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SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 401k Plan overview

Plan NameSHALHEVET HIGH SCHOOL 403(B) TDA PLAN
Plan identification number 001

SHALHEVET HIGH SCHOOL 403(B) TDA PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 408 accounts and annuities - See Limited Pension Plan Reporting instructions for pension plan utilizing individual Code section 408 retirement accounts or annuities as the funding vehicle for providing benefits.
  • 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

SHALHEVET HIGH SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:SHALHEVET HIGH SCHOOL
Employer identification number (EIN):954330860
NAIC Classification:611000

Additional information about SHALHEVET HIGH SCHOOL

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1495941

More information about SHALHEVET HIGH SCHOOL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SHALHEVET HIGH SCHOOL 403(B) TDA PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-07-01
0012016-07-01RABBI ARI SEGAL RABBI ARI SEGAL2018-04-18
0012015-07-01RABBI ARI SEGAL RABBI ARI SEGAL2017-04-10
0012014-07-01RABBI ARI SEGAL RABBI ARI SEGAL2016-03-31
0012013-07-01ERROL BRIGGS ERROL BRIGGS2014-12-29
0012012-07-01ERROL BRIGGS ERROL BRIGGS2013-11-26
0012011-07-01ERROL BRIGGS ERROL BRIGGS2013-04-02
0012009-01-01LORI VOGEL

Plan Statistics for SHALHEVET HIGH SCHOOL 403(B) TDA PLAN

401k plan membership statisitcs for SHALHEVET HIGH SCHOOL 403(B) TDA PLAN

Measure Date Value
2017: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01117
Total number of active participants reported on line 7a of the Form 55002017-07-0165
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-0154
Total of all active and inactive participants2017-07-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01119
Number of participants with account balances2017-07-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0195
Total number of active participants reported on line 7a of the Form 55002016-07-0174
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-0149
Total of all active and inactive participants2016-07-01123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01123
Number of participants with account balances2016-07-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0180
Total number of active participants reported on line 7a of the Form 55002015-07-0150
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0145
Total of all active and inactive participants2015-07-0195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0195
Number of participants with account balances2015-07-0166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0180
Total number of active participants reported on line 7a of the Form 55002014-07-0136
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0144
Total of all active and inactive participants2014-07-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0180
Number of participants with account balances2014-07-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0177
Total number of active participants reported on line 7a of the Form 55002013-07-0138
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0142
Total of all active and inactive participants2013-07-0180
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0180
Number of participants with account balances2013-07-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0181
Total number of active participants reported on line 7a of the Form 55002012-07-0129
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0148
Total of all active and inactive participants2012-07-0177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0177
Number of participants with account balances2012-07-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0171
Total number of active participants reported on line 7a of the Form 55002011-07-0137
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-0144
Total of all active and inactive participants2011-07-0181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0181
Number of participants with account balances2011-07-0157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2009: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0183
Total number of active participants reported on line 7a of the Form 55002009-01-0182
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-017
Total of all active and inactive participants2009-01-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0189
Number of participants with account balances2009-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on SHALHEVET HIGH SCHOOL 403(B) TDA PLAN

Measure Date Value
2018 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2017 401k financial data
Total income from all sources2017-06-30$561,175
Expenses. Total of all expenses incurred2017-06-30$198,429
Benefits paid (including direct rollovers)2017-06-30$198,429
Total plan assets at end of year2017-06-30$2,746,158
Total plan assets at beginning of year2017-06-30$2,383,412
Value of fidelity bond covering the plan2017-06-30$300,000
Total contributions received or receivable from participants2017-06-30$173,411
Other income received2017-06-30$291,912
Net income (gross income less expenses)2017-06-30$362,746
Net plan assets at end of year (total assets less liabilities)2017-06-30$2,746,158
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$2,383,412
Total contributions received or receivable from employer(s)2017-06-30$95,852
2016 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2016 401k financial data
Total income from all sources2016-06-30$178,081
Expenses. Total of all expenses incurred2016-06-30$192,782
Benefits paid (including direct rollovers)2016-06-30$192,782
Total plan assets at end of year2016-06-30$2,383,412
Total plan assets at beginning of year2016-06-30$2,398,113
Value of fidelity bond covering the plan2016-06-30$200,000
Total contributions received or receivable from participants2016-06-30$105,318
Contributions received from other sources (not participants or employers)2016-06-30$2,386
Other income received2016-06-30$-9,539
Net income (gross income less expenses)2016-06-30$-14,701
Net plan assets at end of year (total assets less liabilities)2016-06-30$2,383,412
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$2,398,113
Total contributions received or receivable from employer(s)2016-06-30$79,916
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2015 401k financial data
Total income from all sources2015-06-30$287,587
Expenses. Total of all expenses incurred2015-06-30$7,429
Benefits paid (including direct rollovers)2015-06-30$7,429
Total plan assets at end of year2015-06-30$2,398,113
Total plan assets at beginning of year2015-06-30$2,117,955
Value of fidelity bond covering the plan2015-06-30$200,000
Total contributions received or receivable from participants2015-06-30$88,466
Other income received2015-06-30$127,409
Net income (gross income less expenses)2015-06-30$280,158
Net plan assets at end of year (total assets less liabilities)2015-06-30$2,398,113
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$2,117,955
Total contributions received or receivable from employer(s)2015-06-30$71,712
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2014 401k financial data
Total income from all sources2014-06-30$426,111
Expenses. Total of all expenses incurred2014-06-30$120,520
Benefits paid (including direct rollovers)2014-06-30$120,520
Total plan assets at end of year2014-06-30$2,117,955
Total plan assets at beginning of year2014-06-30$1,812,364
Value of fidelity bond covering the plan2014-06-30$200,000
Total contributions received or receivable from participants2014-06-30$83,408
Other income received2014-06-30$283,145
Net income (gross income less expenses)2014-06-30$305,591
Net plan assets at end of year (total assets less liabilities)2014-06-30$2,117,955
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$1,812,364
Total contributions received or receivable from employer(s)2014-06-30$59,558
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2013 401k financial data
Total income from all sources2013-06-30$295,347
Expenses. Total of all expenses incurred2013-06-30$117,093
Benefits paid (including direct rollovers)2013-06-30$117,093
Total plan assets at end of year2013-06-30$1,812,364
Total plan assets at beginning of year2013-06-30$1,634,110
Value of fidelity bond covering the plan2013-06-30$160,000
Total contributions received or receivable from participants2013-06-30$63,279
Contributions received from other sources (not participants or employers)2013-06-30$14,104
Other income received2013-06-30$174,072
Net income (gross income less expenses)2013-06-30$178,254
Net plan assets at end of year (total assets less liabilities)2013-06-30$1,812,364
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$1,634,110
Total contributions received or receivable from employer(s)2013-06-30$43,892
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
2012 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2012 401k financial data
Total income from all sources2012-06-30$171,066
Expenses. Total of all expenses incurred2012-06-30$245,813
Benefits paid (including direct rollovers)2012-06-30$244,053
Total plan assets at end of year2012-06-30$1,634,110
Total plan assets at beginning of year2012-06-30$1,708,857
Value of fidelity bond covering the plan2012-06-30$160,000
Total contributions received or receivable from participants2012-06-30$80,728
Expenses. Other expenses not covered elsewhere2012-06-30$1,760
Other income received2012-06-30$39,293
Net income (gross income less expenses)2012-06-30$-74,747
Net plan assets at end of year (total assets less liabilities)2012-06-30$1,634,110
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$1,708,857
Total contributions received or receivable from employer(s)2012-06-30$51,045
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2011 401k financial data
Total income from all sources2011-06-30$380,637
Expenses. Total of all expenses incurred2011-06-30$26,206
Benefits paid (including direct rollovers)2011-06-30$26,206
Total plan assets at end of year2011-06-30$1,708,857
Total plan assets at beginning of year2011-06-30$1,354,426
Value of fidelity bond covering the plan2011-06-30$120,000
Total contributions received or receivable from participants2011-06-30$76,165
Other income received2011-06-30$250,760
Net income (gross income less expenses)2011-06-30$354,431
Net plan assets at end of year (total assets less liabilities)2011-06-30$1,708,857
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$1,354,426
Total contributions received or receivable from employer(s)2011-06-30$53,712
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-06-30$0
2009 : SHALHEVET HIGH SCHOOL 403(B) TDA 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

Form 5500 Responses for SHALHEVET HIGH SCHOOL 403(B) TDA PLAN

2017: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: SHALHEVET HIGH SCHOOL 403(B) TDA PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01First time form 5500 has been submittedYes
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 – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – Section 412(e)(3) insurance ContractsYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Number of Individuals Covered82
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered50
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Number of Individuals Covered62
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered41
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered42
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Number of Individuals Covered64
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $0
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?Yes
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered42
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number69345
Policy instance 2
Insurance contract or identification number69345
Number of Individuals Covered60
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered43
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Number of Individuals Covered55
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387346
Policy instance 1
Insurance contract or identification number387346
Number of Individuals Covered45
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number387345
Policy instance 2
Insurance contract or identification number387345
Number of Individuals Covered54
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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