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VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 401k Plan overview

Plan NameVERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)
Plan identification number 003

VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

VERITY HEALTH SYSTEM has sponsored the creation of one or more 401k plans.

Company Name:VERITY HEALTH SYSTEM
Employer identification number (EIN):912145484
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about VERITY HEALTH SYSTEM

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C2346440

More information about VERITY HEALTH SYSTEM

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01STEVE SHARRER
0032016-01-01STEVE SHARRER
0032016-01-01
0032015-12-14MICHAEL KATZ

Plan Statistics for VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)

401k plan membership statisitcs for VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)

Measure Date Value
2020: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2020 401k membership
Total participants, beginning-of-year2020-01-019,646
Total number of active participants reported on line 7a of the Form 55002020-01-010
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-010
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2019 401k membership
Total participants, beginning-of-year2019-01-019,634
Total number of active participants reported on line 7a of the Form 55002019-01-016,153
Number of retired or separated participants receiving benefits2019-01-01215
Number of other retired or separated participants entitled to future benefits2019-01-013,205
Total of all active and inactive participants2019-01-019,573
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-0173
Total participants2019-01-019,646
Number of participants with account balances2019-01-016,832
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2018 401k membership
Total participants, beginning-of-year2018-01-019,647
Total number of active participants reported on line 7a of the Form 55002018-01-016,742
Number of retired or separated participants receiving benefits2018-01-01207
Number of other retired or separated participants entitled to future benefits2018-01-012,588
Total of all active and inactive participants2018-01-019,537
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-0170
Total participants2018-01-019,607
Number of participants with account balances2018-01-018,052
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2017 401k membership
Total participants, beginning-of-year2017-01-017,670
Total number of active participants reported on line 7a of the Form 55002017-01-016,994
Number of retired or separated participants receiving benefits2017-01-01180
Number of other retired or separated participants entitled to future benefits2017-01-012,346
Total of all active and inactive participants2017-01-019,520
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-0161
Total participants2017-01-019,581
Number of participants with account balances2017-01-017,797
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2016 401k membership
Total participants, beginning-of-year2016-01-018,977
Total number of active participants reported on line 7a of the Form 55002016-01-014,965
Number of retired or separated participants receiving benefits2016-01-01166
Number of other retired or separated participants entitled to future benefits2016-01-012,478
Total of all active and inactive participants2016-01-017,609
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-0161
Total participants2016-01-017,670
Number of participants with account balances2016-01-017,670
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2015 401k membership
Total participants, beginning-of-year2015-12-148,972
Total number of active participants reported on line 7a of the Form 55002015-12-146,458
Number of retired or separated participants receiving benefits2015-12-1451
Number of other retired or separated participants entitled to future benefits2015-12-142,418
Total of all active and inactive participants2015-12-148,927
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-12-1450
Total participants2015-12-148,977
Number of participants with account balances2015-12-147,712
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-12-140

Financial Data on VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)

Measure Date Value
2020 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2020 401k financial data
Total transfer of assets from this plan2020-12-23$2,234
Total income from all sources (including contributions)2020-12-23$35,310,024
Total of all expenses incurred2020-12-23$538,550,095
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-23$537,214,086
Expenses. Certain deemed distributions of participant loans2020-12-23$252,694
Value of total corrective distributions2020-12-23$19,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-23$15,362,685
Value of total assets at end of year2020-12-23$0
Value of total assets at beginning of year2020-12-23$503,242,305
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-23$1,063,425
Total interest from all sources2020-12-23$1,915,248
Total dividends received (eg from common stock, registered investment company shares)2020-12-23$3,104,504
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-23Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-12-23$0
Total dividends received from registered investment company shares (eg mutual funds)2020-12-23$3,104,504
Administrative expenses professional fees incurred2020-12-23$361,334
Was this plan covered by a fidelity bond2020-12-23Yes
Value of fidelity bond cover2020-12-23$10,000,000
If this is an individual account plan, was there a blackout period2020-12-23No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-23$0
Were there any nonexempt tranactions with any party-in-interest2020-12-23No
Contributions received from participants2020-12-23$14,967,564
Participant contributions at end of year2020-12-23$0
Participant contributions at beginning of year2020-12-23$11,720,403
Participant contributions at end of year2020-12-23$0
Participant contributions at beginning of year2020-12-23$2,135
Assets. Other investments not covered elsewhere at end of year2020-12-23$0
Assets. Other investments not covered elsewhere at beginning of year2020-12-23$2,920,642
Income. Received or receivable in cash from other sources (including rollovers)2020-12-23$395,121
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-23$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-23$33,846
Other income not declared elsewhere2020-12-23$31,422
Administrative expenses (other) incurred2020-12-23$642,276
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-23No
Value of net income/loss2020-12-23$-503,240,071
Value of net assets at end of year (total assets less liabilities)2020-12-23$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-23$503,242,305
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-23No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-23No
Were any leases to which the plan was party in default or uncollectible2020-12-23No
Investment advisory and management fees2020-12-23$59,815
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-23$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-23$369,581,098
Interest on participant loans2020-12-23$380,337
Interest earned on other investments2020-12-23$1,534,911
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-23$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-23$118,984,181
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-23$14,896,165
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-23No
Was there a failure to transmit to the plan any participant contributions2020-12-23No
Has the plan failed to provide any benefit when due under the plan2020-12-23No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-23$537,214,086
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-23No
Did the plan have assets held for investment2020-12-23No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-23No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-23Yes
Opinion of an independent qualified public accountant for this plan2020-12-23Disclaimer
Accountancy firm name2020-12-23MOSS ADAMS LLP
Accountancy firm EIN2020-12-23910189318
2019 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2019 401k financial data
Total transfer of assets to this plan2019-12-31$670
Total income from all sources (including contributions)2019-12-31$119,155,137
Total of all expenses incurred2019-12-31$153,149,768
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$151,761,011
Expenses. Certain deemed distributions of participant loans2019-12-31$151,840
Value of total corrective distributions2019-12-31$23,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$31,431,090
Value of total assets at end of year2019-12-31$503,242,305
Value of total assets at beginning of year2019-12-31$537,236,266
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$1,213,251
Total interest from all sources2019-12-31$3,875,905
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$10,505,563
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$10,505,563
Administrative expenses professional fees incurred2019-12-31$221,932
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$30,465,869
Participant contributions at end of year2019-12-31$11,720,403
Participant contributions at beginning of year2019-12-31$20,156,776
Participant contributions at end of year2019-12-31$2,135
Participant contributions at beginning of year2019-12-31$1,300
Assets. Other investments not covered elsewhere at end of year2019-12-31$2,920,642
Assets. Other investments not covered elsewhere at beginning of year2019-12-31$4,269,685
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$965,221
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$33,846
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$24,342
Other income not declared elsewhere2019-12-31$497,131
Administrative expenses (other) incurred2019-12-31$935,869
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-33,994,631
Value of net assets at end of year (total assets less liabilities)2019-12-31$503,242,305
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$537,236,266
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$55,450
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$369,581,098
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$370,767,406
Interest on participant loans2019-12-31$940,313
Interest earned on other investments2019-12-31$2,935,592
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$118,984,181
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$142,016,757
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$72,845,448
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$151,761,011
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-12-31No
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm EIN2019-12-31910189318
2018 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2018 401k financial data
Total income from all sources (including contributions)2018-12-31$20,381,879
Total of all expenses incurred2018-12-31$50,212,972
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$48,781,547
Expenses. Certain deemed distributions of participant loans2018-12-31$349,922
Value of total corrective distributions2018-12-31$15,152
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$46,405,849
Value of total assets at end of year2018-12-31$537,236,266
Value of total assets at beginning of year2018-12-31$567,067,359
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$1,066,351
Total interest from all sources2018-12-31$4,418,399
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$8,336,007
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$8,336,007
Administrative expenses professional fees incurred2018-12-31$114,464
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$43,509,554
Participant contributions at end of year2018-12-31$20,156,776
Participant contributions at beginning of year2018-12-31$20,056,433
Participant contributions at end of year2018-12-31$1,300
Assets. Other investments not covered elsewhere at end of year2018-12-31$4,269,685
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$4,603,002
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$2,894,321
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$24,342
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$28,151
Other income not declared elsewhere2018-12-31$-120,180
Administrative expenses (other) incurred2018-12-31$883,486
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-29,831,093
Value of net assets at end of year (total assets less liabilities)2018-12-31$537,236,266
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$567,067,359
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$68,401
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$370,767,406
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$399,979,399
Value of interest in pooled separate accounts at beginning of year2018-12-31$0
Interest on participant loans2018-12-31$1,005,281
Interest earned on other investments2018-12-31$3,413,118
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$142,016,757
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$142,400,374
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-38,658,196
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,974
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$48,781,547
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31No
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318
2017 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$103,071,143
Total of all expenses incurred2017-12-31$38,379,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$37,575,400
Expenses. Certain deemed distributions of participant loans2017-12-31$168,675
Value of total corrective distributions2017-12-31$16,810
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$40,553,927
Value of total assets at end of year2017-12-31$567,067,359
Value of total assets at beginning of year2017-12-31$502,376,005
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$618,904
Total interest from all sources2017-12-31$2,950,670
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$6,983,541
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$6,983,541
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$36,697,618
Participant contributions at end of year2017-12-31$20,056,433
Participant contributions at beginning of year2017-12-31$18,972,074
Assets. Other investments not covered elsewhere at end of year2017-12-31$4,603,002
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$4,899,788
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$3,854,852
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$28,151
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$23,331
Other income not declared elsewhere2017-12-31$344,501
Administrative expenses (other) incurred2017-12-31$618,904
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$64,691,354
Value of net assets at end of year (total assets less liabilities)2017-12-31$567,067,359
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$502,376,005
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$399,979,399
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$333,285,142
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$128,705,822
Interest on participant loans2017-12-31$722,351
Interest earned on other investments2017-12-31$2,228,319
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$142,400,374
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$16,489,848
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$51,146,962
Net investment gain/loss from pooled separate accounts2017-12-31$1,091,542
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$1,457
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$37,575,400
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MOSS ADAMS LLP
Accountancy firm EIN2017-12-31910189318
2016 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$76,468,934
Total of all expenses incurred2016-12-31$49,081,263
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$48,347,846
Expenses. Certain deemed distributions of participant loans2016-12-31$217,524
Value of total corrective distributions2016-12-31$10,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$40,566,147
Value of total assets at end of year2016-12-31$502,376,005
Value of total assets at beginning of year2016-12-31$474,988,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$505,557
Total interest from all sources2016-12-31$1,237,361
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$6,321,303
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$6,321,303
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$36,246,895
Participant contributions at end of year2016-12-31$18,972,074
Participant contributions at beginning of year2016-12-31$19,397,652
Assets. Other investments not covered elsewhere at end of year2016-12-31$4,899,788
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$5,165,356
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$4,319,008
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$23,331
Other income not declared elsewhere2016-12-31$301,956
Administrative expenses (other) incurred2016-12-31$505,557
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$27,387,671
Value of net assets at end of year (total assets less liabilities)2016-12-31$502,376,005
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$474,988,334
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$333,285,142
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$305,884,778
Value of interest in pooled separate accounts at end of year2016-12-31$128,705,822
Value of interest in pooled separate accounts at beginning of year2016-12-31$128,813,525
Interest on participant loans2016-12-31$674,820
Interest earned on other investments2016-12-31$562,541
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$16,489,848
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$15,727,023
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$25,868,028
Net investment gain/loss from pooled separate accounts2016-12-31$2,174,139
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$244
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$48,347,846
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MOSS ADAMS LLP
Accountancy firm EIN2016-12-31910189318
2015 : VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2015 401k financial data
Total transfer of assets to this plan2015-12-31$471,523,776
Total income from all sources (including contributions)2015-12-31$5,044,179
Total of all expenses incurred2015-12-31$1,579,621
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,540,293
Value of total corrective distributions2015-12-31$148
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,947,393
Value of total assets at end of year2015-12-31$474,988,334
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$39,180
Total interest from all sources2015-12-31$83,028
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,504,671
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$1,504,671
Administrative expenses professional fees incurred2015-12-31$39,090
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$1,868,249
Participant contributions at end of year2015-12-31$19,397,652
Participant contributions at beginning of year2015-12-31$0
Assets. Other investments not covered elsewhere at end of year2015-12-31$5,165,356
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$79,144
Other income not declared elsewhere2015-12-31$48,969
Administrative expenses (other) incurred2015-12-31$90
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$3,464,558
Value of net assets at end of year (total assets less liabilities)2015-12-31$474,988,334
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$305,884,778
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$0
Value of interest in pooled separate accounts at end of year2015-12-31$128,813,525
Value of interest in pooled separate accounts at beginning of year2015-12-31$0
Interest on participant loans2015-12-31$55,822
Interest earned on other investments2015-12-31$27,206
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$15,727,023
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$1,353,159
Net investment gain/loss from pooled separate accounts2015-12-31$106,959
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,540,293
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31No
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No

Form 5500 Responses for VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA)

2020: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingYes
2020-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 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: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 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: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 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: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedYes
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: VERITY HEALTH SYSTEM SUPPLEMENTAL RETIREMENT PLAN (TSA) 2015 form 5500 responses
2015-12-14Type of plan entitySingle employer plan
2015-12-14First time form 5500 has been submittedYes
2015-12-14This return/report is a short plan year return/report (less than 12 months)Yes
2015-12-14Plan funding arrangement – InsuranceYes
2015-12-14Plan funding arrangement – TrustYes
2015-12-14Plan benefit arrangement – InsuranceYes
2015-12-14Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTT069202
Policy instance 4
Insurance contract or identification numberTT069202
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-07-15
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069202
Policy instance 3
Insurance contract or identification numberTT069202
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-23
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19002-19008
Policy instance 2
Insurance contract or identification number19002-19008
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-11-30
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32073, CR3289
Policy instance 1
Insurance contract or identification numberCR32073, CR3289
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-10-23
Total amount of commissions paid to insurance brokerUSD $45,264
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,264
Insurance broker organization code?4
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32073, CR3289
Policy instance 1
Insurance contract or identification numberCR32073, CR3289
Number of Individuals Covered294
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $56,699
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $56,699
Insurance broker organization code?4
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19002-19008
Policy instance 2
Insurance contract or identification number19002-19008
Number of Individuals Covered147
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069202
Policy instance 3
Insurance contract or identification numberTT069202
Number of Individuals Covered6557
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTT069202
Policy instance 4
Insurance contract or identification numberTT069202
Number of Individuals Covered6557
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32073, CR3289
Policy instance 1
Insurance contract or identification numberCR32073, CR3289
Number of Individuals Covered316
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $62,945
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $62,945
Insurance broker organization code?4
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19002-19008
Policy instance 2
Insurance contract or identification number19002-19008
Number of Individuals Covered271
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069202
Policy instance 3
Insurance contract or identification numberTT069202
Number of Individuals Covered7718
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTT069202
Policy instance 4
Insurance contract or identification numberTT069202
Number of Individuals Covered7718
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract numberTT069202
Policy instance 8
Insurance contract or identification numberTT069202
Number of Individuals Covered7548
Insurance policy start date2017-06-29
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19003
Policy instance 7
Insurance contract or identification number19003
Number of Individuals Covered9
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32073, CR3289
Policy instance 1
Insurance contract or identification numberCR32073, CR3289
Number of Individuals Covered343
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $91,721
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91,721
Insurance broker organization code?4
Insurance broker nameLINCOLN FINANCIAL ADVISORS
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19002
Policy instance 2
Insurance contract or identification number19002
Number of Individuals Covered127
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19004
Policy instance 3
Insurance contract or identification number19004
Number of Individuals Covered54
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19006
Policy instance 4
Insurance contract or identification number19006
Number of Individuals Covered62
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19008
Policy instance 5
Insurance contract or identification number19008
Number of Individuals Covered57
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069202
Policy instance 6
Insurance contract or identification numberTT069202
Number of Individuals Covered7548
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract numberTT069202
Policy instance 6
Insurance contract or identification numberTT069202
Number of Individuals Covered7349
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19008
Policy instance 5
Insurance contract or identification number19008
Number of Individuals Covered74
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19006
Policy instance 4
Insurance contract or identification number19006
Number of Individuals Covered70
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19004
Policy instance 3
Insurance contract or identification number19004
Number of Individuals Covered60
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number19002
Policy instance 2
Insurance contract or identification number19002
Number of Individuals Covered159
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberCR32073, CR3289
Policy instance 1
Insurance contract or identification numberCR32073, CR3289
Number of Individuals Covered372
Insurance policy start date2015-12-14
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $625
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $625
Insurance broker nameLINCOLN FINANCIAL ADVISORS

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