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CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 401k Plan overview

Plan NameCONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN
Plan identification number 501

CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE BENEFIT PLAN has sponsored the creation of one or more 401k plans.

Company Name:CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE BENEFIT PLAN
Employer identification number (EIN):870555597
NAIC Classification:236110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01HARV JEPPSEN
5012016-01-01HARV JEPPSEN
5012015-01-01HARV JEPPSEN
5012014-01-01HARV JEPPSEN
5012014-01-01HARV JEPPSEN
5012014-01-01HARV JEPPSEN
5012013-01-01HARV JEPPSEN
5012012-01-01HARV JEPPSEN
5012011-01-01BENEFIT STRATEGIES GROUP, LLC HARV JEPPSEN2012-10-15
5012010-01-01RONALD SNYDER HARV JEPPSEN2011-10-12
5012009-01-01RONALD SNYDER HARV JEPPSEN2010-10-14

Plan Statistics for CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN

401k plan membership statisitcs for CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN

Measure Date Value
2022: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011
Total number of active participants reported on line 7a of the Form 55002022-01-011
Total of all active and inactive participants2022-01-011
Total participants2022-01-011
2021: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011
Total number of active participants reported on line 7a of the Form 55002021-01-011
Total of all active and inactive participants2021-01-011
Total participants2021-01-011
2020: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011
Total number of active participants reported on line 7a of the Form 55002020-01-011
Total of all active and inactive participants2020-01-011
Total participants2020-01-011
2019: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-010
Total number of active participants reported on line 7a of the Form 55002019-01-011
Total of all active and inactive participants2019-01-011
Total participants2019-01-011
2018: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-010
Total of all active and inactive participants2018-01-010
Total participants2018-01-010
2017: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-010
Total of all active and inactive participants2017-01-010
Total participants2017-01-010
2016: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-010
Total number of active participants reported on line 7a of the Form 55002016-01-011
Total of all active and inactive participants2016-01-011
Total participants2016-01-011
2015: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-010
Total of all active and inactive participants2015-01-010
Total participants2015-01-010
2014: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total of all active and inactive participants2014-01-010
Total participants2014-01-010
2013: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-010
Total of all active and inactive participants2013-01-010
Total participants2013-01-010
2012: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-011
Total number of active participants reported on line 7a of the Form 55002012-01-011
Total of all active and inactive participants2012-01-011
Total participants2012-01-010
2011: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011
Total number of active participants reported on line 7a of the Form 55002011-01-011
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-011
2010: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-011
Total number of active participants reported on line 7a of the Form 55002010-01-011
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-011
2009: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-011
Total number of active participants reported on line 7a of the Form 55002009-01-011
Total of all active and inactive participants2009-01-011
Total participants2009-01-010

Financial Data on CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN

Measure Date Value
2022 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2022 401k financial data
Expenses. Total of all expenses incurred2022-12-31$1,606
Benefits paid (including direct rollovers)2022-12-31$1,606
Total plan assets at end of year2022-12-31$36,026
Total plan assets at beginning of year2022-12-31$37,632
Net income (gross income less expenses)2022-12-31$-1,606
Net plan assets at end of year (total assets less liabilities)2022-12-31$36,026
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$37,632
2021 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2021 401k financial data
Expenses. Total of all expenses incurred2021-12-31$9,636
Benefits paid (including direct rollovers)2021-12-31$9,636
Total plan assets at end of year2021-12-31$37,632
Total plan assets at beginning of year2021-12-31$47,268
Net income (gross income less expenses)2021-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2021-12-31$37,632
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$47,268
2020 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2020 401k financial data
Expenses. Total of all expenses incurred2020-12-31$9,636
Benefits paid (including direct rollovers)2020-12-31$9,636
Total plan assets at end of year2020-12-31$47,268
Total plan assets at beginning of year2020-12-31$56,904
Net income (gross income less expenses)2020-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2020-12-31$47,268
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$56,904
2019 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2019 401k financial data
Expenses. Total of all expenses incurred2019-12-31$9,636
Benefits paid (including direct rollovers)2019-12-31$9,636
Total plan assets at end of year2019-12-31$56,904
Total plan assets at beginning of year2019-12-31$66,540
Net income (gross income less expenses)2019-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2019-12-31$56,904
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$66,540
2018 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2018 401k financial data
Expenses. Total of all expenses incurred2018-12-31$9,636
Benefits paid (including direct rollovers)2018-12-31$9,636
Total plan assets at end of year2018-12-31$66,540
Total plan assets at beginning of year2018-12-31$76,176
Net income (gross income less expenses)2018-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2018-12-31$66,540
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$76,176
2017 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2017 401k financial data
Expenses. Total of all expenses incurred2017-12-31$9,636
Benefits paid (including direct rollovers)2017-12-31$9,636
Total plan assets at end of year2017-12-31$76,176
Total plan assets at beginning of year2017-12-31$85,812
Net income (gross income less expenses)2017-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2017-12-31$76,176
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$85,812
2016 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2016 401k financial data
Expenses. Total of all expenses incurred2016-12-31$9,636
Benefits paid (including direct rollovers)2016-12-31$9,636
Total plan assets at end of year2016-12-31$85,812
Total plan assets at beginning of year2016-12-31$95,448
Net income (gross income less expenses)2016-12-31$-9,636
Net plan assets at end of year (total assets less liabilities)2016-12-31$85,812
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$95,448
2015 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2015 401k financial data
Total plan assets at end of year2015-12-31$95,448
Total plan assets at beginning of year2015-12-31$95,448
Net plan assets at end of year (total assets less liabilities)2015-12-31$95,448
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$95,448
2014 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2014 401k financial data
Total plan assets at end of year2014-12-31$95,448
Total plan assets at beginning of year2014-12-31$95,448
Net plan assets at end of year (total assets less liabilities)2014-12-31$95,448
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$95,448
2013 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2013 401k financial data
Total plan assets at end of year2013-12-31$95,448
Total plan assets at beginning of year2013-12-31$95,448
Net plan assets at end of year (total assets less liabilities)2013-12-31$95,448
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$95,448
2012 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2012 401k financial data
Total income from all sources2012-12-31$295
Expenses. Total of all expenses incurred2012-12-31$82,701
Benefits paid (including direct rollovers)2012-12-31$82,006
Total plan assets at end of year2012-12-31$95,448
Total plan assets at beginning of year2012-12-31$177,854
Expenses. Other expenses not covered elsewhere2012-12-31$695
Other income received2012-12-31$295
Net income (gross income less expenses)2012-12-31$-82,406
Net plan assets at end of year (total assets less liabilities)2012-12-31$95,448
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$177,854
2011 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2011 401k financial data
Total income from all sources2011-12-31$335
Expenses. Total of all expenses incurred2011-12-31$713
Total plan assets at end of year2011-12-31$177,854
Total plan assets at beginning of year2011-12-31$178,232
Expenses. Other expenses not covered elsewhere2011-12-31$713
Other income received2011-12-31$335
Net income (gross income less expenses)2011-12-31$-378
Net plan assets at end of year (total assets less liabilities)2011-12-31$177,854
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$178,232
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
2010 : CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$7,123
Expenses. Total of all expenses incurred2010-12-31$545
Benefits paid (including direct rollovers)2010-12-31$0
Total plan assets at end of year2010-12-31$178,232
Total plan assets at beginning of year2010-12-31$171,654
Value of fidelity bond covering the plan2010-12-31$50,000
Total contributions received or receivable from participants2010-12-31$0
Expenses. Other expenses not covered elsewhere2010-12-31$545
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$7,123
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$6,578
Net plan assets at end of year (total assets less liabilities)2010-12-31$178,232
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$171,654
Total contributions received or receivable from employer(s)2010-12-31$0
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0

Form 5500 Responses for CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN

2022: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE 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: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE 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: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE 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: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE 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: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: CONSULTING & DEVELOPMENT ASSOCIATES, INC. WELFARE 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 1
Insurance contract or identification numberVR03068423
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 2
Insurance contract or identification number2706823
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Other welfare benefits providedANNUITY INVESTMENT
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?Yes
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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?Yes
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number30709923
Policy instance 3
Insurance contract or identification number30709923
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
Other welfare benefits providedANNUITY INVESTMENT
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?Yes
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number30709923
Policy instance 3
Insurance contract or identification number30709923
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67466 )
Policy contract numberVR03068423
Policy instance 2
Insurance contract or identification numberVR03068423
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Other welfare benefits providedANNUITY INVESTMENT
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
AVIVA LIFE AND ANNUITY COMPANU (National Association of Insurance Commissioners NAIC id number: 61689 )
Policy contract number2706823
Policy instance 1
Insurance contract or identification number2706823
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Health Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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