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MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 401k Plan overview

Plan NameMONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION
Plan identification number 501

MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover

401k Sponsoring company profile

MONROY ASSET MANAGEMENT INC has sponsored the creation of one or more 401k plans.

Company Name:MONROY ASSET MANAGEMENT INC
Employer identification number (EIN):010604648
NAIC Classification:236200

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-07-01
5012020-07-01
5012019-07-01
5012018-07-01DENNIS MEHRINGER2020-04-14 LOUIS O MONROY JR2020-04-10
5012017-07-01DENNIS MEHRINGER2019-03-04 LOUIS O MONROY JR2019-03-21
5012016-07-01
5012015-07-01
5012014-07-01
5012013-07-01LOUIS MONROY
5012012-07-01LOUIS MONROY
5012011-07-01LOUIS MONROY
5012009-07-01LOUIS MONROY

Plan Statistics for MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION

401k plan membership statisitcs for MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION

Measure Date Value
2018: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2018 401k membership
Total participants, beginning-of-year2018-07-012
Total number of active participants reported on line 7a of the Form 55002018-07-012
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-010
Total of all active and inactive participants2018-07-012
2017: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2017 401k membership
Total participants, beginning-of-year2017-07-012
Total number of active participants reported on line 7a of the Form 55002017-07-012
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-010
Total of all active and inactive participants2017-07-012
2016: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2016 401k membership
Total participants, beginning-of-year2016-07-012
Total number of active participants reported on line 7a of the Form 55002016-07-012
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-012
2015: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2015 401k membership
Total participants, beginning-of-year2015-07-012
Total number of active participants reported on line 7a of the Form 55002015-07-012
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-012
2014: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2014 401k membership
Total participants, beginning-of-year2014-07-012
Total number of active participants reported on line 7a of the Form 55002014-07-012
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-012
2013: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2013 401k membership
Total participants, beginning-of-year2013-07-012
Total number of active participants reported on line 7a of the Form 55002013-07-012
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-012
2012: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2012 401k membership
Total participants, beginning-of-year2012-07-012
Total number of active participants reported on line 7a of the Form 55002012-07-012
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-012
2011: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2011 401k membership
Total participants, beginning-of-year2011-07-012
Total number of active participants reported on line 7a of the Form 55002011-07-012
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-012
2009: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2009 401k membership
Total participants, beginning-of-year2009-07-013
Total number of active participants reported on line 7a of the Form 55002009-07-013
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-010
Total of all active and inactive participants2009-07-013

Financial Data on MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION

Measure Date Value
2019 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2019 401k financial data
Total plan liabilities at end of year2019-06-30$0
Total income from all sources2019-06-30$36,531
Expenses. Total of all expenses incurred2019-06-30$90,504
Benefits paid (including direct rollovers)2019-06-30$76,117
Total plan assets at end of year2019-06-30$818,201
Total plan assets at beginning of year2019-06-30$872,174
Total contributions received or receivable from participants2019-06-30$0
Expenses. Other expenses not covered elsewhere2019-06-30$4,051
Contributions received from other sources (not participants or employers)2019-06-30$0
Other income received2019-06-30$36,531
Noncash contributions received2019-06-30$0
Net income (gross income less expenses)2019-06-30$-53,973
Net plan assets at end of year (total assets less liabilities)2019-06-30$818,201
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$872,174
Assets. Value of real-estate (other than employer real property)2019-06-30$0
Total contributions received or receivable from employer(s)2019-06-30$0
Value of certain deemed distributions of participant loans2019-06-30$0
Value of corrective distributions2019-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$10,336
2017 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2017 401k financial data
Total plan liabilities at end of year2017-06-30$0
Total plan liabilities at beginning of year2017-06-30$0
Total income from all sources2017-06-30$33,833
Expenses. Total of all expenses incurred2017-06-30$34,003
Benefits paid (including direct rollovers)2017-06-30$30,119
Total plan assets at end of year2017-06-30$901,831
Total plan assets at beginning of year2017-06-30$902,001
Total contributions received or receivable from participants2017-06-30$0
Expenses. Other expenses not covered elsewhere2017-06-30$0
Contributions received from other sources (not participants or employers)2017-06-30$0
Other income received2017-06-30$33,833
Noncash contributions received2017-06-30$0
Net income (gross income less expenses)2017-06-30$-170
Net plan assets at end of year (total assets less liabilities)2017-06-30$901,831
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$902,001
Assets. Value of real-estate (other than employer real property)2017-06-30$50,000
Total contributions received or receivable from employer(s)2017-06-30$0
Value of certain deemed distributions of participant loans2017-06-30$0
Value of corrective distributions2017-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$3,884
2016 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2016 401k financial data
Total plan liabilities at end of year2016-06-30$0
Total plan liabilities at beginning of year2016-06-30$0
Total income from all sources2016-06-30$-1,122
Expenses. Total of all expenses incurred2016-06-30$18,997
Benefits paid (including direct rollovers)2016-06-30$14,721
Total plan assets at end of year2016-06-30$902,001
Total plan assets at beginning of year2016-06-30$922,120
Total contributions received or receivable from participants2016-06-30$0
Expenses. Other expenses not covered elsewhere2016-06-30$874
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$-1,122
Noncash contributions received2016-06-30$0
Net income (gross income less expenses)2016-06-30$-20,119
Net plan assets at end of year (total assets less liabilities)2016-06-30$902,001
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$922,120
Assets. Value of real-estate (other than employer real property)2016-06-30$50,000
Total contributions received or receivable from employer(s)2016-06-30$0
Value of certain deemed distributions of participant loans2016-06-30$0
Value of corrective distributions2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$3,402
2015 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2015 401k financial data
Total plan liabilities at end of year2015-06-30$0
Total plan liabilities at beginning of year2015-06-30$0
Total income from all sources2015-06-30$2,214
Expenses. Total of all expenses incurred2015-06-30$38,460
Benefits paid (including direct rollovers)2015-06-30$28,595
Total plan assets at end of year2015-06-30$922,120
Total plan assets at beginning of year2015-06-30$958,366
Total contributions received or receivable from participants2015-06-30$0
Expenses. Other expenses not covered elsewhere2015-06-30$3,165
Contributions received from other sources (not participants or employers)2015-06-30$0
Other income received2015-06-30$2,214
Noncash contributions received2015-06-30$0
Net income (gross income less expenses)2015-06-30$-36,246
Net plan assets at end of year (total assets less liabilities)2015-06-30$922,120
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$958,366
Assets. Value of real-estate (other than employer real property)2015-06-30$50,000
Total contributions received or receivable from employer(s)2015-06-30$0
Value of certain deemed distributions of participant loans2015-06-30$0
Value of corrective distributions2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$6,700
2014 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2014 401k financial data
Total plan liabilities at end of year2014-06-30$0
Total plan liabilities at beginning of year2014-06-30$0
Total income from all sources2014-06-30$68,111
Expenses. Total of all expenses incurred2014-06-30$2,364
Benefits paid (including direct rollovers)2014-06-30$0
Total plan assets at end of year2014-06-30$958,366
Total plan assets at beginning of year2014-06-30$892,619
Total contributions received or receivable from participants2014-06-30$0
Expenses. Other expenses not covered elsewhere2014-06-30$808
Contributions received from other sources (not participants or employers)2014-06-30$0
Other income received2014-06-30$67,491
Noncash contributions received2014-06-30$0
Net income (gross income less expenses)2014-06-30$65,747
Net plan assets at end of year (total assets less liabilities)2014-06-30$958,366
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$892,619
Assets. Value of real-estate (other than employer real property)2014-06-30$50,000
Total contributions received or receivable from employer(s)2014-06-30$620
Value of certain deemed distributions of participant loans2014-06-30$0
Value of corrective distributions2014-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$1,556
2013 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2013 401k financial data
Total plan liabilities at end of year2013-06-30$0
Total plan liabilities at beginning of year2013-06-30$0
Total income from all sources2013-06-30$54,312
Expenses. Total of all expenses incurred2013-06-30$1,976
Benefits paid (including direct rollovers)2013-06-30$0
Total plan assets at end of year2013-06-30$892,619
Total plan assets at beginning of year2013-06-30$840,283
Total contributions received or receivable from participants2013-06-30$0
Expenses. Other expenses not covered elsewhere2013-06-30$0
Contributions received from other sources (not participants or employers)2013-06-30$0
Other income received2013-06-30$54,312
Noncash contributions received2013-06-30$0
Net income (gross income less expenses)2013-06-30$52,336
Net plan assets at end of year (total assets less liabilities)2013-06-30$892,619
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$840,283
Assets. Value of real-estate (other than employer real property)2013-06-30$50,000
Total contributions received or receivable from employer(s)2013-06-30$0
Value of certain deemed distributions of participant loans2013-06-30$0
Value of corrective distributions2013-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$1,976
2012 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2012 401k financial data
Total plan liabilities at end of year2012-06-30$0
Total plan liabilities at beginning of year2012-06-30$0
Total income from all sources2012-06-30$11,763
Expenses. Total of all expenses incurred2012-06-30$4,098
Benefits paid (including direct rollovers)2012-06-30$0
Total plan assets at end of year2012-06-30$840,283
Total plan assets at beginning of year2012-06-30$832,618
Total contributions received or receivable from participants2012-06-30$0
Expenses. Other expenses not covered elsewhere2012-06-30$2,617
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$11,763
Noncash contributions received2012-06-30$0
Net income (gross income less expenses)2012-06-30$7,665
Net plan assets at end of year (total assets less liabilities)2012-06-30$840,283
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$832,618
Assets. Value of real-estate (other than employer real property)2012-06-30$60,000
Total contributions received or receivable from employer(s)2012-06-30$0
Value of certain deemed distributions of participant loans2012-06-30$0
Value of corrective distributions2012-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$1,481
2011 : MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2011 401k financial data
Total plan liabilities at end of year2011-06-30$0
Total plan liabilities at beginning of year2011-06-30$0
Total income from all sources2011-06-30$85,375
Expenses. Total of all expenses incurred2011-06-30$5,665
Benefits paid (including direct rollovers)2011-06-30$0
Total plan assets at end of year2011-06-30$832,618
Total plan assets at beginning of year2011-06-30$752,908
Total contributions received or receivable from participants2011-06-30$0
Expenses. Other expenses not covered elsewhere2011-06-30$5,665
Contributions received from other sources (not participants or employers)2011-06-30$0
Other income received2011-06-30$85,375
Noncash contributions received2011-06-30$0
Net income (gross income less expenses)2011-06-30$79,710
Net plan assets at end of year (total assets less liabilities)2011-06-30$832,618
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$752,908
Assets. Value of real-estate (other than employer real property)2011-06-30$55,000
Total contributions received or receivable from employer(s)2011-06-30$0
Value of certain deemed distributions of participant loans2011-06-30$0
Value of corrective distributions2011-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$0

Form 5500 Responses for MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION

2018: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2009: MONROY ASSET MANAGEMENT INC VOLUNTARY EMPLOYEE BENEFIT ASSOCIATION 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered2
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered2
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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
Other information about contractANNUITY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract number21360445
Policy instance 1
Insurance contract or identification number21360445
Number of Individuals Covered1
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?Yes
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 BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitYes
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
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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