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COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 401k Plan overview

Plan NameCOMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN
Plan identification number 501

COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)

401k Sponsoring company profile

COMMUNITY DEVELOPMENT SOLUTIONS LLC has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY DEVELOPMENT SOLUTIONS LLC
Employer identification number (EIN):202358301
NAIC Classification:811490
NAIC Description:Other Personal and Household Goods Repair and Maintenance

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012020-12-22
5012019-12-22
5012018-12-22
5012017-12-22CHRISTIAN G. FOURNILLIER2019-06-20
5012016-12-22
5012015-12-22
5012014-12-22CHRISTIAN G. FOURNILLIER
5012013-12-22CHRISTIAN G. FOURNILLIER
5012012-12-22CHRISTIAN G. FOURNILLIER
5012011-12-22CHRISTIAN G. FOURNILLIER
5012009-12-22CHRISTIAN G. FOURNILLIER

Plan Statistics for COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN

401k plan membership statisitcs for COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN

Measure Date Value
2020: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-12-222
Total number of active participants reported on line 7a of the Form 55002020-12-220
Number of retired or separated participants receiving benefits2020-12-220
Number of other retired or separated participants entitled to future benefits2020-12-220
Total of all active and inactive participants2020-12-220
2019: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-12-222
Total number of active participants reported on line 7a of the Form 55002019-12-222
Number of retired or separated participants receiving benefits2019-12-220
Number of other retired or separated participants entitled to future benefits2019-12-220
Total of all active and inactive participants2019-12-222
2018: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-12-222
Total number of active participants reported on line 7a of the Form 55002018-12-222
Number of retired or separated participants receiving benefits2018-12-220
Number of other retired or separated participants entitled to future benefits2018-12-220
Total of all active and inactive participants2018-12-222
2017: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-12-222
Total number of active participants reported on line 7a of the Form 55002017-12-222
Number of retired or separated participants receiving benefits2017-12-220
Number of other retired or separated participants entitled to future benefits2017-12-220
Total of all active and inactive participants2017-12-222
2016: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-222
Total number of active participants reported on line 7a of the Form 55002016-12-222
Number of retired or separated participants receiving benefits2016-12-220
Number of other retired or separated participants entitled to future benefits2016-12-220
Total of all active and inactive participants2016-12-222
2015: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-222
Total number of active participants reported on line 7a of the Form 55002015-12-222
Number of retired or separated participants receiving benefits2015-12-220
Number of other retired or separated participants entitled to future benefits2015-12-220
Total of all active and inactive participants2015-12-222
2014: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-12-222
Total number of active participants reported on line 7a of the Form 55002014-12-222
Number of retired or separated participants receiving benefits2014-12-220
Number of other retired or separated participants entitled to future benefits2014-12-220
Total of all active and inactive participants2014-12-222
2013: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-12-222
Total number of active participants reported on line 7a of the Form 55002013-12-222
Number of retired or separated participants receiving benefits2013-12-220
Number of other retired or separated participants entitled to future benefits2013-12-220
Total of all active and inactive participants2013-12-222
2012: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-12-222
Total number of active participants reported on line 7a of the Form 55002012-12-222
Number of retired or separated participants receiving benefits2012-12-220
Number of other retired or separated participants entitled to future benefits2012-12-220
Total of all active and inactive participants2012-12-222
2011: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-12-222
Total number of active participants reported on line 7a of the Form 55002011-12-222
Number of retired or separated participants receiving benefits2011-12-220
Number of other retired or separated participants entitled to future benefits2011-12-220
Total of all active and inactive participants2011-12-222
2009: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2009 401k membership
Total participants, beginning-of-year2009-12-222
Total number of active participants reported on line 7a of the Form 55002009-12-222
Number of retired or separated participants receiving benefits2009-12-220
Number of other retired or separated participants entitled to future benefits2009-12-220
Total of all active and inactive participants2009-12-222

Financial Data on COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN

Measure Date Value
2021 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-21$0
Total plan liabilities at beginning of year2021-12-21$114,849
Total income from all sources2021-12-21$-97,768
Expenses. Total of all expenses incurred2021-12-21$-97,768
Total plan assets at end of year2021-12-21$0
Total plan assets at beginning of year2021-12-21$114,849
Expenses. Other expenses not covered elsewhere2021-12-21$-97,768
Noncash contributions received2021-12-21$-97,768
Net income (gross income less expenses)2021-12-21$0
Net plan assets at end of year (total assets less liabilities)2021-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2021-12-21$0
2020 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-21$114,849
Total plan liabilities at beginning of year2020-12-21$104,980
Total income from all sources2020-12-21$0
Expenses. Total of all expenses incurred2020-12-21$0
Total plan assets at end of year2020-12-21$114,849
Total plan assets at beginning of year2020-12-21$104,980
Net income (gross income less expenses)2020-12-21$0
Net plan assets at end of year (total assets less liabilities)2020-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2020-12-21$0
2019 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-21$104,980
Total plan liabilities at beginning of year2019-12-21$104,980
Total income from all sources2019-12-21$0
Expenses. Total of all expenses incurred2019-12-21$0
Total plan assets at end of year2019-12-21$104,980
Total plan assets at beginning of year2019-12-21$104,980
Net income (gross income less expenses)2019-12-21$0
Net plan assets at end of year (total assets less liabilities)2019-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-21$0
2017 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-21$104,980
Total plan liabilities at beginning of year2017-12-21$194,354
Total income from all sources2017-12-21$0
Expenses. Total of all expenses incurred2017-12-21$0
Total plan assets at end of year2017-12-21$104,980
Total plan assets at beginning of year2017-12-21$194,354
Net income (gross income less expenses)2017-12-21$0
Net plan assets at end of year (total assets less liabilities)2017-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-21$0
2016 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-21$194,354
Total plan liabilities at beginning of year2016-12-21$191,649
Total income from all sources2016-12-21$1,360
Expenses. Total of all expenses incurred2016-12-21$1,360
Total plan assets at end of year2016-12-21$194,354
Total plan assets at beginning of year2016-12-21$191,649
Net income (gross income less expenses)2016-12-21$0
Net plan assets at end of year (total assets less liabilities)2016-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2016-12-21$0
Total contributions received or receivable from employer(s)2016-12-21$1,360
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-21$1,360
2015 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-21$191,649
Total plan liabilities at beginning of year2015-12-21$181,311
Total income from all sources2015-12-21$0
Expenses. Total of all expenses incurred2015-12-21$0
Total plan assets at end of year2015-12-21$191,649
Total plan assets at beginning of year2015-12-21$181,311
Net income (gross income less expenses)2015-12-21$0
Net plan assets at end of year (total assets less liabilities)2015-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-21$0
2014 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-21$181,311
Total plan liabilities at beginning of year2014-12-21$158,591
Total income from all sources2014-12-21$0
Expenses. Total of all expenses incurred2014-12-21$0
Total plan assets at end of year2014-12-21$181,311
Total plan assets at beginning of year2014-12-21$158,591
Net income (gross income less expenses)2014-12-21$0
Net plan assets at end of year (total assets less liabilities)2014-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2014-12-21$0
2013 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-21$158,591
Total plan liabilities at beginning of year2013-12-21$158,591
Total income from all sources2013-12-21$0
Expenses. Total of all expenses incurred2013-12-21$0
Total plan assets at end of year2013-12-21$158,591
Total plan assets at beginning of year2013-12-21$158,591
Net income (gross income less expenses)2013-12-21$0
Net plan assets at end of year (total assets less liabilities)2013-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2013-12-21$0
2012 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-21$158,591
Total plan liabilities at beginning of year2012-12-21$148,960
Total income from all sources2012-12-21$1,360
Expenses. Total of all expenses incurred2012-12-21$1,360
Total plan assets at end of year2012-12-21$158,591
Total plan assets at beginning of year2012-12-21$148,960
Net income (gross income less expenses)2012-12-21$0
Net plan assets at end of year (total assets less liabilities)2012-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2012-12-21$0
Total contributions received or receivable from employer(s)2012-12-21$1,360
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-21$1,360
2011 : COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-21$148,960
Total plan liabilities at beginning of year2011-12-21$148,959
Total income from all sources2011-12-21$1,360
Expenses. Total of all expenses incurred2011-12-21$1,360
Total plan assets at end of year2011-12-21$148,960
Total plan assets at beginning of year2011-12-21$148,959
Net income (gross income less expenses)2011-12-21$0
Net plan assets at end of year (total assets less liabilities)2011-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-21$0
Total contributions received or receivable from employer(s)2011-12-21$1,360
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-21$1,360

Form 5500 Responses for COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN

2020: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2020 form 5500 responses
2020-12-22Type of plan entitySingle employer plan
2020-12-22Submission has been amendedNo
2020-12-22This submission is the final filingYes
2020-12-22This return/report is a short plan year return/report (less than 12 months)No
2020-12-22Plan is a collectively bargained planNo
2020-12-22Plan funding arrangement – InsuranceYes
2020-12-22Plan funding arrangement – TrustYes
2020-12-22Plan benefit arrangement – InsuranceYes
2020-12-22Plan benefit arrangement - TrustYes
2019: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2019 form 5500 responses
2019-12-22Type of plan entitySingle employer plan
2019-12-22Submission has been amendedNo
2019-12-22This submission is the final filingNo
2019-12-22This return/report is a short plan year return/report (less than 12 months)No
2019-12-22Plan is a collectively bargained planNo
2019-12-22Plan funding arrangement – InsuranceYes
2019-12-22Plan funding arrangement – TrustYes
2019-12-22Plan benefit arrangement – InsuranceYes
2019-12-22Plan benefit arrangement - TrustYes
2018: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2018 form 5500 responses
2018-12-22Type of plan entitySingle employer plan
2018-12-22Submission has been amendedNo
2018-12-22This submission is the final filingNo
2018-12-22This return/report is a short plan year return/report (less than 12 months)No
2018-12-22Plan is a collectively bargained planNo
2018-12-22Plan funding arrangement – InsuranceYes
2018-12-22Plan funding arrangement – TrustYes
2018-12-22Plan benefit arrangement – InsuranceYes
2018-12-22Plan benefit arrangement - TrustYes
2017: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2017 form 5500 responses
2017-12-22Type of plan entitySingle employer plan
2017-12-22Submission has been amendedNo
2017-12-22This submission is the final filingNo
2017-12-22This return/report is a short plan year return/report (less than 12 months)No
2017-12-22Plan is a collectively bargained planNo
2017-12-22Plan funding arrangement – InsuranceYes
2017-12-22Plan funding arrangement – TrustYes
2017-12-22Plan benefit arrangement – InsuranceYes
2017-12-22Plan benefit arrangement - TrustYes
2016: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2016 form 5500 responses
2016-12-22Type of plan entitySingle employer plan
2016-12-22Submission has been amendedNo
2016-12-22This submission is the final filingNo
2016-12-22This return/report is a short plan year return/report (less than 12 months)No
2016-12-22Plan is a collectively bargained planNo
2016-12-22Plan funding arrangement – InsuranceYes
2016-12-22Plan funding arrangement – TrustYes
2016-12-22Plan benefit arrangement – InsuranceYes
2016-12-22Plan benefit arrangement - TrustYes
2015: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2015 form 5500 responses
2015-12-22Type of plan entitySingle employer plan
2015-12-22Submission has been amendedNo
2015-12-22This submission is the final filingNo
2015-12-22This return/report is a short plan year return/report (less than 12 months)No
2015-12-22Plan is a collectively bargained planNo
2015-12-22Plan funding arrangement – InsuranceYes
2015-12-22Plan funding arrangement – TrustYes
2015-12-22Plan benefit arrangement – InsuranceYes
2015-12-22Plan benefit arrangement - TrustYes
2014: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2014 form 5500 responses
2014-12-22Type of plan entitySingle employer plan
2014-12-22Submission has been amendedNo
2014-12-22This submission is the final filingNo
2014-12-22This return/report is a short plan year return/report (less than 12 months)No
2014-12-22Plan is a collectively bargained planNo
2014-12-22Plan funding arrangement – InsuranceYes
2014-12-22Plan funding arrangement – TrustYes
2014-12-22Plan benefit arrangement – InsuranceYes
2014-12-22Plan benefit arrangement - TrustYes
2013: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2013 form 5500 responses
2013-12-22Type of plan entitySingle employer plan
2013-12-22Submission has been amendedNo
2013-12-22This submission is the final filingNo
2013-12-22This return/report is a short plan year return/report (less than 12 months)No
2013-12-22Plan is a collectively bargained planNo
2013-12-22Plan funding arrangement – InsuranceYes
2013-12-22Plan funding arrangement – TrustYes
2013-12-22Plan benefit arrangement – InsuranceYes
2013-12-22Plan benefit arrangement - TrustYes
2012: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2012 form 5500 responses
2012-12-22Type of plan entitySingle employer plan
2012-12-22Submission has been amendedNo
2012-12-22This submission is the final filingNo
2012-12-22This return/report is a short plan year return/report (less than 12 months)No
2012-12-22Plan is a collectively bargained planNo
2012-12-22Plan funding arrangement – InsuranceYes
2012-12-22Plan funding arrangement – TrustYes
2012-12-22Plan benefit arrangement – InsuranceYes
2012-12-22Plan benefit arrangement - TrustYes
2011: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2011 form 5500 responses
2011-12-22Type of plan entitySingle employer plan
2011-12-22Submission has been amendedNo
2011-12-22This submission is the final filingNo
2011-12-22This return/report is a short plan year return/report (less than 12 months)No
2011-12-22Plan is a collectively bargained planNo
2011-12-22Plan funding arrangement – InsuranceYes
2011-12-22Plan funding arrangement – TrustYes
2011-12-22Plan benefit arrangement – InsuranceYes
2011-12-22Plan benefit arrangement - TrustYes
2009: COMMUNITY DEVELOPMENT SOLUTIONS LLC WELFARE BENEFIT PLAN 2009 form 5500 responses
2009-12-22Type of plan entitySingle employer plan
2009-12-22Submission has been amendedNo
2009-12-22This submission is the final filingNo
2009-12-22This return/report is a short plan year return/report (less than 12 months)No
2009-12-22Plan is a collectively bargained planNo
2009-12-22Plan funding arrangement – InsuranceYes
2009-12-22Plan funding arrangement – TrustYes
2009-12-22Plan benefit arrangement – InsuranceYes
2009-12-22Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )
Policy contract number643066X
Policy instance 1
Insurance contract or identification number643066X
Number of Individuals Covered0
Insurance policy start date2020-12-22
Insurance policy end date2021-12-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedANNUITY
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
LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )
Policy contract number643066X
Policy instance 1
Insurance contract or identification number643066X
Number of Individuals Covered2
Insurance policy start date2019-12-22
Insurance policy end date2020-12-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedANNUITY
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
LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )
Policy contract number643066X
Policy instance 1
Insurance contract or identification number643066X
Number of Individuals Covered2
Insurance policy start date2018-12-22
Insurance policy end date2019-12-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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
Other welfare benefits providedANNUITY
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
LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 )
Policy contract number643066X
Policy instance 1
Insurance contract or identification number643066X
Number of Individuals Covered2
Insurance policy start date2017-12-22
Insurance policy end date2018-12-21
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 BenefitYes
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
Other welfare benefits providedANNUITY
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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