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PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 401k Plan overview

Plan NamePRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN
Plan identification number 002

PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PRIMESOURCE BUILDING PRODUCTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:PRIMESOURCE BUILDING PRODUCTS, INC.
Employer identification number (EIN):752751831
NAIC Classification:423300

Additional information about PRIMESOURCE BUILDING PRODUCTS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1998-04-07
Company Identification Number: 0012031906
Legal Registered Office Address: 1321 GREENWAY DR

IRVING
United States of America (USA)
75038

More information about PRIMESOURCE BUILDING PRODUCTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01DIEGO ROSENFELDT2023-09-26
0022021-01-01DIEGO ROSENFELDT2022-10-03
0022020-01-01DIEGO ROSENFELDT2021-07-06
0022019-01-01DIEGO ROSENFELDT2020-09-15 DIEGO ROSENFELDT2020-09-15
0022018-01-01JAN JERGER-STEVENS2019-07-02
0022017-01-01JAN JERGER-STEVENS2018-09-26
0022016-01-01JAN JERGER-STEVENS2017-07-27 JAN JERGER-STEVENS2017-07-27
0022015-01-01ROSEANN N. RUSH ROSEANN N. RUSH2016-07-19
0022014-01-01ROSEANN N RUSH ROSEANN N RUSH2015-07-10
0022013-01-01ROSEANN N. RUSH ROSEANN N. RUSH2014-07-14
0022012-01-01ROSEANN N. RUSH ROSEANN N. RUSH2013-10-08
0022011-01-01ROSEANN N. RUSH ROSEANN N. RUSH2012-07-12
0022010-01-01ROSEANN N. RUSH
0022009-01-01ROSEANN N. RUSH

Plan Statistics for PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN

401k plan membership statisitcs for PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN

Measure Date Value
2015: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0125
Total number of active participants reported on line 7a of the Form 55002015-01-0127
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0127
Number of participants with account balances2015-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0119
Total number of active participants reported on line 7a of the Form 55002014-01-0125
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0125
Number of participants with account balances2014-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0120
Total number of active participants reported on line 7a of the Form 55002013-01-0119
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0119
Number of participants with account balances2013-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0121
Total number of active participants reported on line 7a of the Form 55002012-01-0119
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0120
Number of participants with account balances2012-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0123
Total number of active participants reported on line 7a of the Form 55002011-01-0120
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0121
Number of participants with account balances2011-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0122
Total number of active participants reported on line 7a of the Form 55002010-01-0122
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0123
Number of participants with account balances2010-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0120
Total number of active participants reported on line 7a of the Form 55002009-01-0121
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0122
Number of participants with account balances2009-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN

Measure Date Value
2015 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$113,464
Expenses. Total of all expenses incurred2015-12-31$2,375
Benefits paid (including direct rollovers)2015-12-31$1,500
Total plan assets at end of year2015-12-31$381,669
Total plan assets at beginning of year2015-12-31$270,580
Value of fidelity bond covering the plan2015-12-31$5,000,000
Total contributions received or receivable from participants2015-12-31$66,188
Other income received2015-12-31$3,128
Net income (gross income less expenses)2015-12-31$111,089
Net plan assets at end of year (total assets less liabilities)2015-12-31$381,669
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$270,580
Assets. Value of participant loans2015-12-31$44,392
Total contributions received or receivable from employer(s)2015-12-31$44,148
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$875
2014 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$76,079
Expenses. Total of all expenses incurred2014-12-31$31,720
Benefits paid (including direct rollovers)2014-12-31$31,020
Total plan assets at end of year2014-12-31$270,580
Total plan assets at beginning of year2014-12-31$226,221
Value of fidelity bond covering the plan2014-12-31$5,000,000
Total contributions received or receivable from participants2014-12-31$41,420
Other income received2014-12-31$11,739
Net income (gross income less expenses)2014-12-31$44,359
Net plan assets at end of year (total assets less liabilities)2014-12-31$270,580
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$226,221
Assets. Value of participant loans2014-12-31$34,835
Total contributions received or receivable from employer(s)2014-12-31$22,920
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$700
2013 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$58,775
Expenses. Total of all expenses incurred2013-12-31$19,951
Benefits paid (including direct rollovers)2013-12-31$19,076
Total plan assets at end of year2013-12-31$226,221
Total plan assets at beginning of year2013-12-31$187,397
Value of fidelity bond covering the plan2013-12-31$5,000,000
Total contributions received or receivable from participants2013-12-31$25,138
Other income received2013-12-31$22,255
Net income (gross income less expenses)2013-12-31$38,824
Net plan assets at end of year (total assets less liabilities)2013-12-31$226,221
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$187,397
Assets. Value of participant loans2013-12-31$16,635
Total contributions received or receivable from employer(s)2013-12-31$11,382
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$875
2012 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$55,685
Expenses. Total of all expenses incurred2012-12-31$24,767
Benefits paid (including direct rollovers)2012-12-31$24,147
Total plan assets at end of year2012-12-31$187,397
Total plan assets at beginning of year2012-12-31$156,479
Value of fidelity bond covering the plan2012-12-31$5,000,000
Total contributions received or receivable from participants2012-12-31$27,256
Other income received2012-12-31$14,156
Net income (gross income less expenses)2012-12-31$30,918
Net plan assets at end of year (total assets less liabilities)2012-12-31$187,397
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$156,479
Assets. Value of participant loans2012-12-31$15,135
Total contributions received or receivable from employer(s)2012-12-31$14,273
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$620
2011 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$31,142
Expenses. Total of all expenses incurred2011-12-31$24,189
Benefits paid (including direct rollovers)2011-12-31$23,834
Total plan assets at end of year2011-12-31$156,479
Total plan assets at beginning of year2011-12-31$149,526
Value of fidelity bond covering the plan2011-12-31$5,000,000
Total contributions received or receivable from participants2011-12-31$22,674
Other income received2011-12-31$-135
Net income (gross income less expenses)2011-12-31$6,953
Net plan assets at end of year (total assets less liabilities)2011-12-31$156,479
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$149,526
Assets. Value of participant loans2011-12-31$13,024
Total contributions received or receivable from employer(s)2011-12-31$8,603
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$355
2010 : PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$49,630
Expenses. Total of all expenses incurred2010-12-31$5,871
Benefits paid (including direct rollovers)2010-12-31$5,296
Total plan assets at end of year2010-12-31$149,526
Total plan assets at beginning of year2010-12-31$105,767
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$30,151
Other income received2010-12-31$9,798
Net income (gross income less expenses)2010-12-31$43,759
Net plan assets at end of year (total assets less liabilities)2010-12-31$149,526
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$105,767
Assets. Value of participant loans2010-12-31$11,633
Total contributions received or receivable from employer(s)2010-12-31$9,681
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$575

Form 5500 Responses for PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN

2015: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planYes
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PRIMESOURCE COLLECTIVE BARGAINING RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planYes
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHY226
Policy instance 1
Insurance contract or identification numberPHY226
Number of Individuals Covered27
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $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 $227
Insurance broker organization code?3
Insurance broker nameRAYMOND JAMES FINANCIAL SERVICES IN
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHY226
Policy instance 1
Insurance contract or identification numberPHY226
Number of Individuals Covered25
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $69
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 $69
Insurance broker organization code?3
Insurance broker nameRAYMOND JAMES PLANNING CORPORATION
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHY226
Policy instance 1
Insurance contract or identification numberPHY226
Number of Individuals Covered19
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $78
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 $57
Insurance broker organization code?3
Insurance broker nameRAYMOND JAMES PLANNING CORPORATION
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHX534
Policy instance 1
Insurance contract or identification numberPHX534
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-04-10
Total amount of commissions paid to insurance brokerUSD $51
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 $51
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker name
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHY226
Policy instance 2
Insurance contract or identification numberPHY226
Number of Individuals Covered20
Insurance policy start date2012-04-10
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $108
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 $108
Insurance broker organization code?3
Insurance broker nameWALNUT STREET SECURITIES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHX534
Policy instance 1
Insurance contract or identification numberPHX534
Number of Individuals Covered21
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $264
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberPHX534
Policy instance 1
Insurance contract or identification numberPHX534
Number of Individuals Covered23
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $283
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

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