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CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 401k Plan overview

Plan NameCONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN
Plan identification number 001

CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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

CONTRACTORS HVAC has sponsored the creation of one or more 401k plans.

Company Name:CONTRACTORS HVAC
Employer identification number (EIN):870386389
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01BRENT KEETCH
0012016-01-01BRENT KEETCH
0012015-01-01BRENT KEETCH
0012014-01-01BRENT KEETCH
0012013-01-01CLINT SHEPHERD
0012012-01-01CLINT SHEPHERD
0012011-01-01CLINT SHEPHERD
0012009-01-01CLINT SHEPHERD CLINT SHEPHERD2010-10-13

Plan Statistics for CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN

401k plan membership statisitcs for CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN

Measure Date Value
2019: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0118
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0146
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0118
Total of all active and inactive participants2018-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0118
Number of participants with account balances2018-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0145
Total number of active participants reported on line 7a of the Form 55002017-01-0135
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0111
Total of all active and inactive participants2017-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0146
Number of participants with account balances2017-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0144
Total number of active participants reported on line 7a of the Form 55002016-01-0132
Number of retired or separated participants receiving benefits2016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0145
Number of participants with account balances2016-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0155
Total number of active participants reported on line 7a of the Form 55002015-01-0127
Number of retired or separated participants receiving benefits2015-01-019
Number of other retired or separated participants entitled to future benefits2015-01-018
Total of all active and inactive participants2015-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0144
Number of participants with account balances2015-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0156
Total number of active participants reported on line 7a of the Form 55002014-01-0146
Number of retired or separated participants receiving benefits2014-01-014
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0155
Number of participants with account balances2014-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0153
Total number of active participants reported on line 7a of the Form 55002013-01-0149
Number of retired or separated participants receiving benefits2013-01-015
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0158
Number of participants with account balances2013-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0143
Total number of active participants reported on line 7a of the Form 55002012-01-0135
Number of other retired or separated participants entitled to future benefits2012-01-014
Total of all active and inactive participants2012-01-0139
Total participants2012-01-0139
Number of participants with account balances2012-01-0122
2011: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0143
Total number of active participants reported on line 7a of the Form 55002011-01-0136
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0140
Total participants2011-01-0140
Number of participants with account balances2011-01-0125
2009: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0137
Total number of active participants reported on line 7a of the Form 55002009-01-0131
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0134
Number of participants with account balances2009-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN

Measure Date Value
2019 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$-646,324
Total income from all sources2019-12-31$81,531
Expenses. Total of all expenses incurred2019-12-31$3,933
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$568,726
Value of fidelity bond covering the plan2019-12-31$1,000,000
Other income received2019-12-31$81,531
Net income (gross income less expenses)2019-12-31$77,598
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$568,726
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$3,933
2018 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$-25,793
Total income from all sources2018-12-31$-22,148
Expenses. Total of all expenses incurred2018-12-31$9,063
Total plan assets at end of year2018-12-31$568,726
Total plan assets at beginning of year2018-12-31$625,730
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$1,785
Other income received2018-12-31$-25,370
Net income (gross income less expenses)2018-12-31$-31,211
Net plan assets at end of year (total assets less liabilities)2018-12-31$568,726
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$625,730
Assets. Value of employer securities2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$1,437
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$9,063
2017 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$137,657
Expenses. Total of all expenses incurred2017-12-31$7,607
Total plan assets at end of year2017-12-31$625,730
Total plan assets at beginning of year2017-12-31$495,680
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$28,306
Other income received2017-12-31$88,884
Net income (gross income less expenses)2017-12-31$130,050
Net plan assets at end of year (total assets less liabilities)2017-12-31$625,730
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$495,680
Assets. Value of employer securities2017-12-31$25,793
Total contributions received or receivable from employer(s)2017-12-31$20,467
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$7,607
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$42,065
Expenses. Total of all expenses incurred2016-12-31$81,594
Benefits paid (including direct rollovers)2016-12-31$72,209
Total plan assets at end of year2016-12-31$495,680
Total plan assets at beginning of year2016-12-31$535,209
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$10,777
Other income received2016-12-31$31,288
Net income (gross income less expenses)2016-12-31$-39,529
Net plan assets at end of year (total assets less liabilities)2016-12-31$495,680
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$535,209
Assets. Value of employer securities2016-12-31$17,752
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$9,385
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$8,837
Expenses. Total of all expenses incurred2015-12-31$149,062
Benefits paid (including direct rollovers)2015-12-31$144,676
Total plan assets at end of year2015-12-31$535,209
Total plan assets at beginning of year2015-12-31$675,434
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$9,330
Other income received2015-12-31$-493
Net income (gross income less expenses)2015-12-31$-140,225
Net plan assets at end of year (total assets less liabilities)2015-12-31$535,209
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$675,434
Assets. Value of employer securities2015-12-31$16,168
Total contributions received or receivable from employer(s)2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$4,386
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$10,199
Expenses. Total of all expenses incurred2014-12-31$98,795
Benefits paid (including direct rollovers)2014-12-31$94,882
Total plan assets at end of year2014-12-31$675,434
Total plan assets at beginning of year2014-12-31$764,030
Value of fidelity bond covering the plan2014-12-31$1,000,000
Total contributions received or receivable from participants2014-12-31$9,069
Expenses. Other expenses not covered elsewhere2014-12-31$0
Other income received2014-12-31$1,130
Net income (gross income less expenses)2014-12-31$-88,596
Net plan assets at end of year (total assets less liabilities)2014-12-31$675,434
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$764,030
Assets. Value of employer securities2014-12-31$17,388
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$3,913
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$11,398
Total income from all sources2013-12-31$137,478
Expenses. Total of all expenses incurred2013-12-31$228,466
Benefits paid (including direct rollovers)2013-12-31$225,081
Total plan assets at end of year2013-12-31$764,030
Total plan assets at beginning of year2013-12-31$866,416
Value of fidelity bond covering the plan2013-12-31$1,000,000
Total contributions received or receivable from participants2013-12-31$2,517
Other income received2013-12-31$134,961
Net income (gross income less expenses)2013-12-31$-90,988
Net plan assets at end of year (total assets less liabilities)2013-12-31$764,030
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$855,018
Assets. Value of employer securities2013-12-31$56,288
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$3,385
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$75,879
Expenses. Total of all expenses incurred2012-12-31$161,712
Benefits paid (including direct rollovers)2012-12-31$158,723
Total plan assets at end of year2012-12-31$855,018
Total plan assets at beginning of year2012-12-31$940,851
Value of fidelity bond covering the plan2012-12-31$1,000,000
Assets. Value of loans (other than to participants)2012-12-31$50,000
Other income received2012-12-31$75,879
Net income (gross income less expenses)2012-12-31$-85,833
Net plan assets at end of year (total assets less liabilities)2012-12-31$855,018
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$940,851
Assets. Value of employer securities2012-12-31$55,314
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$2,989
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$-3,349
Expenses. Total of all expenses incurred2011-12-31$85,942
Benefits paid (including direct rollovers)2011-12-31$84,215
Total plan assets at end of year2011-12-31$940,851
Total plan assets at beginning of year2011-12-31$1,030,142
Value of fidelity bond covering the plan2011-12-31$1,000,000
Assets. Value of loans (other than to participants)2011-12-31$50,000
Other income received2011-12-31$-3,349
Net income (gross income less expenses)2011-12-31$-89,291
Net plan assets at end of year (total assets less liabilities)2011-12-31$940,851
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,030,142
Assets. Value of employer securities2011-12-31$86,722
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,727
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$86,968
Total plan assets at end of year2010-12-31$1,030,142
Total plan assets at beginning of year2010-12-31$943,174
Value of fidelity bond covering the plan2010-12-31$1,000,000
Assets. Value of loans (other than to participants)2010-12-31$50,000
Other income received2010-12-31$86,968
Net income (gross income less expenses)2010-12-31$86,968
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,030,142
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$943,174
Assets. Value of employer securities2010-12-31$80,294
2009 : CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN

2019: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT 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 filingYes
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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT 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
2017: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CONTRACTORS HVAC SUPPLY INC EMPLOYEES RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract numberE634441
Policy instance 1
Insurance contract or identification numberE634441
Number of Individuals Covered18
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $156
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $156
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300321
Policy instance 1
Insurance contract or identification number300321
Number of Individuals Covered18
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $169
Total amount of fees paid to insurance companyUSD $15
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $169
Insurance broker organization code?4
Amount paid for insurance broker fees15
Additional information about fees paid to insurance brokerADVISORY SERVICES TO THE PLAN
Insurance broker nameSWBC INVESTMENT ADVISORY SERIVCES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300321
Policy instance 1
Insurance contract or identification number300321
Number of Individuals Covered9
Total amount of commissions paid to insurance brokerUSD $24
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24
Insurance broker organization code?4
Insurance broker nameJEFFREY B JOHNSON
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300321
Policy instance 1
Insurance contract or identification number300321
Number of Individuals Covered9
Total amount of commissions paid to insurance brokerUSD $24
Commission paid to Insurance BrokerUSD $24
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?4
Insurance broker nameJEFFREY B JOHNSON

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