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PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 401k Plan overview

Plan NamePARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN
Plan identification number 001

PARTNERS IN SCHOOL INNOVATION DC RETIREMENT 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.

401k Sponsoring company profile

PARTNERS IN SCHOOL INNOVATION has sponsored the creation of one or more 401k plans.

Company Name:PARTNERS IN SCHOOL INNOVATION
Employer identification number (EIN):943205455
NAIC Classification:611000

Additional information about PARTNERS IN SCHOOL INNOVATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1884004

More information about PARTNERS IN SCHOOL INNOVATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01DEREK S. MITCHELL2024-09-24 CHRISTOPHER A THORN2024-04-28
0012022-01-01DEREK S MITCHELL2023-06-22 CHRISTOPHER A THORN2023-06-22
0012021-01-01DEREK S MITCHELL2022-10-13 CHRISTOPHER A THORN2022-10-11
0012020-01-01DEREK MITCHELL2021-10-05 CHRISTOPHER THORN2021-10-05
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01TONY PARKER TONY PARKER2018-10-10
0012017-01-01
0012016-01-01JAMES A. AHRENS2017-10-16 JAMES A. AHRENS2017-10-16
0012015-01-01JAMES AHRENS2016-10-17 JAMES AHRENS2016-10-17
0012014-01-01JAMES AHRENS2015-10-09 JAMES AHRENS2015-10-09
0012013-01-01JAMES A. AHRENS2014-10-09 JAMES A. AHRENS2014-10-09
0012012-01-01JAMES A. AHRENS2013-10-14 JAMES A. AHRENS2013-10-14
0012011-01-01JAMES A. AHRENS2012-10-15 JAMES A. AHRENS2012-10-15
0012010-01-01GRACE S. PAIK2011-06-07 GRACE S. PAIK2011-06-07

Plan Statistics for PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN

401k plan membership statisitcs for PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN

Measure Date Value
2019: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01125
Total number of active participants reported on line 7a of the Form 55002019-01-0131
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0187
Total of all active and inactive participants2019-01-01118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01118
Number of participants with account balances2019-01-01114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01121
Total number of active participants reported on line 7a of the Form 55002018-01-0136
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0196
Total of all active and inactive participants2018-01-01132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01132
Number of participants with account balances2018-01-01123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-019
2017: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01121
Total number of active participants reported on line 7a of the Form 55002017-01-0145
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0176
Total of all active and inactive participants2017-01-01121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01121
Number of participants with account balances2017-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN

Measure Date Value
2019 : PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 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$1,014,133
Total income from all sources (including contributions)2019-12-31$1,014,133
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$413,599
Total of all expenses incurred2019-12-31$413,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$413,360
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$413,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$415,023
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$415,023
Value of total assets at end of year2019-12-31$4,205,899
Value of total assets at end of year2019-12-31$4,205,899
Value of total assets at beginning of year2019-12-31$3,605,365
Value of total assets at beginning of year2019-12-31$3,605,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$239
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$239
Total interest from all sources2019-12-31$6,378
Total interest from all sources2019-12-31$6,378
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
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
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
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$171,312
Contributions received from participants2019-12-31$171,312
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$98,399
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$98,399
Administrative expenses (other) incurred2019-12-31$239
Administrative expenses (other) incurred2019-12-31$239
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
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$600,534
Value of net income/loss2019-12-31$600,534
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,205,899
Value of net assets at end of year (total assets less liabilities)2019-12-31$4,205,899
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,605,365
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$3,605,365
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,972,032
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$3,972,032
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,372,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$3,372,806
Value of interest in pooled separate accounts at end of year2019-12-31$53,408
Value of interest in pooled separate accounts at end of year2019-12-31$53,408
Value of interest in pooled separate accounts at beginning of year2019-12-31$44,647
Value of interest in pooled separate accounts at beginning of year2019-12-31$44,647
Interest earned on other investments2019-12-31$6,378
Interest earned on other investments2019-12-31$6,378
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$180,459
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$180,459
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$187,912
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$187,912
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$590,270
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$590,270
Net investment gain/loss from pooled separate accounts2019-12-31$2,462
Net investment gain/loss from pooled separate accounts2019-12-31$2,462
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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
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
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$145,312
Contributions received in cash from employer2019-12-31$145,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$413,360
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$413,360
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
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
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
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountancy firm name2019-12-31PENSION ASSURANCE
Accountancy firm name2019-12-31PENSION ASSURANCE
Accountancy firm EIN2019-12-31300840934
Accountancy firm EIN2019-12-31300840934
2018 : PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$243,019
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$327,820
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$327,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$389,116
Value of total assets at end of year2018-12-31$3,605,365
Value of total assets at beginning of year2018-12-31$3,690,166
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$0
Total interest from all sources2018-12-31$7,064
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$199,825
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,051
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-84,801
Value of net assets at end of year (total assets less liabilities)2018-12-31$3,605,365
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,690,166
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$3,372,806
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$3,441,286
Value of interest in pooled separate accounts at end of year2018-12-31$44,647
Value of interest in pooled separate accounts at beginning of year2018-12-31$33,449
Interest earned on other investments2018-12-31$7,064
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$187,912
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$215,431
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$14,820
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-154,850
Net investment gain/loss from pooled separate accounts2018-12-31$1,689
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$182,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$313,000
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31PENSION ASSURANCE LLP
Accountancy firm EIN2018-12-31300840934
2017 : PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$750,164
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$209,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$209,525
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$308,189
Value of total assets at end of year2017-12-31$3,690,166
Value of total assets at beginning of year2017-12-31$3,149,527
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$0
Total interest from all sources2017-12-31$6,825
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$149,787
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$23,026
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$540,639
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,690,166
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,149,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$3,441,286
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,953,976
Value of interest in pooled separate accounts at end of year2017-12-31$33,449
Value of interest in pooled separate accounts at beginning of year2017-12-31$33,635
Interest earned on other investments2017-12-31$6,825
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$215,431
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$161,916
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$15,245
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$433,567
Net investment gain/loss from pooled separate accounts2017-12-31$1,583
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$135,376
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$194,280
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31PENSION ASSURANCE LLP
Accountancy firm EIN2017-12-31300840934

Form 5500 Responses for PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN

2019: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan benefit arrangement – InsuranceYes
2017: PARTNERS IN SCHOOL INNOVATION DC RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330518
Policy instance 1
Insurance contract or identification number330518
Number of Individuals Covered114
Insurance policy start date2019-01-01
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 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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330518
Policy instance 1
Insurance contract or identification number330518
Number of Individuals Covered123
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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 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
TIAA-CREF (National Association of Insurance Commissioners NAIC id number: 69345 )
Policy contract number330518
Policy instance 1
Insurance contract or identification number330518
Number of Individuals Covered121
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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 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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