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TELL STEEL, INC. 401(K) PLAN 401k Plan overview

Plan NameTELL STEEL, INC. 401(K) PLAN
Plan identification number 002

TELL STEEL, INC. 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of 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.
  • 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.

401k Sponsoring company profile

TELL STEEL, INC. has sponsored the creation of one or more 401k plans.

Company Name:TELL STEEL, INC.
Employer identification number (EIN):952013977
NAIC Classification:423500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TELL STEEL, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022021-10-01
0022020-10-01
0022019-10-01
0022018-10-01
0022017-10-01
0022016-10-01
0022015-10-01
0022014-10-01
0022013-10-01GREGORY MOORE
0022012-10-01GREGORY MOORE
0022011-10-01GREGORY MOORE
0022010-10-01GREGORY MOORE2012-05-03 GREGORY MOORE2012-05-03

Plan Statistics for TELL STEEL, INC. 401(K) PLAN

401k plan membership statisitcs for TELL STEEL, INC. 401(K) PLAN

Measure Date Value
2015: TELL STEEL, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0150
Total number of active participants reported on line 7a of the Form 55002015-10-0148
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-015
Total of all active and inactive participants2015-10-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-0153
Number of participants with account balances2015-10-0143
2014: TELL STEEL, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0153
Total number of active participants reported on line 7a of the Form 55002014-10-0150
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-013
Total of all active and inactive participants2014-10-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-0153
Number of participants with account balances2014-10-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: TELL STEEL, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0152
Total number of active participants reported on line 7a of the Form 55002013-10-0150
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-013
Total of all active and inactive participants2013-10-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-0153
Number of participants with account balances2013-10-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: TELL STEEL, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0152
Total number of active participants reported on line 7a of the Form 55002012-10-0147
Number of retired or separated participants receiving benefits2012-10-011
Number of other retired or separated participants entitled to future benefits2012-10-014
Total of all active and inactive participants2012-10-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-0152
Number of participants with account balances2012-10-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: TELL STEEL, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-0152
Total number of active participants reported on line 7a of the Form 55002011-10-0147
Number of retired or separated participants receiving benefits2011-10-011
Number of other retired or separated participants entitled to future benefits2011-10-014
Total of all active and inactive participants2011-10-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-0152
Number of participants with account balances2011-10-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010

Financial Data on TELL STEEL, INC. 401(K) PLAN

Measure Date Value
2016 : TELL STEEL, INC. 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-09-30$329
Total plan liabilities at beginning of year2016-09-30$1,101
Total income from all sources2016-09-30$665,888
Expenses. Total of all expenses incurred2016-09-30$1,910,919
Benefits paid (including direct rollovers)2016-09-30$1,884,404
Total plan assets at end of year2016-09-30$8,536,709
Total plan assets at beginning of year2016-09-30$9,782,512
Value of fidelity bond covering the plan2016-09-30$2,300,000
Total contributions received or receivable from participants2016-09-30$80,000
Expenses. Other expenses not covered elsewhere2016-09-30$6,117
Other income received2016-09-30$585,888
Net income (gross income less expenses)2016-09-30$-1,245,031
Net plan assets at end of year (total assets less liabilities)2016-09-30$8,536,380
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$9,781,411
Assets. Value of participant loans2016-09-30$45,575
Total contributions received or receivable from employer(s)2016-09-30$0
Value of certain deemed distributions of participant loans2016-09-30$1,030
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$19,368
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
2015 : TELL STEEL, INC. 401(K) PLAN 2015 401k financial data
Total plan liabilities at end of year2015-09-30$1,101
Total income from all sources2015-09-30$96,764
Expenses. Total of all expenses incurred2015-09-30$929,764
Benefits paid (including direct rollovers)2015-09-30$901,828
Total plan assets at end of year2015-09-30$9,782,512
Total plan assets at beginning of year2015-09-30$10,614,411
Value of fidelity bond covering the plan2015-09-30$2,300,000
Total contributions received or receivable from participants2015-09-30$108,803
Expenses. Other expenses not covered elsewhere2015-09-30$5,255
Other income received2015-09-30$-12,039
Net income (gross income less expenses)2015-09-30$-833,000
Net plan assets at end of year (total assets less liabilities)2015-09-30$9,781,411
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$10,614,411
Assets. Value of participant loans2015-09-30$39,188
Value of corrective distributions2015-09-30$1,692
Expenses. Administrative service providers (salaries,fees and commissions)2015-09-30$20,989
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
2014 : TELL STEEL, INC. 401(K) PLAN 2014 401k financial data
Total income from all sources2014-09-30$667,378
Expenses. Total of all expenses incurred2014-09-30$199,153
Benefits paid (including direct rollovers)2014-09-30$172,630
Total plan assets at end of year2014-09-30$10,614,411
Total plan assets at beginning of year2014-09-30$10,146,186
Value of fidelity bond covering the plan2014-09-30$2,300,000
Total contributions received or receivable from participants2014-09-30$105,187
Expenses. Other expenses not covered elsewhere2014-09-30$6,635
Other income received2014-09-30$562,191
Net income (gross income less expenses)2014-09-30$468,225
Net plan assets at end of year (total assets less liabilities)2014-09-30$10,614,411
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$10,146,186
Assets. Value of participant loans2014-09-30$45,021
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$19,888
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
2013 : TELL STEEL, INC. 401(K) PLAN 2013 401k financial data
Total income from all sources2013-09-30$786,498
Expenses. Total of all expenses incurred2013-09-30$2,201,161
Benefits paid (including direct rollovers)2013-09-30$2,179,163
Total plan assets at end of year2013-09-30$10,146,186
Total plan assets at beginning of year2013-09-30$11,560,849
Value of fidelity bond covering the plan2013-09-30$2,300,000
Total contributions received or receivable from participants2013-09-30$99,561
Expenses. Other expenses not covered elsewhere2013-09-30$3,875
Other income received2013-09-30$686,937
Net income (gross income less expenses)2013-09-30$-1,414,663
Net plan assets at end of year (total assets less liabilities)2013-09-30$10,146,186
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$11,560,849
Assets. Value of participant loans2013-09-30$42,671
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$18,123
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-09-30$0
2012 : TELL STEEL, INC. 401(K) PLAN 2012 401k financial data
Transfers to/from the plan2012-09-30$9,205,944
Total income from all sources2012-09-30$1,459,207
Expenses. Total of all expenses incurred2012-09-30$168,852
Benefits paid (including direct rollovers)2012-09-30$158,744
Total plan assets at end of year2012-09-30$11,560,849
Total plan assets at beginning of year2012-09-30$1,064,550
Value of fidelity bond covering the plan2012-09-30$2,300,000
Total contributions received or receivable from participants2012-09-30$96,349
Expenses. Other expenses not covered elsewhere2012-09-30$3,874
Other income received2012-09-30$1,362,858
Net income (gross income less expenses)2012-09-30$1,290,355
Net plan assets at end of year (total assets less liabilities)2012-09-30$11,560,849
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$1,064,550
Assets. Value of participant loans2012-09-30$62,274
Expenses. Administrative service providers (salaries,fees and commissions)2012-09-30$6,234
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-09-30$0

Form 5500 Responses for TELL STEEL, INC. 401(K) PLAN

2015: TELL STEEL, INC. 401(K) PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: TELL STEEL, INC. 401(K) PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: TELL STEEL, INC. 401(K) PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: TELL STEEL, INC. 401(K) PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: TELL STEEL, INC. 401(K) PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH1375
Policy instance 2
Insurance contract or identification numberZH1375
Number of Individuals Covered40
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $1,832
Total amount of fees paid to insurance companyUSD $366
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
Commission paid to Insurance BrokerUSD $1,832
Insurance broker organization code?3
Amount paid for insurance broker fees366
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875431
Policy instance 1
Insurance contract or identification number875431
Number of Individuals Covered43
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $19,837
Total amount of fees paid to insurance companyUSD $4,153
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
Commission paid to Insurance BrokerUSD $19,837
Insurance broker organization code?3
Amount paid for insurance broker fees4153
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875431
Policy instance 1
Insurance contract or identification number875431
Number of Individuals Covered45
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $22,511
Total amount of fees paid to insurance companyUSD $4,562
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
Commission paid to Insurance BrokerUSD $22,511
Insurance broker organization code?3
Amount paid for insurance broker fees4562
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH1375
Policy instance 2
Insurance contract or identification numberZH1375
Number of Individuals Covered1
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $1,809
Total amount of fees paid to insurance companyUSD $361
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
Commission paid to Insurance BrokerUSD $1,809
Insurance broker organization code?3
Amount paid for insurance broker fees361
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLL6023685
Policy instance 1
Insurance contract or identification numberLL6023685
Number of Individuals Covered2
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $126
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
Commission paid to Insurance BrokerUSD $78
Insurance broker organization code?3
Insurance broker nameNEW WEST INSURANCE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875431
Policy instance 2
Insurance contract or identification number875431
Number of Individuals Covered48
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $22,733
Total amount of fees paid to insurance companyUSD $4,477
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
Commission paid to Insurance BrokerUSD $22,733
Insurance broker organization code?3
Amount paid for insurance broker fees4477
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH1375
Policy instance 3
Insurance contract or identification numberZH1375
Number of Individuals Covered1
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $1,786
Total amount of fees paid to insurance companyUSD $356
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
Commission paid to Insurance BrokerUSD $1,786
Insurance broker organization code?3
Amount paid for insurance broker fees356
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLL6023685
Policy instance 1
Insurance contract or identification numberLL6023685
Number of Individuals Covered2
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $116
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
Commission paid to Insurance BrokerUSD $77
Insurance broker organization code?3
Insurance broker nameNEW WEST INSURANCE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberZH1375
Policy instance 3
Insurance contract or identification numberZH1375
Number of Individuals Covered1
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $884
Total amount of fees paid to insurance companyUSD $622
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
Commission paid to Insurance BrokerUSD $884
Insurance broker organization code?3
Amount paid for insurance broker fees622
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875431
Policy instance 2
Insurance contract or identification number875431
Number of Individuals Covered47
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $19,977
Total amount of fees paid to insurance companyUSD $4,748
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
Commission paid to Insurance BrokerUSD $19,977
Insurance broker organization code?3
Amount paid for insurance broker fees4748
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM/TPA ALLIANCE PROGRAM
Insurance broker nameSOUTHERN REGION INSURANCE SERVICES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberLL6023685
Policy instance 1
Insurance contract or identification numberLL6023685
Number of Individuals Covered2
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $116
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
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875431
Policy instance 2
Insurance contract or identification number875431
Number of Individuals Covered50
Insurance policy start date2011-10-01
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $93,001
Total amount of fees paid to insurance companyUSD $20,632
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

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