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TEXAS BALLET THEATER, INC. 403(B) PLAN 401k Plan overview

Plan NameTEXAS BALLET THEATER, INC. 403(B) PLAN
Plan identification number 001

TEXAS BALLET THEATER, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

TEXAS BALLET THEATER, INC. has sponsored the creation of one or more 401k plans.

Company Name:TEXAS BALLET THEATER, INC.
Employer identification number (EIN):841622654
NAIC Classification:711100
NAIC Description: Performing Arts Companies

Additional information about TEXAS BALLET THEATER, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2003-04-07
Company Identification Number: 0800191730
Legal Registered Office Address: PO BOX 123290

FORT WORTH
United States of America (USA)
76121

More information about TEXAS BALLET THEATER, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEXAS BALLET THEATER, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-07-01
0012021-07-01
0012020-07-01LINDA BRADFORD2022-01-14
0012019-07-01LINDA BRADFORD2021-01-17
0012018-07-01LINDA BRADFORD2020-01-20
0012017-07-01LINDA BRADFORD2019-04-07
0012016-07-01
0012015-07-01LINDA BRADFORD2016-11-08
0012014-07-01KAREN SULAK2015-09-22
0012013-07-01CYNTHIA STANCIL2015-01-27
0012012-07-01MARGO MCCANN2014-04-11
0012011-07-01MARGO MCCANN2013-03-01
0012010-07-01MARGO MCCANN2012-04-16

Plan Statistics for TEXAS BALLET THEATER, INC. 403(B) PLAN

401k plan membership statisitcs for TEXAS BALLET THEATER, INC. 403(B) PLAN

Measure Date Value
2020: TEXAS BALLET THEATER, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01129
Total number of active participants reported on line 7a of the Form 55002020-07-0178
Number of retired or separated participants receiving benefits2020-07-010
Number of other retired or separated participants entitled to future benefits2020-07-0116
Total of all active and inactive participants2020-07-0194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-010
Total participants2020-07-0194
Number of participants with account balances2020-07-0164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-010
2019: TEXAS BALLET THEATER, INC. 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01120
Total number of active participants reported on line 7a of the Form 55002019-07-01113
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-0116
Total of all active and inactive participants2019-07-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01129
Number of participants with account balances2019-07-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
2018: TEXAS BALLET THEATER, INC. 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01118
Total number of active participants reported on line 7a of the Form 55002018-07-01100
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-0120
Total of all active and inactive participants2018-07-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01120
Number of participants with account balances2018-07-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: TEXAS BALLET THEATER, INC. 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01122
Total number of active participants reported on line 7a of the Form 55002017-07-0186
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0130
Total of all active and inactive participants2017-07-01116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01116
Number of participants with account balances2017-07-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010

Financial Data on TEXAS BALLET THEATER, INC. 403(B) PLAN

Measure Date Value
2021 : TEXAS BALLET THEATER, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$835,983
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$211,662
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$209,548
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$257,758
Value of total assets at end of year2021-06-30$2,793,560
Value of total assets at beginning of year2021-06-30$2,169,239
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$2,114
Total interest from all sources2021-06-30$7,409
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$250,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$190,592
Participant contributions at end of year2021-06-30$41,029
Participant contributions at beginning of year2021-06-30$23,076
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$5,838
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$624,321
Value of net assets at end of year (total assets less liabilities)2021-06-30$2,793,560
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$2,169,239
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$2,479,248
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$1,874,810
Interest on participant loans2021-06-30$1,144
Interest earned on other investments2021-06-30$6,265
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$273,283
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$271,353
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$570,816
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$61,328
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$209,548
Contract administrator fees2021-06-30$2,114
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30WHITLEY PENN LLP
Accountancy firm EIN2021-06-30752393478
2020 : TEXAS BALLET THEATER, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$334,748
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$295,395
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$293,724
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$257,720
Value of total assets at end of year2020-06-30$2,169,239
Value of total assets at beginning of year2020-06-30$2,129,886
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$1,671
Total interest from all sources2020-06-30$9,012
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$250,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$190,499
Participant contributions at end of year2020-06-30$23,076
Participant contributions at beginning of year2020-06-30$35,046
Participant contributions at end of year2020-06-30$0
Participant contributions at beginning of year2020-06-30$4,516
Total non interest bearing cash at end of year2020-06-30$0
Total non interest bearing cash at beginning of year2020-06-30$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$39,353
Value of net assets at end of year (total assets less liabilities)2020-06-30$2,169,239
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$2,129,886
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$1,874,810
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$1,685,907
Interest on participant loans2020-06-30$1,645
Interest earned on other investments2020-06-30$7,367
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$271,353
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$402,948
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$68,016
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$67,221
Employer contributions (assets) at end of year2020-06-30$0
Employer contributions (assets) at beginning of year2020-06-30$1,468
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$293,724
Contract administrator fees2020-06-30$1,671
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30WHTLEY PENN LLP
Accountancy firm EIN2020-06-30752393478
2019 : TEXAS BALLET THEATER, INC. 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$319,344
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$162,455
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$159,611
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$218,090
Value of total assets at end of year2019-06-30$2,129,886
Value of total assets at beginning of year2019-06-30$1,972,997
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$2,844
Total interest from all sources2019-06-30$11,931
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$250,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$155,594
Participant contributions at end of year2019-06-30$35,046
Participant contributions at beginning of year2019-06-30$29,673
Participant contributions at end of year2019-06-30$4,516
Participant contributions at beginning of year2019-06-30$5,590
Total non interest bearing cash at end of year2019-06-30$1
Total non interest bearing cash at beginning of year2019-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$156,889
Value of net assets at end of year (total assets less liabilities)2019-06-30$2,129,886
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$1,972,997
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$1,685,907
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$1,549,134
Interest on participant loans2019-06-30$1,285
Interest earned on other investments2019-06-30$10,646
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$402,948
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$387,127
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$89,323
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$62,496
Employer contributions (assets) at end of year2019-06-30$1,468
Employer contributions (assets) at beginning of year2019-06-30$1,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$159,611
Contract administrator fees2019-06-30$2,844
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30WHITLEY PENN LLP
Accountancy firm EIN2019-06-30752393478
2018 : TEXAS BALLET THEATER, INC. 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$361,749
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$174,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$172,491
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$205,455
Value of total assets at end of year2018-06-30$1,972,997
Value of total assets at beginning of year2018-06-30$1,785,687
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$1,948
Total interest from all sources2018-06-30$9,588
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$250,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$144,343
Participant contributions at end of year2018-06-30$29,673
Participant contributions at beginning of year2018-06-30$20,704
Participant contributions at end of year2018-06-30$5,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$187,310
Value of net assets at end of year (total assets less liabilities)2018-06-30$1,972,997
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,785,687
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$1,549,134
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$1,407,708
Interest on participant loans2018-06-30$442
Interest earned on other investments2018-06-30$9,146
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$387,127
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$357,275
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$146,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30Yes
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$61,112
Employer contributions (assets) at end of year2018-06-30$1,473
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$172,491
Contract administrator fees2018-06-30$1,948
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30WHITLEY PENN LLP
Accountancy firm EIN2018-06-30752393478

Form 5500 Responses for TEXAS BALLET THEATER, INC. 403(B) PLAN

2020: TEXAS BALLET THEATER, INC. 403(B) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: TEXAS BALLET THEATER, INC. 403(B) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: TEXAS BALLET THEATER, INC. 403(B) PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: TEXAS BALLET THEATER, INC. 403(B) PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number807200
Policy instance 1
Insurance contract or identification number807200
Number of Individuals Covered94
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number807200
Policy instance 1
Insurance contract or identification number807200
Number of Individuals Covered129
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number807200
Policy instance 1
Insurance contract or identification number807200
Number of Individuals Covered120
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number807200
Policy instance 1
Insurance contract or identification number807200
Number of Individuals Covered116
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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