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JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 401k Plan overview

Plan NameJPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN
Plan identification number 001

JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

JPL ASSOCIATES CORP D/B/A PIZZA PALACE has sponsored the creation of one or more 401k plans.

Company Name:JPL ASSOCIATES CORP D/B/A PIZZA PALACE
Employer identification number (EIN):800369853
NAIC Classification:445299
NAIC Description:All Other Specialty Food Stores

Form 5500 Filing Information

Submission information for form 5500 for 401k plan JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01JOSEPH LAHOUD
0012016-01-01JOSEPH LAHOUD
0012015-01-01JOSEPH LAHOUD
0012014-01-01JOSEPH LAHOUD
0012013-01-01JOSEPH LAHOUD
0012012-01-01JOE LAHOUD
0012011-01-01JOE LAHOUD

Plan Statistics for JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN

401k plan membership statisitcs for JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN

Measure Date Value
2022: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-018
Total number of active participants reported on line 7a of the Form 55002022-01-017
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-017
Number of participants with account balances2022-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-017
Total number of active participants reported on line 7a of the Form 55002021-01-017
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-017
Number of participants with account balances2021-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-016
Total number of active participants reported on line 7a of the Form 55002020-01-017
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-017
Number of participants with account balances2020-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-015
Total number of active participants reported on line 7a of the Form 55002019-01-016
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-016
Number of participants with account balances2019-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-015
Total number of active participants reported on line 7a of the Form 55002018-01-015
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-015
Number of participants with account balances2018-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-015
Number of participants with account balances2017-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013
Total number of active participants reported on line 7a of the Form 55002016-01-014
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-014
Number of participants with account balances2016-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-016
Total number of active participants reported on line 7a of the Form 55002015-01-013
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 participants2015-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-013
Number of participants with account balances2015-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-016
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 participants2014-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-016
Number of participants with account balances2014-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-013
Total number of active participants reported on line 7a of the Form 55002013-01-014
Total of all active and inactive participants2013-01-014
Total participants2013-01-014
Number of participants with account balances2013-01-012
2012: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-013
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-013
Number of participants with account balances2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013
Total number of active participants reported on line 7a of the Form 55002011-01-013
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013
Number of participants with account balances2011-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN

Measure Date Value
2022 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2022 401k financial data
Total income from all sources2022-12-31$-29,962
Expenses. Total of all expenses incurred2022-12-31$17
Total plan assets at end of year2022-12-31$249,683
Total plan assets at beginning of year2022-12-31$279,662
Value of fidelity bond covering the plan2022-12-31$20,000
Other income received2022-12-31$-29,962
Net income (gross income less expenses)2022-12-31$-29,979
Net plan assets at end of year (total assets less liabilities)2022-12-31$249,683
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$279,662
Assets. Value of employer securities2022-12-31$225,000
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$17
2021 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2021 401k financial data
Total income from all sources2021-12-31$34,487
Expenses. Total of all expenses incurred2021-12-31$21
Total plan assets at end of year2021-12-31$279,662
Total plan assets at beginning of year2021-12-31$245,196
Value of fidelity bond covering the plan2021-12-31$20,000
Other income received2021-12-31$34,487
Net income (gross income less expenses)2021-12-31$34,466
Net plan assets at end of year (total assets less liabilities)2021-12-31$279,662
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$245,196
Assets. Value of employer securities2021-12-31$249,900
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$21
2020 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2020 401k financial data
Total income from all sources2020-12-31$3,138
Expenses. Total of all expenses incurred2020-12-31$17
Total plan assets at end of year2020-12-31$245,196
Total plan assets at beginning of year2020-12-31$242,075
Value of fidelity bond covering the plan2020-12-31$20,000
Other income received2020-12-31$3,138
Net income (gross income less expenses)2020-12-31$3,121
Net plan assets at end of year (total assets less liabilities)2020-12-31$245,196
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$242,075
Assets. Value of employer securities2020-12-31$220,000
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$17
2019 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2019 401k financial data
Total income from all sources2019-12-31$4,411
Expenses. Total of all expenses incurred2019-12-31$15
Total plan assets at end of year2019-12-31$242,075
Total plan assets at beginning of year2019-12-31$237,679
Value of fidelity bond covering the plan2019-12-31$20,000
Other income received2019-12-31$4,411
Net income (gross income less expenses)2019-12-31$4,396
Net plan assets at end of year (total assets less liabilities)2019-12-31$242,075
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$237,679
Assets. Value of employer securities2019-12-31$220,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$15
2018 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2018 401k financial data
Total income from all sources2018-12-31$57,686
Expenses. Total of all expenses incurred2018-12-31$7
Total plan assets at end of year2018-12-31$237,679
Total plan assets at beginning of year2018-12-31$180,000
Value of fidelity bond covering the plan2018-12-31$20,000
Contributions received from other sources (not participants or employers)2018-12-31$19,808
Other income received2018-12-31$37,878
Net income (gross income less expenses)2018-12-31$57,679
Net plan assets at end of year (total assets less liabilities)2018-12-31$237,679
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$180,000
Assets. Value of employer securities2018-12-31$220,000
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$7
2017 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2017 401k financial data
Total income from all sources2017-12-31$-5,000
Total plan assets at end of year2017-12-31$180,000
Total plan assets at beginning of year2017-12-31$185,000
Value of fidelity bond covering the plan2017-12-31$20,000
Other income received2017-12-31$-5,000
Net income (gross income less expenses)2017-12-31$-5,000
Net plan assets at end of year (total assets less liabilities)2017-12-31$180,000
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$185,000
Assets. Value of employer securities2017-12-31$180,000
2016 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2016 401k financial data
Total income from all sources2016-12-31$18,487
Total plan assets at end of year2016-12-31$185,000
Total plan assets at beginning of year2016-12-31$166,513
Value of fidelity bond covering the plan2016-12-31$20,000
Other income received2016-12-31$18,487
Net income (gross income less expenses)2016-12-31$18,487
Net plan assets at end of year (total assets less liabilities)2016-12-31$185,000
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$166,513
Assets. Value of employer securities2016-12-31$185,000
2015 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$85,920
Total plan assets at end of year2015-12-31$166,513
Total plan assets at beginning of year2015-12-31$80,593
Value of fidelity bond covering the plan2015-12-31$20,000
Other income received2015-12-31$85,920
Net income (gross income less expenses)2015-12-31$85,920
Net plan assets at end of year (total assets less liabilities)2015-12-31$166,513
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$80,593
Assets. Value of employer securities2015-12-31$166,513
2014 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$-56,148
Expenses. Total of all expenses incurred2014-12-31$0
Benefits paid (including direct rollovers)2014-12-31$0
Total plan assets at end of year2014-12-31$80,593
Total plan assets at beginning of year2014-12-31$136,741
Value of fidelity bond covering the plan2014-12-31$20,000
Total contributions received or receivable from participants2014-12-31$0
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$-56,148
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$-56,148
Net plan assets at end of year (total assets less liabilities)2014-12-31$80,593
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$136,741
Assets. Value of employer securities2014-12-31$80,593
Total contributions received or receivable from employer(s)2014-12-31$0
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2013 401k financial data
Total income from all sources2013-12-31$3,409
Total plan assets at end of year2013-12-31$136,741
Total plan assets at beginning of year2013-12-31$133,332
Value of fidelity bond covering the plan2013-12-31$20,000
Other income received2013-12-31$3,409
Net income (gross income less expenses)2013-12-31$3,409
Net plan assets at end of year (total assets less liabilities)2013-12-31$136,741
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$133,332
Assets. Value of employer securities2013-12-31$136,741
2012 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2012 401k financial data
Total income from all sources2012-12-31$8,676
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$133,332
Total plan assets at beginning of year2012-12-31$124,656
Value of fidelity bond covering the plan2012-12-31$20,000
Other income received2012-12-31$8,676
Net income (gross income less expenses)2012-12-31$8,676
Net plan assets at end of year (total assets less liabilities)2012-12-31$133,332
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$124,656
Assets. Value of employer securities2012-12-31$133,332
2011 : JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2011 401k financial data
Total income from all sources2011-12-31$-24,361
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$124,656
Total plan assets at beginning of year2011-12-31$149,017
Value of fidelity bond covering the plan2011-12-31$1,000,000
Other income received2011-12-31$-24,361
Net income (gross income less expenses)2011-12-31$-24,361
Net plan assets at end of year (total assets less liabilities)2011-12-31$124,656
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$149,017
Assets. Value of employer securities2011-12-31$124,656

Form 5500 Responses for JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN

2022: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST 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 planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: JPL ASSOCIATES CORP DBA PIZZA PALACE PENSION TRANSFER TRUST PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
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 planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260073-01
Policy instance 1
Insurance contract or identification number1260073-01
Number of Individuals Covered334
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260073-01
Policy instance 1
Insurance contract or identification number1260073-01
Number of Individuals Covered288
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260073-01
Policy instance 1
Insurance contract or identification number1260073-01
Number of Individuals Covered257
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $83
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $83
Insurance broker organization code?3
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number1260073-01
Policy instance 1
Insurance contract or identification number1260073-01
Number of Individuals Covered254
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $786
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $786
Insurance broker organization code?3

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