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BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 401k Plan overview

Plan NameBREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS
Plan identification number 501

BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Severance pay
  • Other welfare benefit cover

401k Sponsoring company profile

BREAD FINANCIAL PAYMENTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BREAD FINANCIAL PAYMENTS, INC.
Employer identification number (EIN):133163498
NAIC Classification:522298
NAIC Description:All Other Nondepository Credit Intermediation

Additional information about BREAD FINANCIAL PAYMENTS, INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1984-03-16
Company Identification Number: 0006154806
Legal Registered Office Address: 3095 LOYALTY CIR

COLUMBUS
United States of America (USA)
43219

More information about BREAD FINANCIAL PAYMENTS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01
5012022-01-01
5012021-01-01
5012020-01-01
5012019-01-01
5012018-01-01
5012017-01-01CALVIN HILTON CALVIN HILTON2018-09-07
5012016-01-01CALVIN HILTON CALVIN HILTON2017-09-15
5012015-01-01CALVIN HILTON
5012014-01-01CALVIN HILTON
5012013-01-01CALVIN HILTON
5012012-01-01CALVIN HILTON CALVIN HILTON2013-10-14
5012011-01-01CALVIN HILTON
5012009-01-01CALVIN HILTON JAE LYNN RANGEL2010-10-14

Plan Statistics for BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS

401k plan membership statisitcs for BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS

Measure Date Value
2023: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2023 401k membership
Total participants, beginning-of-year2023-01-015,429
Total number of active participants reported on line 7a of the Form 55002023-01-014,844
Number of retired or separated participants receiving benefits2023-01-0115
Number of other retired or separated participants entitled to future benefits2023-01-0199
Total of all active and inactive participants2023-01-014,958
2022: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2022 401k membership
Total participants, beginning-of-year2022-01-014,610
Total number of active participants reported on line 7a of the Form 55002022-01-015,211
Number of retired or separated participants receiving benefits2022-01-0125
Number of other retired or separated participants entitled to future benefits2022-01-01100
Total of all active and inactive participants2022-01-015,336
2021: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2021 401k membership
Total participants, beginning-of-year2021-01-015,040
Total number of active participants reported on line 7a of the Form 55002021-01-014,597
Number of retired or separated participants receiving benefits2021-01-0143
Number of other retired or separated participants entitled to future benefits2021-01-01937
Total of all active and inactive participants2021-01-015,577
2020: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2020 401k membership
Total participants, beginning-of-year2020-01-017,339
Total number of active participants reported on line 7a of the Form 55002020-01-015,962
Number of retired or separated participants receiving benefits2020-01-01159
Number of other retired or separated participants entitled to future benefits2020-01-01823
Total of all active and inactive participants2020-01-016,944
2019: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2019 401k membership
Total participants, beginning-of-year2019-01-0111,984
Total number of active participants reported on line 7a of the Form 55002019-01-015,746
Number of retired or separated participants receiving benefits2019-01-01359
Number of other retired or separated participants entitled to future benefits2019-01-01286
Total of all active and inactive participants2019-01-016,391
2018: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2018 401k membership
Total participants, beginning-of-year2018-01-0112,298
Total number of active participants reported on line 7a of the Form 55002018-01-0112,187
Number of retired or separated participants receiving benefits2018-01-01110
Number of other retired or separated participants entitled to future benefits2018-01-01338
Total of all active and inactive participants2018-01-0112,635
2017: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2017 401k membership
Total participants, beginning-of-year2017-01-0111,043
Total number of active participants reported on line 7a of the Form 55002017-01-0112,111
Number of retired or separated participants receiving benefits2017-01-01156
Number of other retired or separated participants entitled to future benefits2017-01-01302
Total of all active and inactive participants2017-01-0112,569
2016: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2016 401k membership
Total participants, beginning-of-year2016-01-0112,891
Total number of active participants reported on line 7a of the Form 55002016-01-0113,319
Number of retired or separated participants receiving benefits2016-01-01154
Number of other retired or separated participants entitled to future benefits2016-01-01216
Total of all active and inactive participants2016-01-0113,689
2015: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2015 401k membership
Total participants, beginning-of-year2015-01-0110,108
Total number of active participants reported on line 7a of the Form 55002015-01-0110,197
Number of retired or separated participants receiving benefits2015-01-01100
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0110,297
2014: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2014 401k membership
Total participants, beginning-of-year2014-01-016,700
Total number of active participants reported on line 7a of the Form 55002014-01-018,509
Number of retired or separated participants receiving benefits2014-01-01240
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-018,749
2013: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2013 401k membership
Total participants, beginning-of-year2013-01-016,613
Total number of active participants reported on line 7a of the Form 55002013-01-017,411
Number of retired or separated participants receiving benefits2013-01-01219
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-017,630
2012: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2012 401k membership
Total participants, beginning-of-year2012-01-015,100
Total number of active participants reported on line 7a of the Form 55002012-01-015,436
Number of retired or separated participants receiving benefits2012-01-0130
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-015,466
2011: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2011 401k membership
Total participants, beginning-of-year2011-01-014,281
Total number of active participants reported on line 7a of the Form 55002011-01-015,052
Number of retired or separated participants receiving benefits2011-01-0148
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-015,100
2009: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2009 401k membership
Total participants, beginning-of-year2009-01-014,222
Total number of active participants reported on line 7a of the Form 55002009-01-014,462
Number of retired or separated participants receiving benefits2009-01-0172
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-014,534

Financial Data on BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS

Measure Date Value
2023 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$8,879,096
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$7,435,890
Total income from all sources (including contributions)2023-12-31$84,927,472
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$85,389,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$82,120,253
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$84,858,660
Value of total assets at end of year2023-12-31$11,246,456
Value of total assets at beginning of year2023-12-31$10,265,111
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$3,269,080
Total interest from all sources2023-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$68,812
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$68,812
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$10,000,000
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$14,062,464
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2023-12-31$1,885,156
Value of other receiveables (less allowance for doubtful accounts) at end of year2023-12-31$3,208,456
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2023-12-31$2,932,111
Liabilities. Value of operating payables at end of year2023-12-31$120,285
Liabilities. Value of operating payables at beginning of year2023-12-31$127,420
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$-461,861
Value of net assets at end of year (total assets less liabilities)2023-12-31$2,367,360
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$2,829,221
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$8,038,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$7,333,000
Expenses. Payments to insurance carriers foe the provision of benefits2023-12-31$2,122,648
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31Yes
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$70,796,196
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$78,112,449
Contract administrator fees2023-12-31$3,013,536
Liabilities. Value of benefit claims payable at end of year2023-12-31$8,758,811
Liabilities. Value of benefit claims payable at beginning of year2023-12-31$7,308,470
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31ARY ROEPCKE MULCHAEY P.C.
Accountancy firm EIN2023-12-31522370901
2022 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$7,435,890
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,508,702
Total income from all sources (including contributions)2022-12-31$67,020,338
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$73,023,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$70,411,845
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$67,004,487
Value of total assets at end of year2022-12-31$10,265,111
Value of total assets at beginning of year2022-12-31$17,341,004
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$2,611,574
Total interest from all sources2022-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$15,851
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$15,851
Administrative expenses professional fees incurred2022-12-31$17,500
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$10,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$12,607,551
Participant contributions at beginning of year2022-12-31$9,026
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$2,932,111
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$2,548,409
Liabilities. Value of operating payables at end of year2022-12-31$127,420
Liabilities. Value of operating payables at beginning of year2022-12-31$74,173
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-6,003,081
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,829,221
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$8,832,302
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$7,333,000
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$14,783,569
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$2,101,365
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31Yes
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$54,396,936
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$68,310,480
Contract administrator fees2022-12-31$2,594,074
Liabilities. Value of benefit claims payable at end of year2022-12-31$7,308,470
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$8,434,529
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2022-12-31522370901
2021 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$8,508,702
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$9,283,110
Total income from all sources (including contributions)2021-12-31$79,868,187
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$79,139,829
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$76,629,676
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$79,867,861
Value of total assets at end of year2021-12-31$17,341,004
Value of total assets at beginning of year2021-12-31$17,387,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,510,153
Total interest from all sources2021-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$326
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$326
Administrative expenses professional fees incurred2021-12-31$17,500
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$10,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$12,058,452
Participant contributions at end of year2021-12-31$9,026
Participant contributions at beginning of year2021-12-31$4,286
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$2,548,409
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$2,254,108
Liabilities. Value of operating payables at end of year2021-12-31$74,173
Liabilities. Value of operating payables at beginning of year2021-12-31$75,271
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$728,358
Value of net assets at end of year (total assets less liabilities)2021-12-31$8,832,302
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,103,944
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$14,783,569
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$15,128,660
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$2,306,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31Yes
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$67,809,409
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$74,322,921
Contract administrator fees2021-12-31$2,492,653
Liabilities. Value of benefit claims payable at end of year2021-12-31$8,434,529
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$9,207,839
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2021-12-31522370901
2020 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$9,283,110
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$18,146,985
Total income from all sources (including contributions)2020-12-31$92,461,212
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$84,509,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$81,311,078
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$92,442,252
Value of total assets at end of year2020-12-31$17,387,054
Value of total assets at beginning of year2020-12-31$18,298,985
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,198,190
Total interest from all sources2020-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$18,960
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$18,960
Administrative expenses professional fees incurred2020-12-31$17,500
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$10,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$12,893,750
Participant contributions at end of year2020-12-31$4,286
Participant contributions at beginning of year2020-12-31$5,634
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$2,254,108
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$3,232,852
Liabilities. Value of operating payables at end of year2020-12-31$75,271
Liabilities. Value of operating payables at beginning of year2020-12-31$29,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$7,951,944
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,103,944
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$152,000
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$15,128,660
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$14,932,698
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$2,427,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$79,548,502
Employer contributions (assets) at beginning of year2020-12-31$127,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$78,883,954
Contract administrator fees2020-12-31$3,180,690
Liabilities. Value of benefit claims payable at end of year2020-12-31$9,207,839
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$18,117,193
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2020-12-31522370901
2019 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$18,146,985
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$18,877,954
Total income from all sources (including contributions)2019-12-31$145,289,240
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$153,103,575
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$148,191,606
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$145,209,958
Value of total assets at end of year2019-12-31$18,298,985
Value of total assets at beginning of year2019-12-31$26,844,289
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$4,911,969
Total interest from all sources2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$79,282
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$79,282
Administrative expenses professional fees incurred2019-12-31$261,420
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$10,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$22,305,260
Participant contributions at end of year2019-12-31$5,634
Participant contributions at beginning of year2019-12-31$9,794
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$3,817,533
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$3,232,852
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$4,874,296
Liabilities. Value of operating payables at end of year2019-12-31$29,792
Liabilities. Value of operating payables at beginning of year2019-12-31$33,879
Total non interest bearing cash at beginning of year2019-12-31$215,128
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-7,814,335
Value of net assets at end of year (total assets less liabilities)2019-12-31$152,000
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$7,966,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$14,932,698
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$21,745,071
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$4,146,405
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$122,904,698
Employer contributions (assets) at end of year2019-12-31$127,801
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$140,227,668
Contract administrator fees2019-12-31$4,650,549
Liabilities. Value of benefit claims payable at end of year2019-12-31$18,117,193
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$18,844,075
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2019-12-31522370901
2018 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 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$18,877,954
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$16,451,592
Total income from all sources (including contributions)2018-12-31$159,776,230
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$160,523,073
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$154,451,302
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$159,718,883
Value of total assets at end of year2018-12-31$26,844,289
Value of total assets at beginning of year2018-12-31$25,164,770
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$6,071,771
Total interest from all sources2018-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$57,347
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$57,347
Administrative expenses professional fees incurred2018-12-31$254,280
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$10,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31Yes
Amount of non-exempt transactions with any party-in-interest2018-12-31$60,265
Contributions received from participants2018-12-31$28,391,104
Participant contributions at end of year2018-12-31$9,794
Participant contributions at beginning of year2018-12-31$18,749
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$4,224,160
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$4,874,296
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$3,629,650
Administrative expenses (other) incurred2018-12-31$60,265
Liabilities. Value of operating payables at end of year2018-12-31$33,879
Liabilities. Value of operating payables at beginning of year2018-12-31$95,346
Total non interest bearing cash at end of year2018-12-31$215,128
Total non interest bearing cash at beginning of year2018-12-31$2,547,001
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-746,843
Value of net assets at end of year (total assets less liabilities)2018-12-31$7,966,335
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$8,713,178
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$21,745,071
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$18,969,370
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$4,649,582
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
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$131,327,779
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$145,577,560
Contract administrator fees2018-12-31$5,757,226
Liabilities. Value of benefit claims payable at end of year2018-12-31$18,844,075
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$16,356,246
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2018-12-31522370901
2017 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 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$16,451,592
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$15,381,728
Total income from all sources (including contributions)2017-12-31$148,700,598
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$145,566,737
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$137,864,469
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$148,673,586
Value of total assets at end of year2017-12-31$25,164,770
Value of total assets at beginning of year2017-12-31$20,961,045
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$7,702,268
Total interest from all sources2017-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$27,012
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$27,012
Administrative expenses professional fees incurred2017-12-31$15,000
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$27,154,556
Participant contributions at end of year2017-12-31$18,749
Participant contributions at beginning of year2017-12-31$19,466
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$3,629,650
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$3,490,599
Administrative expenses (other) incurred2017-12-31$626,065
Liabilities. Value of operating payables at end of year2017-12-31$95,346
Liabilities. Value of operating payables at beginning of year2017-12-31$136,801
Total non interest bearing cash at end of year2017-12-31$2,547,001
Total non interest bearing cash at beginning of year2017-12-31$2,166,001
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$3,133,861
Value of net assets at end of year (total assets less liabilities)2017-12-31$8,713,178
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,579,317
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$18,969,370
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$15,284,979
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$4,133,464
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31Yes
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$121,519,030
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$133,731,005
Contract administrator fees2017-12-31$7,061,203
Liabilities. Value of benefit claims payable at end of year2017-12-31$16,356,246
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$15,244,927
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2017-12-31522370901
2016 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$15,381,728
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$14,336,160
Total income from all sources (including contributions)2016-12-31$130,101,220
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$128,630,865
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$120,984,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$130,097,761
Value of total assets at end of year2016-12-31$20,961,045
Value of total assets at beginning of year2016-12-31$18,445,122
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$7,646,186
Total interest from all sources2016-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$3,459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$3,459
Administrative expenses professional fees incurred2016-12-31$17,366
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$26,563,565
Participant contributions at end of year2016-12-31$19,466
Participant contributions at beginning of year2016-12-31$9,321
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$3,490,599
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$4,218,445
Administrative expenses (other) incurred2016-12-31$1,474,320
Liabilities. Value of operating payables at end of year2016-12-31$136,801
Liabilities. Value of operating payables at beginning of year2016-12-31$111,687
Total non interest bearing cash at end of year2016-12-31$2,166,001
Total non interest bearing cash at beginning of year2016-12-31$1,940,001
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,470,355
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,579,317
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,108,962
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$15,284,979
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$12,277,355
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$4,467,328
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$103,534,196
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$116,517,351
Contract administrator fees2016-12-31$6,154,500
Liabilities. Value of benefit claims payable at end of year2016-12-31$15,244,927
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$14,224,473
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2016-12-31522370901
2015 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$14,336,160
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$13,291,771
Total income from all sources (including contributions)2015-12-31$117,534,789
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$113,305,585
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$106,359,003
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$117,534,450
Value of total assets at end of year2015-12-31$18,445,122
Value of total assets at beginning of year2015-12-31$13,171,529
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$6,946,582
Total interest from all sources2015-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$339
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$339
Administrative expenses professional fees incurred2015-12-31$15,000
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31Yes
Amount of non-exempt transactions with any party-in-interest2015-12-31$152,367
Contributions received from participants2015-12-31$24,514,268
Participant contributions at end of year2015-12-31$9,321
Participant contributions at beginning of year2015-12-31$7,043
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$4,218,445
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$4,824,814
Administrative expenses (other) incurred2015-12-31$1,292,856
Liabilities. Value of operating payables at end of year2015-12-31$111,687
Liabilities. Value of operating payables at beginning of year2015-12-31$1,159,820
Total non interest bearing cash at end of year2015-12-31$1,940,001
Total non interest bearing cash at beginning of year2015-12-31$5,308,955
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$4,229,204
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,108,962
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$-120,242
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$12,277,355
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$2,921,007
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$4,531,137
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31Yes
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$93,020,182
Employer contributions (assets) at beginning of year2015-12-31$109,710
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$101,827,866
Contract administrator fees2015-12-31$5,638,726
Liabilities. Value of benefit claims payable at end of year2015-12-31$14,224,473
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$12,131,951
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2015-12-31522370901
2014 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$13,291,771
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$9,756,104
Total income from all sources (including contributions)2014-12-31$101,301,251
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$99,161,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$92,608,816
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$101,301,045
Value of total assets at end of year2014-12-31$13,171,529
Value of total assets at beginning of year2014-12-31$7,495,728
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$6,552,301
Total interest from all sources2014-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$206
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$206
Administrative expenses professional fees incurred2014-12-31$15,000
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31Yes
Amount of non-exempt transactions with any party-in-interest2014-12-31$109,883
Contributions received from participants2014-12-31$21,399,813
Participant contributions at end of year2014-12-31$7,043
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$1,203,458
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$4,824,814
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$1,814,345
Administrative expenses (other) incurred2014-12-31$1,368,502
Liabilities. Value of operating payables at end of year2014-12-31$1,159,820
Liabilities. Value of operating payables at beginning of year2014-12-31$8,901
Total non interest bearing cash at end of year2014-12-31$5,308,955
Total non interest bearing cash at beginning of year2014-12-31$5,155,374
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,140,134
Value of net assets at end of year (total assets less liabilities)2014-12-31$-120,242
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$-2,260,376
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$2,921,007
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$526,009
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$3,612,519
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31Yes
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$79,901,232
Employer contributions (assets) at end of year2014-12-31$109,710
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$87,792,839
Contract administrator fees2014-12-31$5,168,799
Liabilities. Value of benefit claims payable at end of year2014-12-31$12,131,951
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$9,747,203
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2014-12-31522370901
2013 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$9,756,104
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$6,265,536
Total income from all sources (including contributions)2013-12-31$71,435,897
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$77,096,901
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$73,193,188
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$71,435,740
Value of total assets at end of year2013-12-31$7,495,728
Value of total assets at beginning of year2013-12-31$9,666,164
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,903,713
Total interest from all sources2013-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$157
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$157
Administrative expenses professional fees incurred2013-12-31$15,000
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$20,004,924
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$320,163
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$1,814,345
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$883,915
Liabilities. Value of operating payables at end of year2013-12-31$8,901
Liabilities. Value of operating payables at beginning of year2013-12-31$3,885
Total non interest bearing cash at end of year2013-12-31$5,155,374
Total non interest bearing cash at beginning of year2013-12-31$8,179,987
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$-5,661,004
Value of net assets at end of year (total assets less liabilities)2013-12-31$-2,260,376
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,400,628
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$526,009
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$602,262
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$3,795,443
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31Yes
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$51,430,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$69,077,582
Contract administrator fees2013-12-31$3,888,713
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$9,747,203
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$6,261,651
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2013-12-31522370901
2012 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$6,265,536
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$6,406,338
Total income from all sources (including contributions)2012-12-31$58,769,763
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$57,315,912
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$54,348,299
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$58,769,625
Value of total assets at end of year2012-12-31$9,666,164
Value of total assets at beginning of year2012-12-31$8,353,115
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,967,613
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$138
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$138
Administrative expenses professional fees incurred2012-12-31$15,135
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$15,720,439
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$883,915
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$14
Liabilities. Value of operating payables at end of year2012-12-31$3,885
Liabilities. Value of operating payables at beginning of year2012-12-31$3,750
Total non interest bearing cash at end of year2012-12-31$8,179,987
Total non interest bearing cash at beginning of year2012-12-31$921,050
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,453,851
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,400,628
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,946,777
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$602,262
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$7,432,051
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$3,413,055
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$43,049,186
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$50,935,244
Contract administrator fees2012-12-31$2,952,478
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$6,261,651
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$6,402,588
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31ARY ROEPCKE MULCHAEY, P.C.
Accountancy firm EIN2012-12-31522370901
2011 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$6,406,338
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$4,777,313
Total income from all sources (including contributions)2011-12-31$45,298,377
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$47,139,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$44,552,505
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$45,298,234
Value of total assets at end of year2011-12-31$8,353,115
Value of total assets at beginning of year2011-12-31$8,565,608
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,587,390
Total interest from all sources2011-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$143
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$143
Administrative expenses professional fees incurred2011-12-31$12,375
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$13,094,379
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$14
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$12
Liabilities. Value of operating payables at end of year2011-12-31$3,750
Liabilities. Value of operating payables at beginning of year2011-12-31$1,125
Total non interest bearing cash at end of year2011-12-31$921,050
Total non interest bearing cash at beginning of year2011-12-31$1,165,596
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,841,518
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,946,777
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,788,295
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$7,432,051
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$7,400,000
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$7,400,000
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$2,726,304
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$32,203,855
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$41,826,201
Contract administrator fees2011-12-31$2,575,015
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$6,402,588
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$4,776,188
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31ARY ROEPCKE MULCHAEY. P.C.
Accountancy firm EIN2011-12-31522370901
2010 : BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,777,313
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$4,264,813
Total income from all sources (including contributions)2010-12-31$37,871,789
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$37,821,795
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$35,962,392
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$37,871,697
Value of total assets at end of year2010-12-31$8,565,608
Value of total assets at beginning of year2010-12-31$8,003,114
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,859,403
Total interest from all sources2010-12-31$92
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$10,694,163
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$12
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$0
Liabilities. Value of operating payables at end of year2010-12-31$1,125
Liabilities. Value of operating payables at beginning of year2010-12-31$31,731
Total non interest bearing cash at end of year2010-12-31$1,165,596
Total non interest bearing cash at beginning of year2010-12-31$568,704
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$49,994
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,788,295
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,738,301
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$4,500
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$7,400,000
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$7,434,410
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$7,434,410
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$92
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$2,195,909
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$27,177,534
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$33,766,483
Contract administrator fees2010-12-31$1,854,903
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$4,776,188
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$4,233,082
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31ARY REOPECKE MULCHAEY, P.C.
Accountancy firm EIN2010-12-31522370901

Form 5500 Responses for BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS

2023: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2019 form 5500 responses
2019-01-01Type of plan entityMulitple 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
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 funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
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 funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2012-01-01Plan benefit arrangement – General assets of the sponsorYes
2011: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2011-01-01Plan benefit arrangement – General assets of the sponsorYes
2009: BREAD FINANCIAL PAYMENTS, INC. MASTER WELFARE PLAN FOR SELF-INSURED BENEFITS 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2009-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 3086 )
Policy contract numberUNI-203290
Policy instance 1
Insurance contract or identification numberUNI-203290
Number of Individuals Covered4910
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $148,585
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?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
Welfare Benefit Premiums Paid to CarrierUSD $2,122,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SYMETRA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number16-015477-000
Policy instance 1
Insurance contract or identification number16-015477-000
Number of Individuals Covered5171
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $38,303
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
Welfare Benefit Premiums Paid to CarrierUSD $2,101,365
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees38303
Additional information about fees paid to insurance brokerFEES
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number72055-1
Policy instance 1
Insurance contract or identification number72055-1
Number of Individuals Covered4653
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $276,810
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
Welfare Benefit Premiums Paid to CarrierUSD $2,306,755
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees138405
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number937489
Policy instance 1
Insurance contract or identification number937489
Number of Individuals Covered5180
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 $145,627
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
Welfare Benefit Premiums Paid to CarrierUSD $2,427,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees145627
Additional information about fees paid to insurance brokerOVERRIDE
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered6291
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 $248,784
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
Welfare Benefit Premiums Paid to CarrierUSD $4,146,405
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees248784
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered12486
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 $278,975
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
Welfare Benefit Premiums Paid to CarrierUSD $4,649,582
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees278975
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered12324
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 $206,673
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
Welfare Benefit Premiums Paid to CarrierUSD $4,133,464
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees206673
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker name
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered10418
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $226,557
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
Welfare Benefit Premiums Paid to CarrierUSD $4,531,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees207971
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON PENNSYLVANIA INC
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered8755
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $180,626
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
Welfare Benefit Premiums Paid to CarrierUSD $3,612,519
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees180626
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON PENNSYLVANIA INC
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number67870-8
Policy instance 1
Insurance contract or identification number67870-8
Number of Individuals Covered7640
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $189,772
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
Welfare Benefit Premiums Paid to CarrierUSD $3,795,443
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees189772
Additional information about fees paid to insurance brokerSERVICE FEES
Insurance broker organization code?3
Insurance broker nameTOWERS WATSON PENNSYLVANIA INC
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3216892
Policy instance 1
Insurance contract or identification number3216892
Number of Individuals Covered5376
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $218,561
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $3,400,288
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $218,561
Insurance broker organization code?3
Insurance broker nameWATSON WYATT & COMPANY
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3216892
Policy instance 1
Insurance contract or identification number3216892
Number of Individuals Covered5099
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $148,935
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $2,726,304
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CONNECTICUT GENERAL LIFE INSURANCE COMPANY AND AFFILIATES (National Association of Insurance Commissioners NAIC id number: 62308 )
Policy contract number3216892
Policy instance 1
Insurance contract or identification number3216892
Number of Individuals Covered4341
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $142,896
Total amount of fees paid to insurance companyUSD $0
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
Welfare Benefit Premiums Paid to CarrierUSD $2,215,149
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $142,896
Insurance broker organization code?3
Insurance broker nameWATSON WYATT & COMPANY

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