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EQUIVEST TSA 501C3 401k Plan overview

Plan NameEQUIVEST TSA 501C3
Plan identification number 003

EQUIVEST TSA 501C3 Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

BIG BROTHERS BIG SISTERS OF BUCKS COUNTY has sponsored the creation of one or more 401k plans.

Company Name:BIG BROTHERS BIG SISTERS OF BUCKS COUNTY
Employer identification number (EIN):232461056
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EQUIVEST TSA 501C3

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01URSULA RACZAK
0032016-01-01URSULA RACZAK
0032015-01-01URSULA RACZAK
0032014-01-01URSULA RACZAK
0032013-01-01URSULA RACZAK
0032012-01-01URSULA RACZAK
0032011-01-01URSULA RACZAK URSULA RACZAK2012-06-29
0032010-01-01URSULA RACZAK
0032009-01-01URSULA RACZAK
0032009-01-01URSULA RACZAK

Plan Statistics for EQUIVEST TSA 501C3

401k plan membership statisitcs for EQUIVEST TSA 501C3

Measure Date Value
2022: EQUIVEST TSA 501C3 2022 401k membership
Total participants, beginning-of-year2022-01-017
Total number of active participants reported on line 7a of the Form 55002022-01-016
Total of all active and inactive participants2022-01-016
Total participants2022-01-016
Number of participants with account balances2022-01-016
2021: EQUIVEST TSA 501C3 2021 401k membership
Total participants, beginning-of-year2021-01-017
Total number of active participants reported on line 7a of the Form 55002021-01-017
Total of all active and inactive participants2021-01-017
Total participants2021-01-017
Number of participants with account balances2021-01-017
2020: EQUIVEST TSA 501C3 2020 401k membership
Total participants, beginning-of-year2020-01-0110
Total number of active participants reported on line 7a of the Form 55002020-01-017
Total of all active and inactive participants2020-01-017
Total participants2020-01-017
Number of participants with account balances2020-01-017
2019: EQUIVEST TSA 501C3 2019 401k membership
Total participants, beginning-of-year2019-01-0111
Total number of active participants reported on line 7a of the Form 55002019-01-0110
Total of all active and inactive participants2019-01-0110
Total participants2019-01-0110
Number of participants with account balances2019-01-0110
2018: EQUIVEST TSA 501C3 2018 401k membership
Total participants, beginning-of-year2018-01-0112
Total number of active participants reported on line 7a of the Form 55002018-01-0111
Total of all active and inactive participants2018-01-0111
Total participants2018-01-0111
Number of participants with account balances2018-01-0111
2017: EQUIVEST TSA 501C3 2017 401k membership
Total participants, beginning-of-year2017-01-0115
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Total of all active and inactive participants2017-01-0112
Total participants2017-01-0112
Number of participants with account balances2017-01-0112
2016: EQUIVEST TSA 501C3 2016 401k membership
Total participants, beginning-of-year2016-01-0115
Total number of active participants reported on line 7a of the Form 55002016-01-0115
Total of all active and inactive participants2016-01-0115
Total participants2016-01-0115
Number of participants with account balances2016-01-0115
2015: EQUIVEST TSA 501C3 2015 401k membership
Total participants, beginning-of-year2015-01-0117
Total number of active participants reported on line 7a of the Form 55002015-01-0115
Number of retired or separated participants receiving benefits2015-01-012
Total of all active and inactive participants2015-01-0117
Total participants2015-01-0117
Number of participants with account balances2015-01-0115
2014: EQUIVEST TSA 501C3 2014 401k membership
Total participants, beginning-of-year2014-01-0117
Total number of active participants reported on line 7a of the Form 55002014-01-0117
Total of all active and inactive participants2014-01-0117
Total participants2014-01-0117
Number of participants with account balances2014-01-0117
2013: EQUIVEST TSA 501C3 2013 401k membership
Total participants, beginning-of-year2013-01-0120
Total number of active participants reported on line 7a of the Form 55002013-01-0117
Total of all active and inactive participants2013-01-0117
Total participants2013-01-0117
Number of participants with account balances2013-01-0117
2012: EQUIVEST TSA 501C3 2012 401k membership
Total participants, beginning-of-year2012-01-0121
Total number of active participants reported on line 7a of the Form 55002012-01-0120
Total of all active and inactive participants2012-01-0120
Total participants2012-01-0120
Number of participants with account balances2012-01-0120
2011: EQUIVEST TSA 501C3 2011 401k membership
Total participants, beginning-of-year2011-01-0123
Total number of active participants reported on line 7a of the Form 55002011-01-0121
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0121
Number of participants with account balances2011-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: EQUIVEST TSA 501C3 2010 401k membership
Total participants, beginning-of-year2010-01-0123
Total number of active participants reported on line 7a of the Form 55002010-01-0123
Total of all active and inactive participants2010-01-0123
Total participants2010-01-0123
Number of participants with account balances2010-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: EQUIVEST TSA 501C3 2009 401k membership
Total participants, beginning-of-year2009-01-0123
Total number of active participants reported on line 7a of the Form 55002009-01-0123
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0123
Number of participants with account balances2009-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on EQUIVEST TSA 501C3

Measure Date Value
2022 : EQUIVEST TSA 501C3 2022 401k financial data
Transfers to/from the plan2022-12-31$-30,398
Total income from all sources2022-12-31$-50,311
Expenses. Total of all expenses incurred2022-12-31$1,155
Benefits paid (including direct rollovers)2022-12-31$812
Total plan assets at end of year2022-12-31$222,768
Total plan assets at beginning of year2022-12-31$304,632
Value of fidelity bond covering the plan2022-12-31$40,000
Other income received2022-12-31$-50,311
Net income (gross income less expenses)2022-12-31$-51,466
Net plan assets at end of year (total assets less liabilities)2022-12-31$222,768
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$304,632
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$343
2021 : EQUIVEST TSA 501C3 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total income from all sources2021-12-31$35,644
Expenses. Total of all expenses incurred2021-12-31$1,079
Benefits paid (including direct rollovers)2021-12-31$772
Total plan assets at end of year2021-12-31$304,632
Total plan assets at beginning of year2021-12-31$270,067
Value of fidelity bond covering the plan2021-12-31$40,000
Other income received2021-12-31$35,644
Net income (gross income less expenses)2021-12-31$34,565
Net plan assets at end of year (total assets less liabilities)2021-12-31$304,632
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$270,067
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$307
2020 : EQUIVEST TSA 501C3 2020 401k financial data
Transfers to/from the plan2020-12-31$-59,952
Total income from all sources2020-12-31$27,611
Expenses. Total of all expenses incurred2020-12-31$59,542
Benefits paid (including direct rollovers)2020-12-31$59,056
Total plan assets at end of year2020-12-31$270,067
Total plan assets at beginning of year2020-12-31$361,950
Value of fidelity bond covering the plan2020-12-31$40,000
Other income received2020-12-31$27,611
Net income (gross income less expenses)2020-12-31$-31,931
Net plan assets at end of year (total assets less liabilities)2020-12-31$270,067
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$361,950
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$486
2019 : EQUIVEST TSA 501C3 2019 401k financial data
Transfers to/from the plan2019-12-31$-16,325
Total income from all sources2019-12-31$56,745
Expenses. Total of all expenses incurred2019-12-31$2,701
Benefits paid (including direct rollovers)2019-12-31$2,194
Total plan assets at end of year2019-12-31$361,950
Total plan assets at beginning of year2019-12-31$324,231
Value of fidelity bond covering the plan2019-12-31$40,000
Other income received2019-12-31$56,745
Net income (gross income less expenses)2019-12-31$54,044
Net plan assets at end of year (total assets less liabilities)2019-12-31$361,950
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$324,231
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$507
2018 : EQUIVEST TSA 501C3 2018 401k financial data
Total income from all sources2018-12-31$-7,296
Expenses. Total of all expenses incurred2018-12-31$20,416
Benefits paid (including direct rollovers)2018-12-31$19,795
Total plan assets at end of year2018-12-31$324,231
Total plan assets at beginning of year2018-12-31$351,943
Value of fidelity bond covering the plan2018-12-31$40,000
Other income received2018-12-31$-7,296
Net income (gross income less expenses)2018-12-31$-27,712
Net plan assets at end of year (total assets less liabilities)2018-12-31$324,231
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$351,943
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$621
2017 : EQUIVEST TSA 501C3 2017 401k financial data
Transfers to/from the plan2017-12-31$-36,680
Total plan liabilities at beginning of year2017-12-31$1,574
Total income from all sources2017-12-31$45,689
Expenses. Total of all expenses incurred2017-12-31$12,538
Benefits paid (including direct rollovers)2017-12-31$11,283
Total plan assets at end of year2017-12-31$351,943
Total plan assets at beginning of year2017-12-31$357,046
Value of fidelity bond covering the plan2017-12-31$40,000
Other income received2017-12-31$45,689
Net income (gross income less expenses)2017-12-31$33,151
Net plan assets at end of year (total assets less liabilities)2017-12-31$351,943
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$355,472
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,255
2016 : EQUIVEST TSA 501C3 2016 401k financial data
Total plan liabilities at end of year2016-12-31$1,574
Total plan liabilities at beginning of year2016-12-31$8,727
Total income from all sources2016-12-31$37,271
Expenses. Total of all expenses incurred2016-12-31$12,272
Benefits paid (including direct rollovers)2016-12-31$7,153
Total plan assets at end of year2016-12-31$357,046
Total plan assets at beginning of year2016-12-31$339,200
Value of fidelity bond covering the plan2016-12-31$40,000
Other income received2016-12-31$37,271
Net income (gross income less expenses)2016-12-31$24,999
Net plan assets at end of year (total assets less liabilities)2016-12-31$355,472
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$330,473
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,119
2015 : EQUIVEST TSA 501C3 2015 401k financial data
Transfers to/from the plan2015-12-31$-6,438
Total plan liabilities at end of year2015-12-31$8,727
Total plan liabilities at beginning of year2015-12-31$1,447
Total income from all sources2015-12-31$1,392
Expenses. Total of all expenses incurred2015-12-31$16,457
Benefits paid (including direct rollovers)2015-12-31$8,727
Total plan assets at end of year2015-12-31$339,200
Total plan assets at beginning of year2015-12-31$353,423
Value of fidelity bond covering the plan2015-12-31$40,000
Other income received2015-12-31$1,392
Net income (gross income less expenses)2015-12-31$-15,065
Net plan assets at end of year (total assets less liabilities)2015-12-31$330,473
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$351,976
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$7,730
2014 : EQUIVEST TSA 501C3 2014 401k financial data
Total plan liabilities at end of year2014-12-31$1,447
Total plan liabilities at beginning of year2014-12-31$1,241
Total income from all sources2014-12-31$25,213
Expenses. Total of all expenses incurred2014-12-31$6,487
Total plan assets at end of year2014-12-31$353,423
Total plan assets at beginning of year2014-12-31$334,491
Value of fidelity bond covering the plan2014-12-31$40,000
Other income received2014-12-31$25,213
Net income (gross income less expenses)2014-12-31$18,726
Net plan assets at end of year (total assets less liabilities)2014-12-31$351,976
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$333,250
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$6,487
2013 : EQUIVEST TSA 501C3 2013 401k financial data
Transfers to/from the plan2013-12-31$-78,521
Total plan liabilities at end of year2013-12-31$1,241
Total income from all sources2013-12-31$59,090
Expenses. Total of all expenses incurred2013-12-31$5,087
Total plan assets at end of year2013-12-31$334,491
Total plan assets at beginning of year2013-12-31$357,768
Value of fidelity bond covering the plan2013-12-31$40,000
Other income received2013-12-31$59,090
Net income (gross income less expenses)2013-12-31$54,003
Net plan assets at end of year (total assets less liabilities)2013-12-31$333,250
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$357,768
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$5,087
2012 : EQUIVEST TSA 501C3 2012 401k financial data
Transfers to/from the plan2012-12-31$21,996
Total income from all sources2012-12-31$45,060
Expenses. Total of all expenses incurred2012-12-31$6,282
Total plan assets at end of year2012-12-31$357,768
Total plan assets at beginning of year2012-12-31$340,986
Value of fidelity bond covering the plan2012-12-31$40,000
Total contributions received or receivable from participants2012-12-31$4,477
Other income received2012-12-31$39,389
Net income (gross income less expenses)2012-12-31$38,778
Net plan assets at end of year (total assets less liabilities)2012-12-31$357,768
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$340,986
Total contributions received or receivable from employer(s)2012-12-31$1,194
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$6,282
2011 : EQUIVEST TSA 501C3 2011 401k financial data
Total income from all sources2011-12-31$571
Expenses. Total of all expenses incurred2011-12-31$44,500
Benefits paid (including direct rollovers)2011-12-31$43,940
Total plan assets at end of year2011-12-31$339,986
Total plan assets at beginning of year2011-12-31$383,915
Value of fidelity bond covering the plan2011-12-31$40,000
Total contributions received or receivable from participants2011-12-31$12,932
Expenses. Other expenses not covered elsewhere2011-12-31$560
Other income received2011-12-31$-12,361
Net income (gross income less expenses)2011-12-31$-43,929
Net plan assets at end of year (total assets less liabilities)2011-12-31$339,986
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$383,915
Assets. Value of participant loans2011-12-31$1,628
2010 : EQUIVEST TSA 501C3 2010 401k financial data
Total income from all sources2010-12-31$48,115
Expenses. Total of all expenses incurred2010-12-31$617
Total plan assets at end of year2010-12-31$383,915
Total plan assets at beginning of year2010-12-31$336,417
Value of fidelity bond covering the plan2010-12-31$40,000
Total contributions received or receivable from participants2010-12-31$9,224
Other income received2010-12-31$36,019
Net income (gross income less expenses)2010-12-31$47,498
Net plan assets at end of year (total assets less liabilities)2010-12-31$383,915
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$336,417
Assets. Value of participant loans2010-12-31$3,684
Total contributions received or receivable from employer(s)2010-12-31$2,872
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$617

Form 5500 Responses for EQUIVEST TSA 501C3

2022: EQUIVEST TSA 501C3 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: EQUIVEST TSA 501C3 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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: EQUIVEST TSA 501C3 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: EQUIVEST TSA 501C3 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 – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: EQUIVEST TSA 501C3 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: EQUIVEST TSA 501C3 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EQUIVEST TSA 501C3 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: EQUIVEST TSA 501C3 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: EQUIVEST TSA 501C3 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: EQUIVEST TSA 501C3 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: EQUIVEST TSA 501C3 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: EQUIVEST TSA 501C3 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: EQUIVEST TSA 501C3 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: EQUIVEST TSA 501C3 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered6
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered7
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered7
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered10
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered11
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered12
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered15
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered17
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered17
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number711655 001
Policy instance 1
Insurance contract or identification number711655 001
Number of Individuals Covered20
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $114
Insurance broker nameT. MURPHY, CHFC, CLU

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