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CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 401k Plan overview

Plan NameCUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION
Plan identification number 502

CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance
  • Death benefits (include travel accident but not life insurance)

401k Sponsoring company profile

HAWAIIAN FINANCIAL FEDERAL CREDIT UNION has sponsored the creation of one or more 401k plans.

Company Name:HAWAIIAN FINANCIAL FEDERAL CREDIT UNION
Employer identification number (EIN):990145540
NAIC Classification:522130
NAIC Description:Credit Unions

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-06-21
5022020-06-21
5022019-06-21
5022018-06-21
5022017-06-21
5022016-06-21
5022015-06-21
5022014-06-21
5022013-06-21ANNA ARII
5022012-06-21ANNA ARII
5022011-06-21ANNA ARII
5022010-06-21ANNA ARII
5022009-06-21ANNA ARII
5022008-06-21ANNA ARII

Plan Statistics for CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION

401k plan membership statisitcs for CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION

Measure Date Value
2021: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2021 401k membership
Total participants, beginning-of-year2021-06-21119
Total number of active participants reported on line 7a of the Form 55002021-06-210
Number of retired or separated participants receiving benefits2021-06-210
Number of other retired or separated participants entitled to future benefits2021-06-210
Total of all active and inactive participants2021-06-210
2020: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2020 401k membership
Total participants, beginning-of-year2020-06-21119
Total number of active participants reported on line 7a of the Form 55002020-06-21119
Number of retired or separated participants receiving benefits2020-06-210
Number of other retired or separated participants entitled to future benefits2020-06-210
Total of all active and inactive participants2020-06-21119
2019: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2019 401k membership
Total participants, beginning-of-year2019-06-21119
Total number of active participants reported on line 7a of the Form 55002019-06-21119
Number of retired or separated participants receiving benefits2019-06-210
Number of other retired or separated participants entitled to future benefits2019-06-210
Total of all active and inactive participants2019-06-21119
2018: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2018 401k membership
Total participants, beginning-of-year2018-06-21118
Total number of active participants reported on line 7a of the Form 55002018-06-21119
Number of retired or separated participants receiving benefits2018-06-210
Number of other retired or separated participants entitled to future benefits2018-06-210
Total of all active and inactive participants2018-06-21119
2017: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2017 401k membership
Total participants, beginning-of-year2017-06-21109
Total number of active participants reported on line 7a of the Form 55002017-06-21118
Number of retired or separated participants receiving benefits2017-06-210
Number of other retired or separated participants entitled to future benefits2017-06-210
Total of all active and inactive participants2017-06-21118
2016: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2016 401k membership
Total participants, beginning-of-year2016-06-21109
Total number of active participants reported on line 7a of the Form 55002016-06-21109
Number of retired or separated participants receiving benefits2016-06-210
Number of other retired or separated participants entitled to future benefits2016-06-210
Total of all active and inactive participants2016-06-21109
2015: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2015 401k membership
Total participants, beginning-of-year2015-06-21108
Total number of active participants reported on line 7a of the Form 55002015-06-21109
Number of retired or separated participants receiving benefits2015-06-210
Number of other retired or separated participants entitled to future benefits2015-06-210
Total of all active and inactive participants2015-06-21109
2014: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2014 401k membership
Total participants, beginning-of-year2014-06-21107
Total number of active participants reported on line 7a of the Form 55002014-06-21108
Number of retired or separated participants receiving benefits2014-06-210
Number of other retired or separated participants entitled to future benefits2014-06-210
Total of all active and inactive participants2014-06-21108
2013: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2013 401k membership
Total participants, beginning-of-year2013-06-21101
Total number of active participants reported on line 7a of the Form 55002013-06-21104
Number of retired or separated participants receiving benefits2013-06-210
Number of other retired or separated participants entitled to future benefits2013-06-210
Total of all active and inactive participants2013-06-21104
2012: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2012 401k membership
Total participants, beginning-of-year2012-06-21102
Total number of active participants reported on line 7a of the Form 55002012-06-21101
Number of retired or separated participants receiving benefits2012-06-210
Number of other retired or separated participants entitled to future benefits2012-06-210
Total of all active and inactive participants2012-06-21101
2011: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2011 401k membership
Total participants, beginning-of-year2011-06-21100
Total number of active participants reported on line 7a of the Form 55002011-06-21102
Number of retired or separated participants receiving benefits2011-06-210
Number of other retired or separated participants entitled to future benefits2011-06-210
Total of all active and inactive participants2011-06-21102
2010: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2010 401k membership
Total participants, beginning-of-year2010-06-21101
Total number of active participants reported on line 7a of the Form 55002010-06-21100
Number of retired or separated participants receiving benefits2010-06-210
Number of other retired or separated participants entitled to future benefits2010-06-210
Total of all active and inactive participants2010-06-21100
2009: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2009 401k membership
Total participants, beginning-of-year2009-06-21100
Total number of active participants reported on line 7a of the Form 55002009-06-21101
Number of retired or separated participants receiving benefits2009-06-210
Number of other retired or separated participants entitled to future benefits2009-06-210
Total of all active and inactive participants2009-06-21101
2008: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2008 401k membership
Total participants, beginning-of-year2008-06-21100
Total number of active participants reported on line 7a of the Form 55002008-06-21100
Number of retired or separated participants receiving benefits2008-06-210
Number of other retired or separated participants entitled to future benefits2008-06-210
Total of all active and inactive participants2008-06-21100

Form 5500 Responses for CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION

2021: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2021 form 5500 responses
2021-06-21Type of plan entitySingle employer plan
2021-06-21Submission has been amendedNo
2021-06-21This submission is the final filingYes
2021-06-21This return/report is a short plan year return/report (less than 12 months)Yes
2021-06-21Plan is a collectively bargained planNo
2021-06-21Plan funding arrangement – InsuranceYes
2021-06-21Plan benefit arrangement – InsuranceYes
2020: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2020 form 5500 responses
2020-06-21Type of plan entitySingle employer plan
2020-06-21Submission has been amendedNo
2020-06-21This submission is the final filingNo
2020-06-21This return/report is a short plan year return/report (less than 12 months)No
2020-06-21Plan is a collectively bargained planNo
2020-06-21Plan funding arrangement – InsuranceYes
2020-06-21Plan benefit arrangement – InsuranceYes
2019: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2019 form 5500 responses
2019-06-21Type of plan entitySingle employer plan
2019-06-21Submission has been amendedNo
2019-06-21This submission is the final filingNo
2019-06-21This return/report is a short plan year return/report (less than 12 months)No
2019-06-21Plan is a collectively bargained planNo
2019-06-21Plan funding arrangement – InsuranceYes
2019-06-21Plan benefit arrangement – InsuranceYes
2018: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2018 form 5500 responses
2018-06-21Type of plan entitySingle employer plan
2018-06-21Submission has been amendedNo
2018-06-21This submission is the final filingNo
2018-06-21This return/report is a short plan year return/report (less than 12 months)No
2018-06-21Plan is a collectively bargained planNo
2018-06-21Plan funding arrangement – InsuranceYes
2018-06-21Plan benefit arrangement – InsuranceYes
2017: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2017 form 5500 responses
2017-06-21Type of plan entitySingle employer plan
2017-06-21Submission has been amendedNo
2017-06-21This submission is the final filingNo
2017-06-21This return/report is a short plan year return/report (less than 12 months)No
2017-06-21Plan is a collectively bargained planNo
2017-06-21Plan funding arrangement – InsuranceYes
2017-06-21Plan benefit arrangement – InsuranceYes
2016: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2016 form 5500 responses
2016-06-21Type of plan entitySingle employer plan
2016-06-21Submission has been amendedNo
2016-06-21This submission is the final filingNo
2016-06-21This return/report is a short plan year return/report (less than 12 months)No
2016-06-21Plan is a collectively bargained planNo
2016-06-21Plan funding arrangement – InsuranceYes
2016-06-21Plan benefit arrangement – InsuranceYes
2015: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2015 form 5500 responses
2015-06-21Type of plan entitySingle employer plan
2015-06-21Submission has been amendedNo
2015-06-21This submission is the final filingNo
2015-06-21This return/report is a short plan year return/report (less than 12 months)No
2015-06-21Plan is a collectively bargained planNo
2015-06-21Plan funding arrangement – InsuranceYes
2015-06-21Plan benefit arrangement – InsuranceYes
2014: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2014 form 5500 responses
2014-06-21Type of plan entitySingle employer plan
2014-06-21Submission has been amendedNo
2014-06-21This submission is the final filingNo
2014-06-21This return/report is a short plan year return/report (less than 12 months)No
2014-06-21Plan is a collectively bargained planNo
2014-06-21Plan funding arrangement – InsuranceYes
2014-06-21Plan benefit arrangement – InsuranceYes
2013: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2013 form 5500 responses
2013-06-21Type of plan entitySingle employer plan
2013-06-21Submission has been amendedNo
2013-06-21This submission is the final filingNo
2013-06-21This return/report is a short plan year return/report (less than 12 months)No
2013-06-21Plan is a collectively bargained planNo
2013-06-21Plan funding arrangement – InsuranceYes
2013-06-21Plan benefit arrangement – InsuranceYes
2012: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2012 form 5500 responses
2012-06-21Type of plan entitySingle employer plan
2012-06-21Submission has been amendedNo
2012-06-21This submission is the final filingNo
2012-06-21This return/report is a short plan year return/report (less than 12 months)No
2012-06-21Plan is a collectively bargained planNo
2012-06-21Plan funding arrangement – InsuranceYes
2012-06-21Plan benefit arrangement – InsuranceYes
2011: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2011 form 5500 responses
2011-06-21Type of plan entitySingle employer plan
2011-06-21Submission has been amendedNo
2011-06-21This submission is the final filingNo
2011-06-21This return/report is a short plan year return/report (less than 12 months)No
2011-06-21Plan is a collectively bargained planNo
2011-06-21Plan funding arrangement – InsuranceYes
2011-06-21Plan benefit arrangement – InsuranceYes
2010: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2010 form 5500 responses
2010-06-21Type of plan entitySingle employer plan
2010-06-21Submission has been amendedNo
2010-06-21This submission is the final filingNo
2010-06-21This return/report is a short plan year return/report (less than 12 months)No
2010-06-21Plan is a collectively bargained planNo
2010-06-21Plan funding arrangement – InsuranceYes
2010-06-21Plan benefit arrangement – InsuranceYes
2009: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2009 form 5500 responses
2009-06-21Type of plan entitySingle employer plan
2009-06-21Submission has been amendedNo
2009-06-21This submission is the final filingNo
2009-06-21This return/report is a short plan year return/report (less than 12 months)No
2009-06-21Plan is a collectively bargained planNo
2009-06-21Plan funding arrangement – InsuranceYes
2009-06-21Plan benefit arrangement – InsuranceYes
2008: CUNET TRUST AD&D PLAN FOR EMPLOYEES OF HAWAIIAN TEL FEDERAL CREDIT UNION 2008 form 5500 responses
2008-06-21Type of plan entitySingle employer plan
2008-06-21First time form 5500 has been submittedYes
2008-06-21Submission has been amendedNo
2008-06-21This submission is the final filingNo
2008-06-21This return/report is a short plan year return/report (less than 12 months)No
2008-06-21Plan is a collectively bargained planNo
2008-06-21Plan funding arrangement – InsuranceYes
2008-06-21Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered0
Insurance policy start date2021-06-21
Insurance policy end date2021-06-30
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-06
Policy instance 1
Insurance contract or identification numberGTU-5950869-06
Number of Individuals Covered0
Insurance policy start date2021-06-21
Insurance policy end date2021-06-30
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered100
Insurance policy start date2020-04-01
Insurance policy end date2021-03-31
Total amount of commissions paid to insurance brokerUSD $1,529
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $17,147
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,529
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-06
Policy instance 1
Insurance contract or identification numberGTU-5950869-06
Number of Individuals Covered119
Insurance policy start date2020-06-21
Insurance policy end date2021-06-20
Total amount of commissions paid to insurance brokerUSD $1,571
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,571
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered99
Insurance policy start date2019-06-21
Insurance policy end date2020-03-31
Total amount of commissions paid to insurance brokerUSD $1,520
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $17,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,520
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-05
Policy instance 1
Insurance contract or identification numberGTU-5950869-05
Number of Individuals Covered119
Insurance policy start date2019-06-21
Insurance policy end date2020-06-20
Total amount of commissions paid to insurance brokerUSD $1,571
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,854
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,571
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered100
Insurance policy start date2018-04-01
Insurance policy end date2019-03-31
Total amount of commissions paid to insurance brokerUSD $1,498
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $16,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,498
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-04
Policy instance 1
Insurance contract or identification numberGTU-5950869-04
Number of Individuals Covered118
Insurance policy start date2018-06-21
Insurance policy end date2019-06-20
Total amount of commissions paid to insurance brokerUSD $1,558
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,788
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,558
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-03
Policy instance 1
Insurance contract or identification numberGTU-5950869-03
Number of Individuals Covered109
Insurance policy start date2017-06-21
Insurance policy end date2018-06-20
Total amount of commissions paid to insurance brokerUSD $1,439
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered100
Insurance policy start date2017-04-01
Insurance policy end date2018-03-31
Total amount of commissions paid to insurance brokerUSD $1,366
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $14,425
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered89
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $1,266
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $12,770
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,266
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-01
Policy instance 1
Insurance contract or identification numberGTU-5950869-01
Number of Individuals Covered108
Insurance policy start date2015-06-21
Insurance policy end date2016-06-20
Total amount of commissions paid to insurance brokerUSD $1,426
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,128
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,426
Insurance broker organization code?3
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number120296
Policy instance 2
Insurance contract or identification number120296
Number of Individuals Covered89
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $1,135
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?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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $10,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,135
Insurance broker organization code?3
ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 )
Policy contract numberGTU-5950869-00
Policy instance 1
Insurance contract or identification numberGTU-5950869-00
Number of Individuals Covered107
Insurance policy start date2014-06-21
Insurance policy end date2015-06-20
Total amount of commissions paid to insurance brokerUSD $1,412
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?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
Other welfare benefits providedAD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $7,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,412
Insurance broker organization code?3

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