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401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 401k Plan overview

Plan Name401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.
Plan identification number 001

401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 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

STAR INSTALLATIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:STAR INSTALLATIONS, INC.
Employer identification number (EIN):222499546
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01VIRGINIA DOMINGUEZ2022-07-27 VIRGINIA DOMINGUEZ2022-07-27
0012020-01-01VIRGINIA DOMINGUEZ2021-07-30
0012019-01-01HUMBERTO GARCED2020-07-30
0012018-01-01HUMBERTO GARCED2019-07-17 HUMBERTO GARCED2019-07-17
0012017-01-01HUMBERTO GARCED2018-07-24 HUMBERTO GARCED2018-07-24
0012016-01-01HUMBERTO GARCED2017-07-27
0012015-01-01HUMBERTO GARCED2016-07-25
0012014-01-01VIRGINIA DOMINGUEZ
0012013-01-01VIRGINIA DOMINGUEZ
0012012-01-01VIRGINIA DOMINGUEZ VIRGINIA DOMINGUEZ2013-07-24
0012011-01-01VIRGINIA DOMINGUEZ HUMBERTO GARCED2012-07-30
0012009-01-01HUMBERTO GARCED HUMBERTO GARCED2010-10-08
0012009-01-01VIRGINA DOMINGUEZ VIRGINA DOMINGUEZ2010-10-12

Plan Statistics for 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.

401k plan membership statisitcs for 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.

Measure Date Value
2014: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2014 401k membership
Total participants, beginning-of-year2014-01-01106
Total number of active participants reported on line 7a of the Form 55002014-01-0198
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-017
Total of all active and inactive participants2014-01-01105
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01105
Number of participants with account balances2014-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2013 401k membership
Total participants, beginning-of-year2013-01-01114
Total number of active participants reported on line 7a of the Form 55002013-01-01108
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-017
Total of all active and inactive participants2013-01-01115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01115
Number of participants with account balances2013-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01120
Total number of active participants reported on line 7a of the Form 55002012-01-01114
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01121
Number of participants with account balances2012-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-012
2011: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2011 401k membership
Total participants, beginning-of-year2011-01-01112
Total number of active participants reported on line 7a of the Form 55002011-01-0198
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0198
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0198
Number of participants with account balances2011-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2009 401k membership
Total participants, beginning-of-year2009-01-0194
Total number of active participants reported on line 7a of the Form 55002009-01-0179
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-014
Total of all active and inactive participants2009-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0183
Number of participants with account balances2009-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.

Measure Date Value
2014 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2014 401k financial data
Transfers to/from the plan2014-12-31$841
Total income from all sources2014-12-31$171,970
Expenses. Total of all expenses incurred2014-12-31$175,102
Benefits paid (including direct rollovers)2014-12-31$174,008
Total plan assets at end of year2014-12-31$1,299,602
Total plan assets at beginning of year2014-12-31$1,301,893
Value of fidelity bond covering the plan2014-12-31$25,000
Total contributions received or receivable from participants2014-12-31$65,630
Expenses. Other expenses not covered elsewhere2014-12-31$1,094
Other income received2014-12-31$99,777
Net income (gross income less expenses)2014-12-31$-3,132
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,299,602
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,301,893
Assets. Value of participant loans2014-12-31$152,061
Total contributions received or receivable from employer(s)2014-12-31$6,563
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total income from all sources2013-12-31$322,965
Expenses. Total of all expenses incurred2013-12-31$80,203
Benefits paid (including direct rollovers)2013-12-31$77,543
Total plan assets at end of year2013-12-31$1,301,461
Total plan assets at beginning of year2013-12-31$1,058,699
Value of fidelity bond covering the plan2013-12-31$25,000
Total contributions received or receivable from participants2013-12-31$66,414
Expenses. Other expenses not covered elsewhere2013-12-31$1,055
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$249,910
Net income (gross income less expenses)2013-12-31$242,762
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,301,461
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,058,699
Assets. Value of participant loans2013-12-31$90,405
Total contributions received or receivable from employer(s)2013-12-31$6,641
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$1,605
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2012 401k financial data
Total income from all sources2012-12-31$188,683
Expenses. Total of all expenses incurred2012-12-31$36,179
Benefits paid (including direct rollovers)2012-12-31$34,671
Total plan assets at end of year2012-12-31$1,058,699
Total plan assets at beginning of year2012-12-31$906,195
Value of fidelity bond covering the plan2012-12-31$25,000
Total contributions received or receivable from participants2012-12-31$73,054
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$108,324
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$152,504
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,058,699
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$906,195
Assets. Value of participant loans2012-12-31$70,247
Total contributions received or receivable from employer(s)2012-12-31$7,305
Value of corrective distributions2012-12-31$1,508
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2011 401k financial data
Total income from all sources2011-12-31$65,813
Expenses. Total of all expenses incurred2011-12-31$46,568
Benefits paid (including direct rollovers)2011-12-31$45,424
Total plan assets at end of year2011-12-31$906,195
Total plan assets at beginning of year2011-12-31$886,950
Value of fidelity bond covering the plan2011-12-31$25,000
Total contributions received or receivable from participants2011-12-31$80,497
Expenses. Other expenses not covered elsewhere2011-12-31$1,144
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-22,734
Net income (gross income less expenses)2011-12-31$19,245
Net plan assets at end of year (total assets less liabilities)2011-12-31$906,195
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$886,950
Assets. Value of participant loans2011-12-31$69,229
Total contributions received or receivable from employer(s)2011-12-31$8,050
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$197,400
Expenses. Total of all expenses incurred2010-12-31$66,304
Benefits paid (including direct rollovers)2010-12-31$64,408
Total plan assets at end of year2010-12-31$886,950
Total plan assets at beginning of year2010-12-31$755,854
Value of fidelity bond covering the plan2010-12-31$25,000
Total contributions received or receivable from participants2010-12-31$87,931
Expenses. Other expenses not covered elsewhere2010-12-31$1,136
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$100,676
Net income (gross income less expenses)2010-12-31$131,096
Net plan assets at end of year (total assets less liabilities)2010-12-31$886,950
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$755,854
Assets. Value of participant loans2010-12-31$28,456
Total contributions received or receivable from employer(s)2010-12-31$8,793
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$760
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0
2008 : 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2008 401k financial data
Transfers to/from the plan2008-12-31$0
Total income from all sources2008-12-31$-160,250
Expenses. Total of all expenses incurred2008-12-31$14,031
Benefits paid (including direct rollovers)2008-12-31$9,063
Total plan assets at end of year2008-12-31$535,735
Total plan assets at beginning of year2008-12-31$710,016
Value of fidelity bond covering the plan2008-12-31$25,000
Total contributions received or receivable from participants2008-12-31$94,380
Expenses. Other expenses not covered elsewhere2008-12-31$1,264
Contributions received from other sources (not participants or employers)2008-12-31$0
Other income received2008-12-31$-264,068
Net income (gross income less expenses)2008-12-31$-174,281
Net plan assets at end of year (total assets less liabilities)2008-12-31$535,735
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$710,016
Assets. Value of participant loans2008-12-31$17,326
Total contributions received or receivable from employer(s)2008-12-31$9,438
Value of certain deemed distributions of participant loans2008-12-31$0
Value of corrective distributions2008-12-31$3,704
Expenses. Administrative service providers (salaries,fees and commissions)2008-12-31$0

Form 5500 Responses for 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC.

2014: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2009: 401(K) PLAN FOR THE EMPLOYEES OF STAR INSTALLATIONS, INC. 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered29
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered30
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered114
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered32
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,296
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-007269
Policy instance 1
Insurance contract or identification numberGA-007269
Number of Individuals Covered36
Insurance policy start date2008-01-01
Insurance policy end date2008-12-31
Total amount of commissions paid to insurance brokerUSD $1,716
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,269
Insurance broker organization code?3
Insurance broker nameCONNER STRONG COMPANIES INC

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