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CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameCAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN
Plan identification number 503

CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Vision
  • Long-term disability cover

401k Sponsoring company profile

CAPITAL RESIN CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:CAPITAL RESIN CORPORATION
Employer identification number (EIN):310889819
NAIC Classification:325500

Additional information about CAPITAL RESIN CORPORATION

Jurisdiction of Incorporation: Ohio Secretary of State Business Services Division
Incorporation Date: 1976-08-24
Company Identification Number: 485962
Legal Registered Office Address: 324 DERING AVE
-
COLUMBUS
United States of America (USA)
43207

More information about CAPITAL RESIN CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5032024-01-01MICHELE HAGER
5032023-01-01
5032023-01-01MICHELE HAGER
5032022-01-01
5032022-01-01KIPP ANDERSON
5032021-01-01
5032021-01-01KIPP ANDERSON
5032020-01-01
5032020-01-01
5032019-01-01
5032018-01-01
5032018-01-01
5032017-01-01KIPP ANDERSON
5032016-01-01KIPP ANDERSON
5032015-01-01KIPP ANDERSON
5032014-01-01BRIAN D. BURRIS
5032013-01-01BRIAN D. BURRIS
5032012-01-01BRIAN D. BURRIS
5032011-01-01BRIAN D. BURRIS
5032009-01-01MICHAEL P. MCMAHAN MICHAEL P. MCMAHAN2010-07-20

Financial Data on CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN

Measure Date Value
2022 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$406,812
Total plan liabilities at beginning of year2022-12-31$148,227
Total income from all sources2022-12-31$1,607,124
Expenses. Total of all expenses incurred2022-12-31$1,865,709
Benefits paid (including direct rollovers)2022-12-31$1,813,596
Value of fidelity bond covering the plan2022-12-31$1,000,000
Total contributions received or receivable from participants2022-12-31$136,637
Net income (gross income less expenses)2022-12-31$-258,585
Net plan assets at end of year (total assets less liabilities)2022-12-31$-406,812
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$-148,227
Total contributions received or receivable from employer(s)2022-12-31$1,470,487
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$52,113
2021 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2021 401k financial data
Total plan liabilities at end of year2021-12-31$148,227
Total plan liabilities at beginning of year2021-12-31$125,364
Total income from all sources2021-12-31$861,652
Expenses. Total of all expenses incurred2021-12-31$884,515
Benefits paid (including direct rollovers)2021-12-31$831,609
Value of fidelity bond covering the plan2021-12-31$1,000,000
Total contributions received or receivable from participants2021-12-31$129,222
Net income (gross income less expenses)2021-12-31$-22,863
Net plan assets at end of year (total assets less liabilities)2021-12-31$-148,227
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$-125,364
Total contributions received or receivable from employer(s)2021-12-31$732,430
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$52,906
2020 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2020 401k financial data
Total plan liabilities at end of year2020-12-31$125,364
Total plan liabilities at beginning of year2020-12-31$236,500
Total income from all sources2020-12-31$0
Expenses. Total of all expenses incurred2020-12-31$-111,136
Benefits paid (including direct rollovers)2020-12-31$-111,136
Total plan assets at end of year2020-12-31$0
Total plan assets at beginning of year2020-12-31$0
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$120,800
Net income (gross income less expenses)2020-12-31$111,136
Net plan assets at end of year (total assets less liabilities)2020-12-31$-125,364
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$-236,500
Total contributions received or receivable from employer(s)2020-12-31$936,890
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$44,488
2019 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2019 401k financial data
Total plan liabilities at end of year2019-12-31$236,500
Total plan liabilities at beginning of year2019-12-31$49,000
Total income from all sources2019-12-31$1,085,946
Expenses. Total of all expenses incurred2019-12-31$1,273,446
Benefits paid (including direct rollovers)2019-12-31$1,221,586
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$0
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$159,957
Net income (gross income less expenses)2019-12-31$-187,500
Net plan assets at end of year (total assets less liabilities)2019-12-31$-236,500
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$-49,000
Total contributions received or receivable from employer(s)2019-12-31$925,989
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$51,860
2018 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$49,000
Total plan liabilities at beginning of year2018-12-31$74,500
Total income from all sources2018-12-31$1,117,949
Expenses. Total of all expenses incurred2018-12-31$1,092,449
Benefits paid (including direct rollovers)2018-12-31$1,039,492
Total plan assets at end of year2018-12-31$0
Total plan assets at beginning of year2018-12-31$0
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$191,960
Net income (gross income less expenses)2018-12-31$25,500
Net plan assets at end of year (total assets less liabilities)2018-12-31$-49,000
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$-74,500
Total contributions received or receivable from employer(s)2018-12-31$925,989
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$52,957
2017 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-12-31$74,500
Total plan liabilities at beginning of year2017-12-31$28,707
Total income from all sources2017-12-31$1,373,723
Expenses. Total of all expenses incurred2017-12-31$1,497,944
Benefits paid (including direct rollovers)2017-12-31$1,418,663
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$78,428
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$201,990
Expenses. Other expenses not covered elsewhere2017-12-31$925
Net income (gross income less expenses)2017-12-31$-124,221
Net plan assets at end of year (total assets less liabilities)2017-12-31$-74,500
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$49,721
Total contributions received or receivable from employer(s)2017-12-31$1,171,733
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$78,356
2016 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$28,707
Total plan liabilities at beginning of year2016-12-31$113,473
Total income from all sources2016-12-31$1,342,670
Expenses. Total of all expenses incurred2016-12-31$1,306,872
Benefits paid (including direct rollovers)2016-12-31$1,229,019
Total plan assets at end of year2016-12-31$78,428
Total plan assets at beginning of year2016-12-31$127,396
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$314,802
Expenses. Other expenses not covered elsewhere2016-12-31$1,592
Other income received2016-12-31$160
Net income (gross income less expenses)2016-12-31$35,798
Net plan assets at end of year (total assets less liabilities)2016-12-31$49,721
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$13,923
Total contributions received or receivable from employer(s)2016-12-31$1,027,708
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$76,261
2015 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$113,473
Total plan liabilities at beginning of year2015-12-31$115,993
Total income from all sources2015-12-31$1,051,605
Expenses. Total of all expenses incurred2015-12-31$1,145,269
Benefits paid (including direct rollovers)2015-12-31$1,077,731
Total plan assets at end of year2015-12-31$127,396
Total plan assets at beginning of year2015-12-31$223,580
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$226,573
Net income (gross income less expenses)2015-12-31$-93,664
Net plan assets at end of year (total assets less liabilities)2015-12-31$13,923
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$107,587
Total contributions received or receivable from employer(s)2015-12-31$825,032
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$67,538
2014 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$115,993
Total plan liabilities at beginning of year2014-12-31$8,344
Total income from all sources2014-12-31$1,009,343
Expenses. Total of all expenses incurred2014-12-31$930,406
Benefits paid (including direct rollovers)2014-12-31$860,553
Total plan assets at end of year2014-12-31$223,580
Total plan assets at beginning of year2014-12-31$36,994
Value of fidelity bond covering the plan2014-12-31$1,000,000
Total contributions received or receivable from participants2014-12-31$212,926
Net income (gross income less expenses)2014-12-31$78,937
Net plan assets at end of year (total assets less liabilities)2014-12-31$107,587
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$28,650
Total contributions received or receivable from employer(s)2014-12-31$796,417
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$69,853
2013 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$8,344
Total plan liabilities at beginning of year2013-12-31$10
Total income from all sources2013-12-31$685,465
Expenses. Total of all expenses incurred2013-12-31$695,480
Benefits paid (including direct rollovers)2013-12-31$636,985
Total plan assets at end of year2013-12-31$36,994
Total plan assets at beginning of year2013-12-31$38,675
Value of fidelity bond covering the plan2013-12-31$1,000,000
Total contributions received or receivable from participants2013-12-31$194,705
Net income (gross income less expenses)2013-12-31$-10,015
Net plan assets at end of year (total assets less liabilities)2013-12-31$28,650
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$38,665
Total contributions received or receivable from employer(s)2013-12-31$490,760
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$58,495
2012 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$10
Total plan liabilities at beginning of year2012-12-31$13,705
Total income from all sources2012-12-31$752,749
Expenses. Total of all expenses incurred2012-12-31$806,895
Benefits paid (including direct rollovers)2012-12-31$749,234
Total plan assets at end of year2012-12-31$38,675
Total plan assets at beginning of year2012-12-31$106,516
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$174,609
Expenses. Other expenses not covered elsewhere2012-12-31$16
Net income (gross income less expenses)2012-12-31$-54,146
Net plan assets at end of year (total assets less liabilities)2012-12-31$38,665
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$92,811
Total contributions received or receivable from employer(s)2012-12-31$578,140
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$57,645
2011 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$13,705
Total plan liabilities at beginning of year2011-12-31$5,685
Total income from all sources2011-12-31$735,722
Expenses. Total of all expenses incurred2011-12-31$699,159
Benefits paid (including direct rollovers)2011-12-31$643,176
Total plan assets at end of year2011-12-31$106,516
Total plan assets at beginning of year2011-12-31$61,933
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$175,488
Net income (gross income less expenses)2011-12-31$36,563
Net plan assets at end of year (total assets less liabilities)2011-12-31$92,811
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$56,248
Total contributions received or receivable from employer(s)2011-12-31$560,234
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$55,983
2010 : CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$5,685
Total plan liabilities at beginning of year2010-12-31$17,557
Total income from all sources2010-12-31$736,575
Expenses. Total of all expenses incurred2010-12-31$698,253
Benefits paid (including direct rollovers)2010-12-31$643,483
Total plan assets at end of year2010-12-31$61,933
Total plan assets at beginning of year2010-12-31$35,483
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$178,433
Net income (gross income less expenses)2010-12-31$38,322
Net plan assets at end of year (total assets less liabilities)2010-12-31$56,248
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$17,926
Total contributions received or receivable from employer(s)2010-12-31$558,142
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$54,770

Form 5500 Responses for CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN

2023: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan benefit arrangement – InsuranceYes
2022: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2022-01-01Plan benefit arrangement – InsuranceYes
2021: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan benefit arrangement – InsuranceYes
2020: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan benefit arrangement – InsuranceYes
2019: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan benefit arrangement – InsuranceYes
2018: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CAPITAL RESIN CORPORATION EMPLOYEE BENEFIT PLAN 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00609228
Policy instance 1
Insurance contract or identification numberG 00609228
Number of Individuals Covered99
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $6,904
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $67,833
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
Insurance contract or identification number1000169
Number of Individuals Covered178
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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
Other welfare benefits providedMANAGED TRANSPLANT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $6,596
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00609228
Policy instance 1
Insurance contract or identification numberG 00609228
Number of Individuals Covered90
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $6,805
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedACCIDENTAL DEATH & DISMEMBERMENT
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $65,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00609228
Policy instance 1
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract numberG 00609228
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number00609228
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 2
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 )
Policy contract number00609228
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2
UNIMERICA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91529 )
Policy contract numberUNI-200200
Policy instance 1
UNITEDHEALTHCARE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 79413 )
Policy contract number1000169
Policy instance 2

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