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GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameGIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN
Plan identification number 001

GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

GIANT INTERNATIONAL USA LTD has sponsored the creation of one or more 401k plans.

Company Name:GIANT INTERNATIONAL USA LTD
Employer identification number (EIN):200037262
NAIC Classification:454390
NAIC Description:Other Direct Selling Establishments

Additional information about GIANT INTERNATIONAL USA LTD

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date: 2003-06-26
Company Identification Number: 212532
Legal Registered Office Address: 2140 MCGEE RD.
SUITE A2200
SNELLVILLE
United States of America (USA)
30078

More information about GIANT INTERNATIONAL USA LTD

Form 5500 Filing Information

Submission information for form 5500 for 401k plan GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01
0012017-01-01
0012016-01-01STACY FITCH
0012015-01-01STACY FITCH
0012014-01-01LISA S. CROSS
0012013-01-01STACY FITCH
0012012-01-01STACY FITCH STACY FITCH2013-07-02
0012011-01-01STACY FITCH

Plan Statistics for GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0115
Total number of active participants reported on line 7a of the Form 55002018-01-0110
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0112
Number of participants with account balances2018-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0118
Total number of active participants reported on line 7a of the Form 55002017-01-0113
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0115
Number of participants with account balances2017-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0121
Total number of active participants reported on line 7a of the Form 55002016-01-0115
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0118
Number of participants with account balances2016-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0123
Total number of active participants reported on line 7a of the Form 55002015-01-0118
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0121
Number of participants with account balances2015-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0120
Total number of active participants reported on line 7a of the Form 55002014-01-0120
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0123
Number of participants with account balances2014-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0115
Total number of active participants reported on line 7a of the Form 55002013-01-0117
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0118
Number of participants with account balances2013-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0116
Total number of active participants reported on line 7a of the Form 55002012-01-0112
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0117
Number of participants with account balances2012-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0113
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0117
Number of participants with account balances2011-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN

Measure Date Value
2018 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$45,297
Expenses. Total of all expenses incurred2018-12-31$30,417
Benefits paid (including direct rollovers)2018-12-31$30,106
Total plan assets at end of year2018-12-31$790,898
Total plan assets at beginning of year2018-12-31$776,018
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$41,027
Expenses. Other expenses not covered elsewhere2018-12-31$111
Other income received2018-12-31$-9,927
Net income (gross income less expenses)2018-12-31$14,880
Net plan assets at end of year (total assets less liabilities)2018-12-31$790,898
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$776,018
Assets. Value of participant loans2018-12-31$4,673
Total contributions received or receivable from employer(s)2018-12-31$14,197
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$200
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$368
Total income from all sources2017-12-31$148,222
Expenses. Total of all expenses incurred2017-12-31$379,658
Benefits paid (including direct rollovers)2017-12-31$379,147
Total plan assets at end of year2017-12-31$776,018
Total plan assets at beginning of year2017-12-31$1,007,822
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$28,776
Expenses. Other expenses not covered elsewhere2017-12-31$211
Other income received2017-12-31$69,254
Net income (gross income less expenses)2017-12-31$-231,436
Net plan assets at end of year (total assets less liabilities)2017-12-31$776,018
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,007,454
Assets. Value of participant loans2017-12-31$6,791
Total contributions received or receivable from employer(s)2017-12-31$50,192
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$300
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$368
Total income from all sources2016-12-31$192,822
Expenses. Total of all expenses incurred2016-12-31$966,890
Benefits paid (including direct rollovers)2016-12-31$966,542
Total plan assets at end of year2016-12-31$1,007,822
Total plan assets at beginning of year2016-12-31$1,781,522
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$66,216
Expenses. Other expenses not covered elsewhere2016-12-31$148
Other income received2016-12-31$83,876
Net income (gross income less expenses)2016-12-31$-774,068
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,007,454
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,781,522
Assets. Value of participant loans2016-12-31$7,769
Total contributions received or receivable from employer(s)2016-12-31$42,730
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$200
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$533
Total income from all sources2015-12-31$154,975
Expenses. Total of all expenses incurred2015-12-31$107,244
Benefits paid (including direct rollovers)2015-12-31$106,683
Total plan assets at end of year2015-12-31$1,781,522
Total plan assets at beginning of year2015-12-31$1,734,324
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$113,482
Other income received2015-12-31$-11,877
Net income (gross income less expenses)2015-12-31$47,731
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,781,522
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,733,791
Assets. Value of participant loans2015-12-31$9,509
Total contributions received or receivable from employer(s)2015-12-31$53,370
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$561
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$533
Total plan liabilities at beginning of year2014-12-31$533
Total income from all sources2014-12-31$266,560
Expenses. Total of all expenses incurred2014-12-31$3,795
Benefits paid (including direct rollovers)2014-12-31$3,508
Total plan assets at end of year2014-12-31$1,734,324
Total plan assets at beginning of year2014-12-31$1,471,559
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$128,590
Other income received2014-12-31$82,944
Net income (gross income less expenses)2014-12-31$262,765
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,733,791
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,471,026
Assets. Value of participant loans2014-12-31$5,808
Total contributions received or receivable from employer(s)2014-12-31$55,026
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$287
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$533
Total income from all sources2013-12-31$402,786
Expenses. Total of all expenses incurred2013-12-31$232,979
Benefits paid (including direct rollovers)2013-12-31$232,768
Total plan assets at end of year2013-12-31$1,471,559
Total plan assets at beginning of year2013-12-31$1,301,219
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$123,541
Expenses. Other expenses not covered elsewhere2013-12-31$211
Other income received2013-12-31$225,013
Net income (gross income less expenses)2013-12-31$169,807
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,471,026
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,301,219
Assets. Value of participant loans2013-12-31$8,685
Total contributions received or receivable from employer(s)2013-12-31$54,232
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total income from all sources2012-12-31$285,745
Expenses. Total of all expenses incurred2012-12-31$128,915
Benefits paid (including direct rollovers)2012-12-31$128,798
Total plan assets at end of year2012-12-31$1,301,219
Total plan assets at beginning of year2012-12-31$1,144,389
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$130,104
Expenses. Other expenses not covered elsewhere2012-12-31$117
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$105,376
Net income (gross income less expenses)2012-12-31$156,830
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,301,219
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,144,389
Assets. Value of participant loans2012-12-31$12,361
Total contributions received or receivable from employer(s)2012-12-31$50,265
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$365
Total income from all sources2011-12-31$160,748
Expenses. Total of all expenses incurred2011-12-31$60,047
Benefits paid (including direct rollovers)2011-12-31$59,998
Total plan assets at end of year2011-12-31$1,144,389
Total plan assets at beginning of year2011-12-31$1,043,323
Total contributions received or receivable from participants2011-12-31$133,974
Expenses. Other expenses not covered elsewhere2011-12-31$49
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-22,504
Net income (gross income less expenses)2011-12-31$100,701
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,144,389
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,043,323
Assets. Value of participant loans2011-12-31$18,598
Total contributions received or receivable from employer(s)2011-12-31$49,278
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$314,118
Expenses. Total of all expenses incurred2010-12-31$37,109
Benefits paid (including direct rollovers)2010-12-31$37,095
Total plan assets at end of year2010-12-31$1,043,323
Total plan assets at beginning of year2010-12-31$766,314
Value of fidelity bond covering the plan2010-12-31$100,000
Total contributions received or receivable from participants2010-12-31$125,160
Expenses. Other expenses not covered elsewhere2010-12-31$14
Contributions received from other sources (not participants or employers)2010-12-31$1,724
Other income received2010-12-31$93,637
Net income (gross income less expenses)2010-12-31$277,009
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,043,323
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$766,314
Assets. Value of participant loans2010-12-31$23,004
Total contributions received or receivable from employer(s)2010-12-31$93,597
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0

Form 5500 Responses for GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN

2018: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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
2015: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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
2014: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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
2013: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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
2012: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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
2011: GIANT INTERNATIONAL USA LTD 401(K) PROFIT SHARING PLAN 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

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872925
Policy instance 1
Insurance contract or identification number872925
Number of Individuals Covered10
Total amount of commissions paid to insurance brokerUSD $3,591
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,195
Insurance broker organization code?3
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872925
Policy instance 1
Insurance contract or identification number872925
Number of Individuals Covered13
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,493
Total amount of fees paid to insurance companyUSD $454
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,493
Insurance broker organization code?3
Amount paid for insurance broker fees454
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameR. BRUCE TANNER & ASSOCIATES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872925
Policy instance 1
Insurance contract or identification number872925
Number of Individuals Covered20
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,110
Total amount of fees paid to insurance companyUSD $213
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,110
Insurance broker organization code?3
Amount paid for insurance broker fees213
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker nameR. BRUCE TANNER & ASSOCIATES, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872925
Policy instance 1
Insurance contract or identification number872925
Number of Individuals Covered22
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $4,165
Total amount of fees paid to insurance companyUSD $2,613
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,165
Insurance broker organization code?3
Amount paid for insurance broker fees2613
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM TPA ALLIANCE PROGRAM
Insurance broker nameR. BRUCE TANNER & ASSOCIATES, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822546
Policy instance 1
Insurance contract or identification numberGA-822546
Number of Individuals Covered20
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $13,580
Total amount of fees paid to insurance companyUSD $3,225
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,580
Insurance broker organization code?3
Amount paid for insurance broker fees3225
Additional information about fees paid to insurance brokerTPA FEES AND TPA COMPENSATION
Insurance broker nameR BRUCE TANNER & ASSOCIATES, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822546
Policy instance 1
Insurance contract or identification numberGA-822546
Number of Individuals Covered12
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,495
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,495
Insurance broker organization code?3
Insurance broker nameTRIAD INSURANCE INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822546
Policy instance 1
Insurance contract or identification numberGA-822546
Number of Individuals Covered17
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $1,993
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822546
Policy instance 1
Insurance contract or identification numberGA-822546
Number of Individuals Covered17
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $9,254
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,254
Insurance broker organization code?3
Insurance broker nameTRIAD INSURANCE INC

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