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FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 401k Plan overview

Plan NameFARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN
Plan identification number 505

FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Life insurance

401k Sponsoring company profile

ACNB BANK has sponsored the creation of one or more 401k plans.

Company Name:ACNB BANK
Employer identification number (EIN):230581360
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about ACNB BANK

Jurisdiction of Incorporation: COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE
Incorporation Date:
Company Identification Number: 122939

More information about ACNB BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5052021-01-01
5052020-01-01
5052019-01-01
5052018-01-01SANDRA A DEANER2019-07-24
5052017-01-01
5052016-01-01
5052015-01-01
5052014-01-01
5052013-01-01
5052012-01-01SANDRA A. DEANER
5052011-01-01SANDRA A. DEANER
5052010-01-01SANDRA A DEANER
5052009-01-01SANDRA A DEANER

Plan Statistics for FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN

401k plan membership statisitcs for FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN

Measure Date Value
2021: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011
Total number of active participants reported on line 7a of the Form 55002021-01-011
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011
2020: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011
Total number of active participants reported on line 7a of the Form 55002020-01-011
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011
2019: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011
Total number of active participants reported on line 7a of the Form 55002019-01-011
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-011
2018: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-012
Total number of active participants reported on line 7a of the Form 55002018-01-011
Total of all active and inactive participants2018-01-011
2017: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012
Total number of active participants reported on line 7a of the Form 55002017-01-012
Total of all active and inactive participants2017-01-012
2016: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012
Total number of active participants reported on line 7a of the Form 55002016-01-012
Total of all active and inactive participants2016-01-012
2015: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-012
Total number of active participants reported on line 7a of the Form 55002015-01-012
Total of all active and inactive participants2015-01-012
2014: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012
Total number of active participants reported on line 7a of the Form 55002014-01-012
Total of all active and inactive participants2014-01-012
2013: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012
Total number of active participants reported on line 7a of the Form 55002013-01-012
Total of all active and inactive participants2013-01-012
2012: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013
Total number of active participants reported on line 7a of the Form 55002012-01-012
Total of all active and inactive participants2012-01-012
2011: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013
Total number of active participants reported on line 7a of the Form 55002011-01-013
Total of all active and inactive participants2011-01-013
2010: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-014
Total number of active participants reported on line 7a of the Form 55002010-01-013
Total of all active and inactive participants2010-01-013
2009: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-014
Total of all active and inactive participants2009-01-014

Financial Data on FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN

Measure Date Value
2021 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$340
Expenses. Total of all expenses incurred2021-12-31$0
Total plan assets at end of year2021-12-31$15,560
Total plan assets at beginning of year2021-12-31$15,220
Value of fidelity bond covering the plan2021-12-31$10,000,000
Other income received2021-12-31$162
Net income (gross income less expenses)2021-12-31$340
Net plan assets at end of year (total assets less liabilities)2021-12-31$15,560
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$15,220
Total contributions received or receivable from employer(s)2021-12-31$178
2020 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2020 401k financial data
Total income from all sources2020-12-31$487
Expenses. Total of all expenses incurred2020-12-31$0
Total plan assets at end of year2020-12-31$15,220
Total plan assets at beginning of year2020-12-31$14,733
Value of fidelity bond covering the plan2020-12-31$10,000,000
Other income received2020-12-31$155
Net income (gross income less expenses)2020-12-31$487
Net plan assets at end of year (total assets less liabilities)2020-12-31$15,220
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$14,733
Total contributions received or receivable from employer(s)2020-12-31$332
2019 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2019 401k financial data
Total income from all sources2019-12-31$196
Expenses. Total of all expenses incurred2019-12-31$0
Benefits paid (including direct rollovers)2019-12-31$0
Total plan assets at end of year2019-12-31$14,733
Total plan assets at beginning of year2019-12-31$14,537
Value of fidelity bond covering the plan2019-12-31$10,000,000
Other income received2019-12-31$153
Net income (gross income less expenses)2019-12-31$196
Net plan assets at end of year (total assets less liabilities)2019-12-31$14,733
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$14,537
Total contributions received or receivable from employer(s)2019-12-31$43
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$0
2018 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2018 401k financial data
Total income from all sources2018-12-31$791
Expenses. Total of all expenses incurred2018-12-31$123,785
Benefits paid (including direct rollovers)2018-12-31$123,785
Total plan assets at end of year2018-12-31$14,537
Total plan assets at beginning of year2018-12-31$137,531
Value of fidelity bond covering the plan2018-12-31$10,000,000
Other income received2018-12-31$791
Net income (gross income less expenses)2018-12-31$-122,994
Net plan assets at end of year (total assets less liabilities)2018-12-31$14,537
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$137,531
2017 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2017 401k financial data
Total income from all sources2017-12-31$10,060
Expenses. Total of all expenses incurred2017-12-31$4,291
Benefits paid (including direct rollovers)2017-12-31$2,709
Total plan assets at end of year2017-12-31$137,531
Total plan assets at beginning of year2017-12-31$131,762
Value of fidelity bond covering the plan2017-12-31$10,000,000
Other income received2017-12-31$7,351
Net income (gross income less expenses)2017-12-31$5,769
Net plan assets at end of year (total assets less liabilities)2017-12-31$137,531
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$131,762
Total contributions received or receivable from employer(s)2017-12-31$2,709
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,582
2016 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2016 401k financial data
Total income from all sources2016-12-31$9,741
Expenses. Total of all expenses incurred2016-12-31$4,202
Benefits paid (including direct rollovers)2016-12-31$2,709
Total plan assets at end of year2016-12-31$131,762
Total plan assets at beginning of year2016-12-31$126,223
Value of fidelity bond covering the plan2016-12-31$10,000,000
Other income received2016-12-31$7,032
Net income (gross income less expenses)2016-12-31$5,539
Net plan assets at end of year (total assets less liabilities)2016-12-31$131,762
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$126,223
Total contributions received or receivable from employer(s)2016-12-31$2,709
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$1,493
2015 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2015 401k financial data
Total income from all sources2015-12-31$10,171
Expenses. Total of all expenses incurred2015-12-31$4,328
Benefits paid (including direct rollovers)2015-12-31$2,709
Total plan assets at end of year2015-12-31$126,223
Total plan assets at beginning of year2015-12-31$120,380
Value of fidelity bond covering the plan2015-12-31$10,000,000
Other income received2015-12-31$7,462
Net income (gross income less expenses)2015-12-31$5,843
Net plan assets at end of year (total assets less liabilities)2015-12-31$126,223
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$120,380
Total contributions received or receivable from employer(s)2015-12-31$2,709
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,619
2014 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2014 401k financial data
Total income from all sources2014-12-31$10,384
Expenses. Total of all expenses incurred2014-12-31$4,573
Benefits paid (including direct rollovers)2014-12-31$3,040
Total plan assets at end of year2014-12-31$120,380
Total plan assets at beginning of year2014-12-31$114,569
Value of fidelity bond covering the plan2014-12-31$10,000,000
Other income received2014-12-31$7,344
Net income (gross income less expenses)2014-12-31$5,811
Net plan assets at end of year (total assets less liabilities)2014-12-31$120,380
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$114,569
Total contributions received or receivable from employer(s)2014-12-31$3,040
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,533
2013 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2013 401k financial data
Total income from all sources2013-12-31$10,347
Expenses. Total of all expenses incurred2013-12-31$4,536
Benefits paid (including direct rollovers)2013-12-31$3,088
Total plan assets at end of year2013-12-31$114,569
Total plan assets at beginning of year2013-12-31$108,758
Value of fidelity bond covering the plan2013-12-31$6,000,000
Other income received2013-12-31$7,259
Net income (gross income less expenses)2013-12-31$5,811
Net plan assets at end of year (total assets less liabilities)2013-12-31$114,569
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$108,758
Total contributions received or receivable from employer(s)2013-12-31$3,088
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,448
2012 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2012 401k financial data
Total income from all sources2012-12-31$17,394
Expenses. Total of all expenses incurred2012-12-31$14,516
Benefits paid (including direct rollovers)2012-12-31$13,033
Total plan assets at end of year2012-12-31$108,758
Total plan assets at beginning of year2012-12-31$105,880
Value of fidelity bond covering the plan2012-12-31$6,000,000
Other income received2012-12-31$14,190
Net income (gross income less expenses)2012-12-31$2,878
Net plan assets at end of year (total assets less liabilities)2012-12-31$108,758
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$105,880
Total contributions received or receivable from employer(s)2012-12-31$3,204
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,483
2011 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2011 401k financial data
Total income from all sources2011-12-31$10,243
Expenses. Total of all expenses incurred2011-12-31$4,994
Benefits paid (including direct rollovers)2011-12-31$3,476
Total plan assets at end of year2011-12-31$105,880
Total plan assets at beginning of year2011-12-31$100,631
Value of fidelity bond covering the plan2011-12-31$6,000,000
Other income received2011-12-31$6,767
Net income (gross income less expenses)2011-12-31$5,249
Net plan assets at end of year (total assets less liabilities)2011-12-31$105,880
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$100,631
Total contributions received or receivable from employer(s)2011-12-31$3,476
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,518
2010 : FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2010 401k financial data
Total income from all sources2010-12-31$28,725
Expenses. Total of all expenses incurred2010-12-31$39,842
Benefits paid (including direct rollovers)2010-12-31$39,842
Total plan assets at end of year2010-12-31$100,631
Total plan assets at beginning of year2010-12-31$111,748
Value of fidelity bond covering the plan2010-12-31$6,000,000
Other income received2010-12-31$25,107
Net income (gross income less expenses)2010-12-31$-11,117
Net plan assets at end of year (total assets less liabilities)2010-12-31$100,631
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$111,748
Total contributions received or receivable from employer(s)2010-12-31$3,618

Form 5500 Responses for FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN

2021: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION 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: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FARMERS NATIONAL BANK OF NEWVILLE VOLUNTARY EMPLOYEES BENEFIT ASSOCIATION PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number0451994160
Policy instance 1
Insurance contract or identification number0451994160
Number of Individuals Covered1
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $2,709
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2014-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,040
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2013-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,088
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2012-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,204
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number10GA333992
Policy instance 1
Insurance contract or identification number10GA333992
Number of Individuals Covered0
Insurance policy start date2011-11-18
Insurance policy end date2012-11-17
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract number10GA333992
Policy instance 1
Insurance contract or identification number10GA333992
Number of Individuals Covered1
Insurance policy start date2010-11-18
Insurance policy end date2011-11-17
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy end date2011-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,476
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
WAHINGTON NATIONAL (National Association of Insurance Commissioners NAIC id number: 65900 )
Policy contract numberVARIOUS
Policy instance 2
Insurance contract or identification numberVARIOUS
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AVIVA LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 62898 )
Policy contract numberGA333992
Policy instance 1
Insurance contract or identification numberGA333992
Number of Individuals Covered1
Insurance policy start date2009-11-18
Insurance policy end date2010-11-17
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PACIFIC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract numberVARIOUS
Policy instance 3
Insurance contract or identification numberVARIOUS
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Contracts With Unallocated Funds Deposit Administration0
Life Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $3,618
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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