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NEW HORIZONS IN AUTISM, INC 401(K) PLAN 401k Plan overview

Plan NameNEW HORIZONS IN AUTISM, INC 401(K) PLAN
Plan identification number 001

NEW HORIZONS IN AUTISM, INC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • 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.

401k Sponsoring company profile

NEW HORIZONS IN AUTISM, INC. has sponsored the creation of one or more 401k plans.

Company Name:NEW HORIZONS IN AUTISM, INC.
Employer identification number (EIN):222304075
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW HORIZONS IN AUTISM, INC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-10-01SAMIR POPAL2024-07-15
0012021-10-01SAMIR POPAL2023-11-29
0012020-10-01SAMIR POPAL2022-07-14
0012019-10-01
0012018-10-01
0012017-10-01CARRIE CONGER2019-04-23 CARRIE CONGER2019-04-23
0012016-10-01LYNN COLBERT2018-04-16 LYNN COLBERT2018-04-16
0012015-10-01LYNN COLBERT2017-03-23
0012014-10-01LYNN COLBERT2016-04-18 MICHELE GOODMAN2016-04-18
0012013-10-01LYNN COLBERT2015-04-28
0012012-10-01SHARON RALPH2014-04-24
0012011-10-01SHARON RALPH2013-04-18 SHARON RALPH2013-04-18
0012010-10-01SHARON RALPH SHARON RALPH2012-04-18
0012009-10-01SHARON RALPH

Plan Statistics for NEW HORIZONS IN AUTISM, INC 401(K) PLAN

401k plan membership statisitcs for NEW HORIZONS IN AUTISM, INC 401(K) PLAN

Measure Date Value
2022: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-01161
Total number of active participants reported on line 7a of the Form 55002022-10-01159
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-0111
Total of all active and inactive participants2022-10-01170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-10-010
Total participants2022-10-01170
Number of participants with account balances2022-10-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-10-010
2021: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-01191
Total number of active participants reported on line 7a of the Form 55002021-10-01150
Number of retired or separated participants receiving benefits2021-10-010
Number of other retired or separated participants entitled to future benefits2021-10-0111
Total of all active and inactive participants2021-10-01161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-10-010
Total participants2021-10-01161
Number of participants with account balances2021-10-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-10-010
2020: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-01135
Total number of active participants reported on line 7a of the Form 55002020-10-01169
Number of retired or separated participants receiving benefits2020-10-010
Number of other retired or separated participants entitled to future benefits2020-10-0112
Total of all active and inactive participants2020-10-01181
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-10-010
Total participants2020-10-01181
Number of participants with account balances2020-10-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-10-010
2010: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-10-0160
Total number of active participants reported on line 7a of the Form 55002010-10-0151
Number of retired or separated participants receiving benefits2010-10-010
Number of other retired or separated participants entitled to future benefits2010-10-018
Total of all active and inactive participants2010-10-0159
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-10-010
Total participants2010-10-0159
Number of participants with account balances2010-10-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-10-010
2009: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-0156
Total number of active participants reported on line 7a of the Form 55002009-10-0152
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-018
Total of all active and inactive participants2009-10-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-0160
Number of participants with account balances2009-10-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on NEW HORIZONS IN AUTISM, INC 401(K) PLAN

Measure Date Value
2023 : NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-09-30$0
Total income from all sources (including contributions)2023-09-30$114,206
Total loss/gain on sale of assets2023-09-30$0
Total of all expenses incurred2023-09-30$3,469
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-09-30$1,691
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-09-30$101,734
Value of total assets at end of year2023-09-30$248,863
Value of total assets at beginning of year2023-09-30$138,126
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-09-30$1,778
Total interest from all sources2023-09-30$650
Total dividends received (eg from common stock, registered investment company shares)2023-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-09-30No
Was this plan covered by a fidelity bond2023-09-30No
If this is an individual account plan, was there a blackout period2023-09-30No
Were there any nonexempt tranactions with any party-in-interest2023-09-30No
Contributions received from participants2023-09-30$83,556
Participant contributions at end of year2023-09-30$14,233
Participant contributions at beginning of year2023-09-30$13,763
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Value of net income/loss2023-09-30$110,737
Value of net assets at end of year (total assets less liabilities)2023-09-30$248,863
Value of net assets at beginning of year (total assets less liabilities)2023-09-30$138,126
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-09-30No
Were any leases to which the plan was party in default or uncollectible2023-09-30No
Investment advisory and management fees2023-09-30$1,778
Value of interest in pooled separate accounts at end of year2023-09-30$233,503
Value of interest in pooled separate accounts at beginning of year2023-09-30$85,766
Interest on participant loans2023-09-30$624
Interest earned on other investments2023-09-30$26
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-09-30$1,127
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-09-30$38,597
Net investment gain/loss from pooled separate accounts2023-09-30$11,822
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-09-30No
Was there a failure to transmit to the plan any participant contributions2023-09-30No
Has the plan failed to provide any benefit when due under the plan2023-09-30No
Contributions received in cash from employer2023-09-30$18,178
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-09-30$1,691
Did the plan have assets held for investment2023-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-09-30No
Opinion of an independent qualified public accountant for this plan2023-09-30Unqualified
Accountancy firm name2023-09-30CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2023-09-30410746749
2022 : NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$0
Total income from all sources (including contributions)2022-09-30$10,037
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$3,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$3,573
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$33,582
Value of total assets at end of year2022-09-30$138,126
Value of total assets at beginning of year2022-09-30$132,062
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$400
Total interest from all sources2022-09-30$196
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Administrative expenses professional fees incurred2022-09-30$400
Was this plan covered by a fidelity bond2022-09-30No
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$33,582
Participant contributions at end of year2022-09-30$13,763
Participant contributions at beginning of year2022-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$6,064
Value of net assets at end of year (total assets less liabilities)2022-09-30$138,126
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$132,062
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Value of interest in pooled separate accounts at end of year2022-09-30$85,766
Value of interest in pooled separate accounts at beginning of year2022-09-30$95,123
Interest on participant loans2022-09-30$196
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-09-30$38,597
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-09-30$36,939
Net investment gain/loss from pooled separate accounts2022-09-30$-23,741
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$3,573
Did the plan have assets held for investment2022-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2022-09-30410746749
2021 : NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$0
Total income from all sources (including contributions)2021-09-30$48,416
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$53,245
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$50,884
Expenses. Certain deemed distributions of participant loans2021-09-30$1,961
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$27,249
Value of total assets at end of year2021-09-30$132,062
Value of total assets at beginning of year2021-09-30$136,891
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$400
Total interest from all sources2021-09-30$377
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Was this plan covered by a fidelity bond2021-09-30No
If this is an individual account plan, was there a blackout period2021-09-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-09-30$0
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$24,447
Participant contributions at end of year2021-09-30$0
Participant contributions at beginning of year2021-09-30$387
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$2,802
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-09-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Income. Non cash contributions2021-09-30$0
Value of net income/loss2021-09-30$-4,829
Value of net assets at end of year (total assets less liabilities)2021-09-30$132,062
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$136,891
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Value of interest in pooled separate accounts at end of year2021-09-30$95,123
Value of interest in pooled separate accounts at beginning of year2021-09-30$101,930
Interest on participant loans2021-09-30$6
Interest earned on other investments2021-09-30$371
Value of interest in common/collective trusts at end of year2021-09-30$0
Value of interest in common/collective trusts at beginning of year2021-09-30$0
Assets. Value of investments in 103.12 investment entities at end of year2021-09-30$0
Assets. Value of investments in 103.12 investment entities at beginning of year2021-09-30$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-09-30$36,939
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-09-30$34,574
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$0
Net investment gain/loss from pooled separate accounts2021-09-30$20,790
Net investment gain or loss from common/collective trusts2021-09-30$0
Net gain/loss from 103.12 investment entities2021-09-30$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$50,884
Contract administrator fees2021-09-30$400
Did the plan have assets held for investment2021-09-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30SOBEL & CO., LLC
Accountancy firm EIN2021-09-30221430039
2011 : NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2011 401k financial data
Total income from all sources2011-09-30$19,990
Expenses. Total of all expenses incurred2011-09-30$12,464
Benefits paid (including direct rollovers)2011-09-30$11,764
Total plan assets at end of year2011-09-30$197,921
Total plan assets at beginning of year2011-09-30$190,395
Total contributions received or receivable from participants2011-09-30$16,150
Contributions received from other sources (not participants or employers)2011-09-30$6,817
Other income received2011-09-30$-2,977
Net income (gross income less expenses)2011-09-30$7,526
Net plan assets at end of year (total assets less liabilities)2011-09-30$197,921
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$190,395
Assets. Value of participant loans2011-09-30$40,232
Total contributions received or receivable from employer(s)2011-09-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-09-30$700
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
2010 : NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for NEW HORIZONS IN AUTISM, INC 401(K) PLAN

2022: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Submission has been amendedNo
2022-10-01This submission is the final filingNo
2022-10-01This return/report is a short plan year return/report (less than 12 months)No
2022-10-01Plan is a collectively bargained planNo
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan benefit arrangement – InsuranceYes
2021: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedYes
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan benefit arrangement – InsuranceYes
2020: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan benefit arrangement – InsuranceYes
2010: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2010 form 5500 responses
2010-10-01Type of plan entitySingle employer plan
2010-10-01Submission has been amendedYes
2010-10-01This submission is the final filingNo
2010-10-01This return/report is a short plan year return/report (less than 12 months)No
2010-10-01Plan is a collectively bargained planNo
2010-10-01Plan funding arrangement – InsuranceYes
2010-10-01Plan benefit arrangement – InsuranceYes
2009: NEW HORIZONS IN AUTISM, INC 401(K) PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN FUNDS SERVICE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract numberIRK170615
Policy instance 1
Insurance contract or identification numberIRK170615
Number of Individuals Covered42
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875551
Policy instance 1
Insurance contract or identification number875551
Number of Individuals Covered22
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $339
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $339
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number875551
Policy instance 1
Insurance contract or identification number875551
Number of Individuals Covered22
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $344
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $344
Insurance broker organization code?3
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number939818
Policy instance 1
Insurance contract or identification number939818
Number of Individuals Covered22
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $489
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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