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EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 401k Plan overview

Plan NameEVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN
Plan identification number 504

EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

EVERGY, INC. has sponsored the creation of one or more 401k plans.

Company Name:EVERGY, INC.
Employer identification number (EIN):822733395
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5042022-01-01THERESA DODSON,DIRECTOR,BENEFITS2023-10-16
5042021-01-01KELLY MURPHY, DIR HR OPERATIONS2022-11-28 KELLY MURPHY, DIR HR OPERATIONS2022-11-28
5042020-01-01KELLY MURPHY, DIR HR OPERATIONS2021-10-14 KELLY MURPHY, DIR HR OPERATIONS2021-10-14
5042019-01-01KELLY MURPHY, SR DIR HR STATS & OPS2020-10-15 KELLY MURPHY, SR DIR HR STATS & OPS2020-10-15
5042018-01-01KELLY MURPHY, SR DIRECTOR HR2019-10-11 KELLY MURPHY, SR DIRECTOR HR2019-10-11

Plan Statistics for EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN

401k plan membership statisitcs for EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN

Measure Date Value
2022: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-017,290
Total number of active participants reported on line 7a of the Form 55002022-01-013,419
Number of retired or separated participants receiving benefits2022-01-013,489
Number of other retired or separated participants entitled to future benefits2022-01-01210
Total of all active and inactive participants2022-01-017,118
2021: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-015,719
Total number of active participants reported on line 7a of the Form 55002021-01-012,883
Number of retired or separated participants receiving benefits2021-01-012,675
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-015,558
2020: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014,894
Total number of active participants reported on line 7a of the Form 55002020-01-012,242
Number of retired or separated participants receiving benefits2020-01-012,537
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-014,779
2019: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014,950
Total number of active participants reported on line 7a of the Form 55002019-01-012,457
Number of retired or separated participants receiving benefits2019-01-018
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-012,465
2018: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-013,429
Total number of active participants reported on line 7a of the Form 55002018-01-011,048
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-011,051

Financial Data on EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN

Measure Date Value
2022 : EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total transfer of assets to this plan2022-12-31$42,385,349
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$439,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$188,344
Total income from all sources (including contributions)2022-12-31$-2,730,592
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$6,384,755
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$10,620,652
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$8,546,163
Value of total assets at end of year2022-12-31$73,481,954
Value of total assets at beginning of year2022-12-31$39,960,737
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$-4,235,897
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,057,955
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,057,955
Administrative expenses professional fees incurred2022-12-31$65,792
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$15,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$4,181,837
Participant contributions at end of year2022-12-31$989,454
Participant contributions at beginning of year2022-12-31$1,365,182
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$7,582,211
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$1,193,618
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$11,448
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Administrative expenses (other) incurred2022-12-31$-4,534,570
Total non interest bearing cash at end of year2022-12-31$530,000
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-9,115,347
Value of net assets at end of year (total assets less liabilities)2022-12-31$73,042,395
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$39,772,393
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$63,234
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$60,918,380
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$37,231,028
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$1,771,844
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-13,334,710
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$4,364,326
Employer contributions (assets) at end of year2022-12-31$3,461,909
Employer contributions (assets) at beginning of year2022-12-31$170,909
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$8,848,808
Contract administrator fees2022-12-31$169,647
Liabilities. Value of benefit claims payable at end of year2022-12-31$428,111
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$188,344
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2022-12-31431947695
2021 : EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$188,344
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$924,295
Total income from all sources (including contributions)2021-12-31$8,438,366
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$9,566,598
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$9,446,614
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$8,326,615
Value of total assets at end of year2021-12-31$39,244,374
Value of total assets at beginning of year2021-12-31$41,108,557
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$119,984
Total interest from all sources2021-12-31$90
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,003,013
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,003,013
Administrative expenses professional fees incurred2021-12-31$38,910
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$4,857,406
Participant contributions at end of year2021-12-31$494,816
Participant contributions at beginning of year2021-12-31$193,790
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-12-31$757,886
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$1,356,538
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$37,915,140
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$597,112
Administrative expenses (other) incurred2021-12-31$-165,686
Liabilities. Value of operating payables at end of year2021-12-31$0
Liabilities. Value of operating payables at beginning of year2021-12-31$101,310
Total non interest bearing cash at end of year2021-12-31$0
Total non interest bearing cash at beginning of year2021-12-31$23,034
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,128,232
Value of net assets at end of year (total assets less liabilities)2021-12-31$39,056,030
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$40,184,262
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$32,198
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$37,231,028
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,976,593
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$90
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,806,961
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-891,352
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$3,469,209
Employer contributions (assets) at end of year2021-12-31$161,992
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$6,881,767
Contract administrator fees2021-12-31$214,562
Liabilities. Value of benefit claims payable at end of year2021-12-31$188,344
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$225,873
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2021-12-31431947695
2020 : EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$924,295
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,527,657
Total income from all sources (including contributions)2020-12-31$7,833,349
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$5,462,687
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,503,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$4,719,595
Value of total assets at end of year2020-12-31$41,108,557
Value of total assets at beginning of year2020-12-31$40,341,257
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$959,668
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$14,830
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$14,830
Administrative expenses professional fees incurred2020-12-31$17,076
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$2,368,972
Participant contributions at end of year2020-12-31$193,790
Participant contributions at beginning of year2020-12-31$147,310
Assets. Other investments not covered elsewhere at end of year2020-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-31$16,870,470
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$37,915,140
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$582,181
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$597,112
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$274,625
Administrative expenses (other) incurred2020-12-31$821,447
Liabilities. Value of operating payables at end of year2020-12-31$101,310
Liabilities. Value of operating payables at beginning of year2020-12-31$168,165
Total non interest bearing cash at end of year2020-12-31$23,034
Total non interest bearing cash at beginning of year2020-12-31$47,350
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,370,662
Value of net assets at end of year (total assets less liabilities)2020-12-31$40,184,262
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$37,813,600
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$46,205
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,976,593
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,549,540
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,625,403
Asset value of US Government securities at end of year2020-12-31$0
Asset value of US Government securities at beginning of year2020-12-31$8,615,761
Net investment gain or loss from common/collective trusts2020-12-31$3,098,924
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$2,350,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,877,616
Asset. Corporate debt instrument debt (other) at end of year2020-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2020-12-31$9,528,645
Contract administrator fees2020-12-31$74,940
Liabilities. Value of benefit claims payable at end of year2020-12-31$225,873
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$2,084,867
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2020-12-31431947695
2019 : EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,527,657
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$2,084,115
Total income from all sources (including contributions)2019-12-31$17,672,709
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$23,702,326
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$21,554,584
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$14,425,905
Value of total assets at end of year2019-12-31$40,341,257
Value of total assets at beginning of year2019-12-31$45,927,332
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$2,147,742
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$144,582
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$144,582
Administrative expenses professional fees incurred2019-12-31$42,905
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$4,855,100
Participant contributions at end of year2019-12-31$147,310
Participant contributions at beginning of year2019-12-31$109,387
Assets. Other investments not covered elsewhere at end of year2019-12-31$16,870,470
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$9,625,189
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$582,181
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$1,347,449
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$274,625
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$146,572
Administrative expenses (other) incurred2019-12-31$1,436,929
Liabilities. Value of operating payables at end of year2019-12-31$168,165
Liabilities. Value of operating payables at beginning of year2019-12-31$383,071
Total non interest bearing cash at end of year2019-12-31$47,350
Total non interest bearing cash at beginning of year2019-12-31$259,596
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-6,029,617
Value of net assets at end of year (total assets less liabilities)2019-12-31$37,813,600
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$43,843,217
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$54,537
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$4,549,540
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$8,656,546
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$8,656,546
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$2,207,950
Asset value of US Government securities at end of year2019-12-31$8,615,761
Asset value of US Government securities at beginning of year2019-12-31$8,537,143
Net investment gain or loss from common/collective trusts2019-12-31$3,102,222
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$9,570,805
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$19,346,634
Asset. Corporate debt instrument debt (other) at end of year2019-12-31$9,528,645
Asset. Corporate debt instrument debt (other) at beginning of year2019-12-31$17,392,022
Contract administrator fees2019-12-31$613,371
Liabilities. Value of benefit claims payable at end of year2019-12-31$2,084,867
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$1,554,472
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2019-12-31431947695
2018 : EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,084,115
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,468,278
Total income from all sources (including contributions)2018-12-31$21,347,908
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$21,612,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$20,484,380
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$20,602,162
Value of total assets at end of year2018-12-31$45,927,332
Value of total assets at beginning of year2018-12-31$45,576,459
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,128,492
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$88,362
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$4,480,784
Participant contributions at end of year2018-12-31$109,387
Participant contributions at beginning of year2018-12-31$113,031
Assets. Other investments not covered elsewhere at end of year2018-12-31$9,625,189
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$8,226,664
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$1,347,449
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$2,137,341
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$146,572
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Administrative expenses (other) incurred2018-12-31$275,716
Liabilities. Value of operating payables at end of year2018-12-31$383,071
Liabilities. Value of operating payables at beginning of year2018-12-31$33,902
Total non interest bearing cash at end of year2018-12-31$259,596
Total non interest bearing cash at beginning of year2018-12-31$211,200
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-264,964
Value of net assets at end of year (total assets less liabilities)2018-12-31$43,843,217
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$44,108,181
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$33,798
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$8,656,546
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$25,641,577
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$25,641,577
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$2,329,364
Asset value of US Government securities at end of year2018-12-31$8,537,143
Asset value of US Government securities at beginning of year2018-12-31$3,962,563
Net investment gain or loss from common/collective trusts2018-12-31$745,746
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$16,121,378
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$18,155,016
Asset. Corporate debt instrument debt (other) at end of year2018-12-31$17,392,022
Asset. Corporate debt instrument debt (other) at beginning of year2018-12-31$5,284,083
Contract administrator fees2018-12-31$730,616
Liabilities. Value of benefit claims payable at end of year2018-12-31$1,554,472
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$1,434,376
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MAYER HOFFMAN MCCANN PC
Accountancy firm EIN2018-12-31431947695

Form 5500 Responses for EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN

2022: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
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: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
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: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
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: EVERGY, INC. NON-UNION RETIREES HEALTH & WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0240698
Policy instance 2
Insurance contract or identification number0240698
Number of Individuals Covered1362
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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 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 $1,668,911
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number10618-01
Policy instance 1
Insurance contract or identification number10618-01
Number of Individuals Covered3347
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,487
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 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
Welfare Benefit Premiums Paid to CarrierUSD $124,789
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees7487
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?0
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166351
Policy instance 2
Insurance contract or identification number166351
Number of Individuals Covered1329
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $62,903
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 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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,903
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number10618-00
Policy instance 1
Insurance contract or identification number10618-00
Number of Individuals Covered3897
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,530
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 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
Welfare Benefit Premiums Paid to CarrierUSD $97,689
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees3874
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?0
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number166351
Policy instance 2
Insurance contract or identification number166351
Number of Individuals Covered1309
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $54,954
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $54,954
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202894
Policy instance 1
Insurance contract or identification numberUNI-202894
Number of Individuals Covered200
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $4,199
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 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
Welfare Benefit Premiums Paid to CarrierUSD $62,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,199
Insurance broker organization code?3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12004106
Policy instance 1
Insurance contract or identification number12004106
Number of Individuals Covered680
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739NU
Policy instance 3
Insurance contract or identification number756739NU
Number of Individuals Covered2340
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $26,355
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,355
Insurance broker organization code?3
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-202894
Policy instance 2
Insurance contract or identification numberUNI-202894
Number of Individuals Covered3684
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $68,946
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 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
Welfare Benefit Premiums Paid to CarrierUSD $1,378,912
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $68,946
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number756739NU
Policy instance 4
Insurance contract or identification number756739NU
Number of Individuals Covered2354
Insurance policy start date2018-10-01
Insurance policy end date2018-12-31
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 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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 32395 )
Policy contract number12004106
Policy instance 2
Insurance contract or identification number12004106
Number of Individuals Covered732
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0139063NU
Policy instance 1
Insurance contract or identification number0139063NU
Number of Individuals Covered1289
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $29,137
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 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
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
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 $1,327,257
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees29137
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL18208
Policy instance 3
Insurance contract or identification numberHCL18208
Number of Individuals Covered1161
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $19,269
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 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
Welfare Benefit Premiums Paid to CarrierUSD $385,382
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees19269
Additional information about fees paid to insurance brokerOTHER COMMISSIONS
Insurance broker organization code?3

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