JEWISH FAMILY SERVICE has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN
401k plan membership statisitcs for JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN
| Measure | Date | Value |
|---|
| 2016: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 36 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 0 |
| Total of all active and inactive participants | 2016-01-01 | 0 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 0 |
| Number of participants with account balances | 2016-01-01 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 40 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 21 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 15 |
| Total of all active and inactive participants | 2015-01-01 | 36 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 36 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 40 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 24 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 16 |
| Total of all active and inactive participants | 2014-01-01 | 40 |
| Total participants | 2014-01-01 | 40 |
| Number of participants with account balances | 2014-01-01 | 40 |
| 2013: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 41 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 26 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 14 |
| Total of all active and inactive participants | 2013-01-01 | 40 |
| Total participants | 2013-01-01 | 40 |
| Number of participants with account balances | 2013-01-01 | 40 |
| 2012: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 45 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 26 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 15 |
| Total of all active and inactive participants | 2012-01-01 | 41 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 41 |
| Number of participants with account balances | 2012-01-01 | 41 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 52 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 28 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 17 |
| Total of all active and inactive participants | 2011-01-01 | 45 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 45 |
| Number of participants with account balances | 2011-01-01 | 45 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2010: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 190 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 190 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 21 |
| Total of all active and inactive participants | 2010-01-01 | 211 |
| Total participants | 2010-01-01 | 211 |
| Number of participants with account balances | 2010-01-01 | 52 |
| 2009: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 215 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 215 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Total of all active and inactive participants | 2009-01-01 | 215 |
| Total participants | 2009-01-01 | 215 |
| Number of participants with account balances | 2009-01-01 | 30 |
| Measure | Date | Value |
|---|
| 2016 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-03-31 | $525 |
| Expenses. Total of all expenses incurred | 2016-03-31 | $357,597 |
| Benefits paid (including direct rollovers) | 2016-03-31 | $357,529 |
| Total plan assets at end of year | 2016-03-31 | $0 |
| Total plan assets at beginning of year | 2016-03-31 | $357,072 |
| Value of fidelity bond covering the plan | 2016-03-31 | $320,000 |
| Other income received | 2016-03-31 | $525 |
| Net income (gross income less expenses) | 2016-03-31 | $-357,072 |
| Net plan assets at end of year (total assets less liabilities) | 2016-03-31 | $0 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-03-31 | $357,072 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-03-31 | $68 |
| 2015 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $2,730 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $461,642 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $461,481 |
| Total plan assets at end of year | 2015-12-31 | $357,072 |
| Total plan assets at beginning of year | 2015-12-31 | $815,984 |
| Value of fidelity bond covering the plan | 2015-12-31 | $320,000 |
| Other income received | 2015-12-31 | $2,730 |
| Net income (gross income less expenses) | 2015-12-31 | $-458,912 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $357,072 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $815,984 |
| Assets. Value of participant loans | 2015-12-31 | $1,022 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $161 |
| 2014 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $34,106 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $0 |
| Total plan assets at end of year | 2014-12-31 | $815,984 |
| Total plan assets at beginning of year | 2014-12-31 | $781,878 |
| Value of fidelity bond covering the plan | 2014-12-31 | $81,600 |
| Other income received | 2014-12-31 | $34,106 |
| Net income (gross income less expenses) | 2014-12-31 | $34,106 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $815,984 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $781,878 |
| Assets. Value of participant loans | 2014-12-31 | $1,022 |
| 2013 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2013 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2013-12-31 | $3,869 |
| Total income from all sources | 2013-12-31 | $94,776 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $86,799 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $86,799 |
| Total plan assets at end of year | 2013-12-31 | $781,878 |
| Total plan assets at beginning of year | 2013-12-31 | $777,770 |
| Value of fidelity bond covering the plan | 2013-12-31 | $78,188 |
| Other income received | 2013-12-31 | $94,776 |
| Net income (gross income less expenses) | 2013-12-31 | $7,977 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $781,878 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $773,901 |
| Assets. Value of participant loans | 2013-12-31 | $1,022 |
| 2012 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $3,869 |
| Total plan liabilities at beginning of year | 2012-12-31 | $4,622 |
| Total income from all sources | 2012-12-31 | $63,318 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $43,667 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $43,667 |
| Total plan assets at end of year | 2012-12-31 | $777,770 |
| Total plan assets at beginning of year | 2012-12-31 | $758,872 |
| Value of fidelity bond covering the plan | 2012-12-31 | $1,000,000 |
| Other income received | 2012-12-31 | $63,318 |
| Net income (gross income less expenses) | 2012-12-31 | $19,651 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $773,901 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $754,250 |
| 2011 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2011 401k financial data |
|---|
| Total plan liabilities at end of year | 2011-12-31 | $4,622 |
| Total income from all sources | 2011-12-31 | $-14,362 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $229,853 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $229,853 |
| Total plan assets at end of year | 2011-12-31 | $758,872 |
| Total plan assets at beginning of year | 2011-12-31 | $998,465 |
| Value of fidelity bond covering the plan | 2011-12-31 | $1,000,000 |
| Other income received | 2011-12-31 | $-14,362 |
| Net income (gross income less expenses) | 2011-12-31 | $-244,215 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $754,250 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $998,465 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $229,853 |
| 2010 : JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2010 401k financial data |
|---|
| Total income from all sources (including contributions) | 2010-12-31 | $209,851 |
| Total of all expenses incurred | 2010-12-31 | $1,696 |
| Benefit payments and payments to participlants,beneficiaries,insurance carriers and others | 2010-12-31 | $1,696 |
| Total contributions o plan (from employers,participants, others, non cash contrinutions) | 2010-12-31 | $113,677 |
| Value of total assets at end of year | 2010-12-31 | $998,465 |
| Value of total assets at beginning of year | 2010-12-31 | $790,310 |
| Total interest from all sources | 2010-12-31 | $3,827 |
| Has a resolution to terminate the plan been adopted during the plan year or any prior plan year | 2010-12-31 | No |
| Was this plan covered by a fidelity bond | 2010-12-31 | Yes |
| Value of fidelity bond cover | 2010-12-31 | $1,000,000 |
| If this is an individual account plan, was there a blackout period | 2010-12-31 | No |
| Were there any nonexempt tranactions with any party-in-interest | 2010-12-31 | No |
| Contributions received from participants | 2010-12-31 | $113,677 |
| Participant contributions at beginning of year | 2010-12-31 | $23,953 |
| Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Value of net income/loss | 2010-12-31 | $208,155 |
| Value of net assets at end of year (total assets less liabilities) | 2010-12-31 | $998,465 |
| Value of net assets at beginning of year (total assets less liabilities) | 2010-12-31 | $790,310 |
| Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond) | 2010-12-31 | No |
| Were any loans by the plan or fixed income obligations due to the plan in default | 2010-12-31 | No |
| Were any leases to which the plan was party in default or uncollectible | 2010-12-31 | No |
| Value of interest in pooled separate accounts at end of year | 2010-12-31 | $723,211 |
| Value of interest in pooled separate accounts at beginning of year | 2010-12-31 | $627,729 |
| Interest earned on other investments | 2010-12-31 | $3,827 |
| Value of funds held in insurance company general accounts (unallocated contracts) at end of year | 2010-12-31 | $275,254 |
| Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year | 2010-12-31 | $138,628 |
| Net investment gain/loss from pooled separate accounts | 2010-12-31 | $92,347 |
| Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets | 2010-12-31 | No |
| Was there a failure to transmit to the plan any participant contributions | 2010-12-31 | No |
| Has the plan failed to provide any benefit when due under the plan | 2010-12-31 | No |
| Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers | 2010-12-31 | $1,696 |
| Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3 | 2010-12-31 | No |
| Did the plan have assets held for investment | 2010-12-31 | Yes |
| Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser | 2010-12-31 | No |
| Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC | 2010-12-31 | No |
| Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d) | 2010-12-31 | Yes |
| Opinion of an independent qualified public accountant for this plan | 2010-12-31 | Disclaimer |
| Accountancy firm name | 2010-12-31 | MOSS ADAMS LLP |
| Accountancy firm EIN | 2010-12-31 | 910189318 |
| 2016: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | Yes |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | Yes |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2010: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: JEWISH FAMILY SERVICE 403(B) TAX DEFERRED ANNUITY PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | First time form 5500 has been submitted | Yes |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298 I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298 I | | Number of Individuals Covered | 31 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 36 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 40 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 40 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 41 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $6 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1 | | Insurance broker organization code? | 3 | | Insurance broker name | ADAM REUGH |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 45 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $292 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 ) |
| Policy contract number | 051298I |
| Policy instance | 1 |
| Insurance contract or identification number | 051298I | | Number of Individuals Covered | 52 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $85 | | Total amount of fees paid to insurance company | USD $0 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
