401k Plan data: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN plan

PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 401k Plan overview

Plan Name	PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN
Plan identification number	002

PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PUBLIC SERVICE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: PUBLIC SERVICE INSURANCE COMPANY

Employer identification number (EIN): 131188550

NAIC Classification: 524150

Additional information about PUBLIC SERVICE INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 736969

More information about PUBLIC SERVICE INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 JOHN HILL
002 2016-01-01 GARY STEWART
002 2015-01-01 GARY STEWART
002 2014-01-01 GARY STEWART
002 2013-01-01 GARY STEWART
002 2012-01-01 GARY STEWART
002 2011-01-01 GARY STEWART
002 2009-01-01 GARY STEWART

Plan id#	Filing Submission Date	Name of Administrator
002	2017-01-01	JOHN HILL
002	2016-01-01	GARY STEWART
002	2015-01-01	GARY STEWART
002	2014-01-01	GARY STEWART
002	2013-01-01	GARY STEWART
002	2012-01-01	GARY STEWART
002	2011-01-01	GARY STEWART
002	2009-01-01	GARY STEWART

Plan Statistics for PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN

401k plan membership statisitcs for PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN

Measure Date Value
2017: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 151
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
2016: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 178
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 70
Number of retired or separated participants receiving benefits 2016-01-01 13
Number of other retired or separated participants entitled to future benefits 2016-01-01 68
Total of all active and inactive participants 2016-01-01 151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 151
Number of participants with account balances 2016-01-01 149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 1
2015: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 195
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 102
Number of retired or separated participants receiving benefits 2015-01-01 12
Number of other retired or separated participants entitled to future benefits 2015-01-01 63
Total of all active and inactive participants 2015-01-01 177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 178
Number of participants with account balances 2015-01-01 172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 1
2014: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 218
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 125
Number of retired or separated participants receiving benefits 2014-01-01 9
Number of other retired or separated participants entitled to future benefits 2014-01-01 61
Total of all active and inactive participants 2014-01-01 195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 195
Number of participants with account balances 2014-01-01 186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 1
2013: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 245
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 139
Number of retired or separated participants receiving benefits 2013-01-01 5
Number of other retired or separated participants entitled to future benefits 2013-01-01 74
Total of all active and inactive participants 2013-01-01 218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 218
Number of participants with account balances 2013-01-01 206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 259
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 187
Number of retired or separated participants receiving benefits 2012-01-01 8
Number of other retired or separated participants entitled to future benefits 2012-01-01 49
Total of all active and inactive participants 2012-01-01 244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 1
Total participants 2012-01-01 245
Number of participants with account balances 2012-01-01 226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 282
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 200
Number of retired or separated participants receiving benefits 2011-01-01 6
Number of other retired or separated participants entitled to future benefits 2011-01-01 53
Total of all active and inactive participants 2011-01-01 259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 259
Number of participants with account balances 2011-01-01 236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 314
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 237
Number of retired or separated participants receiving benefits 2009-01-01 3
Number of other retired or separated participants entitled to future benefits 2009-01-01 64
Total of all active and inactive participants 2009-01-01 304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 304
Number of participants with account balances 2009-01-01 276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 1

Measure	Date	Value
2017: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	151
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
2016: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	178
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	70
Number of retired or separated participants receiving benefits	2016-01-01	13
Number of other retired or separated participants entitled to future benefits	2016-01-01	68
Total of all active and inactive participants	2016-01-01	151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	151
Number of participants with account balances	2016-01-01	149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	1
2015: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	195
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	102
Number of retired or separated participants receiving benefits	2015-01-01	12
Number of other retired or separated participants entitled to future benefits	2015-01-01	63
Total of all active and inactive participants	2015-01-01	177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	178
Number of participants with account balances	2015-01-01	172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	1
2014: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	218
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	125
Number of retired or separated participants receiving benefits	2014-01-01	9
Number of other retired or separated participants entitled to future benefits	2014-01-01	61
Total of all active and inactive participants	2014-01-01	195
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	195
Number of participants with account balances	2014-01-01	186
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	1
2013: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	245
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	139
Number of retired or separated participants receiving benefits	2013-01-01	5
Number of other retired or separated participants entitled to future benefits	2013-01-01	74
Total of all active and inactive participants	2013-01-01	218
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	218
Number of participants with account balances	2013-01-01	206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	259
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	187
Number of retired or separated participants receiving benefits	2012-01-01	8
Number of other retired or separated participants entitled to future benefits	2012-01-01	49
Total of all active and inactive participants	2012-01-01	244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	1
Total participants	2012-01-01	245
Number of participants with account balances	2012-01-01	226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	282
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	200
Number of retired or separated participants receiving benefits	2011-01-01	6
Number of other retired or separated participants entitled to future benefits	2011-01-01	53
Total of all active and inactive participants	2011-01-01	259
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	259
Number of participants with account balances	2011-01-01	236
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	314
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	237
Number of retired or separated participants receiving benefits	2009-01-01	3
Number of other retired or separated participants entitled to future benefits	2009-01-01	64
Total of all active and inactive participants	2009-01-01	304
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	304
Number of participants with account balances	2009-01-01	276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	1

Financial Data on PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN

Measure	Date	Value
2017 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets	2017-09-15	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2017-09-15	$0
Total unrealized appreciation/depreciation of assets	2017-09-15	$0
Total transfer of assets to this plan	2017-09-15	$0
Total transfer of assets from this plan	2017-09-15	$15,472,503
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-15	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-09-15	$0
Expenses. Interest paid	2017-09-15	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2017-09-15	$0
Total income from all sources (including contributions)	2017-09-15	$3,109,190
Total loss/gain on sale of assets	2017-09-15	$0
Total of all expenses incurred	2017-09-15	$9,082,170
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-09-15	$9,081,214
Expenses. Certain deemed distributions of participant loans	2017-09-15	$0
Value of total corrective distributions	2017-09-15	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-09-15	$555,575
Value of total assets at end of year	2017-09-15	$0
Value of total assets at beginning of year	2017-09-15	$21,445,483
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-09-15	$956
Total income from rents	2017-09-15	$0
Total interest from all sources	2017-09-15	$23,161
Total dividends received (eg from common stock, registered investment company shares)	2017-09-15	$336,292
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-09-15	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-09-15	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-09-15	$336,292
Assets. Real estate other than employer real property at end of year	2017-09-15	$0
Assets. Real estate other than employer real property at beginning of year	2017-09-15	$0
Administrative expenses professional fees incurred	2017-09-15	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2017-09-15	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2017-09-15	$0
Was this plan covered by a fidelity bond	2017-09-15	Yes
Value of fidelity bond cover	2017-09-15	$5,000,000
If this is an individual account plan, was there a blackout period	2017-09-15	No
Were there any nonexempt tranactions with any party-in-interest	2017-09-15	No
Contributions received from participants	2017-09-15	$399,373
Participant contributions at end of year	2017-09-15	$0
Participant contributions at beginning of year	2017-09-15	$267,751
Participant contributions at end of year	2017-09-15	$0
Participant contributions at beginning of year	2017-09-15	$0
Assets. Other investments not covered elsewhere at end of year	2017-09-15	$0
Assets. Other investments not covered elsewhere at beginning of year	2017-09-15	$0
Income. Received or receivable in cash from other sources (including rollovers)	2017-09-15	$5,001
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2017-09-15	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2017-09-15	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2017-09-15	$0
Assets. Loans (other than to participants) at end of year	2017-09-15	$0
Assets. Loans (other than to participants) at beginning of year	2017-09-15	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2017-09-15	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2017-09-15	$0
Other income not declared elsewhere	2017-09-15	$0
Administrative expenses (other) incurred	2017-09-15	$956
Liabilities. Value of operating payables at end of year	2017-09-15	$0
Liabilities. Value of operating payables at beginning of year	2017-09-15	$0
Total non interest bearing cash at end of year	2017-09-15	$0
Total non interest bearing cash at beginning of year	2017-09-15	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-15	No
Income. Non cash contributions	2017-09-15	$0
Value of net income/loss	2017-09-15	$-5,972,980
Value of net assets at end of year (total assets less liabilities)	2017-09-15	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-09-15	$21,445,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-09-15	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-09-15	No
Were any leases to which the plan was party in default or uncollectible	2017-09-15	No
Assets. partnership/joint venture interests at end of year	2017-09-15	$0
Assets. partnership/joint venture interests at beginning of year	2017-09-15	$0
Investment advisory and management fees	2017-09-15	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-09-15	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-09-15	$18,438,748
Value of interest in pooled separate accounts at end of year	2017-09-15	$0
Value of interest in pooled separate accounts at beginning of year	2017-09-15	$0
Interest on participant loans	2017-09-15	$15,088
Income. Interest from loans (other than to participants)	2017-09-15	$0
Interest earned on other investments	2017-09-15	$0
Income. Interest from US Government securities	2017-09-15	$0
Income. Interest from corporate debt instruments	2017-09-15	$0
Value of interest in master investment trust accounts at end of year	2017-09-15	$0
Value of interest in master investment trust accounts at beginning of year	2017-09-15	$0
Value of interest in common/collective trusts at end of year	2017-09-15	$0
Value of interest in common/collective trusts at beginning of year	2017-09-15	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2017-09-15	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2017-09-15	$2,738,984
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2017-09-15	$2,738,984
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2017-09-15	$8,073
Assets. Value of investments in 103.12 investment entities at end of year	2017-09-15	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2017-09-15	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2017-09-15	$0
Asset value of US Government securities at end of year	2017-09-15	$0
Asset value of US Government securities at beginning of year	2017-09-15	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-09-15	$2,194,162
Net investment gain/loss from pooled separate accounts	2017-09-15	$0
Net investment gain or loss from common/collective trusts	2017-09-15	$0
Net gain/loss from 103.12 investment entities	2017-09-15	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-09-15	No
Was there a failure to transmit to the plan any participant contributions	2017-09-15	No
Has the plan failed to provide any benefit when due under the plan	2017-09-15	Yes
Assets. Invements in employer securities at end of year	2017-09-15	$0
Assets. Invements in employer securities at beginning of year	2017-09-15	$0
Assets. Value of employer real property at end of year	2017-09-15	$0
Assets. Value of employer real property at beginning of year	2017-09-15	$0
Contributions received in cash from employer	2017-09-15	$151,201
Employer contributions (assets) at end of year	2017-09-15	$0
Employer contributions (assets) at beginning of year	2017-09-15	$0
Income. Dividends from preferred stock	2017-09-15	$0
Income. Dividends from common stock	2017-09-15	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-09-15	$9,081,214
Asset. Corporate debt instrument preferred debt at end of year	2017-09-15	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2017-09-15	$0
Asset. Corporate debt instrument debt (other) at end of year	2017-09-15	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2017-09-15	$0
Contract administrator fees	2017-09-15	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-09-15	No
Assets. Corporate common stocks other than exployer securities at end of year	2017-09-15	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2017-09-15	$0
Liabilities. Value of benefit claims payable at end of year	2017-09-15	$0
Liabilities. Value of benefit claims payable at beginning of year	2017-09-15	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2017-09-15	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2017-09-15	$0
Did the plan have assets held for investment	2017-09-15	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-09-15	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-09-15	Yes
Aggregate proceeds on sale of assets	2017-09-15	$0
Aggregate carrying amount (costs) on sale of assets	2017-09-15	$0
Liabilities. Value of acquisition indebtedness at end of year	2017-09-15	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2017-09-15	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-09-15	Yes
Opinion of an independent qualified public accountant for this plan	2017-09-15	Disclaimer
Accountancy firm name	2017-09-15	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2017-09-15	271728945
2016 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2016 401k financial data
Unrealized appreciation/depreciation of real estate assets	2016-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2016-12-31	$0
Total unrealized appreciation/depreciation of assets	2016-12-31	$0
Total transfer of assets to this plan	2016-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2016-12-31	$0
Expenses. Interest paid	2016-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2016-12-31	$0
Total income from all sources (including contributions)	2016-12-31	$1,991,607
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$3,768,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$3,753,826
Expenses. Certain deemed distributions of participant loans	2016-12-31	$12,736
Value of total corrective distributions	2016-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$831,335
Value of total assets at end of year	2016-12-31	$21,445,483
Value of total assets at beginning of year	2016-12-31	$23,222,344
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$1,906
Total income from rents	2016-12-31	$0
Total interest from all sources	2016-12-31	$26,931
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$587,039
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$587,039
Assets. Real estate other than employer real property at end of year	2016-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2016-12-31	$0
Administrative expenses professional fees incurred	2016-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2016-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2016-12-31	$0
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$610,957
Participant contributions at end of year	2016-12-31	$267,751
Participant contributions at beginning of year	2016-12-31	$374,505
Participant contributions at end of year	2016-12-31	$0
Participant contributions at beginning of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2016-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2016-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2016-12-31	$0
Assets. Loans (other than to participants) at end of year	2016-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2016-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2016-12-31	$0
Other income not declared elsewhere	2016-12-31	$0
Administrative expenses (other) incurred	2016-12-31	$1,906
Liabilities. Value of operating payables at end of year	2016-12-31	$0
Liabilities. Value of operating payables at beginning of year	2016-12-31	$0
Total non interest bearing cash at end of year	2016-12-31	$0
Total non interest bearing cash at beginning of year	2016-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Income. Non cash contributions	2016-12-31	$0
Value of net income/loss	2016-12-31	$-1,776,861
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$21,445,483
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$23,222,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Assets. partnership/joint venture interests at end of year	2016-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2016-12-31	$0
Investment advisory and management fees	2016-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$18,438,748
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$19,861,729
Value of interest in pooled separate accounts at end of year	2016-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$0
Interest on participant loans	2016-12-31	$25,549
Income. Interest from loans (other than to participants)	2016-12-31	$0
Interest earned on other investments	2016-12-31	$0
Income. Interest from US Government securities	2016-12-31	$0
Income. Interest from corporate debt instruments	2016-12-31	$0
Value of interest in master investment trust accounts at end of year	2016-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2016-12-31	$0
Value of interest in common/collective trusts at end of year	2016-12-31	$0
Value of interest in common/collective trusts at beginning of year	2016-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2016-12-31	$2,738,984
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2016-12-31	$2,986,110
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2016-12-31	$2,986,110
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-12-31	$1,382
Assets. Value of investments in 103.12 investment entities at end of year	2016-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2016-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$0
Asset value of US Government securities at end of year	2016-12-31	$0
Asset value of US Government securities at beginning of year	2016-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$546,302
Net investment gain/loss from pooled separate accounts	2016-12-31	$0
Net investment gain or loss from common/collective trusts	2016-12-31	$0
Net gain/loss from 103.12 investment entities	2016-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	Yes
Assets. Invements in employer securities at end of year	2016-12-31	$0
Assets. Invements in employer securities at beginning of year	2016-12-31	$0
Assets. Value of employer real property at end of year	2016-12-31	$0
Assets. Value of employer real property at beginning of year	2016-12-31	$0
Contributions received in cash from employer	2016-12-31	$220,378
Employer contributions (assets) at end of year	2016-12-31	$0
Employer contributions (assets) at beginning of year	2016-12-31	$0
Income. Dividends from preferred stock	2016-12-31	$0
Income. Dividends from common stock	2016-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$3,753,826
Asset. Corporate debt instrument preferred debt at end of year	2016-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2016-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2016-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2016-12-31	$0
Contract administrator fees	2016-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2016-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2016-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2016-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2016-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2016-12-31	$0
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Aggregate proceeds on sale of assets	2016-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2016-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2016-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2016-12-31	271728945
2015 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2015 401k financial data
Unrealized appreciation/depreciation of real estate assets	2015-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2015-12-31	$0
Total unrealized appreciation/depreciation of assets	2015-12-31	$0
Total transfer of assets to this plan	2015-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2015-12-31	$0
Expenses. Interest paid	2015-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2015-12-31	$0
Total income from all sources (including contributions)	2015-12-31	$1,456,981
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$2,453,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$2,451,460
Expenses. Certain deemed distributions of participant loans	2015-12-31	$0
Value of total corrective distributions	2015-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$1,113,091
Value of total assets at end of year	2015-12-31	$23,222,344
Value of total assets at beginning of year	2015-12-31	$24,218,929
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$2,106
Total income from rents	2015-12-31	$0
Total interest from all sources	2015-12-31	$35,690
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$1,000,005
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$1,000,005
Assets. Real estate other than employer real property at end of year	2015-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2015-12-31	$0
Administrative expenses professional fees incurred	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$806,793
Participant contributions at end of year	2015-12-31	$374,505
Participant contributions at beginning of year	2015-12-31	$478,660
Participant contributions at end of year	2015-12-31	$0
Participant contributions at beginning of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2015-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$14,116
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2015-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2015-12-31	$0
Assets. Loans (other than to participants) at end of year	2015-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2015-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2015-12-31	$0
Other income not declared elsewhere	2015-12-31	$0
Administrative expenses (other) incurred	2015-12-31	$2,106
Liabilities. Value of operating payables at end of year	2015-12-31	$0
Liabilities. Value of operating payables at beginning of year	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$0
Total non interest bearing cash at beginning of year	2015-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Income. Non cash contributions	2015-12-31	$0
Value of net income/loss	2015-12-31	$-996,585
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$23,222,344
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$24,218,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Assets. partnership/joint venture interests at end of year	2015-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2015-12-31	$0
Investment advisory and management fees	2015-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$19,861,729
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$20,654,112
Value of interest in pooled separate accounts at end of year	2015-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$0
Interest on participant loans	2015-12-31	$35,237
Income. Interest from loans (other than to participants)	2015-12-31	$0
Interest earned on other investments	2015-12-31	$0
Income. Interest from US Government securities	2015-12-31	$0
Income. Interest from corporate debt instruments	2015-12-31	$0
Value of interest in master investment trust accounts at end of year	2015-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2015-12-31	$0
Value of interest in common/collective trusts at end of year	2015-12-31	$0
Value of interest in common/collective trusts at beginning of year	2015-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2015-12-31	$2,986,110
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2015-12-31	$3,086,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2015-12-31	$3,086,157
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$453
Assets. Value of investments in 103.12 investment entities at end of year	2015-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2015-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Asset value of US Government securities at end of year	2015-12-31	$0
Asset value of US Government securities at beginning of year	2015-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-691,805
Net investment gain/loss from pooled separate accounts	2015-12-31	$0
Net investment gain or loss from common/collective trusts	2015-12-31	$0
Net gain/loss from 103.12 investment entities	2015-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Assets. Invements in employer securities at end of year	2015-12-31	$0
Assets. Invements in employer securities at beginning of year	2015-12-31	$0
Assets. Value of employer real property at end of year	2015-12-31	$0
Assets. Value of employer real property at beginning of year	2015-12-31	$0
Contributions received in cash from employer	2015-12-31	$292,182
Employer contributions (assets) at end of year	2015-12-31	$0
Employer contributions (assets) at beginning of year	2015-12-31	$0
Income. Dividends from preferred stock	2015-12-31	$0
Income. Dividends from common stock	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$2,451,460
Asset. Corporate debt instrument preferred debt at end of year	2015-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2015-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2015-12-31	$0
Contract administrator fees	2015-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2015-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2015-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2015-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2015-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2015-12-31	$0
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Aggregate proceeds on sale of assets	2015-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2015-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2015-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN	2015-12-31	271728945
2014 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2014 401k financial data
Unrealized appreciation/depreciation of real estate assets	2014-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2014-12-31	$0
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total transfer of assets to this plan	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Expenses. Interest paid	2014-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$2,991,559
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$2,500,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$2,497,756
Expenses. Certain deemed distributions of participant loans	2014-12-31	$0
Value of total corrective distributions	2014-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$1,218,737
Value of total assets at end of year	2014-12-31	$24,218,929
Value of total assets at beginning of year	2014-12-31	$23,728,254
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$3,128
Total income from rents	2014-12-31	$0
Total interest from all sources	2014-12-31	$44,076
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$1,039,381
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2014-12-31	$1,039,381
Assets. Real estate other than employer real property at end of year	2014-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2014-12-31	$0
Administrative expenses professional fees incurred	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2014-12-31	$0
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$884,807
Participant contributions at end of year	2014-12-31	$478,660
Participant contributions at beginning of year	2014-12-31	$641,592
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2014-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2014-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2014-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2014-12-31	$0
Assets. Loans (other than to participants) at end of year	2014-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2014-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2014-12-31	$0
Other income not declared elsewhere	2014-12-31	$0
Administrative expenses (other) incurred	2014-12-31	$3,128
Liabilities. Value of operating payables at end of year	2014-12-31	$0
Liabilities. Value of operating payables at beginning of year	2014-12-31	$0
Total non interest bearing cash at end of year	2014-12-31	$0
Total non interest bearing cash at beginning of year	2014-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$490,675
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$24,218,929
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$23,728,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Assets. partnership/joint venture interests at end of year	2014-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2014-12-31	$0
Investment advisory and management fees	2014-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2014-12-31	$20,654,112
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2014-12-31	$19,961,374
Value of interest in pooled separate accounts at end of year	2014-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$0
Interest on participant loans	2014-12-31	$43,765
Income. Interest from loans (other than to participants)	2014-12-31	$0
Interest earned on other investments	2014-12-31	$0
Income. Interest from US Government securities	2014-12-31	$0
Income. Interest from corporate debt instruments	2014-12-31	$0
Value of interest in master investment trust accounts at end of year	2014-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2014-12-31	$0
Value of interest in common/collective trusts at end of year	2014-12-31	$0
Value of interest in common/collective trusts at beginning of year	2014-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2014-12-31	$3,086,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2014-12-31	$3,125,288
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2014-12-31	$3,125,288
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2014-12-31	$311
Assets. Value of investments in 103.12 investment entities at end of year	2014-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2014-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$0
Asset value of US Government securities at end of year	2014-12-31	$0
Asset value of US Government securities at beginning of year	2014-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2014-12-31	$689,365
Net investment gain/loss from pooled separate accounts	2014-12-31	$0
Net investment gain or loss from common/collective trusts	2014-12-31	$0
Net gain/loss from 103.12 investment entities	2014-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Assets. Invements in employer securities at end of year	2014-12-31	$0
Assets. Invements in employer securities at beginning of year	2014-12-31	$0
Assets. Value of employer real property at end of year	2014-12-31	$0
Assets. Value of employer real property at beginning of year	2014-12-31	$0
Contributions received in cash from employer	2014-12-31	$333,930
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$0
Income. Dividends from preferred stock	2014-12-31	$0
Income. Dividends from common stock	2014-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$2,497,756
Asset. Corporate debt instrument preferred debt at end of year	2014-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2014-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2014-12-31	$0
Contract administrator fees	2014-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2014-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2014-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2014-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2014-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2014-12-31	$0
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Aggregate proceeds on sale of assets	2014-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2014-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2014-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2014-12-31	271728945
2013 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2013 401k financial data
Unrealized appreciation/depreciation of real estate assets	2013-12-31	$0
Unrealized appreciation/depreciation of other (non real estate) assets	2013-12-31	$0
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total transfer of assets to this plan	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Expenses. Interest paid	2013-12-31	$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-102	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$5,879,245
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$2,399,065
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$2,396,881
Expenses. Certain deemed distributions of participant loans	2013-12-31	$0
Value of total corrective distributions	2013-12-31	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$1,602,731
Value of total assets at end of year	2013-12-31	$23,728,254
Value of total assets at beginning of year	2013-12-31	$20,248,074
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$2,184
Total income from rents	2013-12-31	$0
Total interest from all sources	2013-12-31	$53,345
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$778,751
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2013-12-31	$778,751
Assets. Real estate other than employer real property at end of year	2013-12-31	$0
Assets. Real estate other than employer real property at beginning of year	2013-12-31	$0
Administrative expenses professional fees incurred	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year	2013-12-31	$0
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$1,062,756
Participant contributions at end of year	2013-12-31	$641,592
Participant contributions at beginning of year	2013-12-31	$586,443
Participant contributions at end of year	2013-12-31	$0
Participant contributions at beginning of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at end of year	2013-12-31	$0
Assets. Other investments not covered elsewhere at beginning of year	2013-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$134,515
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2013-12-31	$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2013-12-31	$0
Assets. Loans (other than to participants) at end of year	2013-12-31	$0
Assets. Loans (other than to participants) at beginning of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2013-12-31	$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2013-12-31	$0
Other income not declared elsewhere	2013-12-31	$-4,670
Administrative expenses (other) incurred	2013-12-31	$2,184
Liabilities. Value of operating payables at end of year	2013-12-31	$0
Liabilities. Value of operating payables at beginning of year	2013-12-31	$0
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Income. Non cash contributions	2013-12-31	$0
Value of net income/loss	2013-12-31	$3,480,180
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$23,728,254
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$20,248,074
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Assets. partnership/joint venture interests at end of year	2013-12-31	$0
Assets. partnership/joint venture interests at beginning of year	2013-12-31	$0
Investment advisory and management fees	2013-12-31	$0
Value of interest in registered invesment companies (eg mutual funds) at end of year	2013-12-31	$19,961,374
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2013-12-31	$15,910,574
Value of interest in pooled separate accounts at end of year	2013-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$0
Interest on participant loans	2013-12-31	$52,967
Income. Interest from loans (other than to participants)	2013-12-31	$0
Interest earned on other investments	2013-12-31	$0
Income. Interest from US Government securities	2013-12-31	$0
Income. Interest from corporate debt instruments	2013-12-31	$0
Value of interest in master investment trust accounts at end of year	2013-12-31	$0
Value of interest in master investment trust accounts at beginning of year	2013-12-31	$0
Value of interest in common/collective trusts at end of year	2013-12-31	$0
Value of interest in common/collective trusts at beginning of year	2013-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2013-12-31	$3,125,288
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2013-12-31	$3,751,057
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2013-12-31	$3,751,057
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2013-12-31	$378
Assets. Value of investments in 103.12 investment entities at end of year	2013-12-31	$0
Assets. Value of investments in 103.12 investment entities at beginning of year	2013-12-31	$0
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$0
Asset value of US Government securities at end of year	2013-12-31	$0
Asset value of US Government securities at beginning of year	2013-12-31	$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$3,449,088
Net investment gain/loss from pooled separate accounts	2013-12-31	$0
Net investment gain or loss from common/collective trusts	2013-12-31	$0
Net gain/loss from 103.12 investment entities	2013-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Assets. Invements in employer securities at end of year	2013-12-31	$0
Assets. Invements in employer securities at beginning of year	2013-12-31	$0
Assets. Value of employer real property at end of year	2013-12-31	$0
Assets. Value of employer real property at beginning of year	2013-12-31	$0
Contributions received in cash from employer	2013-12-31	$405,460
Employer contributions (assets) at end of year	2013-12-31	$0
Employer contributions (assets) at beginning of year	2013-12-31	$0
Income. Dividends from preferred stock	2013-12-31	$0
Income. Dividends from common stock	2013-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$2,396,881
Asset. Corporate debt instrument preferred debt at end of year	2013-12-31	$0
Asset. Corporate debt instrument preferred debt at beginning of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at end of year	2013-12-31	$0
Asset. Corporate debt instrument debt (other) at beginning of year	2013-12-31	$0
Contract administrator fees	2013-12-31	$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2013-12-31	No
Assets. Corporate common stocks other than exployer securities at end of year	2013-12-31	$0
Assets. Corporate common stocks other than exployer securities at beginning of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2013-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at end of year	2013-12-31	$0
Assets. Value of buildings and other operty used in plan operation at beginning of year	2013-12-31	$0
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Aggregate proceeds on sale of assets	2013-12-31	$0
Aggregate carrying amount (costs) on sale of assets	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at end of year	2013-12-31	$0
Liabilities. Value of acquisition indebtedness at beginning of year	2013-12-31	$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2013-12-31	271728945
2012 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total income from all sources (including contributions)	2012-12-31	$3,825,144
Total of all expenses incurred	2012-12-31	$1,602,771
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$1,595,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$1,845,055
Value of total assets at end of year	2012-12-31	$20,248,074
Value of total assets at beginning of year	2012-12-31	$18,025,701
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$7,415
Total interest from all sources	2012-12-31	$49,655
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$300,757
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2012-12-31	$300,757
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2012-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$1,005,968
Participant contributions at end of year	2012-12-31	$586,443
Participant contributions at beginning of year	2012-12-31	$601,247
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$454,370
Administrative expenses (other) incurred	2012-12-31	$7,415
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$2,222,373
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$20,248,074
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$18,025,701
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2012-12-31	$15,910,574
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2012-12-31	$13,736,662
Interest on participant loans	2012-12-31	$49,280
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$3,751,057
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$3,687,792
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$3,687,792
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$375
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2012-12-31	$1,629,677
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$384,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$1,595,356
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2012-12-31	271728945
2011 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$0
Total income from all sources (including contributions)	2011-12-31	$849,408
Total of all expenses incurred	2011-12-31	$1,188,963
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$1,178,902
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$1,421,870
Value of total assets at end of year	2011-12-31	$18,025,701
Value of total assets at beginning of year	2011-12-31	$18,365,256
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$10,061
Total interest from all sources	2011-12-31	$43,421
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$331,468
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2011-12-31	$331,468
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$1,026,127
Participant contributions at end of year	2011-12-31	$601,247
Participant contributions at beginning of year	2011-12-31	$526,555
Income. Received or receivable in cash from other sources (including rollovers)	2011-12-31	$11,455
Administrative expenses (other) incurred	2011-12-31	$10,061
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-339,555
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$18,025,701
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$18,365,256
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2011-12-31	$13,736,662
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2011-12-31	$14,525,885
Interest on participant loans	2011-12-31	$43,068
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$3,687,792
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$3,312,816
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$3,312,816
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$353
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2011-12-31	$-947,351
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$384,288
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,178,902
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	O'CONNOR DAVIES, LLP
Accountancy firm EIN	2011-12-31	271728945
2010 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$3,308,282
Total of all expenses incurred	2010-12-31	$1,198,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$1,188,666
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$1,502,834
Value of total assets at end of year	2010-12-31	$18,365,256
Value of total assets at beginning of year	2010-12-31	$16,255,189
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$9,549
Total interest from all sources	2010-12-31	$46,429
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$247,603
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2010-12-31	$247,603
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$5,000,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$1,093,874
Participant contributions at end of year	2010-12-31	$526,555
Participant contributions at beginning of year	2010-12-31	$539,623
Administrative expenses (other) incurred	2010-12-31	$9,549
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$2,110,067
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$18,365,256
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$16,255,189
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2010-12-31	$14,525,885
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2010-12-31	$12,342,297
Interest on participant loans	2010-12-31	$45,800
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$3,312,816
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$3,373,269
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$3,373,269
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$629
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2010-12-31	$1,511,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$408,960
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$1,188,666
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	O'CONNOR DAVIES MUNNS & DOBBINS LLC
Accountancy firm EIN	2010-12-31	133385019
2009 : PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN

2017: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	Yes
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PUBLIC SERVICE MUTUAL INSURANCE COMPANY SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	PUBLIC SERVICE INSURANCE COMPANY
Employer identification number (EIN):	131188550
NAIC Classification:	524150

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	736969