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DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameDAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC.
Employer identification number (EIN):200443075
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01VU TRAN
0012023-01-01
0012023-01-01VU TRAN
0012022-01-01
0012022-01-01VU TRAN
0012021-01-01SUSAN THEOBALD2022-05-05 SUSAN THEOBALD2022-05-05
0012020-01-01SUSAN THEOBALD2021-04-19 SUSAN THEOBALD2021-04-19
0012019-01-01SUSAN THEOBALD2020-07-06 SUSAN THEOBALD2020-07-06
0012018-01-01SUSAN THEOBALD2019-05-20 SUSAN THEOBALD2019-05-20
0012017-01-01SUSAN THEOBALD2018-07-30 SUSAN THEOBALD2018-07-30
0012016-01-01SUSAN THEOBALD2017-07-31 SUSAN THEOBALD2017-07-31
0012015-01-01SUSAN THEOBALD2016-10-13 SUSAN THEOBALD2016-10-13
0012014-01-01SUSAN THEOBALD2015-05-29
0012013-01-01SUSAN S THEOBALD2014-07-22
0012012-01-01STAT STAFF PROFESSIONALS INC.2013-07-26

Financial Data on DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2023 : DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,790,190
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$324,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$279,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$990,197
Value of total assets at end of year2023-12-31$5,634,030
Value of total assets at beginning of year2023-12-31$4,168,243
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$44,954
Total interest from all sources2023-12-31$11,701
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$7,497
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$7,497
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$507,929
Participant contributions at end of year2023-12-31$105,668
Participant contributions at beginning of year2023-12-31$43,585
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$151,855
Administrative expenses (other) incurred2023-12-31$11,547
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$1,465,787
Value of net assets at end of year (total assets less liabilities)2023-12-31$5,634,030
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,168,243
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
Investment advisory and management fees2023-12-31$11,548
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$648,641
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$419,466
Value of interest in pooled separate accounts at end of year2023-12-31$4,608,938
Value of interest in pooled separate accounts at beginning of year2023-12-31$3,421,916
Interest on participant loans2023-12-31$6,889
Interest earned on other investments2023-12-31$4,812
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$270,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$283,276
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$98,089
Net investment gain/loss from pooled separate accounts2023-12-31$682,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31Yes
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$330,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$279,449
Contract administrator fees2023-12-31$21,859
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 name2023-12-31TEAL BECKER & CHIARAMONTE
Accountancy firm EIN2023-12-31141624930
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$1,790,190
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$324,403
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$279,449
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$990,197
Value of total assets at end of year2023-01-01$5,634,030
Value of total assets at beginning of year2023-01-01$4,168,243
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$44,954
Total interest from all sources2023-01-01$11,701
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$7,497
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2023-01-01$7,497
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$507,929
Participant contributions at end of year2023-01-01$105,668
Participant contributions at beginning of year2023-01-01$43,585
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$151,855
Administrative expenses (other) incurred2023-01-01$11,547
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$1,465,787
Value of net assets at end of year (total assets less liabilities)2023-01-01$5,634,030
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$4,168,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Investment advisory and management fees2023-01-01$11,548
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$648,641
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$419,466
Value of interest in pooled separate accounts at end of year2023-01-01$4,608,938
Value of interest in pooled separate accounts at beginning of year2023-01-01$3,421,916
Interest on participant loans2023-01-01$6,889
Interest earned on other investments2023-01-01$4,812
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$270,783
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$283,276
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$98,089
Net investment gain/loss from pooled separate accounts2023-01-01$682,706
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01Yes
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$330,413
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$279,449
Contract administrator fees2023-01-01$21,859
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01TEAL BECKER & CHIARAMONTE
Accountancy firm EIN2023-01-01141624930
2022 : DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$140,583
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$366,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$331,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$915,086
Value of total assets at end of year2022-12-31$4,168,243
Value of total assets at beginning of year2022-12-31$4,394,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$35,365
Total interest from all sources2022-12-31$4,463
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$5,128
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$5,128
Administrative expenses professional fees incurred2022-12-31$10,069
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$458,909
Participant contributions at end of year2022-12-31$43,585
Participant contributions at beginning of year2022-12-31$53,198
Participant contributions at beginning of year2022-12-31$8,409
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$135,229
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-226,312
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,168,243
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,394,555
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
Investment advisory and management fees2022-12-31$10,069
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$419,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$468,429
Value of interest in pooled separate accounts at end of year2022-12-31$3,421,916
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,755,201
Interest on participant loans2022-12-31$2,322
Interest earned on other investments2022-12-31$2,141
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$283,276
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$106,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-96,730
Net investment gain/loss from pooled separate accounts2022-12-31$-687,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$320,948
Employer contributions (assets) at beginning of year2022-12-31$3,123
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$331,530
Contract administrator fees2022-12-31$15,227
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 name2022-12-31TEAL, BECKER & CHIARAMONTE
Accountancy firm EIN2022-12-31141624930
Total transfers to/from plan in this plan year2022-05-050
Total liabilities as of the end of the plan year2022-05-050
Total liabilities as of the beginning of the plan year2022-05-050
Total expenses incurred by plan in this plan year2022-05-05221438
Net assets as of the end of the plan year2022-05-054394555
Total assets as of the beginning of the plan year2022-05-053475283
Value of plan covered by a fidelity bond2022-05-05500000
Participant contributions to plan in this plan year2022-05-05331281
Value of participant loans at end of plan year2022-05-0553198
Other expenses paid from plan in this plan year2022-05-050
Other contributions to plan in this plan year2022-05-0516903
Other income to plan in this plan year2022-05-05518414
Plan net income in this plan year2022-05-05919272
Net assets as of the end of the plan year2022-05-054394555
Net assets as of the beginning of the plan year2022-05-053475283
Value of contributions failed to transmitted timely2022-05-05978
Employer contributions to plan in this plan year2022-05-05274112
Expensese paid to adminstrative service provicers from plan in this plan year2022-05-0532632
Total unrealized appreciation/depreciation of assets2022-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-01-01$0
Total income from all sources (including contributions)2022-01-01$140,583
Total loss/gain on sale of assets2022-01-01$0
Total of all expenses incurred2022-01-01$366,895
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$331,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$915,086
Value of total assets at end of year2022-01-01$4,168,243
Value of total assets at beginning of year2022-01-01$4,394,555
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$35,365
Total interest from all sources2022-01-01$4,463
Total dividends received (eg from common stock, registered investment company shares)2022-01-01$5,128
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Total dividends received from registered investment company shares (eg mutual funds)2022-01-01$5,128
Administrative expenses professional fees incurred2022-01-01$10,069
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$458,909
Participant contributions at end of year2022-01-01$43,585
Participant contributions at beginning of year2022-01-01$53,198
Participant contributions at beginning of year2022-01-01$8,409
Income. Received or receivable in cash from other sources (including rollovers)2022-01-01$135,229
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-226,312
Value of net assets at end of year (total assets less liabilities)2022-01-01$4,168,243
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$4,394,555
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Investment advisory and management fees2022-01-01$10,069
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-01-01$419,466
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-01-01$468,429
Value of interest in pooled separate accounts at end of year2022-01-01$3,421,916
Value of interest in pooled separate accounts at beginning of year2022-01-01$3,755,201
Interest on participant loans2022-01-01$2,322
Interest earned on other investments2022-01-01$2,141
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$283,276
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$106,195
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-01-01$-96,730
Net investment gain/loss from pooled separate accounts2022-01-01$-687,364
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01Yes
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$320,948
Employer contributions (assets) at beginning of year2022-01-01$3,123
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$331,530
Contract administrator fees2022-01-01$15,227
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01TEAL, BECKER & CHIARAMONTE
Accountancy firm EIN2022-01-01141624930

Form 5500 Responses for DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN

2023: DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 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
2022: DAVIN HEALTHCARE WORKFORCE SOLUTIONS, INC. 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered150
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $140
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number811382
Policy instance 2
Insurance contract or identification number811382
Number of Individuals Covered150
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,931
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered148
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number811382
Policy instance 2
Insurance contract or identification number811382
Number of Individuals Covered148
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 $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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