H & M MACHINE INC. has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan H & M MACHINE INC. 401K PROFIT SHARING PLAN
401k plan membership statisitcs for H & M MACHINE INC. 401K PROFIT SHARING PLAN
Measure | Date | Value |
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2019: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-09-01 | 13 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-09-01 | 12 |
Number of retired or separated participants receiving benefits | 2019-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-09-01 | 3 |
Total of all active and inactive participants | 2019-09-01 | 15 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-09-01 | 0 |
Total participants | 2019-09-01 | 15 |
Number of participants with account balances | 2019-09-01 | 14 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-09-01 | 0 |
2018: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-09-01 | 13 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-09-01 | 10 |
Number of retired or separated participants receiving benefits | 2018-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-09-01 | 3 |
Total of all active and inactive participants | 2018-09-01 | 13 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-09-01 | 0 |
Total participants | 2018-09-01 | 13 |
Number of participants with account balances | 2018-09-01 | 13 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-09-01 | 0 |
2017: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-09-01 | 12 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-09-01 | 10 |
Number of retired or separated participants receiving benefits | 2017-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-09-01 | 3 |
Total of all active and inactive participants | 2017-09-01 | 13 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-09-01 | 0 |
Total participants | 2017-09-01 | 13 |
Number of participants with account balances | 2017-09-01 | 13 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-09-01 | 0 |
2016: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-09-01 | 12 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-09-01 | 9 |
Number of retired or separated participants receiving benefits | 2016-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-09-01 | 3 |
Total of all active and inactive participants | 2016-09-01 | 12 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-09-01 | 0 |
Total participants | 2016-09-01 | 12 |
Number of participants with account balances | 2016-09-01 | 12 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-09-01 | 0 |
2015: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-09-01 | 13 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-09-01 | 9 |
Number of retired or separated participants receiving benefits | 2015-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-09-01 | 3 |
Total of all active and inactive participants | 2015-09-01 | 12 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-09-01 | 0 |
Total participants | 2015-09-01 | 12 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-09-01 | 0 |
2011: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-09-01 | 10 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-09-01 | 10 |
Number of retired or separated participants receiving benefits | 2011-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-09-01 | 0 |
Total of all active and inactive participants | 2011-09-01 | 10 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-09-01 | 0 |
Total participants | 2011-09-01 | 10 |
Number of participants with account balances | 2011-09-01 | 10 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-09-01 | 0 |
2010: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-09-01 | 10 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-09-01 | 9 |
Number of retired or separated participants receiving benefits | 2010-09-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-09-01 | 1 |
Total of all active and inactive participants | 2010-09-01 | 10 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-09-01 | 0 |
Total participants | 2010-09-01 | 10 |
Number of participants with account balances | 2010-09-01 | 10 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-09-01 | 0 |
2009: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-09-01 | 9 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-09-01 | 6 |
Number of retired or separated participants receiving benefits | 2009-09-01 | 1 |
Number of other retired or separated participants entitled to future benefits | 2009-09-01 | 3 |
Total of all active and inactive participants | 2009-09-01 | 10 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-09-01 | 0 |
Total participants | 2009-09-01 | 10 |
Number of participants with account balances | 2009-09-01 | 10 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-09-01 | 0 |
Measure | Date | Value |
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2020 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2020 401k financial data |
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Total income from all sources | 2020-08-31 | $248,065 |
Expenses. Total of all expenses incurred | 2020-08-31 | $31,365 |
Benefits paid (including direct rollovers) | 2020-08-31 | $30,000 |
Total plan assets at end of year | 2020-08-31 | $1,702,078 |
Total plan assets at beginning of year | 2020-08-31 | $1,485,378 |
Value of fidelity bond covering the plan | 2020-08-31 | $150,000 |
Total contributions received or receivable from participants | 2020-08-31 | $41,526 |
Other income received | 2020-08-31 | $186,309 |
Net income (gross income less expenses) | 2020-08-31 | $216,700 |
Net plan assets at end of year (total assets less liabilities) | 2020-08-31 | $1,702,078 |
Net plan assets at beginning of year (total assets less liabilities) | 2020-08-31 | $1,485,378 |
Assets. Value of participant loans | 2020-08-31 | $38,675 |
Total contributions received or receivable from employer(s) | 2020-08-31 | $20,230 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2020-08-31 | $1,365 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2020-08-31 | $0 |
2019 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2019 401k financial data |
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Total income from all sources | 2019-08-31 | $108,343 |
Expenses. Total of all expenses incurred | 2019-08-31 | $36,197 |
Benefits paid (including direct rollovers) | 2019-08-31 | $34,637 |
Total plan assets at end of year | 2019-08-31 | $1,485,378 |
Total plan assets at beginning of year | 2019-08-31 | $1,413,232 |
Value of fidelity bond covering the plan | 2019-08-31 | $150,000 |
Total contributions received or receivable from participants | 2019-08-31 | $40,502 |
Other income received | 2019-08-31 | $48,119 |
Net income (gross income less expenses) | 2019-08-31 | $72,146 |
Net plan assets at end of year (total assets less liabilities) | 2019-08-31 | $1,485,378 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-08-31 | $1,413,232 |
Assets. Value of participant loans | 2019-08-31 | $55,151 |
Total contributions received or receivable from employer(s) | 2019-08-31 | $19,722 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2019-08-31 | $1,560 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-08-31 | $0 |
2018 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2018 401k financial data |
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Total income from all sources | 2018-08-31 | $137,929 |
Expenses. Total of all expenses incurred | 2018-08-31 | $91,741 |
Benefits paid (including direct rollovers) | 2018-08-31 | $90,000 |
Total plan assets at end of year | 2018-08-31 | $1,413,232 |
Total plan assets at beginning of year | 2018-08-31 | $1,367,044 |
Value of fidelity bond covering the plan | 2018-08-31 | $150,000 |
Total contributions received or receivable from participants | 2018-08-31 | $26,247 |
Other income received | 2018-08-31 | $95,254 |
Net income (gross income less expenses) | 2018-08-31 | $46,188 |
Net plan assets at end of year (total assets less liabilities) | 2018-08-31 | $1,413,232 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-08-31 | $1,367,044 |
Assets. Value of participant loans | 2018-08-31 | $38,323 |
Total contributions received or receivable from employer(s) | 2018-08-31 | $16,428 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2018-08-31 | $1,741 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-08-31 | $0 |
2017 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2017 401k financial data |
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Total income from all sources | 2017-08-31 | $194,745 |
Expenses. Total of all expenses incurred | 2017-08-31 | $147,395 |
Benefits paid (including direct rollovers) | 2017-08-31 | $138,181 |
Total plan assets at end of year | 2017-08-31 | $1,367,044 |
Total plan assets at beginning of year | 2017-08-31 | $1,319,694 |
Value of fidelity bond covering the plan | 2017-08-31 | $500,000 |
Total contributions received or receivable from participants | 2017-08-31 | $21,883 |
Contributions received from other sources (not participants or employers) | 2017-08-31 | $22,418 |
Other income received | 2017-08-31 | $136,244 |
Net income (gross income less expenses) | 2017-08-31 | $47,350 |
Net plan assets at end of year (total assets less liabilities) | 2017-08-31 | $1,367,044 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-08-31 | $1,319,694 |
Assets. Value of participant loans | 2017-08-31 | $48,172 |
Total contributions received or receivable from employer(s) | 2017-08-31 | $14,200 |
Value of certain deemed distributions of participant loans | 2017-08-31 | $8,225 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2017-08-31 | $989 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-08-31 | $0 |
2016 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2016 401k financial data |
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Total income from all sources | 2016-08-31 | $107,232 |
Expenses. Total of all expenses incurred | 2016-08-31 | $51,414 |
Benefits paid (including direct rollovers) | 2016-08-31 | $47,446 |
Total plan assets at end of year | 2016-08-31 | $1,319,694 |
Total plan assets at beginning of year | 2016-08-31 | $1,263,876 |
Value of fidelity bond covering the plan | 2016-08-31 | $1,000,000 |
Total contributions received or receivable from participants | 2016-08-31 | $25,010 |
Other income received | 2016-08-31 | $65,692 |
Net income (gross income less expenses) | 2016-08-31 | $55,818 |
Net plan assets at end of year (total assets less liabilities) | 2016-08-31 | $1,319,694 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-08-31 | $1,263,876 |
Assets. Value of participant loans | 2016-08-31 | $64,271 |
Total contributions received or receivable from employer(s) | 2016-08-31 | $16,530 |
Value of certain deemed distributions of participant loans | 2016-08-31 | $3,814 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2016-08-31 | $154 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-08-31 | $0 |
2012 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2012 401k financial data |
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Total income from all sources | 2012-08-31 | $70,579 |
Expenses. Total of all expenses incurred | 2012-08-31 | $46,747 |
Benefits paid (including direct rollovers) | 2012-08-31 | $46,747 |
Total plan assets at end of year | 2012-08-31 | $1,064,157 |
Total plan assets at beginning of year | 2012-08-31 | $1,040,325 |
Value of fidelity bond covering the plan | 2012-08-31 | $100,000 |
Total contributions received or receivable from participants | 2012-08-31 | $24,997 |
Expenses. Other expenses not covered elsewhere | 2012-08-31 | $0 |
Other income received | 2012-08-31 | $28,669 |
Net income (gross income less expenses) | 2012-08-31 | $23,832 |
Net plan assets at end of year (total assets less liabilities) | 2012-08-31 | $1,064,157 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-08-31 | $1,040,325 |
Total contributions received or receivable from employer(s) | 2012-08-31 | $16,913 |
Funding deficiency by the employer to the plan for this plan year | 2012-08-31 | $0 |
Minimum employer required contribution for this plan year | 2012-08-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2012-08-31 | $0 |
2011 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2011 401k financial data |
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Transfers to/from the plan | 2011-08-31 | $0 |
Total income from all sources | 2011-08-31 | $126,746 |
Expenses. Total of all expenses incurred | 2011-08-31 | $30,000 |
Benefits paid (including direct rollovers) | 2011-08-31 | $30,000 |
Total plan assets at end of year | 2011-08-31 | $1,040,325 |
Total plan assets at beginning of year | 2011-08-31 | $943,579 |
Value of fidelity bond covering the plan | 2011-08-31 | $100,000 |
Total contributions received or receivable from participants | 2011-08-31 | $20,179 |
Expenses. Other expenses not covered elsewhere | 2011-08-31 | $0 |
Contributions received from other sources (not participants or employers) | 2011-08-31 | $0 |
Other income received | 2011-08-31 | $92,417 |
Net income (gross income less expenses) | 2011-08-31 | $96,746 |
Net plan assets at end of year (total assets less liabilities) | 2011-08-31 | $1,040,325 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-08-31 | $943,579 |
Assets. Value of participant loans | 2011-08-31 | $0 |
Total contributions received or receivable from employer(s) | 2011-08-31 | $14,150 |
Value of certain deemed distributions of participant loans | 2011-08-31 | $0 |
Value of corrective distributions | 2011-08-31 | $0 |
Funding deficiency by the employer to the plan for this plan year | 2011-08-31 | $0 |
Minimum employer required contribution for this plan year | 2011-08-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2011-08-31 | $0 |
2010 : H & M MACHINE INC. 401K PROFIT SHARING PLAN 2010 401k financial data |
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Funding deficiency by the employer to the plan for this plan year | 2010-08-31 | $0 |
Minimum employer required contribution for this plan year | 2010-08-31 | $0 |
Amount contributed by the employer to the plan for this plan year | 2010-08-31 | $0 |
2019: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2019 form 5500 responses |
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2019-09-01 | Type of plan entity | Single employer plan |
2019-09-01 | Submission has been amended | No |
2019-09-01 | This submission is the final filing | No |
2019-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-09-01 | Plan is a collectively bargained plan | No |
2019-09-01 | Plan funding arrangement – Insurance | Yes |
2019-09-01 | Plan funding arrangement – Trust | Yes |
2019-09-01 | Plan benefit arrangement – Insurance | Yes |
2019-09-01 | Plan benefit arrangement - Trust | Yes |
2018: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2018 form 5500 responses |
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2018-09-01 | Type of plan entity | Single employer plan |
2018-09-01 | Submission has been amended | No |
2018-09-01 | This submission is the final filing | No |
2018-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-09-01 | Plan is a collectively bargained plan | No |
2018-09-01 | Plan funding arrangement – Insurance | Yes |
2018-09-01 | Plan funding arrangement – Trust | Yes |
2018-09-01 | Plan benefit arrangement – Insurance | Yes |
2018-09-01 | Plan benefit arrangement - Trust | Yes |
2017: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2017 form 5500 responses |
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2017-09-01 | Type of plan entity | Single employer plan |
2017-09-01 | Submission has been amended | No |
2017-09-01 | This submission is the final filing | No |
2017-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-09-01 | Plan is a collectively bargained plan | No |
2017-09-01 | Plan funding arrangement – Insurance | Yes |
2017-09-01 | Plan funding arrangement – Trust | Yes |
2017-09-01 | Plan benefit arrangement – Insurance | Yes |
2017-09-01 | Plan benefit arrangement - Trust | Yes |
2016: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2016 form 5500 responses |
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2016-09-01 | Type of plan entity | Single employer plan |
2016-09-01 | Submission has been amended | No |
2016-09-01 | This submission is the final filing | No |
2016-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-09-01 | Plan is a collectively bargained plan | No |
2016-09-01 | Plan funding arrangement – Insurance | Yes |
2016-09-01 | Plan funding arrangement – Trust | Yes |
2016-09-01 | Plan benefit arrangement – Insurance | Yes |
2016-09-01 | Plan benefit arrangement - Trust | Yes |
2015: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2015 form 5500 responses |
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2015-09-01 | Type of plan entity | Single employer plan |
2015-09-01 | Submission has been amended | No |
2015-09-01 | This submission is the final filing | No |
2015-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-09-01 | Plan is a collectively bargained plan | No |
2015-09-01 | Plan funding arrangement – Insurance | Yes |
2015-09-01 | Plan funding arrangement – Trust | Yes |
2015-09-01 | Plan benefit arrangement – Insurance | Yes |
2015-09-01 | Plan benefit arrangement - Trust | Yes |
2011: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2011 form 5500 responses |
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2011-09-01 | Type of plan entity | Single employer plan |
2011-09-01 | Submission has been amended | No |
2011-09-01 | This submission is the final filing | No |
2011-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-09-01 | Plan is a collectively bargained plan | No |
2011-09-01 | Plan funding arrangement – Insurance | Yes |
2011-09-01 | Plan funding arrangement – Trust | Yes |
2011-09-01 | Plan benefit arrangement – Insurance | Yes |
2010: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2010 form 5500 responses |
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2010-09-01 | Type of plan entity | Single employer plan |
2010-09-01 | Submission has been amended | No |
2010-09-01 | This submission is the final filing | No |
2010-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-09-01 | Plan is a collectively bargained plan | No |
2010-09-01 | Plan funding arrangement – Insurance | Yes |
2010-09-01 | Plan funding arrangement – Trust | Yes |
2010-09-01 | Plan benefit arrangement – Insurance | Yes |
2009: H & M MACHINE INC. 401K PROFIT SHARING PLAN 2009 form 5500 responses |
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2009-09-01 | Type of plan entity | Single employer plan |
2009-09-01 | Submission has been amended | No |
2009-09-01 | This submission is the final filing | No |
2009-09-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2009-09-01 | Plan is a collectively bargained plan | No |
2009-09-01 | Plan funding arrangement – Insurance | Yes |
2009-09-01 | Plan funding arrangement – Trust | Yes |
2009-09-01 | Plan benefit arrangement – Insurance | Yes |
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
Policy contract number | 815769 |
Policy instance | 1 |
Insurance contract or identification number | 815769 | Number of Individuals Covered | 14 | Insurance policy start date | 2019-09-01 | Insurance policy end date | 2020-08-31 | Total amount of commissions paid to insurance broker | USD $3,755 | Total amount of fees paid to insurance company | USD $744 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 | Commission paid to Insurance Broker | USD $2,531 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 744 | Additional information about fees paid to insurance broker | TPA FEES |
|
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
Policy contract number | 815769 |
Policy instance | 1 |
Insurance contract or identification number | 815769 | Number of Individuals Covered | 13 | Insurance policy start date | 2018-09-01 | Insurance policy end date | 2019-08-31 | Total amount of commissions paid to insurance broker | USD $3,436 | Total amount of fees paid to insurance company | USD $684 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 | Commission paid to Insurance Broker | USD $3,436 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 684 | Additional information about fees paid to insurance broker | TPA FEES |
|
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
Policy contract number | 815769 |
Policy instance | 1 |
Insurance contract or identification number | 815769 | Number of Individuals Covered | 13 | Insurance policy start date | 2017-09-01 | Insurance policy end date | 2018-08-31 | Total amount of commissions paid to insurance broker | USD $3,441 | Total amount of fees paid to insurance company | USD $690 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 | Commission paid to Insurance Broker | USD $3,441 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 690 | Additional information about fees paid to insurance broker | TPA FEES | Insurance broker name | PPG RETIREMENT PLAN SERVICES, LTD |
|
AMERICAN UNITED LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60895 ) |
Policy contract number | G36827 |
Policy instance | 1 |
Insurance contract or identification number | G36827 | Number of Individuals Covered | 0 | Insurance policy start date | 2015-09-01 | Insurance policy end date | 2016-07-18 | Total amount of commissions paid to insurance broker | USD $2,507 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 | Commission paid to Insurance Broker | USD $2,507 | Insurance broker organization code? | 7 | Insurance broker name | BMO HARRIS FINANCIAL ADVISORS |
|
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
Policy contract number | 815769 |
Policy instance | 2 |
Insurance contract or identification number | 815769 | Number of Individuals Covered | 12 | Insurance policy start date | 2015-09-01 | Insurance policy end date | 2016-08-31 | Total amount of commissions paid to insurance broker | USD $12,481 | Total amount of fees paid to insurance company | USD $0 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | Yes | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 | Commission paid to Insurance Broker | USD $12,481 | Insurance broker organization code? | 7 | Insurance broker name | HARRIS BANCORP INSURANCE SERVICES |
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HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-025117 |
Policy instance | 1 |
Insurance contract or identification number | GA-025117 | Number of Individuals Covered | 10 | Insurance policy start date | 2011-09-01 | Insurance policy end date | 2012-08-31 | Total amount of commissions paid to insurance broker | USD $3,054 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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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HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 ) |
Policy contract number | GA-025117 |
Policy instance | 1 |
Insurance contract or identification number | GA-025117 | Number of Individuals Covered | 10 | Insurance policy start date | 2010-09-01 | Insurance policy end date | 2011-08-31 | Total amount of commissions paid to insurance broker | USD $2,973 | Total amount of fees paid to insurance company | USD $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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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 Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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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