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FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 401k Plan overview

Plan NameFARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN
Plan identification number 001

FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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.

401k Sponsoring company profile

FARMERS & MERCHANTS BANK, RUDOLPH has sponsored the creation of one or more 401k plans.

Company Name:FARMERS & MERCHANTS BANK, RUDOLPH
Employer identification number (EIN):390273530
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01JESSICA BROWN
0012016-01-01JESSICA BROWN
0012015-01-01JAMES JUDD
0012014-01-01JAMES JUDD
0012013-01-01DAVE COOPER
0012012-01-01DAVE COOPER
0012011-01-01DAVE COOPER DAVE COOPER2012-05-08
0012010-01-01DAVE COOPER DAVE COOPER2011-07-29
0012009-01-01JAMES JUDD

Plan Statistics for FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN

401k plan membership statisitcs for FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN

Measure Date Value
2017: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0110
Total number of active participants reported on line 7a of the Form 55002017-01-010
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 participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-019
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-014
Total of all active and inactive participants2016-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0110
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0110
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-019
Number of participants with account balances2015-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0111
Number of participants with account balances2014-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0112
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0110
Number of participants with account balances2013-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0114
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0110
Number of participants with account balances2012-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0112
Total number of active participants reported on line 7a of the Form 55002011-01-0110
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-013
Total of all active and inactive participants2011-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0113
Number of participants with account balances2011-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0113
Total number of active participants reported on line 7a of the Form 55002010-01-019
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0112
Number of participants with account balances2010-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0111
Total number of active participants reported on line 7a of the Form 55002009-01-019
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0111
Number of participants with account balances2009-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN

Measure Date Value
2017 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-03-31$8,014
Expenses. Total of all expenses incurred2017-03-31$221,021
Benefits paid (including direct rollovers)2017-03-31$220,692
Total plan assets at end of year2017-03-31$0
Total plan assets at beginning of year2017-03-31$213,007
Value of fidelity bond covering the plan2017-03-31$1,675,000
Expenses. Other expenses not covered elsewhere2017-03-31$329
Other income received2017-03-31$8,014
Net income (gross income less expenses)2017-03-31$-213,007
Net plan assets at end of year (total assets less liabilities)2017-03-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$213,007
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
2016 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$63,977
Expenses. Total of all expenses incurred2016-12-31$362,226
Benefits paid (including direct rollovers)2016-12-31$360,503
Total plan assets at end of year2016-12-31$213,007
Total plan assets at beginning of year2016-12-31$511,256
Value of fidelity bond covering the plan2016-12-31$1,675,000
Total contributions received or receivable from participants2016-12-31$15,822
Expenses. Other expenses not covered elsewhere2016-12-31$1,723
Other income received2016-12-31$29,854
Net income (gross income less expenses)2016-12-31$-298,249
Net plan assets at end of year (total assets less liabilities)2016-12-31$213,007
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$511,256
Assets. Value of employer securities2016-12-31$14,251
Total contributions received or receivable from employer(s)2016-12-31$18,301
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$16,098
Expenses. Total of all expenses incurred2015-12-31$326,626
Benefits paid (including direct rollovers)2015-12-31$324,580
Total plan assets at end of year2015-12-31$511,256
Total plan assets at beginning of year2015-12-31$821,784
Value of fidelity bond covering the plan2015-12-31$1,675,000
Total contributions received or receivable from participants2015-12-31$18,796
Expenses. Other expenses not covered elsewhere2015-12-31$2,046
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$-12,602
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$-310,528
Net plan assets at end of year (total assets less liabilities)2015-12-31$511,256
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$821,784
Assets. Value of participant loans2015-12-31$8,678
Assets. Value of employer securities2015-12-31$217,960
Total contributions received or receivable from employer(s)2015-12-31$9,904
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$58,028
Expenses. Total of all expenses incurred2014-12-31$2,065
Total plan assets at end of year2014-12-31$821,784
Total plan assets at beginning of year2014-12-31$765,821
Value of fidelity bond covering the plan2014-12-31$1,675,000
Total contributions received or receivable from participants2014-12-31$20,510
Expenses. Other expenses not covered elsewhere2014-12-31$2,065
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$28,897
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$55,963
Net plan assets at end of year (total assets less liabilities)2014-12-31$821,784
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$765,821
Assets. Value of participant loans2014-12-31$12,345
Assets. Value of employer securities2014-12-31$304,203
Total contributions received or receivable from employer(s)2014-12-31$8,621
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$97,870
Expenses. Total of all expenses incurred2013-12-31$1,790
Total plan assets at end of year2013-12-31$765,821
Total plan assets at beginning of year2013-12-31$669,741
Value of fidelity bond covering the plan2013-12-31$1,675,000
Total contributions received or receivable from participants2013-12-31$21,221
Expenses. Other expenses not covered elsewhere2013-12-31$1,790
Other income received2013-12-31$67,738
Net income (gross income less expenses)2013-12-31$96,080
Net plan assets at end of year (total assets less liabilities)2013-12-31$765,821
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$669,741
Assets. Value of participant loans2013-12-31$15,687
Assets. Value of employer securities2013-12-31$292,283
Total contributions received or receivable from employer(s)2013-12-31$8,911
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$77,162
Expenses. Total of all expenses incurred2012-12-31$80,754
Benefits paid (including direct rollovers)2012-12-31$79,098
Total plan assets at end of year2012-12-31$669,741
Total plan assets at beginning of year2012-12-31$673,333
Value of fidelity bond covering the plan2012-12-31$1,675,000
Total contributions received or receivable from participants2012-12-31$20,982
Expenses. Other expenses not covered elsewhere2012-12-31$0
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$42,274
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$-3,592
Net plan assets at end of year (total assets less liabilities)2012-12-31$669,741
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$673,333
Assets. Value of participant loans2012-12-31$4,550
Assets. Value of employer securities2012-12-31$387,669
Total contributions received or receivable from employer(s)2012-12-31$13,906
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$1,656
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$33,756
Expenses. Total of all expenses incurred2011-12-31$1,329
Benefits paid (including direct rollovers)2011-12-31$18
Total plan assets at end of year2011-12-31$673,333
Total plan assets at beginning of year2011-12-31$640,906
Value of fidelity bond covering the plan2011-12-31$1,675,000
Total contributions received or receivable from participants2011-12-31$17,904
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$2,424
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$32,427
Net plan assets at end of year (total assets less liabilities)2011-12-31$673,333
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$640,906
Assets. Value of participant loans2011-12-31$7,270
Assets. Value of employer securities2011-12-31$317,847
Total contributions received or receivable from employer(s)2011-12-31$13,428
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,311
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$69,049
Expenses. Total of all expenses incurred2010-12-31$110,506
Benefits paid (including direct rollovers)2010-12-31$108,543
Total plan assets at end of year2010-12-31$640,906
Total plan assets at beginning of year2010-12-31$682,363
Value of fidelity bond covering the plan2010-12-31$1,675,000
Total contributions received or receivable from participants2010-12-31$14,923
Expenses. Other expenses not covered elsewhere2010-12-31$0
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$40,442
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$-41,457
Net plan assets at end of year (total assets less liabilities)2010-12-31$640,906
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$682,363
Assets. Value of participant loans2010-12-31$31,079
Assets. Value of employer securities2010-12-31$290,927
Total contributions received or receivable from employer(s)2010-12-31$13,684
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$1,963
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN

2017: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FARMERS & MERCHANTS BANK, RUDOLPH SALARY SAVINGS 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 - TrustYes

Insurance Providers Used on plan

NATIONWIDE LIFE INSURANCE CO. OF AMERICA (National Association of Insurance Commissioners NAIC id number: 25453 )
Policy contract numberGR003563101001
Policy instance 1
Insurance contract or identification numberGR003563101001
Number of Individuals Covered0
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
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
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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