FIRST COMMUNITY CREDIT UNION has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION
401k plan membership statisitcs for AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION
| Measure | Date | Value |
|---|
| 2021: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-03-01 | 253 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-03-01 | 0 |
| Total of all active and inactive participants | 2021-03-01 | 0 |
| 2020: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-03-01 | 243 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-03-01 | 253 |
| Number of retired or separated participants receiving benefits | 2020-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-03-01 | 0 |
| Total of all active and inactive participants | 2020-03-01 | 253 |
| 2019: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-03-01 | 248 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-03-01 | 243 |
| Number of retired or separated participants receiving benefits | 2019-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-03-01 | 0 |
| Total of all active and inactive participants | 2019-03-01 | 243 |
| 2018: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-03-01 | 220 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-03-01 | 248 |
| Number of retired or separated participants receiving benefits | 2018-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-03-01 | 0 |
| Total of all active and inactive participants | 2018-03-01 | 248 |
| 2017: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-03-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-03-01 | 210 |
| Number of retired or separated participants receiving benefits | 2017-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-03-01 | 0 |
| Total of all active and inactive participants | 2017-03-01 | 210 |
| 2016: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-03-01 | 155 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-03-01 | 153 |
| Number of retired or separated participants receiving benefits | 2016-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-03-01 | 0 |
| Total of all active and inactive participants | 2016-03-01 | 153 |
| 2015: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-03-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-03-01 | 155 |
| Number of retired or separated participants receiving benefits | 2015-03-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-03-01 | 0 |
| Total of all active and inactive participants | 2015-03-01 | 155 |
| 2014: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-03-22 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-03-22 | 138 |
| Number of retired or separated participants receiving benefits | 2014-03-22 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-03-22 | 0 |
| Total of all active and inactive participants | 2014-03-22 | 138 |
| 2013: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-03-22 | 132 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-03-22 | 138 |
| Number of retired or separated participants receiving benefits | 2013-03-22 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-03-22 | 0 |
| Total of all active and inactive participants | 2013-03-22 | 138 |
| 2012: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-03-22 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-03-22 | 132 |
| Number of retired or separated participants receiving benefits | 2012-03-22 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-03-22 | 0 |
| Total of all active and inactive participants | 2012-03-22 | 132 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-03-22 | 0 |
| Total participants | 2012-03-22 | 132 |
| Number of participants with account balances | 2012-03-22 | 0 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-03-22 | 0 |
| 2011: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-03-22 | 124 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-03-22 | 124 |
| Number of retired or separated participants receiving benefits | 2011-03-22 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-03-22 | 0 |
| Total of all active and inactive participants | 2011-03-22 | 124 |
| 2021: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2021 form 5500 responses |
|---|
| 2021-03-01 | Type of plan entity | Single employer plan |
| 2021-03-01 | This submission is the final filing | Yes |
| 2021-03-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2021-03-01 | Plan funding arrangement – Insurance | Yes |
| 2021-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2020 form 5500 responses |
|---|
| 2020-03-01 | Type of plan entity | Single employer plan |
| 2020-03-01 | Submission has been amended | No |
| 2020-03-01 | This submission is the final filing | No |
| 2020-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-03-01 | Plan is a collectively bargained plan | No |
| 2020-03-01 | Plan funding arrangement – Insurance | Yes |
| 2020-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2019 form 5500 responses |
|---|
| 2019-03-01 | Type of plan entity | Single employer plan |
| 2019-03-01 | Submission has been amended | No |
| 2019-03-01 | This submission is the final filing | No |
| 2019-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-03-01 | Plan is a collectively bargained plan | No |
| 2019-03-01 | Plan funding arrangement – Insurance | Yes |
| 2019-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2018 form 5500 responses |
|---|
| 2018-03-01 | Type of plan entity | Single employer plan |
| 2018-03-01 | Submission has been amended | No |
| 2018-03-01 | This submission is the final filing | No |
| 2018-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-03-01 | Plan is a collectively bargained plan | No |
| 2018-03-01 | Plan funding arrangement – Insurance | Yes |
| 2018-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2017 form 5500 responses |
|---|
| 2017-03-01 | Type of plan entity | Single employer plan |
| 2017-03-01 | Submission has been amended | No |
| 2017-03-01 | This submission is the final filing | No |
| 2017-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-03-01 | Plan is a collectively bargained plan | No |
| 2017-03-01 | Plan funding arrangement – Insurance | Yes |
| 2017-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2016 form 5500 responses |
|---|
| 2016-03-01 | Type of plan entity | Single employer plan |
| 2016-03-01 | Submission has been amended | No |
| 2016-03-01 | This submission is the final filing | No |
| 2016-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-03-01 | Plan is a collectively bargained plan | No |
| 2016-03-01 | Plan funding arrangement – Insurance | Yes |
| 2016-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2015 form 5500 responses |
|---|
| 2015-03-01 | Type of plan entity | Single employer plan |
| 2015-03-01 | Submission has been amended | No |
| 2015-03-01 | This submission is the final filing | No |
| 2015-03-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-03-01 | Plan is a collectively bargained plan | No |
| 2015-03-01 | Plan funding arrangement – Insurance | Yes |
| 2015-03-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2014 form 5500 responses |
|---|
| 2014-03-22 | Type of plan entity | Single employer plan |
| 2014-03-22 | Submission has been amended | No |
| 2014-03-22 | This submission is the final filing | No |
| 2014-03-22 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2014-03-22 | Plan is a collectively bargained plan | No |
| 2014-03-22 | Plan funding arrangement – Insurance | Yes |
| 2014-03-22 | Plan benefit arrangement – Insurance | Yes |
| 2013: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2013 form 5500 responses |
|---|
| 2013-03-22 | Type of plan entity | Single employer plan |
| 2013-03-22 | Submission has been amended | No |
| 2013-03-22 | This submission is the final filing | No |
| 2013-03-22 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-03-22 | Plan is a collectively bargained plan | No |
| 2013-03-22 | Plan funding arrangement – Insurance | Yes |
| 2013-03-22 | Plan benefit arrangement – Insurance | Yes |
| 2012: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2012 form 5500 responses |
|---|
| 2012-03-22 | Type of plan entity | Single employer plan |
| 2012-03-22 | Submission has been amended | No |
| 2012-03-22 | This submission is the final filing | No |
| 2012-03-22 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-03-22 | Plan is a collectively bargained plan | No |
| 2012-03-22 | Plan funding arrangement – Insurance | Yes |
| 2012-03-22 | Plan benefit arrangement – Insurance | Yes |
| 2011: AD&D PLAN FOR EMPLOYEES OF FIRST COMMUNITY CREDIT UNION 2011 form 5500 responses |
|---|
| 2011-03-22 | Type of plan entity | Single employer plan |
| 2011-03-22 | First time form 5500 has been submitted | Yes |
| 2011-03-22 | Submission has been amended | No |
| 2011-03-22 | This submission is the final filing | No |
| 2011-03-22 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-03-22 | Plan is a collectively bargained plan | No |
| 2011-03-22 | Plan funding arrangement – Insurance | Yes |
| 2011-03-22 | Plan benefit arrangement – Insurance | Yes |
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-07 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-07 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2021-03-01 | | Insurance policy end date | 2021-12-31 | | Total amount of commissions paid to insurance broker | USD $1,424 | | Total amount of fees paid to insurance company | USD $0 | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $7,123 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,424 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-04 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-04 | | Number of Individuals Covered | 249 | | Insurance policy start date | 2020-03-01 | | Insurance policy end date | 2021-02-28 | | Total amount of commissions paid to insurance broker | USD $1,643 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | ACCIDENTAL 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 Carrier | USD $8,217 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,643 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-04 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-04 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2019-03-01 | | Insurance policy end date | 2020-02-29 | | Total amount of commissions paid to insurance broker | USD $1,386 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $6,930 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,386 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-04 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-04 | | Number of Individuals Covered | 210 | | Insurance policy start date | 2018-03-01 | | Insurance policy end date | 2019-02-28 | | Total amount of commissions paid to insurance broker | USD $1,386 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $6,930 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,386 | | Insurance broker organization code? | 3 |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-03 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-03 | | Number of Individuals Covered | 159 | | Insurance policy start date | 2017-03-01 | | Insurance policy end date | 2018-02-28 | | Total amount of commissions paid to insurance broker | USD $1,049 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $5,247 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,049 | | Insurance broker organization code? | 3 | | Insurance broker name | DIGITAL INSURANCE, INC |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-01 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-01 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2015-03-01 | | Insurance policy end date | 2016-02-29 | | Total amount of commissions paid to insurance broker | USD $1,010 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $5,049 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,010 | | Insurance broker organization code? | 3 | | Insurance broker name | DIGITAL INSURANCE, INC |
|
| ZURICH AMERICAN INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 16535 ) |
| Policy contract number | GTU-5950667-00 |
| Policy instance | 1 |
| Insurance contract or identification number | GTU-5950667-00 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2014-03-01 | | Insurance policy end date | 2015-02-28 | | Total amount of commissions paid to insurance broker | USD $911 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $4,554 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $911 | | Insurance broker organization code? | 3 | | Insurance broker name | DIGITAL INSURANCE, INC |
|
| CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 ) |
| Policy contract number | 033-0021-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 033-0021-5 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2013-03-22 | | Insurance policy end date | 2014-03-21 | | 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 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 | | Other welfare benefits provided | 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 Carrier | USD $4,653 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 ) |
| Policy contract number | 033-0021-5 |
| Policy instance | 1 |
| Insurance contract or identification number | 033-0021-5 | | Number of Individuals Covered | 132 | | Insurance policy start date | 2012-03-22 | | Insurance policy end date | 2013-03-21 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | 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 Carrier | USD $4,340 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| CUNA MUTUAL GROUP (National Association of Insurance Commissioners NAIC id number: 62626 ) |
| Policy contract number | 023-0401-8 |
| Policy instance | 1 |
| Insurance contract or identification number | 023-0401-8 | | Number of Individuals Covered | 124 | | Insurance policy start date | 2011-03-22 | | Insurance policy end date | 2012-03-21 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 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 | | Other welfare benefits provided | ACCIDENTAL DEATH & 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 Carrier | USD $4,092 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
