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BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 401k Plan overview

Plan NameBREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN
Plan identification number 002

BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC has sponsored the creation of one or more 401k plans.

Company Name:BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC
Employer identification number (EIN):371367202
NAIC Classification:424800

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01PATRICIA ABREGO-SANTUCCI PATRICIA ABREGO-SANTUCCI2018-10-15
0022016-01-01W. ROCKWELL WIRTZ

Plan Statistics for BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN

401k plan membership statisitcs for BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN

Measure Date Value
2022: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0112
Total number of active participants reported on line 7a of the Form 55002022-01-0114
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0117
Number of participants with account balances2022-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0115
Total number of active participants reported on line 7a of the Form 55002021-01-018
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0112
Number of participants with account balances2021-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0115
Total number of active participants reported on line 7a of the Form 55002020-01-0114
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-011
Total of all active and inactive participants2020-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0115
Number of participants with account balances2020-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0116
Total number of active participants reported on line 7a of the Form 55002019-01-0114
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0114
Number of participants with account balances2019-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0124
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0115
Number of participants with account balances2018-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0115
Total number of active participants reported on line 7a of the Form 55002017-01-0124
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0124
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0124
Number of participants with account balances2017-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0116
Total number of active participants reported on line 7a of the Form 55002016-01-0114
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0115
Number of participants with account balances2016-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010

Financial Data on BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN

Measure Date Value
2022 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-17,513
Expenses. Total of all expenses incurred2022-12-31$15,701
Benefits paid (including direct rollovers)2022-12-31$15,079
Total plan assets at end of year2022-12-31$405,068
Total plan assets at beginning of year2022-12-31$438,282
Value of fidelity bond covering the plan2022-12-31$10,000,000
Total contributions received or receivable from participants2022-12-31$19,634
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-65,365
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-33,214
Net plan assets at end of year (total assets less liabilities)2022-12-31$405,068
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$438,282
Assets. Value of participant loans2022-12-31$29,720
Total contributions received or receivable from employer(s)2022-12-31$28,218
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$622
2021 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$112,236
Expenses. Total of all expenses incurred2021-12-31$101,865
Benefits paid (including direct rollovers)2021-12-31$100,446
Total plan assets at end of year2021-12-31$438,282
Total plan assets at beginning of year2021-12-31$427,911
Value of fidelity bond covering the plan2021-12-31$10,000,000
Total contributions received or receivable from participants2021-12-31$18,664
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$65,960
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$10,371
Net plan assets at end of year (total assets less liabilities)2021-12-31$438,282
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$427,911
Assets. Value of participant loans2021-12-31$41,886
Total contributions received or receivable from employer(s)2021-12-31$27,612
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$1,419
2020 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$106,247
Expenses. Total of all expenses incurred2020-12-31$1,414
Total plan assets at end of year2020-12-31$427,911
Total plan assets at beginning of year2020-12-31$323,078
Value of fidelity bond covering the plan2020-12-31$18,000,000
Total contributions received or receivable from participants2020-12-31$18,775
Expenses. Other expenses not covered elsewhere2020-12-31$1,000
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$51,673
Net income (gross income less expenses)2020-12-31$104,833
Net plan assets at end of year (total assets less liabilities)2020-12-31$427,911
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$323,078
Assets. Value of participant loans2020-12-31$49,290
Total contributions received or receivable from employer(s)2020-12-31$35,799
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$414
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Funding deficiency by the employer to the plan for this plan year2020-12-31$0
Amount contributed by the employer to the plan for this plan year2020-12-31$0
2019 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$113,518
Expenses. Total of all expenses incurred2019-12-31$48,134
Benefits paid (including direct rollovers)2019-12-31$56,529
Total plan assets at end of year2019-12-31$323,078
Total plan assets at beginning of year2019-12-31$257,694
Value of fidelity bond covering the plan2019-12-31$18,000,000
Total contributions received or receivable from participants2019-12-31$18,152
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$58,291
Net income (gross income less expenses)2019-12-31$65,384
Net plan assets at end of year (total assets less liabilities)2019-12-31$323,078
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$257,694
Assets. Value of participant loans2019-12-31$39,311
Total contributions received or receivable from employer(s)2019-12-31$37,075
Value of certain deemed distributions of participant loans2019-12-31$-8,941
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$546
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$26,423
Expenses. Total of all expenses incurred2018-12-31$9,278
Benefits paid (including direct rollovers)2018-12-31$0
Total plan assets at end of year2018-12-31$257,694
Total plan assets at beginning of year2018-12-31$240,549
Value of fidelity bond covering the plan2018-12-31$18,000,000
Total contributions received or receivable from participants2018-12-31$16,219
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-14,974
Net income (gross income less expenses)2018-12-31$17,145
Net plan assets at end of year (total assets less liabilities)2018-12-31$257,694
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$240,549
Assets. Value of participant loans2018-12-31$20,112
Total contributions received or receivable from employer(s)2018-12-31$25,178
Value of certain deemed distributions of participant loans2018-12-31$8,941
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$337
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$71,722
Expenses. Total of all expenses incurred2017-12-31$553
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$240,549
Total plan assets at beginning of year2017-12-31$169,380
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$14,825
Expenses. Other expenses not covered elsewhere2017-12-31$13
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$32,114
Net income (gross income less expenses)2017-12-31$71,169
Net plan assets at end of year (total assets less liabilities)2017-12-31$240,549
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$169,380
Assets. Value of participant loans2017-12-31$27,901
Total contributions received or receivable from employer(s)2017-12-31$24,783
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$540
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$8,168
Total income from all sources2016-12-31$35,075
Expenses. Total of all expenses incurred2016-12-31$145
Benefits paid (including direct rollovers)2016-12-31$0
Total plan assets at end of year2016-12-31$169,380
Total plan assets at beginning of year2016-12-31$126,282
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$15,225
Expenses. Other expenses not covered elsewhere2016-12-31$145
Other income received2016-12-31$-5,397
Net income (gross income less expenses)2016-12-31$34,930
Net plan assets at end of year (total assets less liabilities)2016-12-31$169,380
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$126,282
Assets. Value of participant loans2016-12-31$15,450
Total contributions received or receivable from employer(s)2016-12-31$25,247

Form 5500 Responses for BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) PLAN

2022: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 planYes
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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 planYes
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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 planYes
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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 planYes
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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 planYes
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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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: BREAKTHRU BEVERAGE ILLINOIS BELLEVILLE, LLC LOCAL 50 401(K) 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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number21134
Policy instance 1
Insurance contract or identification number21134
Number of Individuals Covered3
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
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number21134
Policy instance 1
Insurance contract or identification number21134
Number of Individuals Covered2
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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 types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52209
Policy instance 1
Insurance contract or identification numberFL 52209
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52209
Policy instance 1
Insurance contract or identification numberFL 52209
Number of Individuals Covered14
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52209
Policy instance 1
Insurance contract or identification numberFL 52209
Number of Individuals Covered15
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 52209
Policy instance 1
Insurance contract or identification numberFL 52209
Number of Individuals Covered24
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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