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INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 401k Plan overview

Plan NameINDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST
Plan identification number 501

INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Supplemental unemployment
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Scholarship (funded)
  • Death benefits (include travel accident but not life insurance)
  • Other welfare benefit cover

401k Sponsoring company profile

INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST has sponsored the creation of one or more 401k plans.

Company Name:INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST
Employer identification number (EIN):351374544
NAIC Classification:221100

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01DEIRDRE TIERNAN2022-01-28 DEIRDRE TIERNAN2022-01-28
5012020-07-01
5012019-07-01
5012018-07-01
5012017-07-01DEIRDRE TIERNAN DEIRDRE TIERNAN2019-01-29
5012016-07-01DEIRDRE TIERNAN DEIRDRE TIERNAN2018-01-29
5012015-07-01DEIRDRE TIERNAN DEIRDRE TIERNAN2017-01-20
5012014-07-01DEIRDRE TIERNAN DEIRDRE TIERNAN2016-01-28
5012013-07-01RICK COONS
5012012-07-01RICK COONS RICK COONS2014-01-28
5012011-07-01RICK COONS RICK COONS2013-01-24
5012010-07-01BRUCE GRAHAM
5012009-07-01BRUCE GRAHAM

Plan Statistics for INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST

401k plan membership statisitcs for INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST

Measure Date Value
2020: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2020 401k membership
Total participants, beginning-of-year2020-07-010
Total number of active participants reported on line 7a of the Form 55002020-07-010
Total of all active and inactive participants2020-07-010
Total participants2020-07-010
Number of employers contributing to the scheme2020-07-010
2019: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2019 401k membership
Total participants, beginning-of-year2019-07-010
Total number of active participants reported on line 7a of the Form 55002019-07-010
Total of all active and inactive participants2019-07-010
Total participants2019-07-010
Number of employers contributing to the scheme2019-07-010
2018: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2018 401k membership
Total participants, beginning-of-year2018-07-01360
Total number of active participants reported on line 7a of the Form 55002018-07-010
Total of all active and inactive participants2018-07-010
Total participants2018-07-010
Number of employers contributing to the scheme2018-07-0119
2017: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2017 401k membership
Total participants, beginning-of-year2017-07-01606
Total number of active participants reported on line 7a of the Form 55002017-07-01360
Total of all active and inactive participants2017-07-01360
Total participants2017-07-01360
Number of employers contributing to the scheme2017-07-0124
2016: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2016 401k membership
Total participants, beginning-of-year2016-07-01971
Total number of active participants reported on line 7a of the Form 55002016-07-01606
Total of all active and inactive participants2016-07-01606
Total participants2016-07-01606
Number of employers contributing to the scheme2016-07-0124
2015: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2015 401k membership
Total participants, beginning-of-year2015-07-01981
Total number of active participants reported on line 7a of the Form 55002015-07-01971
Total of all active and inactive participants2015-07-01971
Total participants2015-07-01971
Number of employers contributing to the scheme2015-07-0129
2014: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2014 401k membership
Total participants, beginning-of-year2014-07-013,242
Total number of active participants reported on line 7a of the Form 55002014-07-013,505
Total of all active and inactive participants2014-07-013,505
Total participants2014-07-013,505
Number of employers contributing to the scheme2014-07-0129
2013: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2013 401k membership
Total participants, beginning-of-year2013-07-012,242
Total number of active participants reported on line 7a of the Form 55002013-07-013,242
Total of all active and inactive participants2013-07-013,242
Total participants2013-07-013,242
Number of employers contributing to the scheme2013-07-0134
2012: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2012 401k membership
Total participants, beginning-of-year2012-07-011,517
Total number of active participants reported on line 7a of the Form 55002012-07-012,242
Total of all active and inactive participants2012-07-012,242
Total participants2012-07-012,242
Number of employers contributing to the scheme2012-07-0134
2011: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2011 401k membership
Total participants, beginning-of-year2011-07-012,361
Total number of active participants reported on line 7a of the Form 55002011-07-011,517
Total of all active and inactive participants2011-07-011,517
Total participants2011-07-011,517
Number of employers contributing to the scheme2011-07-0134
2010: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2010 401k membership
Total participants, beginning-of-year2010-07-012,306
Total number of active participants reported on line 7a of the Form 55002010-07-012,361
Total of all active and inactive participants2010-07-012,361
Total participants2010-07-012,361
Number of employers contributing to the scheme2010-07-0144
2009: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2009 401k membership
Total participants, beginning-of-year2009-07-012,451
Total number of active participants reported on line 7a of the Form 55002009-07-012,306
Total of all active and inactive participants2009-07-012,306
Total participants2009-07-012,306
Number of employers contributing to the scheme2009-07-0141

Financial Data on INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST

Measure Date Value
2021 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$7,546
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$29,710
Total income from all sources (including contributions)2021-06-30$30,095
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$112,772
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$0
Value of total assets at end of year2021-06-30$1,917,216
Value of total assets at beginning of year2021-06-30$2,022,057
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$112,772
Total interest from all sources2021-06-30$95
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-06-30$0
Administrative expenses professional fees incurred2021-06-30$112,772
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$200,000
If this is an individual account plan, was there a blackout period2021-06-30No
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-06-30$13,011
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-06-30$15,500
Other income not declared elsewhere2021-06-30$30,000
Liabilities. Value of operating payables at end of year2021-06-30$7,546
Liabilities. Value of operating payables at beginning of year2021-06-30$29,710
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$-82,677
Value of net assets at end of year (total assets less liabilities)2021-06-30$1,909,670
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$1,992,347
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-06-30$1,904,205
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-06-30$2,006,557
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-06-30$2,006,557
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-06-30$95
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Did the plan have assets held for investment2021-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2021-06-30363163136
2020 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$29,710
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$13,186
Total income from all sources (including contributions)2020-06-30$988,261
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$209,968
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$0
Value of total assets at end of year2020-06-30$2,022,057
Value of total assets at beginning of year2020-06-30$1,227,240
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$209,968
Total interest from all sources2020-06-30$23
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2020-06-30$0
Administrative expenses professional fees incurred2020-06-30$209,968
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$1,000,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-06-30$15,500
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-06-30$15,500
Other income not declared elsewhere2020-06-30$988,238
Liabilities. Value of operating payables at end of year2020-06-30$29,710
Liabilities. Value of operating payables at beginning of year2020-06-30$13,186
Total non interest bearing cash at end of year2020-06-30$2,006,557
Total non interest bearing cash at beginning of year2020-06-30$1,211,718
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$778,293
Value of net assets at end of year (total assets less liabilities)2020-06-30$1,992,347
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$1,214,054
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-06-30$23
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Employer contributions (assets) at beginning of year2020-06-30$22
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-06-30No
Did the plan have assets held for investment2020-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30No
Opinion of an independent qualified public accountant for this plan2020-06-30Unqualified
Accountancy firm name2020-06-30LWG CPAS & ADVISORS
Accountancy firm EIN2020-06-30363163136
2019 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$13,189
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$885,547
Total income from all sources (including contributions)2019-06-30$2,086,448
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$3,025,229
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$2,509,419
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$2,086,340
Value of total assets at end of year2019-06-30$1,227,240
Value of total assets at beginning of year2019-06-30$3,038,379
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$515,810
Total interest from all sources2019-06-30$108
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2019-06-30$0
Administrative expenses professional fees incurred2019-06-30$293,959
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$100,000
If this is an individual account plan, was there a blackout period2019-06-30No
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-06-30$407,650
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-06-30$15,500
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-06-30$86,512
Administrative expenses (other) incurred2019-06-30$30,521
Liabilities. Value of operating payables at end of year2019-06-30$13,189
Liabilities. Value of operating payables at beginning of year2019-06-30$240,551
Total non interest bearing cash at end of year2019-06-30$1,211,718
Total non interest bearing cash at beginning of year2019-06-30$2,951,012
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$-938,781
Value of net assets at end of year (total assets less liabilities)2019-06-30$1,214,051
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$2,152,832
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Investment advisory and management fees2019-06-30$539
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-06-30$108
Expenses. Payments to insurance carriers foe the provision of benefits2019-06-30$2,101,769
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$2,086,340
Employer contributions (assets) at end of year2019-06-30$22
Employer contributions (assets) at beginning of year2019-06-30$855
Contract administrator fees2019-06-30$190,791
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32019-06-30No
Did the plan have assets held for investment2019-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Liabilities. Value of acquisition indebtedness at end of year2019-06-30$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-06-30$644,996
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30No
Opinion of an independent qualified public accountant for this plan2019-06-30Unqualified
Accountancy firm name2019-06-30LWG CPAS AND ADVISORS
Accountancy firm EIN2019-06-30363163136
2018 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$885,547
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$2,027,985
Total income from all sources (including contributions)2018-06-30$8,185,776
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$7,707,593
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$7,235,801
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$8,185,600
Value of total assets at end of year2018-06-30$3,038,379
Value of total assets at beginning of year2018-06-30$3,702,634
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$471,792
Total interest from all sources2018-06-30$176
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Administrative expenses professional fees incurred2018-06-30$503,953
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$100,000
If this is an individual account plan, was there a blackout period2018-06-30No
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-06-30$929,726
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$86,512
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$610,803
Administrative expenses (other) incurred2018-06-30$-557,765
Liabilities. Value of operating payables at end of year2018-06-30$240,551
Liabilities. Value of operating payables at beginning of year2018-06-30$234,511
Total non interest bearing cash at end of year2018-06-30$2,951,012
Total non interest bearing cash at beginning of year2018-06-30$3,088,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$478,183
Value of net assets at end of year (total assets less liabilities)2018-06-30$2,152,832
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$1,674,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Investment advisory and management fees2018-06-30$17,779
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-06-30$176
Expenses. Payments to insurance carriers foe the provision of benefits2018-06-30$6,306,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$8,185,600
Employer contributions (assets) at end of year2018-06-30$855
Employer contributions (assets) at beginning of year2018-06-30$3,769
Contract administrator fees2018-06-30$507,825
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-06-30No
Did the plan have assets held for investment2018-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Liabilities. Value of acquisition indebtedness at end of year2018-06-30$644,996
Liabilities. Value of acquisition indebtedness at beginning of year2018-06-30$1,793,474
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30No
Opinion of an independent qualified public accountant for this plan2018-06-30Unqualified
Accountancy firm name2018-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2018-06-30363163136
2017 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,027,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$2,564,340
Total income from all sources (including contributions)2017-06-30$12,364,983
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$12,424,560
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$10,778,601
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$12,364,759
Value of total assets at end of year2017-06-30$3,702,634
Value of total assets at beginning of year2017-06-30$4,298,566
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$1,645,959
Total interest from all sources2017-06-30$224
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Administrative expenses professional fees incurred2017-06-30$529,410
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$100,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-06-30$1,264,086
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$610,803
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$697,690
Administrative expenses (other) incurred2017-06-30$271,645
Liabilities. Value of operating payables at end of year2017-06-30$234,511
Liabilities. Value of operating payables at beginning of year2017-06-30$827,040
Total non interest bearing cash at end of year2017-06-30$3,088,062
Total non interest bearing cash at beginning of year2017-06-30$3,596,647
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$-59,577
Value of net assets at end of year (total assets less liabilities)2017-06-30$1,674,649
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$1,734,226
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Investment advisory and management fees2017-06-30$20,972
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-06-30$224
Expenses. Payments to insurance carriers foe the provision of benefits2017-06-30$9,514,515
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$12,364,759
Employer contributions (assets) at end of year2017-06-30$3,769
Employer contributions (assets) at beginning of year2017-06-30$4,229
Contract administrator fees2017-06-30$823,932
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-06-30No
Did the plan have assets held for investment2017-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Liabilities. Value of acquisition indebtedness at end of year2017-06-30$1,793,474
Liabilities. Value of acquisition indebtedness at beginning of year2017-06-30$1,737,300
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30No
Opinion of an independent qualified public accountant for this plan2017-06-30Unqualified
Accountancy firm name2017-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2017-06-30363163136
2016 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$2,564,340
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$2,450,335
Total income from all sources (including contributions)2016-06-30$14,290,432
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$15,495,460
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$13,843,753
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$14,290,081
Value of total assets at end of year2016-06-30$4,298,566
Value of total assets at beginning of year2016-06-30$5,389,589
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$1,651,707
Total interest from all sources2016-06-30$351
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Administrative expenses professional fees incurred2016-06-30$469,637
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$100,000
If this is an individual account plan, was there a blackout period2016-06-30No
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-06-30$1,473,567
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$697,690
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$101,041
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-06-30$1,737,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-06-30$2,016,986
Administrative expenses (other) incurred2016-06-30$145,743
Liabilities. Value of operating payables at end of year2016-06-30$827,040
Liabilities. Value of operating payables at beginning of year2016-06-30$433,349
Total non interest bearing cash at end of year2016-06-30$3,596,647
Total non interest bearing cash at beginning of year2016-06-30$5,282,829
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$-1,205,028
Value of net assets at end of year (total assets less liabilities)2016-06-30$1,734,226
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$2,939,254
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Investment advisory and management fees2016-06-30$11,676
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-06-30$351
Expenses. Payments to insurance carriers foe the provision of benefits2016-06-30$12,370,186
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$14,290,081
Employer contributions (assets) at end of year2016-06-30$4,229
Employer contributions (assets) at beginning of year2016-06-30$5,719
Contract administrator fees2016-06-30$1,024,651
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-06-30No
Did the plan have assets held for investment2016-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30No
Opinion of an independent qualified public accountant for this plan2016-06-30Unqualified
Accountancy firm name2016-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2016-06-30363163136
2015 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,450,335
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$2,053,871
Total income from all sources (including contributions)2015-06-30$13,371,508
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$13,320,436
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$11,487,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$13,369,042
Value of total assets at end of year2015-06-30$5,389,589
Value of total assets at beginning of year2015-06-30$4,942,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$1,832,738
Total interest from all sources2015-06-30$2,466
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Administrative expenses professional fees incurred2015-06-30$485,303
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$100,000
If this is an individual account plan, was there a blackout period2015-06-30No
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-06-30$1,381,924
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-06-30$101,041
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-06-30$832,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-06-30$2,016,986
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-06-30$1,738,378
Administrative expenses (other) incurred2015-06-30$346,570
Liabilities. Value of operating payables at end of year2015-06-30$433,349
Liabilities. Value of operating payables at beginning of year2015-06-30$315,493
Total non interest bearing cash at end of year2015-06-30$5,282,829
Total non interest bearing cash at beginning of year2015-06-30$4,101,354
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$51,072
Value of net assets at end of year (total assets less liabilities)2015-06-30$2,939,254
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$2,888,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Investment advisory and management fees2015-06-30$11,065
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-06-30$2,466
Expenses. Payments to insurance carriers foe the provision of benefits2015-06-30$10,105,774
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$13,369,042
Employer contributions (assets) at end of year2015-06-30$5,719
Employer contributions (assets) at beginning of year2015-06-30$7,868
Contract administrator fees2015-06-30$989,800
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-06-30No
Did the plan have assets held for investment2015-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30No
Opinion of an independent qualified public accountant for this plan2015-06-30Unqualified
Accountancy firm name2015-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2015-06-30363163136
2014 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$2,053,871
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$1,849,562
Total income from all sources (including contributions)2014-06-30$13,503,222
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$12,984,975
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$11,775,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$13,472,841
Value of total assets at end of year2014-06-30$4,942,053
Value of total assets at beginning of year2014-06-30$4,219,497
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$1,209,271
Total interest from all sources2014-06-30$30,381
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Administrative expenses professional fees incurred2014-06-30$593,787
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$100,000
If this is an individual account plan, was there a blackout period2014-06-30No
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-06-30$1,359,055
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-06-30$832,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-06-30$1,738,378
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-06-30$1,548,643
Administrative expenses (other) incurred2014-06-30$-397,382
Liabilities. Value of operating payables at end of year2014-06-30$315,493
Liabilities. Value of operating payables at beginning of year2014-06-30$300,919
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$518,247
Value of net assets at end of year (total assets less liabilities)2014-06-30$2,888,182
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$2,369,935
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Investment advisory and management fees2014-06-30$10,706
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-06-30$4,101,354
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-06-30$4,213,737
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-06-30$4,213,737
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-06-30$30,381
Expenses. Payments to insurance carriers foe the provision of benefits2014-06-30$10,416,649
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$13,472,841
Employer contributions (assets) at end of year2014-06-30$7,868
Employer contributions (assets) at beginning of year2014-06-30$5,760
Contract administrator fees2014-06-30$1,002,160
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-06-30No
Did the plan have assets held for investment2014-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30No
Opinion of an independent qualified public accountant for this plan2014-06-30Unqualified
Accountancy firm name2014-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2014-06-30363163136
2013 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2013 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$1,070,611
Value of total assets at beginning of year2013-06-30$5,979,224
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$100,000
If this is an individual account plan, was there a blackout period2013-06-30No
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-06-30$597,669
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-06-30$746,731
Liabilities. Value of operating payables at beginning of year2013-06-30$323,880
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$4,908,613
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-06-30$5,326,695
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-06-30$5,326,695
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Employer contributions (assets) at beginning of year2013-06-30$54,860
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-06-30No
Did the plan have assets held for investment2013-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30No
Opinion of an independent qualified public accountant for this plan2013-06-30Unqualified
Accountancy firm name2013-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2013-06-30363163136
2012 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-06-30$-1,635
Total unrealized appreciation/depreciation of assets2012-06-30$-1,635
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,070,611
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$1,300,885
Total income from all sources (including contributions)2012-06-30$19,833,316
Total of all expenses incurred2012-06-30$19,879,247
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$17,367,980
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$19,813,734
Value of total assets at end of year2012-06-30$5,979,224
Value of total assets at beginning of year2012-06-30$6,255,430
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$2,511,267
Total interest from all sources2012-06-30$21,217
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Administrative expenses professional fees incurred2012-06-30$469,020
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$100,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Assets. Other investments not covered elsewhere at beginning of year2012-06-30$9,835
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-06-30$2,690,277
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-06-30$597,669
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-06-30$923,852
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-06-30$746,731
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-06-30$1,060,050
Administrative expenses (other) incurred2012-06-30$1,178,254
Liabilities. Value of operating payables at end of year2012-06-30$323,880
Liabilities. Value of operating payables at beginning of year2012-06-30$240,835
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$-45,931
Value of net assets at end of year (total assets less liabilities)2012-06-30$4,908,613
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$4,954,545
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Investment advisory and management fees2012-06-30$11,811
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-06-30$5,326,695
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-06-30$1,317,408
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-06-30$1,317,408
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-06-30$21,217
Expenses. Payments to insurance carriers foe the provision of benefits2012-06-30$14,677,703
Asset value of US Government securities at beginning of year2012-06-30$2,551,637
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Contributions received in cash from employer2012-06-30$19,813,734
Employer contributions (assets) at end of year2012-06-30$54,860
Employer contributions (assets) at beginning of year2012-06-30$1,452,698
Contract administrator fees2012-06-30$852,182
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-06-30No
Did the plan have assets held for investment2012-06-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30No
Opinion of an independent qualified public accountant for this plan2012-06-30Unqualified
Accountancy firm name2012-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2012-06-30363163136
2011 : INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-06-30$-27,227
Total unrealized appreciation/depreciation of assets2011-06-30$-27,227
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,300,885
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$1,078,399
Total income from all sources (including contributions)2011-06-30$25,089,817
Total of all expenses incurred2011-06-30$26,227,273
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$25,072,942
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$25,069,498
Value of total assets at end of year2011-06-30$6,255,430
Value of total assets at beginning of year2011-06-30$7,170,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$1,154,331
Total interest from all sources2011-06-30$47,546
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Administrative expenses professional fees incurred2011-06-30$221,151
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$100,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Assets. Other investments not covered elsewhere at end of year2011-06-30$9,835
Assets. Other investments not covered elsewhere at beginning of year2011-06-30$9,338
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-06-30$3,986,401
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-06-30$923,852
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-06-30$306,060
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-06-30$1,060,050
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-06-30$1,020,770
Administrative expenses (other) incurred2011-06-30$113,374
Liabilities. Value of operating payables at end of year2011-06-30$240,835
Liabilities. Value of operating payables at beginning of year2011-06-30$19,230
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$-1,137,456
Value of net assets at end of year (total assets less liabilities)2011-06-30$4,954,545
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$6,092,001
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Investment advisory and management fees2011-06-30$11,305
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-06-30$1,317,408
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-06-30$1,999,542
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-06-30$1,999,542
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-06-30$47,546
Expenses. Payments to insurance carriers foe the provision of benefits2011-06-30$21,086,541
Asset value of US Government securities at end of year2011-06-30$2,551,637
Asset value of US Government securities at beginning of year2011-06-30$3,278,863
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Contributions received in cash from employer2011-06-30$25,069,498
Employer contributions (assets) at end of year2011-06-30$1,452,698
Employer contributions (assets) at beginning of year2011-06-30$1,576,597
Contract administrator fees2011-06-30$808,501
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-06-30No
Liabilities. Value of benefit claims payable at end of year2011-06-30$0
Liabilities. Value of benefit claims payable at beginning of year2011-06-30$38,399
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30No
Opinion of an independent qualified public accountant for this plan2011-06-30Unqualified
Accountancy firm name2011-06-30LONDON WITTE GROUP, LLC
Accountancy firm EIN2011-06-30363163136

Form 5500 Responses for INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST

2020: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2020 form 5500 responses
2020-07-01Type of plan entityMulitple employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planNo
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement - TrustYes
2019: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2019 form 5500 responses
2019-07-01Type of plan entityMulitple employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2018 form 5500 responses
2018-07-01Type of plan entityMulitple employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2017 form 5500 responses
2017-07-01Type of plan entityMulitple employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2016 form 5500 responses
2016-07-01Type of plan entityMulitple employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2015 form 5500 responses
2015-07-01Type of plan entityMulitple employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2014 form 5500 responses
2014-07-01Type of plan entityMulitple employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2013 form 5500 responses
2013-07-01Type of plan entityMulitple employer plan
2013-07-01First time form 5500 has been submittedYes
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2012 form 5500 responses
2012-07-01Type of plan entityMulitple employer plan
2012-07-01First time form 5500 has been submittedYes
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2011 form 5500 responses
2011-07-01Type of plan entityMulitple employer plan
2011-07-01First time form 5500 has been submittedYes
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2010 form 5500 responses
2010-07-01Type of plan entityMulitple employer plan
2010-07-01Submission has been amendedYes
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: INDIANA STATEWIDE ASSOCIATION OF REC'S GROUP INSURANCE TRUST 2009 form 5500 responses
2009-07-01Type of plan entityMulitple employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 1
Insurance contract or identification number001007070
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $0
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 3
Insurance contract or identification numberN17790
Number of Individuals Covered230
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $97,731
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 2
Insurance contract or identification number001007070
Number of Individuals Covered412
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $152,494
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number299566
Policy instance 1
Insurance contract or identification number299566
Number of Individuals Covered134
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $142,830
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN23381
Policy instance 4
Insurance contract or identification numberN23381
Number of Individuals Covered276
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $60,399
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR050087
Policy instance 5
Insurance contract or identification numberVAR050087
Number of Individuals Covered72
Insurance policy start date2018-07-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH AND DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $2,764
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90001823
Policy instance 6
Insurance contract or identification number90001823
Number of Individuals Covered18
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $49,777
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number299566
Policy instance 3
Insurance contract or identification number299566
Number of Individuals Covered153
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $157,601
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR050087
Policy instance 4
Insurance contract or identification numberVAR050087
Number of Individuals Covered389
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedVOLUNTARY AD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $14,913
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 1
Insurance contract or identification numberN17790
Number of Individuals Covered225
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $197,000
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN23381
Policy instance 5
Insurance contract or identification numberN23381
Number of Individuals Covered276
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $121,787
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number90001823
Policy instance 2
Insurance contract or identification number90001823
Number of Individuals Covered42
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $84,812
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 6
Insurance contract or identification number001007070
Number of Individuals Covered520
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $648,510
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 4
Insurance contract or identification number001007070
Number of Individuals Covered2413
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $24,840
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract numberAIN2995661
Policy instance 3
Insurance contract or identification numberAIN2995661
Number of Individuals Covered166
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $166,478
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 1
Insurance contract or identification numberN17790
Number of Individuals Covered477
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $345,997
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN23381
Policy instance 2
Insurance contract or identification numberN23381
Number of Individuals Covered514
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $237,976
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR050087
Policy instance 5
Insurance contract or identification numberVAR050087
Number of Individuals Covered423
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
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
Other welfare benefits providedVOLUNTARY AD&D
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $40,896
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number299566
Policy instance 3
Insurance contract or identification number299566
Number of Individuals Covered166
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $146,276
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 4
Insurance contract or identification number001007070
Number of Individuals Covered2348
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 BenefitYes
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $22,608
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 1
Insurance contract or identification numberN17790
Number of Individuals Covered487
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $347,231
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN23381
Policy instance 2
Insurance contract or identification numberN23381
Number of Individuals Covered504
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $221,484
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 3
Insurance contract or identification number001007070
Number of Individuals Covered1074
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 2
Insurance contract or identification numberN17790
Number of Individuals Covered557
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?Yes
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
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 050087
Policy instance 1
Insurance contract or identification numberVAR 050087
Number of Individuals Covered517
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
Other welfare benefits providedVOLUNTARY AD&D
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
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 050087
Policy instance 1
Insurance contract or identification numberVAR 050087
Number of Individuals Covered517
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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
Other welfare benefits providedVOLUNTARY AD&D
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
ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )
Policy contract number001007070
Policy instance 3
Insurance contract or identification number001007070
Number of Individuals Covered1109
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 BenefitYes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 2
Insurance contract or identification numberN17790
Number of Individuals Covered604
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 2
Insurance contract or identification numberN17790
Number of Individuals Covered886
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 050087
Policy instance 1
Insurance contract or identification numberVAR 050087
Number of Individuals Covered631
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Other welfare benefits providedVOLUNTARY AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
RELIANCE STANDARD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68381 )
Policy contract numberVAR 050087
Policy instance 1
Insurance contract or identification numberVAR 050087
Number of Individuals Covered692
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Other welfare benefits providedVOLUNTARY AD&D
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract numberN17790
Policy instance 2
Insurance contract or identification numberN17790
Number of Individuals Covered1669
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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