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FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameFIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN
Plan identification number 001

FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FIVE STAR COATINGS GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:FIVE STAR COATINGS GROUP, INC.
Employer identification number (EIN):260810297
NAIC Classification:325500

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01MICHELLE ERICKSEN2024-06-17
0012022-01-01MICHELLE ERICKSEN2023-06-13
0012021-01-01MICHELLE ERICKSEN2022-05-16
0012020-01-01MICHELLE ERICKSEN2021-05-24
0012019-01-01
0012018-01-01MICHELLE ERICKSEN
0012017-01-01MICHELLE ERICKSEN
0012016-01-01MICHELLE ERICKSEN
0012015-01-01MICHELLE ERICKSEN
0012014-01-01MICHELLE ERICKSEN
0012013-01-01MICHELLE ERICKSEN
0012012-01-01MICHELLE ERICKSEN
0012011-01-01DAVID GILBOY

Plan Statistics for FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2019: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0119
Total number of active participants reported on line 7a of the Form 55002019-01-0120
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-011
Total of all active and inactive participants2019-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0121
Number of participants with account balances2019-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-0117
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0119
Number of participants with account balances2018-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-0116
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0116
Number of participants with account balances2017-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-0114
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0114
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0114
Total number of active participants reported on line 7a of the Form 55002015-01-0114
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0114
Number of participants with account balances2015-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0114
Total number of active participants reported on line 7a of the Form 55002014-01-0114
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0114
Number of participants with account balances2014-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-0114
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0114
Number of participants with account balances2013-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-019
Total number of active participants reported on line 7a of the Form 55002012-01-0112
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0112
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-010
Total number of active participants reported on line 7a of the Form 55002011-01-019
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 participants2011-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-019
Number of participants with account balances2011-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2019 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2019 401k financial data
Total income from all sources2019-12-31$291,300
Expenses. Total of all expenses incurred2019-12-31$82,915
Benefits paid (including direct rollovers)2019-12-31$82,194
Total plan assets at end of year2019-12-31$924,526
Total plan assets at beginning of year2019-12-31$716,141
Value of fidelity bond covering the plan2019-12-31$93,000
Total contributions received or receivable from participants2019-12-31$74,405
Other income received2019-12-31$178,975
Net income (gross income less expenses)2019-12-31$208,385
Net plan assets at end of year (total assets less liabilities)2019-12-31$924,526
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$716,141
Assets. Value of participant loans2019-12-31$11,140
Total contributions received or receivable from employer(s)2019-12-31$37,920
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$721
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$49,515
Expenses. Total of all expenses incurred2018-12-31$763
Total plan assets at end of year2018-12-31$716,141
Total plan assets at beginning of year2018-12-31$667,389
Value of fidelity bond covering the plan2018-12-31$72,000
Total contributions received or receivable from participants2018-12-31$73,077
Other income received2018-12-31$-61,847
Net income (gross income less expenses)2018-12-31$48,752
Net plan assets at end of year (total assets less liabilities)2018-12-31$716,141
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$667,389
Assets. Value of participant loans2018-12-31$3,573
Total contributions received or receivable from employer(s)2018-12-31$38,285
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$763
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$227,872
Expenses. Total of all expenses incurred2017-12-31$452
Total plan assets at end of year2017-12-31$667,389
Total plan assets at beginning of year2017-12-31$439,969
Value of fidelity bond covering the plan2017-12-31$67,000
Total contributions received or receivable from participants2017-12-31$82,355
Other income received2017-12-31$102,439
Net income (gross income less expenses)2017-12-31$227,420
Net plan assets at end of year (total assets less liabilities)2017-12-31$667,389
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$439,969
Assets. Value of participant loans2017-12-31$2,920
Total contributions received or receivable from employer(s)2017-12-31$43,078
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$452
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$124,984
Expenses. Total of all expenses incurred2016-12-31$16,213
Benefits paid (including direct rollovers)2016-12-31$15,802
Total plan assets at end of year2016-12-31$439,969
Total plan assets at beginning of year2016-12-31$331,198
Value of fidelity bond covering the plan2016-12-31$44,000
Total contributions received or receivable from participants2016-12-31$60,636
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$30,140
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$108,771
Net plan assets at end of year (total assets less liabilities)2016-12-31$439,969
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$331,198
Assets. Value of participant loans2016-12-31$5,178
Total contributions received or receivable from employer(s)2016-12-31$34,208
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$411
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$75,975
Expenses. Total of all expenses incurred2015-12-31$636
Total plan assets at end of year2015-12-31$331,198
Total plan assets at beginning of year2015-12-31$255,859
Value of fidelity bond covering the plan2015-12-31$30,000
Total contributions received or receivable from participants2015-12-31$52,831
Other income received2015-12-31$-6,653
Net income (gross income less expenses)2015-12-31$75,339
Net plan assets at end of year (total assets less liabilities)2015-12-31$331,198
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$255,859
Assets. Value of participant loans2015-12-31$10,635
Total contributions received or receivable from employer(s)2015-12-31$29,797
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$636
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$82,641
Expenses. Total of all expenses incurred2014-12-31$426
Total plan assets at end of year2014-12-31$255,859
Total plan assets at beginning of year2014-12-31$173,644
Value of fidelity bond covering the plan2014-12-31$90,000
Total contributions received or receivable from participants2014-12-31$46,101
Other income received2014-12-31$11,072
Net income (gross income less expenses)2014-12-31$82,215
Net plan assets at end of year (total assets less liabilities)2014-12-31$255,859
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$173,644
Assets. Value of participant loans2014-12-31$2,791
Total contributions received or receivable from employer(s)2014-12-31$25,468
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$426
2013 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$88,013
Expenses. Total of all expenses incurred2013-12-31$3,489
Benefits paid (including direct rollovers)2013-12-31$3,146
Total plan assets at end of year2013-12-31$173,644
Total plan assets at beginning of year2013-12-31$89,120
Value of fidelity bond covering the plan2013-12-31$35,000
Total contributions received or receivable from participants2013-12-31$40,446
Other income received2013-12-31$25,029
Net income (gross income less expenses)2013-12-31$84,524
Net plan assets at end of year (total assets less liabilities)2013-12-31$173,644
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$89,120
Assets. Value of participant loans2013-12-31$3,562
Total contributions received or receivable from employer(s)2013-12-31$22,538
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$343
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$52,245
Expenses. Total of all expenses incurred2012-12-31$179
Total plan assets at end of year2012-12-31$89,120
Total plan assets at beginning of year2012-12-31$37,054
Value of fidelity bond covering the plan2012-12-31$35,000
Total contributions received or receivable from participants2012-12-31$27,657
Other income received2012-12-31$7,602
Net income (gross income less expenses)2012-12-31$52,066
Net plan assets at end of year (total assets less liabilities)2012-12-31$89,120
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$37,054
Assets. Value of participant loans2012-12-31$4,200
Total contributions received or receivable from employer(s)2012-12-31$16,986
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$179
2011 : FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$37,316
Expenses. Total of all expenses incurred2011-12-31$262
Total plan assets at end of year2011-12-31$37,054
Total plan assets at beginning of year2011-12-31$0
Value of fidelity bond covering the plan2011-12-31$50,000
Total contributions received or receivable from participants2011-12-31$23,405
Other income received2011-12-31$-779
Net income (gross income less expenses)2011-12-31$37,054
Net plan assets at end of year (total assets less liabilities)2011-12-31$37,054
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Assets. Value of participant loans2011-12-31$2,462
Total contributions received or receivable from employer(s)2011-12-31$14,690
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$262

Form 5500 Responses for FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN

2019: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 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
2014-01-01Plan benefit arrangement - TrustYes
2013: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 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
2013-01-01Plan benefit arrangement - TrustYes
2012: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 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
2012-01-01Plan benefit arrangement - TrustYes
2011: FIVE STAR COATINGS GROUP, INC. 401(K) RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01First time form 5500 has been submittedYes
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
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812236
Policy instance 1
Insurance contract or identification number812236
Number of Individuals Covered14
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $2,410
Total amount of fees paid to insurance companyUSD $392
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?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
Commission paid to Insurance BrokerUSD $2,410
Insurance broker organization code?7
Amount paid for insurance broker fees392
Additional information about fees paid to insurance brokerTPA FEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812236
Policy instance 1
Insurance contract or identification number812236
Number of Individuals Covered14
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,164
Total amount of fees paid to insurance companyUSD $351
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?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
Commission paid to Insurance BrokerUSD $2,164
Insurance broker organization code?7
Amount paid for insurance broker fees351
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812236
Policy instance 1
Insurance contract or identification number812236
Number of Individuals Covered14
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,604
Total amount of fees paid to insurance companyUSD $249
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?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
Commission paid to Insurance BrokerUSD $1,604
Insurance broker organization code?7
Amount paid for insurance broker fees249
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number812236
Policy instance 1
Insurance contract or identification number812236
Number of Individuals Covered13
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $840
Total amount of fees paid to insurance companyUSD $124
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
Commission paid to Insurance BrokerUSD $840
Insurance broker organization code?7
Amount paid for insurance broker fees124
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876434 & 812236
Policy instance 1
Insurance contract or identification number876434 & 812236
Number of Individuals Covered9
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $794
Total amount of fees paid to insurance companyUSD $95
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
Commission paid to Insurance BrokerUSD $794
Insurance broker organization code?7
Amount paid for insurance broker fees95
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876434
Policy instance 1
Insurance contract or identification number876434
Number of Individuals Covered8
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $474
Total amount of fees paid to insurance companyUSD $53
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
Commission paid to Insurance BrokerUSD $474
Insurance broker organization code?7
Amount paid for insurance broker fees53
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES LTD
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876434
Policy instance 1
Insurance contract or identification number876434
Number of Individuals Covered7
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $241
Total amount of fees paid to insurance companyUSD $924
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
Amount paid for insurance broker fees924
Additional information about fees paid to insurance brokerTPA SERVICE PROGRAM FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $208
Insurance broker nameROBERT W. BAIRD & CO INC
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number876434
Policy instance 1
Insurance contract or identification number876434
Number of Individuals Covered7
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $172
Total amount of fees paid to insurance companyUSD $108
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?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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