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MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 401k Plan overview

Plan NameMIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN
Plan identification number 002

MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Stock bonus
  • 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MIDSTATE CONSTRUCTION CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:MIDSTATE CONSTRUCTION CORPORATION
Employer identification number (EIN):941063267
NAIC Classification:236200

Additional information about MIDSTATE CONSTRUCTION CORPORATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C0208955

More information about MIDSTATE CONSTRUCTION CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01MONICA FINNEGAN2023-03-28
0022021-01-01MONICA FINNEGAN2022-04-01
0022020-01-01MONICA FINNEGAN2021-02-24
0022019-01-01MONICA FINNEGAN2020-04-02
0022018-01-01MONICA FINNEGAN
0022017-01-01MONICA MORGENLAENDER
0022016-01-01MONICA MORGENLAENDER MONICA MORGENLAENDER2017-07-13
0022015-01-01MONICA MORGENLAENDER MONICA MORGENLAENDER2016-10-14
0022014-01-01MONICA MORGENLAENDER MONICA MORGENLAENDER2015-06-25
0022013-01-01MONICA MORGENLAENDER
0022012-01-01MONICA MORGENLAENDER
0022011-01-01MONICA MORGENLAENDER
0022010-01-01CRAIG SCHILLER2011-05-04 CRAIG SCHILLER2011-05-04

Plan Statistics for MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN

401k plan membership statisitcs for MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN

Measure Date Value
2018: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0160
Total number of active participants reported on line 7a of the Form 55002018-01-0145
Number of retired or separated participants receiving benefits2018-01-013
Number of other retired or separated participants entitled to future benefits2018-01-0118
Total of all active and inactive participants2018-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0166
Number of participants with account balances2018-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0162
Total number of active participants reported on line 7a of the Form 55002017-01-0145
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0113
Total of all active and inactive participants2017-01-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0159
Number of participants with account balances2017-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0163
Total number of active participants reported on line 7a of the Form 55002016-01-0142
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-0117
Total of all active and inactive participants2016-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0161
Number of participants with account balances2016-01-0161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0158
Total number of active participants reported on line 7a of the Form 55002015-01-0150
Number of retired or separated participants receiving benefits2015-01-013
Number of other retired or separated participants entitled to future benefits2015-01-019
Total of all active and inactive participants2015-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0162
Number of participants with account balances2015-01-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0163
Total number of active participants reported on line 7a of the Form 55002014-01-0144
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0114
Total of all active and inactive participants2014-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0158
Number of participants with account balances2014-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0170
Total number of active participants reported on line 7a of the Form 55002013-01-0142
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-0112
Total of all active and inactive participants2013-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0157
Number of participants with account balances2013-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0166
Total number of active participants reported on line 7a of the Form 55002012-01-0146
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0123
Total of all active and inactive participants2012-01-0169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-0170
Number of participants with account balances2012-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0172
Total number of active participants reported on line 7a of the Form 55002011-01-0149
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0117
Total of all active and inactive participants2011-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0166
Number of participants with account balances2011-01-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN

Measure Date Value
2018 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$6,166
Expenses. Total of all expenses incurred2018-12-31$1,476,970
Benefits paid (including direct rollovers)2018-12-31$1,435,363
Total plan assets at end of year2018-12-31$7,880,764
Total plan assets at beginning of year2018-12-31$9,351,568
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$429,014
Contributions received from other sources (not participants or employers)2018-12-31$53,001
Other income received2018-12-31$-651,515
Net income (gross income less expenses)2018-12-31$-1,470,804
Net plan assets at end of year (total assets less liabilities)2018-12-31$7,880,764
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$9,351,568
Assets. Value of participant loans2018-12-31$27,460
Total contributions received or receivable from employer(s)2018-12-31$175,666
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$41,607
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,576,316
Expenses. Total of all expenses incurred2017-12-31$268,463
Benefits paid (including direct rollovers)2017-12-31$221,884
Total plan assets at end of year2017-12-31$9,351,568
Total plan assets at beginning of year2017-12-31$8,043,715
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$426,656
Other income received2017-12-31$1,000,335
Net income (gross income less expenses)2017-12-31$1,307,853
Net plan assets at end of year (total assets less liabilities)2017-12-31$9,351,568
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$8,043,715
Assets. Value of participant loans2017-12-31$48,780
Total contributions received or receivable from employer(s)2017-12-31$149,325
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$46,579
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,403,097
Expenses. Total of all expenses incurred2016-12-31$434,814
Benefits paid (including direct rollovers)2016-12-31$390,929
Total plan assets at end of year2016-12-31$8,043,715
Total plan assets at beginning of year2016-12-31$7,075,432
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$475,816
Other income received2016-12-31$748,016
Net income (gross income less expenses)2016-12-31$968,283
Net plan assets at end of year (total assets less liabilities)2016-12-31$8,043,715
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$7,075,432
Assets. Value of participant loans2016-12-31$22,601
Total contributions received or receivable from employer(s)2016-12-31$179,265
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$43,885
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$356,360
Expenses. Total of all expenses incurred2015-12-31$1,570,196
Benefits paid (including direct rollovers)2015-12-31$1,527,426
Total plan assets at end of year2015-12-31$7,075,432
Total plan assets at beginning of year2015-12-31$8,289,268
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$375,595
Contributions received from other sources (not participants or employers)2015-12-31$5,965
Other income received2015-12-31$-126,860
Net income (gross income less expenses)2015-12-31$-1,213,836
Net plan assets at end of year (total assets less liabilities)2015-12-31$7,075,432
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$8,289,268
Assets. Value of participant loans2015-12-31$25,816
Total contributions received or receivable from employer(s)2015-12-31$101,660
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$42,770
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,021,782
Expenses. Total of all expenses incurred2014-12-31$593,742
Benefits paid (including direct rollovers)2014-12-31$561,145
Total plan assets at end of year2014-12-31$8,289,268
Total plan assets at beginning of year2014-12-31$7,861,228
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$398,327
Contributions received from other sources (not participants or employers)2014-12-31$110,254
Other income received2014-12-31$247,880
Net income (gross income less expenses)2014-12-31$428,040
Net plan assets at end of year (total assets less liabilities)2014-12-31$8,289,268
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$7,861,228
Assets. Value of participant loans2014-12-31$36,450
Total contributions received or receivable from employer(s)2014-12-31$265,321
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$32,597
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$1,869,857
Expenses. Total of all expenses incurred2013-12-31$62,182
Benefits paid (including direct rollovers)2013-12-31$62,132
Total plan assets at end of year2013-12-31$7,861,228
Total plan assets at beginning of year2013-12-31$6,053,553
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$438,949
Expenses. Other expenses not covered elsewhere2013-12-31$50
Contributions received from other sources (not participants or employers)2013-12-31$5,194
Other income received2013-12-31$1,237,428
Net income (gross income less expenses)2013-12-31$1,807,675
Net plan assets at end of year (total assets less liabilities)2013-12-31$7,861,228
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$6,053,553
Assets. Value of participant loans2013-12-31$43,046
Total contributions received or receivable from employer(s)2013-12-31$188,286
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,253,670
Expenses. Total of all expenses incurred2012-12-31$66,347
Benefits paid (including direct rollovers)2012-12-31$65,849
Total plan assets at end of year2012-12-31$6,053,555
Total plan assets at beginning of year2012-12-31$4,866,232
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$410,983
Expenses. Other expenses not covered elsewhere2012-12-31$498
Other income received2012-12-31$646,670
Net income (gross income less expenses)2012-12-31$1,187,323
Net plan assets at end of year (total assets less liabilities)2012-12-31$6,053,555
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,866,232
Assets. Value of participant loans2012-12-31$11,791
Total contributions received or receivable from employer(s)2012-12-31$196,017
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$261,887
Expenses. Total of all expenses incurred2011-12-31$71,622
Benefits paid (including direct rollovers)2011-12-31$71,408
Total plan assets at end of year2011-12-31$4,866,232
Total plan assets at beginning of year2011-12-31$4,675,967
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$377,229
Expenses. Other expenses not covered elsewhere2011-12-31$214
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-220,498
Net income (gross income less expenses)2011-12-31$190,265
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,866,232
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,675,967
Assets. Value of participant loans2011-12-31$16,487
Total contributions received or receivable from employer(s)2011-12-31$105,156
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0

Form 5500 Responses for MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN

2018: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedYes
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MIDSTATE CONSTRUCTION CORPORATION 401(K) & PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-831241
Policy instance 1
Insurance contract or identification numberGA-831241
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $4,710
Total amount of fees paid to insurance companyUSD $0
Commission paid to Insurance BrokerUSD $4,710
Insurance broker organization code?8
Insurance broker nameWELLS FARGO ADVRS INS AGCY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-831241
Policy instance 1
Insurance contract or identification numberGA-831241
Number of Individuals Covered55
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $16,431
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,431
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVRS INS AGCY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-831241
Policy instance 1
Insurance contract or identification numberGA-831241
Number of Individuals Covered47
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,467
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,467
Insurance broker organization code?3
Insurance broker nameWELLS FARGO ADVRS INS AGCY
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710313
Policy instance 1
Insurance contract or identification numberGA-710313
Number of Individuals Covered66
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,239
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?Yes
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

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