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SENIOR SERVICES OF STAMFORD 401k Plan overview

Plan NameSENIOR SERVICES OF STAMFORD
Plan identification number 001

SENIOR SERVICES OF STAMFORD Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

SENIOR SERVICES OF STAMFORD has sponsored the creation of one or more 401k plans.

Company Name:SENIOR SERVICES OF STAMFORD
Employer identification number (EIN):060646916
NAIC Classification:813000
NAIC Description: Religious, Grantmaking, Civic, Professional, and Similar Organizations

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SENIOR SERVICES OF STAMFORD

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01KATHLEEN BORDELON
0012017-01-01KATHLEEN BORDELON
0012016-01-01 KATHLEEN BORDELON2017-05-15
0012015-01-01KATHLEEN BORDELON
0012014-01-01KATHLEEN BORDELON
0012014-01-01KATHLEEN BORDELON
0012013-01-01KATHLEEN BORDELON
0012012-01-01KATHLEEN BORDELON
0012009-03-01MARIE JOHNSON

Plan Statistics for SENIOR SERVICES OF STAMFORD

401k plan membership statisitcs for SENIOR SERVICES OF STAMFORD

Measure Date Value
2020: SENIOR SERVICES OF STAMFORD 2020 401k membership
Total participants, beginning-of-year2020-01-011
Total number of active participants reported on line 7a of the Form 55002020-01-011
Total of all active and inactive participants2020-01-011
Total participants2020-01-011
Number of participants with account balances2020-01-011
2019: SENIOR SERVICES OF STAMFORD 2019 401k membership
Total participants, beginning-of-year2019-01-011
Total number of active participants reported on line 7a of the Form 55002019-01-011
Total of all active and inactive participants2019-01-011
Total participants2019-01-011
Number of participants with account balances2019-01-011
2018: SENIOR SERVICES OF STAMFORD 2018 401k membership
Total participants, beginning-of-year2018-01-011
Total number of active participants reported on line 7a of the Form 55002018-01-011
Total of all active and inactive participants2018-01-011
Total participants2018-01-011
2017: SENIOR SERVICES OF STAMFORD 2017 401k membership
Total participants, beginning-of-year2017-01-011
Total number of active participants reported on line 7a of the Form 55002017-01-011
Total of all active and inactive participants2017-01-011
Total participants2017-01-011
2016: SENIOR SERVICES OF STAMFORD 2016 401k membership
Total participants, beginning-of-year2016-01-012
Total number of active participants reported on line 7a of the Form 55002016-01-011
Total of all active and inactive participants2016-01-011
Total participants2016-01-011
2015: SENIOR SERVICES OF STAMFORD 2015 401k membership
Total participants, beginning-of-year2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-012
Total participants2015-01-012
Number of participants with account balances2015-01-012
2014: SENIOR SERVICES OF STAMFORD 2014 401k membership
Total participants, beginning-of-year2014-01-012
Total number of active participants reported on line 7a of the Form 55002014-01-010
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-012
Number of participants with account balances2014-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
Number of employers contributing to the scheme2014-01-010
2013: SENIOR SERVICES OF STAMFORD 2013 401k membership
Total participants, beginning-of-year2013-01-012
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012
Number of participants with account balances2013-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: SENIOR SERVICES OF STAMFORD 2012 401k membership
Total participants, beginning-of-year2012-01-012
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012
Number of participants with account balances2012-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2009: SENIOR SERVICES OF STAMFORD 2009 401k membership
Total participants, beginning-of-year2009-03-012
Total number of active participants reported on line 7a of the Form 55002009-03-010
Number of retired or separated participants receiving benefits2009-03-010
Number of other retired or separated participants entitled to future benefits2009-03-012
Total of all active and inactive participants2009-03-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-03-010
Total participants2009-03-012
Number of participants with account balances2009-03-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-03-010

Financial Data on SENIOR SERVICES OF STAMFORD

Measure Date Value
2020 : SENIOR SERVICES OF STAMFORD 2020 401k financial data
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$8,012
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$275,090
Total plan assets at beginning of year2020-12-31$267,078
Total contributions received or receivable from participants2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$8,012
Other income received2020-12-31$0
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$8,012
Net plan assets at end of year (total assets less liabilities)2020-12-31$275,090
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$267,078
Total contributions received or receivable from employer(s)2020-12-31$0
2019 : SENIOR SERVICES OF STAMFORD 2019 401k financial data
Total income from all sources2019-12-31$8,248
Expenses. Total of all expenses incurred2019-12-31$17,850
Total plan assets at end of year2019-12-31$267,078
Total plan assets at beginning of year2019-12-31$276,680
Contributions received from other sources (not participants or employers)2019-12-31$8,248
Net income (gross income less expenses)2019-12-31$-9,602
Net plan assets at end of year (total assets less liabilities)2019-12-31$267,078
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$276,680
Value of certain deemed distributions of participant loans2019-12-31$17,850
2018 : SENIOR SERVICES OF STAMFORD 2018 401k financial data
Total income from all sources2018-12-31$8,511
Expenses. Total of all expenses incurred2018-12-31$17,527
Total plan assets at end of year2018-12-31$276,680
Total plan assets at beginning of year2018-12-31$285,696
Other income received2018-12-31$8,511
Net income (gross income less expenses)2018-12-31$-9,016
Net plan assets at end of year (total assets less liabilities)2018-12-31$276,680
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$285,696
Value of certain deemed distributions of participant loans2018-12-31$17,527
2017 : SENIOR SERVICES OF STAMFORD 2017 401k financial data
Total income from all sources2017-12-31$8,767
Expenses. Total of all expenses incurred2017-12-31$17,201
Total plan assets at end of year2017-12-31$285,696
Total plan assets at beginning of year2017-12-31$294,130
Other income received2017-12-31$8,767
Net income (gross income less expenses)2017-12-31$-8,434
Net plan assets at end of year (total assets less liabilities)2017-12-31$285,696
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$294,130
Value of certain deemed distributions of participant loans2017-12-31$17,201
2016 : SENIOR SERVICES OF STAMFORD 2016 401k financial data
Total income from all sources2016-12-31$9,006
Expenses. Total of all expenses incurred2016-12-31$17,258
Total plan assets at end of year2016-12-31$294,130
Total plan assets at beginning of year2016-12-31$302,382
Expenses. Other expenses not covered elsewhere2016-12-31$9
Other income received2016-12-31$9,006
Net income (gross income less expenses)2016-12-31$-8,252
Net plan assets at end of year (total assets less liabilities)2016-12-31$294,130
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$302,382
Value of certain deemed distributions of participant loans2016-12-31$17,249
2015 : SENIOR SERVICES OF STAMFORD 2015 401k financial data
Total income from all sources2015-12-31$9,277
Expenses. Total of all expenses incurred2015-12-31$16,544
Total plan assets at end of year2015-12-31$302,382
Total plan assets at beginning of year2015-12-31$309,649
Expenses. Other expenses not covered elsewhere2015-12-31$5
Other income received2015-12-31$9,277
Net income (gross income less expenses)2015-12-31$-7,267
Net plan assets at end of year (total assets less liabilities)2015-12-31$302,382
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$309,649
Value of certain deemed distributions of participant loans2015-12-31$16,539
2014 : SENIOR SERVICES OF STAMFORD 2014 401k financial data
Total income from all sources2014-12-31$9,019
Expenses. Total of all expenses incurred2014-12-31$5
Total plan assets at end of year2014-12-31$309,649
Total plan assets at beginning of year2014-12-31$300,632
Expenses. Other expenses not covered elsewhere2014-12-31$5
Other income received2014-12-31$9,019
Net income (gross income less expenses)2014-12-31$9,014
Net plan assets at end of year (total assets less liabilities)2014-12-31$309,649
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$300,632
2013 : SENIOR SERVICES OF STAMFORD 2013 401k financial data
Total income from all sources2013-12-31$8,756
Expenses. Total of all expenses incurred2013-12-31$6
Total plan assets at end of year2013-12-31$300,635
Total plan assets at beginning of year2013-12-31$291,885
Expenses. Other expenses not covered elsewhere2013-12-31$6
Other income received2013-12-31$8,756
Net income (gross income less expenses)2013-12-31$8,750
Net plan assets at end of year (total assets less liabilities)2013-12-31$300,635
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$291,885
2012 : SENIOR SERVICES OF STAMFORD 2012 401k financial data
Total income from all sources2012-12-31$8,501
Expenses. Total of all expenses incurred2012-12-31$6
Total plan assets at end of year2012-12-31$291,885
Total plan assets at beginning of year2012-12-31$283,389
Expenses. Other expenses not covered elsewhere2012-12-31$6
Other income received2012-12-31$8,501
Net income (gross income less expenses)2012-12-31$8,495
Net plan assets at end of year (total assets less liabilities)2012-12-31$291,885
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$283,389

Form 5500 Responses for SENIOR SERVICES OF STAMFORD

2020: SENIOR SERVICES OF STAMFORD 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 benefit arrangement – InsuranceYes
2019: SENIOR SERVICES OF STAMFORD 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: SENIOR SERVICES OF STAMFORD 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01First time form 5500 has been submittedYes
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: SENIOR SERVICES OF STAMFORD 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
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
2016: SENIOR SERVICES OF STAMFORD 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: SENIOR SERVICES OF STAMFORD 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: SENIOR SERVICES OF STAMFORD 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedYes
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: SENIOR SERVICES OF STAMFORD 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: SENIOR SERVICES OF STAMFORD 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2009: SENIOR SERVICES OF STAMFORD 2009 form 5500 responses
2009-03-01Type of plan entitySingle employer plan
2009-03-01Submission has been amendedNo
2009-03-01This submission is the final filingNo
2009-03-01This return/report is a short plan year return/report (less than 12 months)No
2009-03-01Plan is a collectively bargained planNo
2009-03-01Plan funding arrangement – InsuranceYes
2009-03-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356 001
Policy instance 1
Insurance contract or identification number728356 001
Number of Individuals Covered1
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 Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?3
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356001
Policy instance 1
Insurance contract or identification number728356001
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356001
Policy instance 1
Insurance contract or identification number728356001
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356001
Policy instance 1
Insurance contract or identification number728356001
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356001
Policy instance 1
Insurance contract or identification number728356001
Number of Individuals Covered2
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356 001
Policy instance 1
Insurance contract or identification number728356 001
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356 001
Policy instance 1
Insurance contract or identification number728356 001
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number728356 001
Policy instance 1
Insurance contract or identification number728356 001
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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