CITIZENS STATE BANK has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan CITIZENS STATE BANK PENSION TRUST
| Measure | Date | Value |
|---|
| 2023: CITIZENS STATE BANK PENSION TRUST 2023 401k membership |
|---|
| Total participants, beginning-of-year | 2023-04-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2023-04-01 | 15 |
| Total of all active and inactive participants | 2023-04-01 | 15 |
| Total participants | 2023-04-01 | 15 |
| 2022: CITIZENS STATE BANK PENSION TRUST 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-04-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-04-01 | 16 |
| Total of all active and inactive participants | 2022-04-01 | 16 |
| Total participants | 2022-04-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2022-04-01 | 1 |
| 2021: CITIZENS STATE BANK PENSION TRUST 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-04-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-04-01 | 14 |
| Total of all active and inactive participants | 2021-04-01 | 14 |
| Total participants | 2021-04-01 | 14 |
| 2020: CITIZENS STATE BANK PENSION TRUST 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-04-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-04-01 | 15 |
| Total of all active and inactive participants | 2020-04-01 | 15 |
| Total participants | 2020-04-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-04-01 | 2 |
| 2019: CITIZENS STATE BANK PENSION TRUST 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-04-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-04-01 | 17 |
| Total of all active and inactive participants | 2019-04-01 | 17 |
| Total participants | 2019-04-01 | 17 |
| 2018: CITIZENS STATE BANK PENSION TRUST 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-04-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-04-01 | 18 |
| Total of all active and inactive participants | 2018-04-01 | 18 |
| Total participants | 2018-04-01 | 18 |
| 2017: CITIZENS STATE BANK PENSION TRUST 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-04-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-04-01 | 19 |
| Total of all active and inactive participants | 2017-04-01 | 19 |
| Total participants | 2017-04-01 | 19 |
| 2016: CITIZENS STATE BANK PENSION TRUST 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-04-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-04-01 | 19 |
| Total of all active and inactive participants | 2016-04-01 | 19 |
| Total participants | 2016-04-01 | 19 |
| 2015: CITIZENS STATE BANK PENSION TRUST 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-04-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-04-01 | 18 |
| Total of all active and inactive participants | 2015-04-01 | 18 |
| Total participants | 2015-04-01 | 18 |
| 2014: CITIZENS STATE BANK PENSION TRUST 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-04-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-04-01 | 18 |
| Total of all active and inactive participants | 2014-04-01 | 18 |
| Total participants | 2014-04-01 | 18 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-04-01 | 2 |
| 2013: CITIZENS STATE BANK PENSION TRUST 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-04-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-04-01 | 18 |
| Total of all active and inactive participants | 2013-04-01 | 18 |
| Total participants | 2013-04-01 | 18 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-04-01 | 1 |
| 2012: CITIZENS STATE BANK PENSION TRUST 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-04-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-04-01 | 18 |
| Total of all active and inactive participants | 2012-04-01 | 18 |
| Total participants | 2012-04-01 | 18 |
| 2011: CITIZENS STATE BANK PENSION TRUST 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-04-01 | 22 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-04-01 | 21 |
| Total of all active and inactive participants | 2011-04-01 | 21 |
| Total participants | 2011-04-01 | 21 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-04-01 | 1 |
| 2009: CITIZENS STATE BANK PENSION TRUST 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-04-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-04-01 | 21 |
| Total of all active and inactive participants | 2009-04-01 | 21 |
| Total participants | 2009-04-01 | 21 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-04-01 | 1 |
| 2023: CITIZENS STATE BANK PENSION TRUST 2023 form 5500 responses |
|---|
| 2023-04-01 | Type of plan entity | Single employer plan |
| 2023-04-01 | Submission has been amended | No |
| 2023-04-01 | This submission is the final filing | No |
| 2023-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2023-04-01 | Plan is a collectively bargained plan | No |
| 2023-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2023-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2022: CITIZENS STATE BANK PENSION TRUST 2022 form 5500 responses |
|---|
| 2022-04-01 | Type of plan entity | Single employer plan |
| 2022-04-01 | Submission has been amended | No |
| 2022-04-01 | This submission is the final filing | No |
| 2022-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-04-01 | Plan is a collectively bargained plan | No |
| 2022-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2022-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2021: CITIZENS STATE BANK PENSION TRUST 2021 form 5500 responses |
|---|
| 2021-04-01 | Type of plan entity | Single employer plan |
| 2021-04-01 | Submission has been amended | No |
| 2021-04-01 | This submission is the final filing | No |
| 2021-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-04-01 | Plan is a collectively bargained plan | No |
| 2021-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2021-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2020: CITIZENS STATE BANK PENSION TRUST 2020 form 5500 responses |
|---|
| 2020-04-01 | Type of plan entity | Single employer plan |
| 2020-04-01 | Submission has been amended | No |
| 2020-04-01 | This submission is the final filing | No |
| 2020-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-04-01 | Plan is a collectively bargained plan | No |
| 2020-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2020-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2019: CITIZENS STATE BANK PENSION TRUST 2019 form 5500 responses |
|---|
| 2019-04-01 | Type of plan entity | Single employer plan |
| 2019-04-01 | Submission has been amended | No |
| 2019-04-01 | This submission is the final filing | No |
| 2019-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-04-01 | Plan is a collectively bargained plan | No |
| 2019-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2019-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2018: CITIZENS STATE BANK PENSION TRUST 2018 form 5500 responses |
|---|
| 2018-04-01 | Type of plan entity | Single employer plan |
| 2018-04-01 | Submission has been amended | No |
| 2018-04-01 | This submission is the final filing | No |
| 2018-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-04-01 | Plan is a collectively bargained plan | No |
| 2018-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2018-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2017: CITIZENS STATE BANK PENSION TRUST 2017 form 5500 responses |
|---|
| 2017-04-01 | Type of plan entity | Single employer plan |
| 2017-04-01 | Submission has been amended | No |
| 2017-04-01 | This submission is the final filing | No |
| 2017-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-04-01 | Plan is a collectively bargained plan | No |
| 2017-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2017-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2016: CITIZENS STATE BANK PENSION TRUST 2016 form 5500 responses |
|---|
| 2016-04-01 | Type of plan entity | Single employer plan |
| 2016-04-01 | Submission has been amended | No |
| 2016-04-01 | This submission is the final filing | No |
| 2016-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-04-01 | Plan is a collectively bargained plan | No |
| 2016-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2016-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2015: CITIZENS STATE BANK PENSION TRUST 2015 form 5500 responses |
|---|
| 2015-04-01 | Type of plan entity | Single employer plan |
| 2015-04-01 | Submission has been amended | No |
| 2015-04-01 | This submission is the final filing | No |
| 2015-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-04-01 | Plan is a collectively bargained plan | No |
| 2015-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2015-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2014: CITIZENS STATE BANK PENSION TRUST 2014 form 5500 responses |
|---|
| 2014-04-01 | Type of plan entity | Single employer plan |
| 2014-04-01 | Submission has been amended | No |
| 2014-04-01 | This submission is the final filing | No |
| 2014-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-04-01 | Plan is a collectively bargained plan | No |
| 2014-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2014-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2013: CITIZENS STATE BANK PENSION TRUST 2013 form 5500 responses |
|---|
| 2013-04-01 | Type of plan entity | Single employer plan |
| 2013-04-01 | Submission has been amended | No |
| 2013-04-01 | This submission is the final filing | No |
| 2013-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-04-01 | Plan is a collectively bargained plan | No |
| 2013-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2013-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2012: CITIZENS STATE BANK PENSION TRUST 2012 form 5500 responses |
|---|
| 2012-04-01 | Type of plan entity | Single employer plan |
| 2012-04-01 | Submission has been amended | No |
| 2012-04-01 | This submission is the final filing | No |
| 2012-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-04-01 | Plan is a collectively bargained plan | No |
| 2012-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2012-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2011: CITIZENS STATE BANK PENSION TRUST 2011 form 5500 responses |
|---|
| 2011-04-01 | Type of plan entity | Single employer plan |
| 2011-04-01 | Submission has been amended | No |
| 2011-04-01 | This submission is the final filing | No |
| 2011-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-04-01 | Plan is a collectively bargained plan | No |
| 2011-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2011-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2009: CITIZENS STATE BANK PENSION TRUST 2009 form 5500 responses |
|---|
| 2009-04-01 | Type of plan entity | Single employer plan |
| 2009-04-01 | Submission has been amended | No |
| 2009-04-01 | This submission is the final filing | No |
| 2009-04-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-04-01 | Plan is a collectively bargained plan | No |
| 2009-04-01 | Plan funding arrangement – Section 412(e)(3) insurance Contracts | Yes |
| 2009-04-01 | Plan benefit arrangement – Section 412(e)(3) insurance Contracts | Yes |
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2023-04-01 | | Insurance policy end date | 2024-03-31 | | Total amount of commissions paid to insurance broker | USD $4,783 | | Total amount of fees paid to insurance company | USD $8,810 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 16 | | Insurance policy start date | 2022-04-01 | | Insurance policy end date | 2023-03-31 | | Total amount of commissions paid to insurance broker | USD $4,022 | | Total amount of fees paid to insurance company | USD $7,713 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3 | | Amount paid for insurance broker fees | 1 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 14 | | Insurance policy start date | 2021-04-01 | | Insurance policy end date | 2022-03-31 | | Total amount of commissions paid to insurance broker | USD $3,086 | | Total amount of fees paid to insurance company | USD $7,765 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $14 | | Amount paid for insurance broker fees | 2 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 15 | | Insurance policy start date | 2020-04-01 | | Insurance policy end date | 2021-03-31 | | Total amount of commissions paid to insurance broker | USD $3,806 | | Total amount of fees paid to insurance company | USD $8,473 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,058 | | Amount paid for insurance broker fees | 187 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 17 | | Insurance policy start date | 2019-04-01 | | Insurance policy end date | 2020-03-31 | | Total amount of commissions paid to insurance broker | USD $2,959 | | Total amount of fees paid to insurance company | USD $7,655 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,013 | | Amount paid for insurance broker fees | 151 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2018-04-01 | | Insurance policy end date | 2019-03-31 | | Total amount of commissions paid to insurance broker | USD $3,212 | | Total amount of fees paid to insurance company | USD $8,277 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $39 | | Amount paid for insurance broker fees | 10 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 19 | | Insurance policy start date | 2017-04-01 | | Insurance policy end date | 2018-03-31 | | Total amount of commissions paid to insurance broker | USD $3,009 | | Total amount of fees paid to insurance company | USD $7,578 | | Are there contracts with allocated funds for individual policies? | 1 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $45 | | Amount paid for insurance broker fees | 10 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 | | Insurance broker name | GARY D KAMRATH |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2015-04-01 | | Insurance policy end date | 2016-03-31 | | Total amount of commissions paid to insurance broker | USD $3,537 | | Total amount of fees paid to insurance company | USD $6,313 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $906 | | Amount paid for insurance broker fees | 170 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 | | Insurance broker name | STEVE BEDFORD |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2014-04-01 | | Insurance policy end date | 2015-03-31 | | Total amount of commissions paid to insurance broker | USD $3,729 | | Total amount of fees paid to insurance company | USD $6,189 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $932 | | Amount paid for insurance broker fees | 219 | | Additional information about fees paid to insurance broker | OTHER | | Insurance broker organization code? | 3 | | Insurance broker name | STEVE BEDFORD |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2013-04-01 | | Insurance policy end date | 2014-03-31 | | Total amount of commissions paid to insurance broker | USD $2,940 | | Total amount of fees paid to insurance company | USD $5,763 | | Are there contracts with allocated funds for individual policies? | Yes | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $856 | | Amount paid for insurance broker fees | 175 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 | | Insurance broker name | RICHARD N. BROER |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 18 | | Insurance policy start date | 2012-04-01 | | Insurance policy end date | 2013-03-31 | | Total amount of commissions paid to insurance broker | USD $3,310 | | Total amount of fees paid to insurance company | USD $6,002 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $772 | | Amount paid for insurance broker fees | 3031 | | Additional information about fees paid to insurance broker | SERVICING | | Insurance broker organization code? | 3 | | Insurance broker name | KEITH A. ERHARD |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 21 | | Insurance policy start date | 2011-04-01 | | Insurance policy end date | 2012-03-31 | | Total amount of commissions paid to insurance broker | USD $1,002 | | Total amount of fees paid to insurance company | USD $4,380 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 ) |
| Policy contract number | 02251 |
| Policy instance | 1 |
| Insurance contract or identification number | 02251 | | Number of Individuals Covered | 22 | | Insurance policy start date | 2010-04-01 | | Insurance policy end date | 2011-03-31 | | Total amount of commissions paid to insurance broker | USD $1,542 | | Total amount of fees paid to insurance company | USD $4,251 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
