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LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 401k Plan overview

Plan NameLEGAL AID OF WV TAX DEFERRED SAVINGS PLAN
Plan identification number 002

LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

LEGAL AID OF WEST VIRGINIA, INC. has sponsored the creation of one or more 401k plans.

Company Name:LEGAL AID OF WEST VIRGINIA, INC.
Employer identification number (EIN):311789739
NAIC Classification:541190

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30
0022013-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30
0022012-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30
0022011-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30
0022010-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30
0022009-01-01ADRIENNE WORTHY2016-03-30 ADRIENNE WORTHY2016-03-30

Plan Statistics for LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN

401k plan membership statisitcs for LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN

Measure Date Value
2017: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0180
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
2016: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0180
Total number of active participants reported on line 7a of the Form 55002016-01-0154
Number of other retired or separated participants entitled to future benefits2016-01-0161
Total of all active and inactive participants2016-01-01115
Total participants2016-01-01115
Number of participants with account balances2016-01-01114
2015: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0178
Total number of active participants reported on line 7a of the Form 55002015-01-0149
Number of other retired or separated participants entitled to future benefits2015-01-0134
Total of all active and inactive participants2015-01-0183
Total participants2015-01-0183
Number of participants with account balances2015-01-0180
2014: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017
Total number of active participants reported on line 7a of the Form 55002014-01-0147
Number of other retired or separated participants entitled to future benefits2014-01-0131
Total of all active and inactive participants2014-01-0178
Total participants2014-01-0178
Number of participants with account balances2014-01-0175
2013: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0189
Total number of active participants reported on line 7a of the Form 55002013-01-0152
Total of all active and inactive participants2013-01-0152
Total participants2013-01-0152
Number of participants with account balances2013-01-0176
2012: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01112
Total number of active participants reported on line 7a of the Form 55002012-01-0157
Number of other retired or separated participants entitled to future benefits2012-01-0132
Total of all active and inactive participants2012-01-0189
Total participants2012-01-0189
Number of participants with account balances2012-01-0179
2011: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01109
Total number of active participants reported on line 7a of the Form 55002011-01-01111
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-01112
Total participants2011-01-01112
Number of participants with account balances2011-01-0180
2010: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01109
Total number of active participants reported on line 7a of the Form 55002010-01-01108
Number of other retired or separated participants entitled to future benefits2010-01-011
Total of all active and inactive participants2010-01-01109
Total participants2010-01-01109
Number of participants with account balances2010-01-0177
2009: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01110
Total number of active participants reported on line 7a of the Form 55002009-01-01108
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-01109
Total participants2009-01-01109
Number of participants with account balances2009-01-0176

Financial Data on LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN

Measure Date Value
2017 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$-3,455,885
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$3,455,885
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,455,885
2016 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$571,025
Expenses. Total of all expenses incurred2016-12-31$70,480
Benefits paid (including direct rollovers)2016-12-31$70,480
Total plan assets at end of year2016-12-31$3,455,885
Total plan assets at beginning of year2016-12-31$2,955,340
Value of fidelity bond covering the plan2016-12-31$800,000
Total contributions received or receivable from participants2016-12-31$230,529
Other income received2016-12-31$340,496
Net income (gross income less expenses)2016-12-31$500,545
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,455,885
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,955,340
2015 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$252,289
Expenses. Total of all expenses incurred2015-12-31$105,326
Benefits paid (including direct rollovers)2015-12-31$105,326
Total plan assets at end of year2015-12-31$2,955,340
Total plan assets at beginning of year2015-12-31$2,808,377
Value of fidelity bond covering the plan2015-12-31$800,000
Total contributions received or receivable from participants2015-12-31$203,433
Contributions received from other sources (not participants or employers)2015-12-31$27,406
Other income received2015-12-31$21,450
Net income (gross income less expenses)2015-12-31$146,963
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,955,340
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,808,377
2014 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2014 401k financial data
Total income from all sources2014-12-31$311,208
Expenses. Total of all expenses incurred2014-12-31$2,428
Benefits paid (including direct rollovers)2014-12-31$2,428
Total plan assets at end of year2014-12-31$2,808,377
Total plan assets at beginning of year2014-12-31$2,499,597
Value of fidelity bond covering the plan2014-12-31$800,000
Total contributions received or receivable from participants2014-12-31$146,472
Other income received2014-12-31$164,736
Net income (gross income less expenses)2014-12-31$308,780
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,808,377
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,499,597
2013 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2013 401k financial data
Total income from all sources2013-12-31$549,340
Expenses. Total of all expenses incurred2013-12-31$63,403
Benefits paid (including direct rollovers)2013-12-31$63,403
Total plan assets at end of year2013-12-31$2,499,597
Total plan assets at beginning of year2013-12-31$2,013,660
Value of fidelity bond covering the plan2013-12-31$800,000
Total contributions received or receivable from participants2013-12-31$153,357
Contributions received from other sources (not participants or employers)2013-12-31$65,620
Other income received2013-12-31$330,363
Net income (gross income less expenses)2013-12-31$485,937
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,499,597
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,013,660
2012 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2012 401k financial data
Total income from all sources2012-12-31$372,417
Expenses. Total of all expenses incurred2012-12-31$45,312
Benefits paid (including direct rollovers)2012-12-31$45,312
Total plan assets at end of year2012-12-31$2,013,660
Total plan assets at beginning of year2012-12-31$1,686,555
Value of fidelity bond covering the plan2012-12-31$800,000
Total contributions received or receivable from participants2012-12-31$140,863
Contributions received from other sources (not participants or employers)2012-12-31$56,551
Other income received2012-12-31$175,003
Net income (gross income less expenses)2012-12-31$327,105
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,013,660
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,686,555
2011 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2011 401k financial data
Total income from all sources2011-12-31$164,268
Expenses. Total of all expenses incurred2011-12-31$25,005
Benefits paid (including direct rollovers)2011-12-31$25,005
Total plan assets at end of year2011-12-31$1,686,555
Total plan assets at beginning of year2011-12-31$1,547,292
Value of fidelity bond covering the plan2011-12-31$800,000
Total contributions received or receivable from participants2011-12-31$146,462
Other income received2011-12-31$17,806
Net income (gross income less expenses)2011-12-31$139,263
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,686,555
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,547,292
2010 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2010 401k financial data
Total income from all sources2010-12-31$282,627
Expenses. Total of all expenses incurred2010-12-31$31,060
Benefits paid (including direct rollovers)2010-12-31$31,060
Total plan assets at end of year2010-12-31$1,547,292
Total plan assets at beginning of year2010-12-31$1,295,725
Value of fidelity bond covering the plan2010-12-31$800,000
Total contributions received or receivable from participants2010-12-31$155,403
Other income received2010-12-31$127,224
Net income (gross income less expenses)2010-12-31$251,567
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,547,292
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,295,725
2009 : LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2009 401k financial data
Total income from all sources2009-12-31$297,758
Expenses. Total of all expenses incurred2009-12-31$103,365
Benefits paid (including direct rollovers)2009-12-31$103,365
Total plan assets at end of year2009-12-31$1,295,725
Total plan assets at beginning of year2009-12-31$1,101,332
Value of fidelity bond covering the plan2009-12-31$800,000
Total contributions received or receivable from participants2009-12-31$144,534
Other income received2009-12-31$153,224
Net income (gross income less expenses)2009-12-31$194,393
Net plan assets at end of year (total assets less liabilities)2009-12-31$1,295,725
Net plan assets at beginning of year (total assets less liabilities)2009-12-31$1,101,332

Form 5500 Responses for LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN

2017: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes
2016: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: LEGAL AID OF WV TAX DEFERRED SAVINGS 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 benefit arrangement – InsuranceYes
2013: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
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 benefit arrangement – InsuranceYes
2012: LEGAL AID OF WV TAX DEFERRED SAVINGS 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 benefit arrangement – InsuranceYes
2011: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 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 benefit arrangement – InsuranceYes
2010: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: LEGAL AID OF WV TAX DEFERRED SAVINGS PLAN 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered80
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered75
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered76
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered79
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered80
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered77
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330757
Policy instance 1
Insurance contract or identification number330757
Number of Individuals Covered76
Insurance policy start date2009-01-01
Insurance policy end date2009-12-31
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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