401k Plan data: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST plan

TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 401k Plan overview

Plan Name	TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST
Plan identification number	001

TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST Benefits

401k Plan Type

Defined Benefit Pension

Plan Features/Benefits

Benefits are primarily pay related
Covered by PBGC - Plan is covered under the PBGC insurance program (see ERISA section 4021).
Plan covered by PBGC that was terminated and closed out for PBGC purposes - Before the end of the plan year (or a prior plan year), (1) the plan terminated in a standard (or distress) termination and completed the distribution of plan assets in satisfaction of all benefit liabilities (or all ERISA Title IV benefits for distress termination); or (2) a trustee was appointed for a terminated plan pursuant to ERISA section 4042.
Frozen Plan - As of the last day of the plan year, the plan provides that no participant will get any new benefit accrual (whether because of service or compensation).
Profit-sharing
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

TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE COMPANY

Employer identification number (EIN): 231395696

NAIC Classification: 524140

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-12-31 GREGORY A. MORLEY
001 2013-12-31 GREGORY A. MORLEY
001 2012-12-31 GREGORY A. MORLEY
001 2011-12-31 GREGORY A. MORLEY
001 2011-01-01 TEACHERS PROTECTIVE MUTUAL LIF 2012-05-17
001 2010-01-01 TEACHERS PROTECTIVE MUTUAL LIF 2011-05-11
001 2009-12-31 GREGORY MORLEY GREGORY MORLEY 2011-02-10

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
001	2014-12-31	GREGORY A. MORLEY
001	2013-12-31	GREGORY A. MORLEY
001	2012-12-31	GREGORY A. MORLEY
001	2011-12-31	GREGORY A. MORLEY
001	2011-01-01	TEACHERS PROTECTIVE MUTUAL LIF	2012-05-17
001	2010-01-01	TEACHERS PROTECTIVE MUTUAL LIF	2011-05-11
001	2009-12-31	GREGORY MORLEY		GREGORY MORLEY	2011-02-10

Plan Statistics for TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST

401k plan membership statisitcs for TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST

Measure Date Value
2014: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2014 401k membership
Total participants, beginning-of-year 2014-12-31 31
Total number of active participants reported on line 7a of the Form 5500 2014-12-31 0
Number of retired or separated participants receiving benefits 2014-12-31 0
Number of other retired or separated participants entitled to future benefits 2014-12-31 0
Total of all active and inactive participants 2014-12-31 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-12-31 0
Total participants 2014-12-31 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-12-31 0
2013: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2013 401k membership
Total participants, beginning-of-year 2013-12-31 31
Total number of active participants reported on line 7a of the Form 5500 2013-12-31 15
Number of retired or separated participants receiving benefits 2013-12-31 3
Number of other retired or separated participants entitled to future benefits 2013-12-31 13
Total of all active and inactive participants 2013-12-31 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-12-31 0
Total participants 2013-12-31 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-12-31 0
2012: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year 2012-12-31 31
Total number of active participants reported on line 7a of the Form 5500 2012-12-31 21
Number of retired or separated participants receiving benefits 2012-12-31 0
Number of other retired or separated participants entitled to future benefits 2012-12-31 10
Total of all active and inactive participants 2012-12-31 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-12-31 0
Total participants 2012-12-31 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-12-31 0
2011: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year 2011-12-31 44
Total number of active participants reported on line 7a of the Form 5500 2011-12-31 21
Number of retired or separated participants receiving benefits 2011-12-31 0
Number of other retired or separated participants entitled to future benefits 2011-12-31 10
Total of all active and inactive participants 2011-12-31 31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-12-31 0
Total participants 2011-12-31 31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-12-31 2
2009: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year 2009-12-31 45
Total number of active participants reported on line 7a of the Form 5500 2009-12-31 20
Number of retired or separated participants receiving benefits 2009-12-31 9
Number of other retired or separated participants entitled to future benefits 2009-12-31 10
Total of all active and inactive participants 2009-12-31 39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-12-31 4
Total participants 2009-12-31 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-12-31 0

Measure	Date	Value
2014: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2014 401k membership
Total participants, beginning-of-year	2014-12-31	31
Total number of active participants reported on line 7a of the Form 5500	2014-12-31	0
Number of retired or separated participants receiving benefits	2014-12-31	0
Number of other retired or separated participants entitled to future benefits	2014-12-31	0
Total of all active and inactive participants	2014-12-31	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-12-31	0
Total participants	2014-12-31	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-12-31	0
2013: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2013 401k membership
Total participants, beginning-of-year	2013-12-31	31
Total number of active participants reported on line 7a of the Form 5500	2013-12-31	15
Number of retired or separated participants receiving benefits	2013-12-31	3
Number of other retired or separated participants entitled to future benefits	2013-12-31	13
Total of all active and inactive participants	2013-12-31	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-12-31	0
Total participants	2013-12-31	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-12-31	0
2012: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2012 401k membership
Total participants, beginning-of-year	2012-12-31	31
Total number of active participants reported on line 7a of the Form 5500	2012-12-31	21
Number of retired or separated participants receiving benefits	2012-12-31	0
Number of other retired or separated participants entitled to future benefits	2012-12-31	10
Total of all active and inactive participants	2012-12-31	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-12-31	0
Total participants	2012-12-31	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-12-31	0
2011: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2011 401k membership
Total participants, beginning-of-year	2011-12-31	44
Total number of active participants reported on line 7a of the Form 5500	2011-12-31	21
Number of retired or separated participants receiving benefits	2011-12-31	0
Number of other retired or separated participants entitled to future benefits	2011-12-31	10
Total of all active and inactive participants	2011-12-31	31
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-12-31	0
Total participants	2011-12-31	31
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-12-31	2
2009: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2009 401k membership
Total participants, beginning-of-year	2009-12-31	45
Total number of active participants reported on line 7a of the Form 5500	2009-12-31	20
Number of retired or separated participants receiving benefits	2009-12-31	9
Number of other retired or separated participants entitled to future benefits	2009-12-31	10
Total of all active and inactive participants	2009-12-31	39
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-12-31	4
Total participants	2009-12-31	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-12-31	0

Financial Data on TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST

Measure	Date	Value
2015 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2015 401k financial data
Total income from all sources	2015-12-30	$1,137,169
Expenses. Total of all expenses incurred	2015-12-30	$3,812,420
Benefits paid (including direct rollovers)	2015-12-30	$3,773,482
Total plan assets at end of year	2015-12-30	$0
Total plan assets at beginning of year	2015-12-30	$2,675,251
Other income received	2015-12-30	$167,292
Net income (gross income less expenses)	2015-12-30	$-2,675,251
Net plan assets at end of year (total assets less liabilities)	2015-12-30	$0
Net plan assets at beginning of year (total assets less liabilities)	2015-12-30	$2,675,251
Total contributions received or receivable from employer(s)	2015-12-30	$969,877
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-30	$38,938
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-30	$0
2014 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2014 401k financial data
Total income from all sources	2014-12-30	$278,417
Expenses. Total of all expenses incurred	2014-12-30	$16,904
Benefits paid (including direct rollovers)	2014-12-30	$16,904
Total plan assets at end of year	2014-12-30	$2,675,251
Total plan assets at beginning of year	2014-12-30	$2,413,738
Other income received	2014-12-30	$150,917
Net income (gross income less expenses)	2014-12-30	$261,513
Net plan assets at end of year (total assets less liabilities)	2014-12-30	$2,675,251
Net plan assets at beginning of year (total assets less liabilities)	2014-12-30	$2,413,738
Total contributions received or receivable from employer(s)	2014-12-30	$127,500
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-30	$0
2013 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2013 401k financial data
Total income from all sources	2013-12-30	$247,702
Expenses. Total of all expenses incurred	2013-12-30	$0
Total plan assets at end of year	2013-12-30	$2,413,738
Total plan assets at beginning of year	2013-12-30	$2,166,036
Other income received	2013-12-30	$137,702
Net income (gross income less expenses)	2013-12-30	$247,702
Net plan assets at end of year (total assets less liabilities)	2013-12-30	$2,413,738
Net plan assets at beginning of year (total assets less liabilities)	2013-12-30	$2,166,036
Total contributions received or receivable from employer(s)	2013-12-30	$110,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-30	$0
2012 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2012 401k financial data
Total income from all sources	2012-12-30	$386,405
Expenses. Total of all expenses incurred	2012-12-30	$2,494,205
Benefits paid (including direct rollovers)	2012-12-30	$2,494,205
Total plan assets at end of year	2012-12-30	$2,166,036
Total plan assets at beginning of year	2012-12-30	$4,273,836
Other income received	2012-12-30	$257,405
Net income (gross income less expenses)	2012-12-30	$-2,107,800
Net plan assets at end of year (total assets less liabilities)	2012-12-30	$2,166,036
Net plan assets at beginning of year (total assets less liabilities)	2012-12-30	$4,273,836
Total contributions received or receivable from employer(s)	2012-12-30	$129,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-30	$0
2011 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2011 401k financial data
Total income from all sources	2011-12-30	$353,041
Expenses. Total of all expenses incurred	2011-12-30	$195,103
Benefits paid (including direct rollovers)	2011-12-30	$195,103
Total plan assets at end of year	2011-12-30	$4,273,836
Total plan assets at beginning of year	2011-12-30	$4,115,898
Other income received	2011-12-30	$247,041
Net income (gross income less expenses)	2011-12-30	$157,938
Net plan assets at end of year (total assets less liabilities)	2011-12-30	$4,273,836
Net plan assets at beginning of year (total assets less liabilities)	2011-12-30	$4,115,898
Total contributions received or receivable from employer(s)	2011-12-30	$106,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-30	$0
2010 : TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-30	$0

Form 5500 Responses for TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST

2014: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2014 form 5500 responses
2014-12-31	Type of plan entity	Single employer plan
2014-12-31	Submission has been amended	No
2014-12-31	This submission is the final filing	Yes
2014-12-31	This return/report is a short plan year return/report (less than 12 months)	No
2014-12-31	Plan is a collectively bargained plan	No
2014-12-31	Plan funding arrangement – Insurance	Yes
2014-12-31	Plan benefit arrangement – Insurance	Yes
2013: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2013 form 5500 responses
2013-12-31	Type of plan entity	Single employer plan
2013-12-31	Submission has been amended	No
2013-12-31	This submission is the final filing	No
2013-12-31	This return/report is a short plan year return/report (less than 12 months)	No
2013-12-31	Plan is a collectively bargained plan	No
2013-12-31	Plan funding arrangement – Insurance	Yes
2013-12-31	Plan benefit arrangement – Insurance	Yes
2012: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2012 form 5500 responses
2012-12-31	Type of plan entity	Single employer plan
2012-12-31	Submission has been amended	No
2012-12-31	This submission is the final filing	No
2012-12-31	This return/report is a short plan year return/report (less than 12 months)	No
2012-12-31	Plan is a collectively bargained plan	No
2012-12-31	Plan funding arrangement – Insurance	Yes
2012-12-31	Plan benefit arrangement – Insurance	Yes
2011: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2011 form 5500 responses
2011-12-31	Type of plan entity	Single employer plan
2011-12-31	Submission has been amended	No
2011-12-31	This submission is the final filing	No
2011-12-31	This return/report is a short plan year return/report (less than 12 months)	No
2011-12-31	Plan is a collectively bargained plan	No
2011-12-31	Plan funding arrangement – Insurance	Yes
2011-12-31	Plan benefit arrangement – Insurance	Yes
2009: TEACHERS PROTECTIVE MUTUAL LIF 401 K PROFIT SHARING PLAN TRUST 2009 form 5500 responses
2009-12-31	Type of plan entity	Single employer plan
2009-12-31	Submission has been amended	No
2009-12-31	This submission is the final filing	No
2009-12-31	This return/report is a short plan year return/report (less than 12 months)	No
2009-12-31	Plan is a collectively bargained plan	No
2009-12-31	Plan funding arrangement – Insurance	Yes
2009-12-31	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69353 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	0
Insurance policy start date	2014-12-31
Insurance policy end date	2015-12-30
Total amount of commissions paid to insurance broker	USD $38,938
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $38,938
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	ANNUITY PLACEMENT
Insurance broker organization code?	4
Insurance broker name	DIETRICH & ASSOCIATES, INC.

TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69353 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	31
Insurance policy start date	2011-12-31
Insurance policy end date	2012-12-30
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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

MUTUAL OF OMAHA (National Association of Insurance Commissioners NAIC id number: 69868 )

Policy contract number

SPG-17336

Policy instance

Insurance contract or identification number	SPG-17336
Number of Individuals Covered	10
Insurance policy start date	2011-12-31
Insurance policy end date	2012-12-30
Total amount of commissions paid to insurance broker	USD $92,588
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	Yes
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE CO. (National Association of Insurance Commissioners NAIC id number: 69353 )

Policy contract number

N/A

Policy instance

Insurance contract or identification number	N/A
Number of Individuals Covered	44
Insurance policy start date	2010-12-31
Insurance policy end date	2011-12-30
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $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 plan	No
Contracts With Unallocated Funds Deposit Administration	1
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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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Company Name:	TEACHERS PROTECTIVE MUTUAL LIFE INSURANCE COMPANY
Employer identification number (EIN):	231395696
NAIC Classification:	524140