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FAMILY SERVICES, INC. 403(B) PLAN 401k Plan overview

Plan NameFAMILY SERVICES, INC. 403(B) PLAN
Plan identification number 002

FAMILY SERVICES, INC. 403(B) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

FAMILY SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:FAMILY SERVICES, INC.
Employer identification number (EIN):141338399
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about FAMILY SERVICES, INC.

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 1922-01-06
Company Identification Number: 17590
Legal Registered Office Address: 29 NORTH HAMILTON STREET
Dutchess
POUGHKEEPSIE
United States of America (USA)
12601

More information about FAMILY SERVICES, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FAMILY SERVICES, INC. 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022020-01-01
0022019-01-01CHRISTOPHER PELS2020-10-14
0022018-01-01CHRISTOPHER PELS2019-10-14
0022017-01-01BRIAN DOYLE2018-10-09
0022016-01-01BRIAN DOYLE2017-10-13
0022015-01-01BRIAN DOYLE2016-10-14

Plan Statistics for FAMILY SERVICES, INC. 403(B) PLAN

401k plan membership statisitcs for FAMILY SERVICES, INC. 403(B) PLAN

Measure Date Value
2023: FAMILY SERVICES, INC. 403(B) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01266
Total number of active participants reported on line 7a of the Form 55002023-01-01227
Number of retired or separated participants receiving benefits2023-01-012
Number of other retired or separated participants entitled to future benefits2023-01-0152
Total of all active and inactive participants2023-01-01281
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01281
Number of participants with account balances2023-01-01244
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-015
2022: FAMILY SERVICES, INC. 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01258
Total number of active participants reported on line 7a of the Form 55002022-01-01212
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-0153
Total of all active and inactive participants2022-01-01266
Total participants2022-01-01266
Number of participants with account balances2022-01-01239
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0113
2021: FAMILY SERVICES, INC. 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01252
Total number of active participants reported on line 7a of the Form 55002021-01-01205
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-0152
Total of all active and inactive participants2021-01-01258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01258
Number of participants with account balances2021-01-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0114
2020: FAMILY SERVICES, INC. 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01259
Total number of active participants reported on line 7a of the Form 55002020-01-01216
Number of retired or separated participants receiving benefits2020-01-011
Number of other retired or separated participants entitled to future benefits2020-01-0135
Total of all active and inactive participants2020-01-01252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01252
Number of participants with account balances2020-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014

Financial Data on FAMILY SERVICES, INC. 403(B) PLAN

Measure Date Value
2023 : FAMILY SERVICES, INC. 403(B) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,576,528
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$733,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$663,876
Expenses. Certain deemed distributions of participant loans2023-12-31$10,186
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$799,220
Value of total assets at end of year2023-12-31$6,315,061
Value of total assets at beginning of year2023-12-31$5,472,190
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$59,595
Total interest from all sources2023-12-31$8,420
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$179,704
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$179,704
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$446,993
Participant contributions at end of year2023-12-31$156,254
Participant contributions at beginning of year2023-12-31$141,605
Participant contributions at end of year2023-12-31$15,529
Participant contributions at beginning of year2023-12-31$14,327
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$3,235
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$842,871
Value of net assets at end of year (total assets less liabilities)2023-12-31$6,315,061
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$5,472,190
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$24,634
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$5,103,382
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$4,294,623
Interest on participant loans2023-12-31$8,420
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$690,904
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$744,305
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$589,184
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$348,992
Employer contributions (assets) at end of year2023-12-31$348,992
Employer contributions (assets) at beginning of year2023-12-31$277,330
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$663,876
Contract administrator fees2023-12-31$34,961
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2023-12-31271728945
2022 : FAMILY SERVICES, INC. 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$504,436
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$957,075
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$895,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,228,532
Value of total assets at end of year2022-12-31$5,472,190
Value of total assets at beginning of year2022-12-31$5,924,829
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$61,344
Total interest from all sources2022-12-31$8,708
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$173,589
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$173,589
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$420,020
Participant contributions at end of year2022-12-31$141,605
Participant contributions at beginning of year2022-12-31$166,843
Participant contributions at end of year2022-12-31$14,327
Participant contributions at beginning of year2022-12-31$12,326
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$520,069
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-452,639
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,472,190
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,924,829
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$22,085
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,294,623
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,683,071
Interest on participant loans2022-12-31$8,708
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$744,305
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$761,511
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-906,393
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$288,443
Employer contributions (assets) at end of year2022-12-31$277,330
Employer contributions (assets) at beginning of year2022-12-31$301,078
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$895,731
Contract administrator fees2022-12-31$39,259
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2022-12-31271728945
2021 : FAMILY SERVICES, INC. 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$1,225,189
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$468,243
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$419,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$634,114
Value of total assets at end of year2021-12-31$5,924,829
Value of total assets at beginning of year2021-12-31$5,167,883
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$49,207
Total interest from all sources2021-12-31$6,476
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$372,483
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$372,483
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$354,559
Participant contributions at end of year2021-12-31$166,843
Participant contributions at beginning of year2021-12-31$123,211
Participant contributions at end of year2021-12-31$12,326
Participant contributions at beginning of year2021-12-31$9,113
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$4,517
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$756,946
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,924,829
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$5,167,883
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$23,748
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,683,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$3,974,639
Interest on participant loans2021-12-31$6,476
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$761,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$745,184
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$212,116
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$275,038
Employer contributions (assets) at end of year2021-12-31$301,078
Employer contributions (assets) at beginning of year2021-12-31$315,736
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$419,036
Contract administrator fees2021-12-31$25,459
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2021-12-31271728945
2020 : FAMILY SERVICES, INC. 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$1,240,460
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$652,456
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$610,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$636,545
Value of total assets at end of year2020-12-31$5,141,843
Value of total assets at beginning of year2020-12-31$4,553,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$42,217
Total interest from all sources2020-12-31$7,195
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$118,725
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$118,725
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$470,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$333,126
Participant contributions at end of year2020-12-31$123,211
Participant contributions at beginning of year2020-12-31$135,769
Participant contributions at end of year2020-12-31$9,113
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$6,990
Administrative expenses (other) incurred2020-12-31$2,732
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$588,004
Value of net assets at end of year (total assets less liabilities)2020-12-31$5,141,843
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$4,553,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$24,353
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$4,719,823
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$4,151,287
Interest on participant loans2020-12-31$7,195
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$745,184
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$837,965
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$477,995
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$296,429
Employer contributions (assets) at end of year2020-12-31$289,696
Employer contributions (assets) at beginning of year2020-12-31$266,783
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$610,239
Contract administrator fees2020-12-31$15,132
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31PKF O'CONNOR DAVIES, LLP
Accountancy firm EIN2020-12-31271728945

Form 5500 Responses for FAMILY SERVICES, INC. 403(B) PLAN

2023: FAMILY SERVICES, INC. 403(B) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: FAMILY SERVICES, INC. 403(B) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: FAMILY SERVICES, INC. 403(B) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FAMILY SERVICES, INC. 403(B) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number638812
Policy instance 1
Insurance contract or identification number638812
Number of Individuals Covered244
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number638812
Policy instance 1
Insurance contract or identification number638812
Number of Individuals Covered239
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number638812
Policy instance 1
Insurance contract or identification number638812
Number of Individuals Covered164
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract number638812
Policy instance 1
Insurance contract or identification number638812
Number of Individuals Covered144
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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