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SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 401k Plan overview

Plan NameSCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM
Plan identification number 501

SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision

401k Sponsoring company profile

SCHOCK CONTRACTING CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:SCHOCK CONTRACTING CORPORATION
Employer identification number (EIN):330761822
NAIC Classification:236200

Additional information about SCHOCK CONTRACTING CORPORATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1986409

More information about SCHOCK CONTRACTING CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012024-01-01NICOLE KRAUS
5012023-01-01NICOLE KRAUS2024-07-07 NICOLE KRAUS2024-07-07
5012022-01-01NICOLE KRAUS2023-07-12 NICOLE KRAUS2023-07-12
5012021-01-01NICOLE KRAUS2022-10-09 NICOLE KRAUS2022-10-09
5012020-01-01NICOLE KRAUS2021-10-10 NICOLE KRAUS2021-10-10
5012019-01-01NICOLE KRAUS2020-07-26 NICOLE KRAUS2020-07-26
5012018-01-01
5012017-01-01
5012016-01-01NICOLE KRAUSE
5012015-01-01LIZBETH GARCIA
5012014-01-01JOHN SCHOCK
5012013-01-01JOHN SCHOCK
5012012-01-01JOHN SCHOCK
5012011-01-01JOHN SCHOCK
5012010-01-01JOHN SCHOCK
5012009-01-01JOHN SCHOCK JOHN SCHOCK2010-10-14

Financial Data on SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM

Measure Date Value
2023 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2023 401k financial data
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$0
Total income from all sources2023-12-31$77,970
Expenses. Total of all expenses incurred2023-12-31$75,523
Benefits paid (including direct rollovers)2023-12-31$74,800
Total plan assets at end of year2023-12-31$2,660
Total plan assets at beginning of year2023-12-31$213
Total contributions received or receivable from participants2023-12-31$0
Expenses. Other expenses not covered elsewhere2023-12-31$0
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$0
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$2,447
Net plan assets at end of year (total assets less liabilities)2023-12-31$2,660
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$213
Total contributions received or receivable from employer(s)2023-12-31$77,970
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$723
2022 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2022 401k financial data
Total income from all sources2022-12-31$62,010
Expenses. Total of all expenses incurred2022-12-31$61,798
Benefits paid (including direct rollovers)2022-12-31$61,116
Total plan assets at end of year2022-12-31$213
Total plan assets at beginning of year2022-12-31$1
Net income (gross income less expenses)2022-12-31$212
Net plan assets at end of year (total assets less liabilities)2022-12-31$213
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1
Total contributions received or receivable from employer(s)2022-12-31$62,010
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$682
2021 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2021 401k financial data
Total income from all sources2021-12-31$55,389
Expenses. Total of all expenses incurred2021-12-31$56,614
Benefits paid (including direct rollovers)2021-12-31$55,970
Total plan assets at end of year2021-12-31$1
Total plan assets at beginning of year2021-12-31$1,226
Net income (gross income less expenses)2021-12-31$-1,225
Net plan assets at end of year (total assets less liabilities)2021-12-31$1
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,226
Total contributions received or receivable from employer(s)2021-12-31$55,389
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$644
2020 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2020 401k financial data
Total income from all sources2020-12-31$53,178
Expenses. Total of all expenses incurred2020-12-31$52,673
Benefits paid (including direct rollovers)2020-12-31$52,042
Total plan assets at end of year2020-12-31$1,226
Total plan assets at beginning of year2020-12-31$721
Net income (gross income less expenses)2020-12-31$505
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,226
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$721
Total contributions received or receivable from employer(s)2020-12-31$53,178
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$631
2019 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2019 401k financial data
Total income from all sources2019-12-31$51,769
Expenses. Total of all expenses incurred2019-12-31$52,964
Benefits paid (including direct rollovers)2019-12-31$51,055
Total plan assets at end of year2019-12-31$721
Total plan assets at beginning of year2019-12-31$1,916
Net income (gross income less expenses)2019-12-31$-1,195
Net plan assets at end of year (total assets less liabilities)2019-12-31$721
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,916
Total contributions received or receivable from employer(s)2019-12-31$51,769
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$1,909
2018 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2018 401k financial data
Total income from all sources2018-12-31$50,389
Expenses. Total of all expenses incurred2018-12-31$49,705
Benefits paid (including direct rollovers)2018-12-31$49,024
Total plan assets at end of year2018-12-31$1,916
Total plan assets at beginning of year2018-12-31$1,232
Net income (gross income less expenses)2018-12-31$684
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,916
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,232
Total contributions received or receivable from employer(s)2018-12-31$50,389
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$681
2017 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2017 401k financial data
Total income from all sources2017-12-31$47,440
Expenses. Total of all expenses incurred2017-12-31$47,691
Benefits paid (including direct rollovers)2017-12-31$45,313
Total plan assets at end of year2017-12-31$1,232
Total plan assets at beginning of year2017-12-31$1,483
Net income (gross income less expenses)2017-12-31$-251
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,232
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,483
Total contributions received or receivable from employer(s)2017-12-31$47,440
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,378
2016 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2016 401k financial data
Total income from all sources2016-12-31$63,196
Expenses. Total of all expenses incurred2016-12-31$62,012
Benefits paid (including direct rollovers)2016-12-31$59,102
Total plan assets at end of year2016-12-31$1,483
Total plan assets at beginning of year2016-12-31$299
Net income (gross income less expenses)2016-12-31$1,184
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,483
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$299
Total contributions received or receivable from employer(s)2016-12-31$63,196
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,910
2015 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2015 401k financial data
Total income from all sources2015-12-31$46,319
Expenses. Total of all expenses incurred2015-12-31$50,092
Benefits paid (including direct rollovers)2015-12-31$50,323
Total plan assets at end of year2015-12-31$299
Total plan assets at beginning of year2015-12-31$4,072
Net income (gross income less expenses)2015-12-31$-3,773
Net plan assets at end of year (total assets less liabilities)2015-12-31$299
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,072
Total contributions received or receivable from employer(s)2015-12-31$46,319
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$-231
2014 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2014 401k financial data
Total income from all sources2014-12-31$46,434
Expenses. Total of all expenses incurred2014-12-31$46,329
Benefits paid (including direct rollovers)2014-12-31$44,443
Total plan assets at end of year2014-12-31$4,072
Total plan assets at beginning of year2014-12-31$3,967
Value of fidelity bond covering the plan2014-12-31$10,000
Net income (gross income less expenses)2014-12-31$105
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,072
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,967
Total contributions received or receivable from employer(s)2014-12-31$46,434
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$1,886
2013 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2013 401k financial data
Total income from all sources2013-12-31$32,861
Expenses. Total of all expenses incurred2013-12-31$33,467
Benefits paid (including direct rollovers)2013-12-31$32,882
Total plan assets at end of year2013-12-31$3,967
Total plan assets at beginning of year2013-12-31$4,573
Value of fidelity bond covering the plan2013-12-31$10,000
Net income (gross income less expenses)2013-12-31$-606
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,967
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,573
Total contributions received or receivable from employer(s)2013-12-31$32,861
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$585
2012 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2012 401k financial data
Total income from all sources2012-12-31$20,649
Expenses. Total of all expenses incurred2012-12-31$19,475
Benefits paid (including direct rollovers)2012-12-31$18,318
Total plan assets at end of year2012-12-31$4,573
Total plan assets at beginning of year2012-12-31$3,399
Value of fidelity bond covering the plan2012-12-31$10,000
Net income (gross income less expenses)2012-12-31$1,174
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,573
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,399
Total contributions received or receivable from employer(s)2012-12-31$20,649
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,157
2011 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2011 401k financial data
Total income from all sources2011-12-31$20,596
Expenses. Total of all expenses incurred2011-12-31$18,548
Benefits paid (including direct rollovers)2011-12-31$16,417
Total plan assets at end of year2011-12-31$3,399
Total plan assets at beginning of year2011-12-31$1,351
Net income (gross income less expenses)2011-12-31$2,048
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,399
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,351
Total contributions received or receivable from employer(s)2011-12-31$20,596
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$2,131
2010 : SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2010 401k financial data
Total income from all sources2010-12-31$13,522
Expenses. Total of all expenses incurred2010-12-31$14,165
Benefits paid (including direct rollovers)2010-12-31$13,360
Total plan assets at end of year2010-12-31$1,351
Total plan assets at beginning of year2010-12-31$1,994
Net income (gross income less expenses)2010-12-31$-643
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,351
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,994
Total contributions received or receivable from employer(s)2010-12-31$13,522
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$805

Form 5500 Responses for SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM

2023: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedYes
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 funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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 funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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
2010: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
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 – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SCHOCK CONTRACTING CORPORATION INSURANCE PROGRAM 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

VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
Insurance contract or identification number12130361-0061
Number of Individuals Covered2
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $1,194
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
Insurance contract or identification number234621
Number of Individuals Covered3
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $4,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
Insurance contract or identification numberW00109591000
Number of Individuals Covered4
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $4,768
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $69,562
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
Insurance contract or identification numberW00109591000
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,924
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $56,823
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
Insurance contract or identification number234621
Number of Individuals Covered2
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $3,566
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
Insurance contract or identification number12130361-0061
Number of Individuals Covered2
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 BenefitYes
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
Welfare Benefit Premiums Paid to CarrierUSD $727
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract numberW00109591000
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number234621
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100569600
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number684149/684150
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number684149/684150
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100569600
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100569600
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number684149/684150
Policy instance 1
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0061
Policy instance 3
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100569600
Policy instance 2
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number684149/684150
Policy instance 1
CALIFORNIA PHYSICIANS SERVICE (National Association of Insurance Commissioners NAIC id number: 61557 )
Policy contract number684149/684150
Policy instance 1
SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number100-5496-00
Policy instance 2
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number12130361-0066
Policy instance 3

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