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INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 401k Plan overview

Plan NameINSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN
Plan identification number 001

INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

INSTITUTE FOR PUBLIC HEALTH INNOVATION has sponsored the creation of one or more 401k plans.

Company Name:INSTITUTE FOR PUBLIC HEALTH INNOVATION
Employer identification number (EIN):463039129
NAIC Classification:624100
NAIC Description: Individual and Family Services

Additional information about INSTITUTE FOR PUBLIC HEALTH INNOVATION

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2015-08-03
Company Identification Number: F200237
Legal Registered Office Address: 4701 COX RD STE 285

GLEN ALLEN
United States of America (USA)
20036-6802

More information about INSTITUTE FOR PUBLIC HEALTH INNOVATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01MICHAEL RHEIN2020-07-22 MICHAEL RHEIN2020-07-22
0012018-01-01MICHAEL RHEIN2019-07-22 MICHAEL RHEIN2019-07-22
0012017-01-01MICHAEL RHEIN2018-10-15 MICHAEL RHEIN2018-10-15
0012016-07-01MICHAEL RHEIN2017-08-30 MICHAEL RHEIN2017-08-30

Plan Statistics for INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN

401k plan membership statisitcs for INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN

Measure Date Value
2023: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01435
Total number of active participants reported on line 7a of the Form 55002023-01-0169
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-01171
Total of all active and inactive participants2023-01-01240
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01240
Number of participants with account balances2023-01-01240
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0118
2022: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01519
Total number of active participants reported on line 7a of the Form 55002022-01-01119
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01270
Total of all active and inactive participants2022-01-01389
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01389
Number of participants with account balances2022-01-01389
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01333
2021: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01423
Total number of active participants reported on line 7a of the Form 55002021-01-01435
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0184
Total of all active and inactive participants2021-01-01519
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01519
Number of participants with account balances2021-01-01455
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01401
2020: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0137
Total number of active participants reported on line 7a of the Form 55002020-01-01399
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0124
Total of all active and inactive participants2020-01-01423
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01423
Number of participants with account balances2020-01-01423
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01122

Financial Data on INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN

Measure Date Value
2023 : INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,075,916
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$1,285,098
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$1,181,347
Expenses. Certain deemed distributions of participant loans2023-12-31$6,607
Value of total corrective distributions2023-12-31$28,415
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$265,506
Value of total assets at end of year2023-12-31$4,976,527
Value of total assets at beginning of year2023-12-31$5,185,709
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$68,729
Total interest from all sources2023-12-31$23,362
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$94,097
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$94,097
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$241,178
Participant contributions at end of year2023-12-31$52,941
Participant contributions at beginning of year2023-12-31$16,163
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$475
Other income not declared elsewhere2023-12-31$42
Total non interest bearing cash at beginning of year2023-12-31$2,054
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-209,182
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,976,527
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$5,185,709
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$4,476,688
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$4,907,384
Interest on participant loans2023-12-31$1,282
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2023-12-31$436,451
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2023-12-31$130,704
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2023-12-31$130,704
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2023-12-31$22,080
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$615
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$7,089
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$692,909
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$23,853
Employer contributions (assets) at end of year2023-12-31$9,832
Employer contributions (assets) at beginning of year2023-12-31$122,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$1,181,347
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31JONES, MARESCA & MCQUADE, P.A.
Accountancy firm EIN2023-12-31521853933
2022 : INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$5,133
Total income from all sources (including contributions)2022-12-31$477,449
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$635,566
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$587,630
Value of total corrective distributions2022-12-31$441
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,469,997
Value of total assets at end of year2022-12-31$5,185,709
Value of total assets at beginning of year2022-12-31$5,348,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$47,495
Total interest from all sources2022-12-31$1,877
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$73,350
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$73,350
Administrative expenses professional fees incurred2022-12-31$47,495
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$427,160
Participant contributions at end of year2022-12-31$16,163
Participant contributions at beginning of year2022-12-31$14,877
Participant contributions at beginning of year2022-12-31$659
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$6,508
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$705
Other income not declared elsewhere2022-12-31$100
Liabilities. Value of operating payables at beginning of year2022-12-31$260
Total non interest bearing cash at end of year2022-12-31$2,054
Total non interest bearing cash at beginning of year2022-12-31$4,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-158,117
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,185,709
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,343,826
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$4,907,384
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$4,969,497
Interest on participant loans2022-12-31$1,335
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$130,704
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$59,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$59,196
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$542
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$7,089
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$6,158
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-1,067,875
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$1,036,329
Employer contributions (assets) at end of year2022-12-31$122,315
Employer contributions (assets) at beginning of year2022-12-31$294,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$587,630
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$4,168
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31JM&M
Accountancy firm EIN2022-12-31521853933
2021 : INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,133
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,991,968
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$282,068
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$256,595
Expenses. Certain deemed distributions of participant loans2021-12-31$860
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,442,803
Value of total assets at end of year2021-12-31$5,348,959
Value of total assets at beginning of year2021-12-31$2,633,926
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$24,613
Total interest from all sources2021-12-31$1,055
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$103,196
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$103,196
Administrative expenses professional fees incurred2021-12-31$24,613
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$711,724
Participant contributions at end of year2021-12-31$14,877
Participant contributions at beginning of year2021-12-31$24,170
Participant contributions at end of year2021-12-31$659
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$31,583
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$705
Other income not declared elsewhere2021-12-31$107
Liabilities. Value of operating payables at end of year2021-12-31$260
Total non interest bearing cash at end of year2021-12-31$4,444
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$2,709,900
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,343,826
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$2,633,926
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$4,969,497
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,603,230
Interest on participant loans2021-12-31$1,043
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$59,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$4,804
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$4,804
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-12-31$12
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$6,158
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,722
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$444,807
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31Yes
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$1,699,496
Employer contributions (assets) at end of year2021-12-31$294,128
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$256,595
Liabilities. Value of benefit claims payable at end of year2021-12-31$4,168
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31JM&M
Accountancy firm EIN2021-12-31521853933
2020 : INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-12-31$1,356,280
Expenses. Total of all expenses incurred2020-12-31$90,863
Benefits paid (including direct rollovers)2020-12-31$67,715
Total plan assets at end of year2020-12-31$2,633,926
Total plan assets at beginning of year2020-12-31$1,368,509
Value of fidelity bond covering the plan2020-12-31$385,000
Total contributions received or receivable from participants2020-12-31$409,780
Contributions received from other sources (not participants or employers)2020-12-31$5,737
Other income received2020-12-31$283,887
Net income (gross income less expenses)2020-12-31$1,265,417
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,633,926
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,368,509
Assets. Value of participant loans2020-12-31$24,170
Total contributions received or receivable from employer(s)2020-12-31$656,876
Value of certain deemed distributions of participant loans2020-12-31$7,150
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$15,998
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0

Form 5500 Responses for INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN

2023: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: INSTITUTE FOR PUBLIC HEALTH INNOVATION 403(B) RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63788
Policy instance 1
Insurance contract or identification numberGA-63788
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63788
Policy instance 1
Insurance contract or identification numberGA-63788
Number of Individuals Covered4
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63788
Policy instance 1
Insurance contract or identification numberGA-63788
Number of Individuals Covered6
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )
Policy contract numberGA-63788
Policy instance 1
Insurance contract or identification numberGA-63788
Number of Individuals Covered5
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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