SUSQUEHANNA HEALTH SYSTEM has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN
401k plan membership statisitcs for SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN
| Measure | Date | Value |
|---|
| 2017: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 70 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 27 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 5 |
| Total of all active and inactive participants | 2017-01-01 | 32 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 1 |
| Total participants | 2017-01-01 | 33 |
| Number of participants with account balances | 2017-01-01 | 81 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 72 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 25 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 7 |
| Total of all active and inactive participants | 2016-01-01 | 32 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 1 |
| Total participants | 2016-01-01 | 33 |
| Number of participants with account balances | 2016-01-01 | 70 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 74 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 26 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 45 |
| Total of all active and inactive participants | 2015-01-01 | 71 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 1 |
| Total participants | 2015-01-01 | 72 |
| Number of participants with account balances | 2015-01-01 | 72 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 1 |
| 2014: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 113 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 24 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 49 |
| Total of all active and inactive participants | 2014-01-01 | 73 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 1 |
| Total participants | 2014-01-01 | 74 |
| Number of participants with account balances | 2014-01-01 | 74 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 98 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 68 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 4 |
| Total of all active and inactive participants | 2013-01-01 | 74 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 74 |
| Number of participants with account balances | 2013-01-01 | 74 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 107 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 91 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 5 |
| Total of all active and inactive participants | 2012-01-01 | 98 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 98 |
| Number of participants with account balances | 2012-01-01 | 77 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 98 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 8 |
| Total of all active and inactive participants | 2011-01-01 | 107 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 107 |
| Number of participants with account balances | 2011-01-01 | 89 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2017 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2017 401k financial data |
|---|
| Transfers to/from the plan | 2017-12-31 | $-19 |
| Total income from all sources | 2017-12-31 | $596,650 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $94,476 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $88,336 |
| Total plan assets at end of year | 2017-12-31 | $3,348,265 |
| Total plan assets at beginning of year | 2017-12-31 | $2,846,110 |
| Value of fidelity bond covering the plan | 2017-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $92,013 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $6,140 |
| Contributions received from other sources (not participants or employers) | 2017-12-31 | $15,183 |
| Other income received | 2017-12-31 | $425,692 |
| Net income (gross income less expenses) | 2017-12-31 | $502,174 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $3,348,265 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $2,846,110 |
| Assets. Value of participant loans | 2017-12-31 | $12,295 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $63,762 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| 2016 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $339,160 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $56,799 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $51,892 |
| Total plan assets at end of year | 2016-12-31 | $2,846,110 |
| Total plan assets at beginning of year | 2016-12-31 | $2,563,749 |
| Value of fidelity bond covering the plan | 2016-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $70,640 |
| Other income received | 2016-12-31 | $157,981 |
| Noncash contributions received | 2016-12-31 | $45,871 |
| Net income (gross income less expenses) | 2016-12-31 | $282,361 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $2,846,110 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $2,563,749 |
| Assets. Value of participant loans | 2016-12-31 | $11,596 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $64,668 |
| Value of corrective distributions | 2016-12-31 | $1,079 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $3,828 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2015 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $903,733 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $42,729 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $26,267 |
| Total plan assets at end of year | 2015-12-31 | $2,563,749 |
| Total plan assets at beginning of year | 2015-12-31 | $1,702,745 |
| Value of fidelity bond covering the plan | 2015-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $71,596 |
| Contributions received from other sources (not participants or employers) | 2015-12-31 | $800,342 |
| Other income received | 2015-12-31 | $-28,154 |
| Net income (gross income less expenses) | 2015-12-31 | $861,004 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $2,563,749 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $1,702,745 |
| Assets. Value of participant loans | 2015-12-31 | $1,507 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $59,949 |
| Value of certain deemed distributions of participant loans | 2015-12-31 | $1,141 |
| Value of corrective distributions | 2015-12-31 | $12,469 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $2,852 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $165,555 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $123,368 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $105,749 |
| Total plan assets at end of year | 2014-12-31 | $1,702,745 |
| Total plan assets at beginning of year | 2014-12-31 | $1,660,558 |
| Value of fidelity bond covering the plan | 2014-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $65,033 |
| Other income received | 2014-12-31 | $100,522 |
| Net income (gross income less expenses) | 2014-12-31 | $42,187 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $1,702,745 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $1,660,558 |
| Assets. Value of participant loans | 2014-12-31 | $2,672 |
| Value of corrective distributions | 2014-12-31 | $15,636 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $1,983 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2013 401k financial data |
|---|
| Total plan liabilities at beginning of year | 2013-12-31 | $0 |
| Total income from all sources | 2013-12-31 | $326,249 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $135,406 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $124,475 |
| Total plan assets at end of year | 2013-12-31 | $1,660,558 |
| Total plan assets at beginning of year | 2013-12-31 | $1,469,715 |
| Value of fidelity bond covering the plan | 2013-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $59,026 |
| Other income received | 2013-12-31 | $267,223 |
| Net income (gross income less expenses) | 2013-12-31 | $190,843 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $1,660,558 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $1,469,715 |
| Assets. Value of participant loans | 2013-12-31 | $3,335 |
| Value of corrective distributions | 2013-12-31 | $8,846 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $2,085 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2012 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2012 401k financial data |
|---|
| Total plan liabilities at end of year | 2012-12-31 | $0 |
| Total income from all sources | 2012-12-31 | $234,215 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $16,856 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $12,574 |
| Total plan assets at end of year | 2012-12-31 | $1,469,715 |
| Total plan assets at beginning of year | 2012-12-31 | $1,252,356 |
| Value of fidelity bond covering the plan | 2012-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $62,986 |
| Other income received | 2012-12-31 | $171,229 |
| Net income (gross income less expenses) | 2012-12-31 | $217,359 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $1,469,715 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $1,252,356 |
| Assets. Value of participant loans | 2012-12-31 | $4,500 |
| Value of certain deemed distributions of participant loans | 2012-12-31 | $1,166 |
| Value of corrective distributions | 2012-12-31 | $1,463 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $1,653 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2011 401k financial data |
|---|
| Transfers to/from the plan | 2011-12-31 | $-518,019 |
| Total income from all sources | 2011-12-31 | $82,846 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $123,814 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $121,220 |
| Total plan assets at end of year | 2011-12-31 | $1,252,356 |
| Total plan assets at beginning of year | 2011-12-31 | $1,811,343 |
| Value of fidelity bond covering the plan | 2011-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $106,536 |
| Expenses. Other expenses not covered elsewhere | 2011-12-31 | $210 |
| Other income received | 2011-12-31 | $-23,690 |
| Net income (gross income less expenses) | 2011-12-31 | $-40,968 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $1,252,356 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $1,811,343 |
| Assets. Value of participant loans | 2011-12-31 | $2,405 |
| Value of corrective distributions | 2011-12-31 | $422 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $1,962 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2017: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | Yes |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | Yes |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | Yes |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: SUSQUEHANNA HEALTH SYSTEM 401K RETIREMENT PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 5 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | TT080400 |
| Policy instance | 4 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 70 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $103 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $103 | | Insurance broker organization code? | 3 | | Insurance broker name | BRIGHTHOUSE SECURITIES, LLC |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $74 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $74 | | Insurance broker organization code? | 3 | | Insurance broker name | BRIGHTHOUSE SECURITIES, LLC |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $38 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $38 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $62 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $62 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $97 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $97 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| STANDARD INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 ) |
| Policy contract number | TT080400 |
| Policy instance | 4 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2015-12-30 | | Insurance policy end date | 2015-12-31 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 5 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 72 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $36 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $36 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $35 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $35 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $59 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $59 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $100 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $100 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 4 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $34 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $34 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $50 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $50 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
| Policy contract number | SUSQ00PA00K1 |
| Policy instance | 4 |
| Insurance contract or identification number | SUSQ00PA00K1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $100 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $100 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 5 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 74 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $43 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $43 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $96 | | Are there contracts with unallocated funds for contracts of type guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $96 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
| Policy contract number | SUSQ00PA00K1 |
| Policy instance | 4 |
| Insurance contract or identification number | SUSQ00PA00K1 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 5 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 77 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $32 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $32 | | Insurance broker organization code? | 3 | | Insurance broker name | METLIFE SECURITIES, INC. |
|
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
| Policy contract number | SUSQ00PA00K1 |
| Policy instance | 5 |
| Insurance contract or identification number | SUSQ00PA00K1 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 ) |
| Policy contract number | TT080400 |
| Policy instance | 6 |
| Insurance contract or identification number | TT080400 | | Number of Individuals Covered | 76 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| NATIONWIDE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66869 ) |
| Policy contract number | COPE0101CA36 |
| Policy instance | 4 |
| Insurance contract or identification number | COPE0101CA36 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 920346 |
| Policy instance | 3 |
| Insurance contract or identification number | 920346 | | Number of Individuals Covered | 13 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $93 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 914929 |
| Policy instance | 1 |
| Insurance contract or identification number | 914929 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $31 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 ) |
| Policy contract number | 915985 |
| Policy instance | 2 |
| Insurance contract or identification number | 915985 | | Number of Individuals Covered | 3 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $40 | | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
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