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ICC GROUP 401(K) PLAN 401k Plan overview

Plan NameICC GROUP 401(K) PLAN
Plan identification number 001

ICC GROUP 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

INTERCONTINENTAL CHEMICAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:INTERCONTINENTAL CHEMICAL CORPORATION
Employer identification number (EIN):930900466
NAIC Classification:325900
NAIC Description:Other Chemical Product and Preparation Manufacturing

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ICC GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ARNITA HILTON2023-08-14
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01CAMERON CORD2015-05-05
0012013-01-01CAMERON CORD2014-04-09
0012012-01-01CAMERON CORD2013-10-28
0012011-01-01CAMERON CORD
0012010-01-01CAMERON CORD
0012009-01-01CAMERON CORD
0012008-01-01CAMERON CORD
0012007-01-01CAMERON CORD
0012006-01-01CAMERON CORD
0012005-01-01CAMERON CORD
0012004-01-01CAMERON CORD
0012003-01-01CAMERON CORD

Plan Statistics for ICC GROUP 401(K) PLAN

401k plan membership statisitcs for ICC GROUP 401(K) PLAN

Measure Date Value
2011: ICC GROUP 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0125
Total number of active participants reported on line 7a of the Form 55002011-01-0124
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0125
Number of participants with account balances2011-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: ICC GROUP 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0127
Total number of active participants reported on line 7a of the Form 55002010-01-0124
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0125
Number of participants with account balances2010-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: ICC GROUP 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0129
Total number of active participants reported on line 7a of the Form 55002009-01-0126
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0127
Number of participants with account balances2009-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2008: ICC GROUP 401(K) PLAN 2008 401k membership
Total participants, beginning-of-year2008-01-0130
Total number of active participants reported on line 7a of the Form 55002008-01-0128
Number of retired or separated participants receiving benefits2008-01-010
Number of other retired or separated participants entitled to future benefits2008-01-011
Total of all active and inactive participants2008-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2008-01-010
Total participants2008-01-0129
Number of participants with account balances2008-01-0124
2007: ICC GROUP 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-0130
Total number of active participants reported on line 7a of the Form 55002007-01-0128
Number of retired or separated participants receiving benefits2007-01-010
Number of other retired or separated participants entitled to future benefits2007-01-012
Total of all active and inactive participants2007-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-010
Total participants2007-01-0130
Number of participants with account balances2007-01-0125
2006: ICC GROUP 401(K) PLAN 2006 401k membership
Total participants, beginning-of-year2006-01-0132
Total number of active participants reported on line 7a of the Form 55002006-01-0129
Number of retired or separated participants receiving benefits2006-01-010
Number of other retired or separated participants entitled to future benefits2006-01-011
Total of all active and inactive participants2006-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2006-01-010
Total participants2006-01-0130
Number of participants with account balances2006-01-0126
2005: ICC GROUP 401(K) PLAN 2005 401k membership
Total participants, beginning-of-year2005-01-0137
Total number of active participants reported on line 7a of the Form 55002005-01-0130
Number of retired or separated participants receiving benefits2005-01-010
Number of other retired or separated participants entitled to future benefits2005-01-012
Total of all active and inactive participants2005-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2005-01-010
Total participants2005-01-0132
Number of participants with account balances2005-01-0128
2004: ICC GROUP 401(K) PLAN 2004 401k membership
Total participants, beginning-of-year2004-01-0137
Total number of active participants reported on line 7a of the Form 55002004-01-0134
Number of retired or separated participants receiving benefits2004-01-010
Number of other retired or separated participants entitled to future benefits2004-01-013
Total of all active and inactive participants2004-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2004-01-010
Total participants2004-01-0137
Number of participants with account balances2004-01-0133
2003: ICC GROUP 401(K) PLAN 2003 401k membership
Total participants, beginning-of-year2003-01-0143
Total number of active participants reported on line 7a of the Form 55002003-01-0133
Number of retired or separated participants receiving benefits2003-01-010
Number of other retired or separated participants entitled to future benefits2003-01-014
Total of all active and inactive participants2003-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2003-01-010
Total participants2003-01-0137
Number of participants with account balances2003-01-0135

Financial Data on ICC GROUP 401(K) PLAN

Measure Date Value
2011 : ICC GROUP 401(K) PLAN 2011 401k financial data
Total income from all sources2011-12-31$19,902
Expenses. Total of all expenses incurred2011-12-31$5,500
Benefits paid (including direct rollovers)2011-12-31$5,400
Total plan assets at end of year2011-12-31$530,024
Total plan assets at beginning of year2011-12-31$515,622
Value of fidelity bond covering the plan2011-12-31$30,000
Total contributions received or receivable from participants2011-12-31$34,965
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-25,739
Net income (gross income less expenses)2011-12-31$14,402
Net plan assets at end of year (total assets less liabilities)2011-12-31$530,024
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$515,622
Assets. Value of participant loans2011-12-31$464
Total contributions received or receivable from employer(s)2011-12-31$10,676
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$100
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : ICC GROUP 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$113,264
Expenses. Total of all expenses incurred2010-12-31$19,121
Benefits paid (including direct rollovers)2010-12-31$18,971
Total plan assets at end of year2010-12-31$515,622
Total plan assets at beginning of year2010-12-31$421,479
Value of fidelity bond covering the plan2010-12-31$30,000
Total contributions received or receivable from participants2010-12-31$37,322
Other income received2010-12-31$65,175
Net income (gross income less expenses)2010-12-31$94,143
Net plan assets at end of year (total assets less liabilities)2010-12-31$515,622
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$421,479
Assets. Value of participant loans2010-12-31$2,163
Total contributions received or receivable from employer(s)2010-12-31$10,767
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$150
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : ICC GROUP 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0
2008 : ICC GROUP 401(K) PLAN 2008 401k financial data
Total income from all sources2008-12-31$-97,205
Expenses. Total of all expenses incurred2008-12-31$13,551
Benefits paid (including direct rollovers)2008-12-31$13,251
Total plan assets at end of year2008-12-31$291,160
Total plan assets at beginning of year2008-12-31$401,916
Value of fidelity bond covering the plan2008-12-31$30,000
Total contributions received or receivable from participants2008-12-31$38,732
Expenses. Other expenses not covered elsewhere2008-12-31$300
Contributions received from other sources (not participants or employers)2008-12-31$4,333
Other income received2008-12-31$-152,407
Net income (gross income less expenses)2008-12-31$-110,756
Net plan assets at end of year (total assets less liabilities)2008-12-31$291,160
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$401,916
Assets. Value of participant loans2008-12-31$7,818
Total contributions received or receivable from employer(s)2008-12-31$12,137
2007 : ICC GROUP 401(K) PLAN 2007 401k financial data
Total income from all sources2007-12-31$93,770
Expenses. Total of all expenses incurred2007-12-31$90,336
Benefits paid (including direct rollovers)2007-12-31$89,986
Total plan assets at end of year2007-12-31$401,916
Total plan assets at beginning of year2007-12-31$398,482
Value of fidelity bond covering the plan2007-12-31$30,000
Total contributions received or receivable from participants2007-12-31$48,885
Expenses. Other expenses not covered elsewhere2007-12-31$350
Other income received2007-12-31$29,738
Net income (gross income less expenses)2007-12-31$3,434
Net plan assets at end of year (total assets less liabilities)2007-12-31$401,916
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$398,482
Assets. Value of participant loans2007-12-31$14,106
Total contributions received or receivable from employer(s)2007-12-31$15,147
2006 : ICC GROUP 401(K) PLAN 2006 401k financial data
Total income from all sources2006-12-31$92,575
Expenses. Total of all expenses incurred2006-12-31$33,252
Benefits paid (including direct rollovers)2006-12-31$33,002
Total plan assets at end of year2006-12-31$398,482
Total plan assets at beginning of year2006-12-31$339,159
Value of fidelity bond covering the plan2006-12-31$30,000
Total contributions received or receivable from participants2006-12-31$50,831
Expenses. Other expenses not covered elsewhere2006-12-31$250
Other income received2006-12-31$26,620
Net income (gross income less expenses)2006-12-31$59,323
Net plan assets at end of year (total assets less liabilities)2006-12-31$398,482
Net plan assets at beginning of year (total assets less liabilities)2006-12-31$339,159
Assets. Value of participant loans2006-12-31$4,561
Total contributions received or receivable from employer(s)2006-12-31$15,124
2005 : ICC GROUP 401(K) PLAN 2005 401k financial data
Total income from all sources2005-12-31$97,166
Expenses. Total of all expenses incurred2005-12-31$95,276
Benefits paid (including direct rollovers)2005-12-31$95,076
Total plan assets at end of year2005-12-31$339,159
Total plan assets at beginning of year2005-12-31$337,269
Value of fidelity bond covering the plan2005-12-31$30,000
Total contributions received or receivable from participants2005-12-31$57,849
Expenses. Other expenses not covered elsewhere2005-12-31$200
Other income received2005-12-31$21,495
Net income (gross income less expenses)2005-12-31$1,890
Net plan assets at end of year (total assets less liabilities)2005-12-31$339,159
Net plan assets at beginning of year (total assets less liabilities)2005-12-31$337,269
Assets. Value of participant loans2005-12-31$4,886
Total contributions received or receivable from employer(s)2005-12-31$17,822
2004 : ICC GROUP 401(K) PLAN 2004 401k financial data
Total income from all sources2004-12-31$95,181
Expenses. Total of all expenses incurred2004-12-31$7,736
Benefits paid (including direct rollovers)2004-12-31$7,561
Total plan assets at end of year2004-12-31$337,269
Total plan assets at beginning of year2004-12-31$249,824
Value of fidelity bond covering the plan2004-12-31$30,000
Total contributions received or receivable from participants2004-12-31$50,513
Expenses. Other expenses not covered elsewhere2004-12-31$175
Other income received2004-12-31$27,712
Net income (gross income less expenses)2004-12-31$87,445
Net plan assets at end of year (total assets less liabilities)2004-12-31$337,269
Net plan assets at beginning of year (total assets less liabilities)2004-12-31$249,824
Assets. Value of participant loans2004-12-31$7,163
Total contributions received or receivable from employer(s)2004-12-31$16,956
2003 : ICC GROUP 401(K) PLAN 2003 401k financial data
Total income from all sources2003-12-31$63,597
Expenses. Total of all expenses incurred2003-12-31$150
Total plan assets at end of year2003-12-31$249,824
Total plan assets at beginning of year2003-12-31$186,377
Value of fidelity bond covering the plan2003-12-31$30,000
Total contributions received or receivable from participants2003-12-31$37,853
Expenses. Other expenses not covered elsewhere2003-12-31$150
Other income received2003-12-31$10,509
Net income (gross income less expenses)2003-12-31$63,447
Net plan assets at end of year (total assets less liabilities)2003-12-31$249,824
Net plan assets at beginning of year (total assets less liabilities)2003-12-31$186,377
Assets. Value of participant loans2003-12-31$5,760
Total contributions received or receivable from employer(s)2003-12-31$15,235

Form 5500 Responses for ICC GROUP 401(K) PLAN

2011: ICC GROUP 401(K) 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ICC GROUP 401(K) 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: ICC GROUP 401(K) 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
2008: ICC GROUP 401(K) PLAN 2008 form 5500 responses
2008-01-01Type of plan entitySingle employer plan
2008-01-01Submission has been amendedNo
2008-01-01This submission is the final filingNo
2008-01-01This return/report is a short plan year return/report (less than 12 months)No
2008-01-01Plan is a collectively bargained planNo
2008-01-01Plan funding arrangement – InsuranceYes
2008-01-01Plan funding arrangement – TrustYes
2008-01-01Plan benefit arrangement – InsuranceYes
2008-01-01Plan benefit arrangement - TrustYes
2007: ICC GROUP 401(K) PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – InsuranceYes
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement – InsuranceYes
2007-01-01Plan benefit arrangement - TrustYes
2006: ICC GROUP 401(K) PLAN 2006 form 5500 responses
2006-01-01Type of plan entitySingle employer plan
2006-01-01Submission has been amendedNo
2006-01-01This submission is the final filingNo
2006-01-01This return/report is a short plan year return/report (less than 12 months)No
2006-01-01Plan is a collectively bargained planNo
2006-01-01Plan funding arrangement – InsuranceYes
2006-01-01Plan funding arrangement – TrustYes
2006-01-01Plan benefit arrangement – InsuranceYes
2006-01-01Plan benefit arrangement - TrustYes
2005: ICC GROUP 401(K) PLAN 2005 form 5500 responses
2005-01-01Type of plan entitySingle employer plan
2005-01-01Submission has been amendedNo
2005-01-01This submission is the final filingNo
2005-01-01This return/report is a short plan year return/report (less than 12 months)No
2005-01-01Plan is a collectively bargained planNo
2005-01-01Plan funding arrangement – InsuranceYes
2005-01-01Plan funding arrangement – TrustYes
2005-01-01Plan benefit arrangement – InsuranceYes
2005-01-01Plan benefit arrangement - TrustYes
2004: ICC GROUP 401(K) PLAN 2004 form 5500 responses
2004-01-01Type of plan entitySingle employer plan
2004-01-01Submission has been amendedNo
2004-01-01This submission is the final filingNo
2004-01-01This return/report is a short plan year return/report (less than 12 months)No
2004-01-01Plan is a collectively bargained planNo
2004-01-01Plan funding arrangement – InsuranceYes
2004-01-01Plan funding arrangement – TrustYes
2004-01-01Plan benefit arrangement – InsuranceYes
2004-01-01Plan benefit arrangement - TrustYes
2003: ICC GROUP 401(K) PLAN 2003 form 5500 responses
2003-01-01Type of plan entitySingle employer plan
2003-01-01Submission has been amendedNo
2003-01-01This submission is the final filingNo
2003-01-01This return/report is a short plan year return/report (less than 12 months)No
2003-01-01Plan is a collectively bargained planNo
2003-01-01Plan funding arrangement – InsuranceYes
2003-01-01Plan funding arrangement – TrustYes
2003-01-01Plan benefit arrangement – InsuranceYes
2003-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered20
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,051
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered20
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $866
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered24
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $719
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered25
Insurance policy start date2007-01-01
Insurance policy end date2007-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $840
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered26
Insurance policy start date2006-01-01
Insurance policy end date2006-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $727
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered28
Insurance policy start date2005-01-01
Insurance policy end date2005-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $667
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered33
Insurance policy start date2004-01-01
Insurance policy end date2004-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $597
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931460
Policy instance 1
Insurance contract or identification number931460
Number of Individuals Covered35
Insurance policy start date2003-01-01
Insurance policy end date2003-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $927
Insurance broker organization code?4
Insurance broker nameUSI SECURITIES, INC.

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