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CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 401k Plan overview

Plan NameCEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN
Plan identification number 001

CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CEDAR CREEK SCHOOL has sponsored the creation of one or more 401k plans.

Company Name:CEDAR CREEK SCHOOL
Employer identification number (EIN):720687240
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-08-01CINDY HAMPTON2024-05-15
0012021-08-01GWEN E BARRON2023-05-03
0012020-08-01GWEN E BARRON2022-05-11 CINDY HAMPTON2022-05-11
0012019-08-01GWEN E BARRON2020-11-03 ANDREW YEPSON2020-11-12
0012018-08-01
0012017-08-01
0012016-08-01GWEN E BARRON2018-05-14
0012016-08-01GWEN E BARRON2020-05-12
0012016-01-01GWEN BARRON2016-12-13 GWEN BARRON2016-12-13
0012015-01-01GWEN BARRON2015-12-09 GWEN BARRON2015-12-09
0012014-01-01GWEN BARRON2015-06-23 GWEN BARRON2015-06-23
0012013-01-01GWEN BARRON2014-06-19
0012012-01-01GWEN BARRON2013-08-08
0012011-01-01GWEN BARRON2012-06-20
0012010-01-01GWEN BARRON2011-09-08

Plan Statistics for CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN

401k plan membership statisitcs for CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2018: CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2018 401k membership
Total participants, beginning-of-year2018-08-01134
Total number of active participants reported on line 7a of the Form 55002018-08-0180
Number of retired or separated participants receiving benefits2018-08-010
Number of other retired or separated participants entitled to future benefits2018-08-019
Total of all active and inactive participants2018-08-0189
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-08-010
Total participants2018-08-0189
Number of participants with account balances2018-08-0185
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-08-011
2017: CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2017 401k membership
Total participants, beginning-of-year2017-08-01129
Total number of active participants reported on line 7a of the Form 55002017-08-01125
Number of retired or separated participants receiving benefits2017-08-010
Number of other retired or separated participants entitled to future benefits2017-08-019
Total of all active and inactive participants2017-08-01134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-08-010
Total participants2017-08-01134
Number of participants with account balances2017-08-0188
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-08-013

Financial Data on CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN

Measure Date Value
2019 : CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2019 401k financial data
Unrealized appreciation/depreciation of real estate assets2019-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2019-07-31$0
Total unrealized appreciation/depreciation of assets2019-07-31$0
Total transfer of assets to this plan2019-07-31$0
Total transfer of assets from this plan2019-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-07-31$0
Expenses. Interest paid2019-07-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022019-07-31$0
Total income from all sources (including contributions)2019-07-31$309,167
Total loss/gain on sale of assets2019-07-31$0
Total of all expenses incurred2019-07-31$162,990
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-07-31$150,365
Expenses. Certain deemed distributions of participant loans2019-07-31$0
Value of total corrective distributions2019-07-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-07-31$204,097
Value of total assets at end of year2019-07-31$2,669,146
Value of total assets at beginning of year2019-07-31$2,522,969
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-07-31$12,625
Total income from rents2019-07-31$0
Total interest from all sources2019-07-31$960
Total dividends received (eg from common stock, registered investment company shares)2019-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-07-31$0
Assets. Real estate other than employer real property at end of year2019-07-31$0
Assets. Real estate other than employer real property at beginning of year2019-07-31$0
Administrative expenses professional fees incurred2019-07-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2019-07-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2019-07-31$0
Was this plan covered by a fidelity bond2019-07-31Yes
Value of fidelity bond cover2019-07-31$200,000
If this is an individual account plan, was there a blackout period2019-07-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-07-31$0
Were there any nonexempt tranactions with any party-in-interest2019-07-31No
Contributions received from participants2019-07-31$111,238
Participant contributions at end of year2019-07-31$9,573
Participant contributions at beginning of year2019-07-31$18,195
Participant contributions at end of year2019-07-31$9,931
Participant contributions at beginning of year2019-07-31$9,191
Assets. Other investments not covered elsewhere at end of year2019-07-31$0
Assets. Other investments not covered elsewhere at beginning of year2019-07-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-07-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-07-31$0
Assets. Loans (other than to participants) at end of year2019-07-31$0
Assets. Loans (other than to participants) at beginning of year2019-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-07-31$0
Other income not declared elsewhere2019-07-31$0
Administrative expenses (other) incurred2019-07-31$0
Liabilities. Value of operating payables at end of year2019-07-31$0
Liabilities. Value of operating payables at beginning of year2019-07-31$0
Total non interest bearing cash at end of year2019-07-31$0
Total non interest bearing cash at beginning of year2019-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Income. Non cash contributions2019-07-31$0
Value of net income/loss2019-07-31$146,177
Value of net assets at end of year (total assets less liabilities)2019-07-31$2,669,146
Value of net assets at beginning of year (total assets less liabilities)2019-07-31$2,522,969
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-07-31No
Were any leases to which the plan was party in default or uncollectible2019-07-31No
Assets. partnership/joint venture interests at end of year2019-07-31$0
Assets. partnership/joint venture interests at beginning of year2019-07-31$0
Investment advisory and management fees2019-07-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-07-31$2,630,592
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-07-31$2,474,808
Value of interest in pooled separate accounts at end of year2019-07-31$0
Value of interest in pooled separate accounts at beginning of year2019-07-31$0
Interest on participant loans2019-07-31$582
Income. Interest from loans (other than to participants)2019-07-31$0
Interest earned on other investments2019-07-31$378
Income. Interest from US Government securities2019-07-31$0
Income. Interest from corporate debt instruments2019-07-31$0
Value of interest in master investment trust accounts at end of year2019-07-31$0
Value of interest in master investment trust accounts at beginning of year2019-07-31$0
Value of interest in common/collective trusts at end of year2019-07-31$0
Value of interest in common/collective trusts at beginning of year2019-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-07-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-07-31$11,042
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-07-31$12,759
Expenses. Payments to insurance carriers foe the provision of benefits2019-07-31$0
Asset value of US Government securities at end of year2019-07-31$0
Asset value of US Government securities at beginning of year2019-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-07-31$104,110
Net investment gain/loss from pooled separate accounts2019-07-31$0
Net investment gain or loss from common/collective trusts2019-07-31$0
Net gain/loss from 103.12 investment entities2019-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-07-31No
Was there a failure to transmit to the plan any participant contributions2019-07-31No
Has the plan failed to provide any benefit when due under the plan2019-07-31No
Assets. Invements in employer securities at end of year2019-07-31$0
Assets. Invements in employer securities at beginning of year2019-07-31$0
Assets. Value of employer real property at end of year2019-07-31$0
Assets. Value of employer real property at beginning of year2019-07-31$0
Contributions received in cash from employer2019-07-31$92,859
Employer contributions (assets) at end of year2019-07-31$8,008
Employer contributions (assets) at beginning of year2019-07-31$8,016
Income. Dividends from preferred stock2019-07-31$0
Income. Dividends from common stock2019-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-07-31$150,365
Asset. Corporate debt instrument preferred debt at end of year2019-07-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2019-07-31$0
Asset. Corporate debt instrument debt (other) at end of year2019-07-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2019-07-31$0
Contract administrator fees2019-07-31$12,625
Assets. Corporate common stocks other than exployer securities at end of year2019-07-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2019-07-31$0
Liabilities. Value of benefit claims payable at end of year2019-07-31$0
Liabilities. Value of benefit claims payable at beginning of year2019-07-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2019-07-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2019-07-31$0
Did the plan have assets held for investment2019-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-07-31No
Aggregate proceeds on sale of assets2019-07-31$0
Aggregate carrying amount (costs) on sale of assets2019-07-31$0
Liabilities. Value of acquisition indebtedness at end of year2019-07-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2019-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-07-31Yes
Opinion of an independent qualified public accountant for this plan2019-07-31Disclaimer
Accountancy firm name2019-07-31HEARD MCELROY AND VESTAL LLC
Accountancy firm EIN2019-07-31720398470
2018 : CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-07-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-07-31$0
Total unrealized appreciation/depreciation of assets2018-07-31$0
Total transfer of assets to this plan2018-07-31$0
Total transfer of assets from this plan2018-07-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-07-31$0
Expenses. Interest paid2018-07-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-07-31$0
Total income from all sources (including contributions)2018-07-31$385,805
Total loss/gain on sale of assets2018-07-31$0
Total of all expenses incurred2018-07-31$66,203
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-07-31$54,906
Expenses. Certain deemed distributions of participant loans2018-07-31$0
Value of total corrective distributions2018-07-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-07-31$206,084
Value of total assets at end of year2018-07-31$2,522,969
Value of total assets at beginning of year2018-07-31$2,203,367
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-07-31$11,297
Total income from rents2018-07-31$0
Total interest from all sources2018-07-31$1,123
Total dividends received (eg from common stock, registered investment company shares)2018-07-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-07-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-07-31$0
Assets. Real estate other than employer real property at end of year2018-07-31$0
Assets. Real estate other than employer real property at beginning of year2018-07-31$0
Administrative expenses professional fees incurred2018-07-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-07-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-07-31$0
Was this plan covered by a fidelity bond2018-07-31Yes
Value of fidelity bond cover2018-07-31$500,000
If this is an individual account plan, was there a blackout period2018-07-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-07-31$0
Were there any nonexempt tranactions with any party-in-interest2018-07-31No
Contributions received from participants2018-07-31$114,811
Participant contributions at end of year2018-07-31$18,195
Participant contributions at beginning of year2018-07-31$11,090
Participant contributions at end of year2018-07-31$9,191
Participant contributions at beginning of year2018-07-31$9,357
Assets. Other investments not covered elsewhere at end of year2018-07-31$0
Assets. Other investments not covered elsewhere at beginning of year2018-07-31$0
Income. Received or receivable in cash from other sources (including rollovers)2018-07-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-07-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-07-31$0
Assets. Loans (other than to participants) at end of year2018-07-31$0
Assets. Loans (other than to participants) at beginning of year2018-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-07-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-07-31$0
Other income not declared elsewhere2018-07-31$0
Administrative expenses (other) incurred2018-07-31$0
Liabilities. Value of operating payables at end of year2018-07-31$0
Liabilities. Value of operating payables at beginning of year2018-07-31$0
Total non interest bearing cash at end of year2018-07-31$0
Total non interest bearing cash at beginning of year2018-07-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Income. Non cash contributions2018-07-31$0
Value of net income/loss2018-07-31$319,602
Value of net assets at end of year (total assets less liabilities)2018-07-31$2,522,969
Value of net assets at beginning of year (total assets less liabilities)2018-07-31$2,203,367
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-07-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-07-31No
Were any leases to which the plan was party in default or uncollectible2018-07-31No
Assets. partnership/joint venture interests at end of year2018-07-31$0
Assets. partnership/joint venture interests at beginning of year2018-07-31$0
Investment advisory and management fees2018-07-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-07-31$2,474,808
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-07-31$2,152,998
Value of interest in pooled separate accounts at end of year2018-07-31$0
Value of interest in pooled separate accounts at beginning of year2018-07-31$0
Interest on participant loans2018-07-31$719
Income. Interest from loans (other than to participants)2018-07-31$0
Interest earned on other investments2018-07-31$404
Income. Interest from US Government securities2018-07-31$0
Income. Interest from corporate debt instruments2018-07-31$0
Value of interest in master investment trust accounts at end of year2018-07-31$0
Value of interest in master investment trust accounts at beginning of year2018-07-31$0
Value of interest in common/collective trusts at end of year2018-07-31$0
Value of interest in common/collective trusts at beginning of year2018-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-07-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-07-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-07-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-07-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-07-31$12,759
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-07-31$29,477
Expenses. Payments to insurance carriers foe the provision of benefits2018-07-31$0
Asset value of US Government securities at end of year2018-07-31$0
Asset value of US Government securities at beginning of year2018-07-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-07-31$178,598
Net investment gain/loss from pooled separate accounts2018-07-31$0
Net investment gain or loss from common/collective trusts2018-07-31$0
Net gain/loss from 103.12 investment entities2018-07-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-07-31No
Was there a failure to transmit to the plan any participant contributions2018-07-31No
Has the plan failed to provide any benefit when due under the plan2018-07-31No
Assets. Invements in employer securities at end of year2018-07-31$0
Assets. Invements in employer securities at beginning of year2018-07-31$0
Assets. Value of employer real property at end of year2018-07-31$0
Assets. Value of employer real property at beginning of year2018-07-31$0
Contributions received in cash from employer2018-07-31$91,273
Employer contributions (assets) at end of year2018-07-31$8,016
Employer contributions (assets) at beginning of year2018-07-31$445
Income. Dividends from preferred stock2018-07-31$0
Income. Dividends from common stock2018-07-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-07-31$54,906
Asset. Corporate debt instrument preferred debt at end of year2018-07-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-07-31$0
Asset. Corporate debt instrument debt (other) at end of year2018-07-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-07-31$0
Contract administrator fees2018-07-31$11,297
Assets. Corporate common stocks other than exployer securities at end of year2018-07-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-07-31$0
Liabilities. Value of benefit claims payable at end of year2018-07-31$0
Liabilities. Value of benefit claims payable at beginning of year2018-07-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2018-07-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-07-31$0
Did the plan have assets held for investment2018-07-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-07-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-07-31No
Aggregate proceeds on sale of assets2018-07-31$0
Aggregate carrying amount (costs) on sale of assets2018-07-31$0
Liabilities. Value of acquisition indebtedness at end of year2018-07-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-07-31$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-07-31Yes
Opinion of an independent qualified public accountant for this plan2018-07-31Disclaimer
Accountancy firm name2018-07-31HEARD, MCELROY AND VESTAL, LLC
Accountancy firm EIN2018-07-31720398470

Form 5500 Responses for CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN

2018: CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2018 form 5500 responses
2018-08-01Type of plan entitySingle employer plan
2018-08-01Submission has been amendedNo
2018-08-01This submission is the final filingNo
2018-08-01This return/report is a short plan year return/report (less than 12 months)No
2018-08-01Plan is a collectively bargained planNo
2018-08-01Plan funding arrangement – InsuranceYes
2018-08-01Plan benefit arrangement - TrustYes
2017: CEDAR CREEK SCHOOL 403(B) TAX-DEFERRED ANNUITY PLAN 2017 form 5500 responses
2017-08-01Type of plan entitySingle employer plan
2017-08-01Submission has been amendedNo
2017-08-01This submission is the final filingNo
2017-08-01This return/report is a short plan year return/report (less than 12 months)No
2017-08-01Plan is a collectively bargained planNo
2017-08-01Plan funding arrangement – InsuranceYes
2017-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76658
Policy instance 1
Insurance contract or identification numberG76658
Number of Individuals Covered85
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-751522
Policy instance 2
Insurance contract or identification numberGA-751522
Number of Individuals Covered34
Insurance policy start date2018-08-01
Insurance policy end date2019-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number751522
Policy instance 2
Insurance contract or identification number751522
Number of Individuals Covered34
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG76658
Policy instance 1
Insurance contract or identification numberG76658
Number of Individuals Covered88
Insurance policy start date2017-08-01
Insurance policy end date2018-07-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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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