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EQHEALTH SOLUTIONS, LLC 401(K) PLAN 401k Plan overview

Plan NameEQHEALTH SOLUTIONS, LLC 401(K) PLAN
Plan identification number 001

EQHEALTH SOLUTIONS, LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • 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 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

EQHEALTH SOLUTIONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:EQHEALTH SOLUTIONS, LLC
Employer identification number (EIN):833866855
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Additional information about EQHEALTH SOLUTIONS, LLC

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 2019-07-01
Company Identification Number: 0803358372
Legal Registered Office Address: 777 E PARK DR

HARRISBURG
United States of America (USA)
17111

More information about EQHEALTH SOLUTIONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EQHEALTH SOLUTIONS, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01ROSE UNGARO2023-03-01
0012021-01-01ROSE UNGARO2022-10-16
0012020-01-01CHRISTINE GATLIN2021-08-03
0012019-11-01CHRISTINE GATLIN2020-05-19

Plan Statistics for EQHEALTH SOLUTIONS, LLC 401(K) PLAN

401k plan membership statisitcs for EQHEALTH SOLUTIONS, LLC 401(K) PLAN

Measure Date Value
2022: EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01106
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01392
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01106
Total of all active and inactive participants2021-01-01106
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01106
Number of participants with account balances2021-01-01106
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01384
Total number of active participants reported on line 7a of the Form 55002020-01-01368
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 participants2020-01-01392
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01392
Number of participants with account balances2020-01-01357
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-11-01365
Total number of active participants reported on line 7a of the Form 55002019-11-01376
Number of retired or separated participants receiving benefits2019-11-010
Number of other retired or separated participants entitled to future benefits2019-11-018
Total of all active and inactive participants2019-11-01384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-11-010
Total participants2019-11-01384
Number of participants with account balances2019-11-01310
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-11-010

Financial Data on EQHEALTH SOLUTIONS, LLC 401(K) PLAN

Measure Date Value
2022 : EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-05-18$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-18$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-18$0
Total income from all sources (including contributions)2022-05-18$-113,645
Total loss/gain on sale of assets2022-05-18$0
Total of all expenses incurred2022-05-18$2,256,381
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-18$2,247,874
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-18$0
Value of total assets at end of year2022-05-18$0
Value of total assets at beginning of year2022-05-18$2,370,026
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-18$8,507
Total interest from all sources2022-05-18$523
Total dividends received (eg from common stock, registered investment company shares)2022-05-18$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-18Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-05-18$0
Was this plan covered by a fidelity bond2022-05-18Yes
Value of fidelity bond cover2022-05-18$1,000,000
If this is an individual account plan, was there a blackout period2022-05-18No
Were there any nonexempt tranactions with any party-in-interest2022-05-18No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-18No
Value of net income/loss2022-05-18$-2,370,026
Value of net assets at end of year (total assets less liabilities)2022-05-18$0
Value of net assets at beginning of year (total assets less liabilities)2022-05-18$2,370,026
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-18No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-18No
Were any leases to which the plan was party in default or uncollectible2022-05-18No
Value of interest in pooled separate accounts at end of year2022-05-18$0
Value of interest in pooled separate accounts at beginning of year2022-05-18$1,691,122
Interest earned on other investments2022-05-18$523
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-05-18$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-05-18$678,904
Net investment gain/loss from pooled separate accounts2022-05-18$-114,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-18No
Was there a failure to transmit to the plan any participant contributions2022-05-18No
Has the plan failed to provide any benefit when due under the plan2022-05-18No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-05-18$2,247,874
Contract administrator fees2022-05-18$8,507
Did the plan have assets held for investment2022-05-18No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-18No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-18Yes
Opinion of an independent qualified public accountant for this plan2022-05-18Unqualified
Accountancy firm name2022-05-18MCKONLY & ASBURY LLP
Accountancy firm EIN2022-05-18231909723
2021 : EQHEALTH SOLUTIONS, LLC 401(K) 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$0
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$4,012,965
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$11,730,710
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$11,708,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,821,062
Value of total assets at end of year2021-12-31$2,370,026
Value of total assets at beginning of year2021-12-31$10,087,771
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$21,968
Total interest from all sources2021-12-31$31,006
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$1,286,314
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$750,454
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-7,717,745
Value of net assets at end of year (total assets less liabilities)2021-12-31$2,370,026
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,087,771
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 pooled separate accounts at end of year2021-12-31$1,691,122
Value of interest in pooled separate accounts at beginning of year2021-12-31$8,416,415
Interest earned on other investments2021-12-31$31,006
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$678,904
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$1,671,356
Net investment gain/loss from pooled separate accounts2021-12-31$1,160,897
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 contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$784,294
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$11,708,742
Contract administrator fees2021-12-31$21,968
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 name2021-12-31MCKONLY & ASBURY LLP
Accountancy firm EIN2021-12-31231909723
2020 : EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$9,501,418
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$350,364
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$343,229
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$8,665,176
Value of total assets at end of year2020-12-31$10,087,771
Value of total assets at beginning of year2020-12-31$936,717
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$7,135
Total interest from all sources2020-12-31$14,121
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,721,557
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$5,819,114
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$9,151,054
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,087,771
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$936,717
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$8,416,415
Value of interest in pooled separate accounts at beginning of year2020-12-31$494,574
Interest earned on other investments2020-12-31$14,121
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$1,671,356
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$442,143
Net investment gain/loss from pooled separate accounts2020-12-31$822,121
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,124,505
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$343,229
Contract administrator fees2020-12-31$7,135
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31ERNST & YOUNG LLP
Accountancy firm EIN2020-12-31346565596
2019 : EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$940,567
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$3,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$931,811
Value of total assets at end of year2019-12-31$936,717
Value of total assets at beginning of year2019-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$100
Total interest from all sources2019-12-31$234
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$96,332
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$767,044
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$936,717
Value of net assets at end of year (total assets less liabilities)2019-12-31$936,717
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$494,574
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest earned on other investments2019-12-31$234
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$442,143
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$8,522
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$68,435
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,750
Contract administrator fees2019-12-31$100
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No

Form 5500 Responses for EQHEALTH SOLUTIONS, LLC 401(K) PLAN

2022: EQHEALTH SOLUTIONS, LLC 401(K) 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 filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: EQHEALTH SOLUTIONS, LLC 401(K) 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: EQHEALTH SOLUTIONS, LLC 401(K) 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
2019: EQHEALTH SOLUTIONS, LLC 401(K) PLAN 2019 form 5500 responses
2019-11-01Type of plan entitySingle employer plan
2019-11-01First time form 5500 has been submittedYes
2019-11-01Submission has been amendedNo
2019-11-01This submission is the final filingNo
2019-11-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-11-01Plan is a collectively bargained planNo
2019-11-01Plan funding arrangement – InsuranceYes
2019-11-01Plan funding arrangement – TrustYes
2019-11-01Plan benefit arrangement – InsuranceYes
2019-11-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number813682
Policy instance 1
Insurance contract or identification number813682
Insurance policy start date2022-01-01
Insurance policy end date2022-05-18
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration1
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
Number of Individuals Covered0
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number813682
Policy instance 1
Insurance contract or identification number813682
Number of Individuals Covered106
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration1
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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number813682
Policy instance 1
Insurance contract or identification number813682
Number of Individuals Covered392
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration1
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
STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number813682
Policy instance 1
Insurance contract or identification number813682
Number of Individuals Covered384
Insurance policy start date2019-11-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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 Administration1
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

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