable from participants2015-12-31$31,583
Expenses. Other expenses not covered elsewhere2015-12-31$100
Other income received2015-12-31$-57,485
Net income (gross income less expenses)2015-12-31$-197,968
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,238,132
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,436,100
Total contributions received or receivable from employer(s)2015-12-31$18,063
Total income from all sources2015-10-31$508,503
Expenses. Total of all expenses incurred2015-10-31$327,552
Benefits paid (including direct rollovers)2015-10-31$327,002
Total plan assets at end of year2015-10-31$4,436,100
Total plan assets at beginning of year2015-10-31$4,255,149
Value of fidelity bond covering the plan2015-10-31$2,000,000
Total contributions received or receivable from participants2015-10-31$257,711
Contributions received from other sources (not participants or employers)2015-10-31$1,858
Other income received2015-10-31$98,457
Net income (gross income less expenses)2015-10-31$180,951
Net plan assets at end of year (total assets less liabilities)2015-10-31$4,436,100
Net plan assets at beginning of year (total assets less liabilities)2015-10-31$4,255,149
Total contributions received or receivable from employer(s)2015-10-31$150,477
Expenses. Administrative service providers (salaries,fees and commissions)2015-10-31$550
2014 : CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2014 401k financial data
Total income from all sources2014-10-31$1,055,900
Expenses. Total of all expenses incurred2014-10-31$551,260
Benefits paid (including direct rollovers)2014-10-31$551,060
Total plan assets at end of year2014-10-31$4,255,149
Total plan assets at beginning of year2014-10-31$3,750,509
Value of fidelity bond covering the plan2014-10-31$500,000
Total contributions received or receivable from participants2014-10-31$281,283
Contributions received from other sources (not participants or employers)2014-10-31$74,355
Other income received2014-10-31$441,126
Net income (gross income less expenses)2014-10-31$504,640
Net plan assets at end of year (total assets less liabilities)2014-10-31$4,255,149
Net plan assets at beginning of year (total assets less liabilities)2014-10-31$3,750,509
Total contributions received or receivable from employer(s)2014-10-31$259,136
Expenses. Administrative service providers (salaries,fees and commissions)2014-10-31$200
2013 : CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2013 401k financial data
Total income from all sources2013-10-31$1,184,667
Expenses. Total of all expenses incurred2013-10-31$115,406
Benefits paid (including direct rollovers)2013-10-31$115,306
Total plan assets at end of year2013-10-31$3,750,509
Total plan assets at beginning of year2013-10-31$2,681,248
Value of fidelity bond covering the plan2013-10-31$500,000
Total contributions received or receivable from participants2013-10-31$280,972
Expenses. Other expenses not covered elsewhere2013-10-31$100
Contributions received from other sources (not participants or employers)2013-10-31$10,400
Other income received2013-10-31$698,268
Net income (gross income less expenses)2013-10-31$1,069,261
Net plan assets at end of year (total assets less liabilities)2013-10-31$3,750,509
Net plan assets at beginning of year (total assets less liabilities)2013-10-31$2,681,248
Total contributions received or receivable from employer(s)2013-10-31$195,027
2012 : CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2012 401k financial data
Total income from all sources2012-10-31$541,660
Expenses. Total of all expenses incurred2012-10-31$159,287
Benefits paid (including direct rollovers)2012-10-31$159,287
Total plan assets at end of year2012-10-31$2,681,248
Total plan assets at beginning of year2012-10-31$2,298,875
Value of fidelity bond covering the plan2012-10-31$200,000
Total contributions received or receivable from participants2012-10-31$204,279
Contributions received from other sources (not participants or employers)2012-10-31$10,430
Other income received2012-10-31$210,852
Net income (gross income less expenses)2012-10-31$382,373
Net plan assets at end of year (total assets less liabilities)2012-10-31$2,681,248
Net plan assets at beginning of year (total assets less liabilities)2012-10-31$2,298,875
Total contributions received or receivable from employer(s)2012-10-31$116,099
2011 : CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2011 401k financial data
Total income from all sources2011-10-31$396,175
Expenses. Total of all expenses incurred2011-10-31$296,961
Benefits paid (including direct rollovers)2011-10-31$296,091
Total plan assets at end of year2011-10-31$2,298,875
Total plan assets at beginning of year2011-10-31$2,199,661
Value of fidelity bond covering the plan2011-10-31$200,000
Total contributions received or receivable from participants2011-10-31$193,093
Contributions received from other sources (not participants or employers)2011-10-31$34,000
Other income received2011-10-31$65,050
Net income (gross income less expenses)2011-10-31$99,214
Net plan assets at end of year (total assets less liabilities)2011-10-31$2,298,875
Net plan assets at beginning of year (total assets less liabilities)2011-10-31$2,199,661
Total contributions received or receivable from employer(s)2011-10-31$104,032
Expenses. Administrative service providers (salaries,fees and commissions)2011-10-31$870
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-10-31$0

Form 5500 Responses for CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN

2015: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2015 form 5500 responses
2015-11-01Type of plan entitySingle employer plan
2015-11-01Submission has been amendedNo
2015-11-01This submission is the final filingNo
2015-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-11-01Plan is a collectively bargained planNo
2015-11-01Plan funding arrangement – InsuranceYes
2015-11-01Plan funding arrangement – TrustYes
2015-11-01Plan benefit arrangement – InsuranceYes
2015-11-01Plan benefit arrangement - TrustYes
2014: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2014 form 5500 responses
2014-11-01Type of plan entitySingle employer plan
2014-11-01Submission has been amendedNo
2014-11-01This submission is the final filingNo
2014-11-01This return/report is a short plan year return/report (less than 12 months)No
2014-11-01Plan is a collectively bargained planNo
2014-11-01Plan funding arrangement – InsuranceYes
2014-11-01Plan funding arrangement – TrustYes
2014-11-01Plan benefit arrangement – InsuranceYes
2014-11-01Plan benefit arrangement - TrustYes
2013: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2013 form 5500 responses
2013-11-01Type of plan entitySingle employer plan
2013-11-01Submission has been amendedNo
2013-11-01This submission is the final filingNo
2013-11-01This return/report is a short plan year return/report (less than 12 months)No
2013-11-01Plan is a collectively bargained planNo
2013-11-01Plan funding arrangement – InsuranceYes
2013-11-01Plan funding arrangement – TrustYes
2013-11-01Plan benefit arrangement – InsuranceYes
2013-11-01Plan benefit arrangement - TrustYes
2012: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2012 form 5500 responses
2012-11-01Type of plan entitySingle employer plan
2012-11-01Submission has been amendedNo
2012-11-01This submission is the final filingNo
2012-11-01This return/report is a short plan year return/report (less than 12 months)No
2012-11-01Plan is a collectively bargained planNo
2012-11-01Plan funding arrangement – InsuranceYes
2012-11-01Plan funding arrangement – TrustYes
2012-11-01Plan benefit arrangement – InsuranceYes
2012-11-01Plan benefit arrangement - TrustYes
2011: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2011 form 5500 responses
2011-11-01Type of plan entitySingle employer plan
2011-11-01Submission has been amendedNo
2011-11-01This submission is the final filingNo
2011-11-01This return/report is a short plan year return/report (less than 12 months)No
2011-11-01Plan is a collectively bargained planNo
2011-11-01Plan funding arrangement – InsuranceYes
2011-11-01Plan funding arrangement – TrustYes
2011-11-01Plan benefit arrangement – InsuranceYes
2011-11-01Plan benefit arrangement - TrustYes
2010: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2010 form 5500 responses
2010-11-01Type of plan entitySingle employer plan
2010-11-01Submission has been amendedNo
2010-11-01This submission is the final filingNo
2010-11-01This return/report is a short plan year return/report (less than 12 months)No
2010-11-01Plan is a collectively bargained planNo
2010-11-01Plan funding arrangement – InsuranceYes
2010-11-01Plan benefit arrangement – InsuranceYes
2009: CAGLE FISHING & RENTAL TOOLS, LTD 401(K) PLAN 2009 form 5500 responses
2009-11-01Type of plan entitySingle employer plan
2009-11-01Submission has been amendedNo
2009-11-01This submission is the final filingNo
2009-11-01This return/report is a short plan year return/report (less than 12 months)No
2009-11-01Plan is a collectively bargained planNo
2009-11-01Plan funding arrangement – InsuranceYes
2009-11-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9562
Policy instance 1
Insurance contract or identification numberZH9562
Number of Individuals Covered68
Insurance policy start date2015-11-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,227
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,227
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SMITH BARNEY
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9562
Policy instance 1
Insurance contract or identification numberZH9562
Number of Individuals Covered69
Insurance policy start date2014-11-01
Insurance policy end date2015-10-31
Total amount of commissions paid to insurance brokerUSD $13,015
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,015
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SMITH BARNEY
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH9562
Policy instance 1
Insurance contract or identification numberZH9562
Number of Individuals Covered59
Insurance policy start date2013-11-01
Insurance policy end date2014-10-31
Total amount of commissions paid to insurance brokerUSD $12,421
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $12,421
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SMITH BARNEY
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHX562
Policy instance 1
Insurance contract or identification numberPHX562
Number of Individuals Covered52
Insurance policy start date2012-11-01
Insurance policy end date2013-10-31
Total amount of commissions paid to insurance brokerUSD $9,537
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,537
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SMITH BARNEY
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931974
Policy instance 1
Insurance contract or identification number931974
Number of Individuals Covered0
Insurance policy start date2011-11-01
Insurance policy end date2011-12-16
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 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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHX562
Policy instance 2
Insurance contract or identification numberPHX562
Number of Individuals Covered46
Insurance policy start date2011-12-16
Insurance policy end date2012-10-31
Total amount of commissions paid to insurance brokerUSD $6,222
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931974
Policy instance 1
Insurance contract or identification number931974
Number of Individuals Covered27
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,720
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 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

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