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VXCHNGE OPERATING, LLC 401(K) PLAN 401k Plan overview

Plan NameVXCHNGE OPERATING, LLC 401(K) PLAN
Plan identification number 001

VXCHNGE OPERATING, LLC 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.
  • Plan covering Self-Employed individuals.
  • 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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

VXCHNGE OPERATING, LLC has sponsored the creation of one or more 401k plans.

Company Name:VXCHNGE OPERATING, LLC
Employer identification number (EIN):462733097
NAIC Classification:518210
NAIC Description:Data Processing, Hosting, and Related Services

Additional information about VXCHNGE OPERATING, LLC

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5330647

More information about VXCHNGE OPERATING, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan VXCHNGE OPERATING, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01CHRISTOPHER KAUFFMAN2024-02-13
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012018-01-01
0012018-01-01
0012017-01-01MARIA URAM MARIA URAM2018-10-05
0012016-01-01MARIA URAM MARIA URAM2017-10-17
0012015-01-01MARIA URAM MARIA URAM2016-10-17
0012014-01-01MARIA URAM2015-08-05
0012013-01-01ROBERT DOHERTY2014-07-28

Plan Statistics for VXCHNGE OPERATING, LLC 401(K) PLAN

401k plan membership statisitcs for VXCHNGE OPERATING, LLC 401(K) PLAN

Measure Date Value
2022: VXCHNGE OPERATING, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01168
Total number of active participants reported on line 7a of the Form 55002022-01-010
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: VXCHNGE OPERATING, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01204
Total number of active participants reported on line 7a of the Form 55002021-01-01114
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0155
Total of all active and inactive participants2021-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01169
Number of participants with account balances2021-01-01140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0119
2020: VXCHNGE OPERATING, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01203
Total number of active participants reported on line 7a of the Form 55002020-01-01172
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0132
Total of all active and inactive participants2020-01-01204
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01204
Number of participants with account balances2020-01-01166
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-017
2019: VXCHNGE OPERATING, LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01207
Total number of active participants reported on line 7a of the Form 55002019-01-01172
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0130
Total of all active and inactive participants2019-01-01202
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01202
Number of participants with account balances2019-01-01160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-019
2018: VXCHNGE OPERATING, LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01203
Total number of active participants reported on line 7a of the Form 55002018-01-01183
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0126
Total of all active and inactive participants2018-01-01209
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01209
Number of participants with account balances2018-01-01154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-018
2017: VXCHNGE OPERATING, LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01196
Total number of active participants reported on line 7a of the Form 55002017-01-01179
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0120
Total of all active and inactive participants2017-01-01199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01199
Number of participants with account balances2017-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: VXCHNGE OPERATING, LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01176
Total number of active participants reported on line 7a of the Form 55002016-01-01183
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-01194
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01194
Number of participants with account balances2016-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-019
2015: VXCHNGE OPERATING, LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01137
Total number of active participants reported on line 7a of the Form 55002015-01-01171
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-01177
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01177
Number of participants with account balances2015-01-01105
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-014

Financial Data on VXCHNGE OPERATING, LLC 401(K) PLAN

Measure Date Value
2022 : VXCHNGE OPERATING, LLC 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-11-21$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-21$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-11-21$0
Total income from all sources (including contributions)2022-11-21$-1,629,236
Total loss/gain on sale of assets2022-11-21$0
Total of all expenses incurred2022-11-21$9,361,986
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-11-21$9,319,759
Expenses. Certain deemed distributions of participant loans2022-11-21$1,217
Value of total corrective distributions2022-11-21$10,957
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-11-21$484,734
Value of total assets at end of year2022-11-21$0
Value of total assets at beginning of year2022-11-21$10,991,222
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-11-21$30,053
Total interest from all sources2022-11-21$5,446
Total dividends received (eg from common stock, registered investment company shares)2022-11-21$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-11-21Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2022-11-21$0
Was this plan covered by a fidelity bond2022-11-21Yes
Value of fidelity bond cover2022-11-21$500,000
If this is an individual account plan, was there a blackout period2022-11-21No
Were there any nonexempt tranactions with any party-in-interest2022-11-21No
Contributions received from participants2022-11-21$405,709
Participant contributions at beginning of year2022-11-21$103,411
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-21No
Value of net income/loss2022-11-21$-10,991,222
Value of net assets at end of year (total assets less liabilities)2022-11-21$0
Value of net assets at beginning of year (total assets less liabilities)2022-11-21$10,991,222
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-11-21No
Were any loans by the plan or fixed income obligations due to the plan in default2022-11-21No
Were any leases to which the plan was party in default or uncollectible2022-11-21No
Value of interest in pooled separate accounts at end of year2022-11-21$0
Value of interest in pooled separate accounts at beginning of year2022-11-21$10,513,270
Interest on participant loans2022-11-21$3,200
Interest earned on other investments2022-11-21$2,246
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-11-21$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-11-21$374,541
Net investment gain/loss from pooled separate accounts2022-11-21$-2,119,416
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-11-21No
Was there a failure to transmit to the plan any participant contributions2022-11-21No
Has the plan failed to provide any benefit when due under the plan2022-11-21No
Contributions received in cash from employer2022-11-21$79,025
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-11-21$9,319,759
Contract administrator fees2022-11-21$30,053
Did the plan have assets held for investment2022-11-21No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-11-21No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-11-21Yes
Opinion of an independent qualified public accountant for this plan2022-11-21Unqualified
Accountancy firm name2022-11-21RIVERO, GORDIMER, & COMPANY, P.A.
Accountancy firm EIN2022-11-21593040705
2021 : VXCHNGE OPERATING, LLC 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,811,592
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,041,007
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,028,048
Value of total corrective distributions2021-12-31$2,883
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,357,030
Value of total assets at end of year2021-12-31$10,991,221
Value of total assets at beginning of year2021-12-31$10,220,636
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$10,076
Total interest from all sources2021-12-31$10,252
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$1,146,181
Participant contributions at end of year2021-12-31$103,410
Participant contributions at beginning of year2021-12-31$135,188
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$3,631
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$770,585
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,991,221
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$10,220,636
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$10,513,270
Value of interest in pooled separate accounts at beginning of year2021-12-31$9,751,145
Interest on participant loans2021-12-31$6,136
Interest earned on other investments2021-12-31$4,116
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$374,541
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$334,303
Net investment gain/loss from pooled separate accounts2021-12-31$1,444,310
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$207,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,028,048
Contract administrator fees2021-12-31$10,076
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31RIVERO, GORDIMER, & COMPANY, P.A.
Accountancy firm EIN2021-12-31593040705
2020 : VXCHNGE OPERATING, LLC 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$3,237,700
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$685,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$660,233
Expenses. Certain deemed distributions of participant loans2020-12-31$7,251
Value of total corrective distributions2020-12-31$8,830
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,729,348
Value of total assets at end of year2020-12-31$10,220,636
Value of total assets at beginning of year2020-12-31$7,668,293
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$9,043
Total interest from all sources2020-12-31$12,707
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,176,186
Participant contributions at end of year2020-12-31$135,188
Participant contributions at beginning of year2020-12-31$213,445
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$327,920
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$2,552,343
Value of net assets at end of year (total assets less liabilities)2020-12-31$10,220,636
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,668,293
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$9,751,145
Value of interest in pooled separate accounts at beginning of year2020-12-31$7,280,992
Interest on participant loans2020-12-31$9,493
Interest earned on other investments2020-12-31$3,214
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$334,303
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$173,856
Net investment gain/loss from pooled separate accounts2020-12-31$1,495,645
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$225,242
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$660,233
Contract administrator fees2020-12-31$9,043
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31RIVERO, GORDIMER & COMPANY, P.A.
Accountancy firm EIN2020-12-31593040705
2019 : VXCHNGE OPERATING, LLC 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,661,865
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$303,983
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$291,131
Expenses. Certain deemed distributions of participant loans2019-12-31$969
Value of total corrective distributions2019-12-31$3,315
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$1,361,402
Value of total assets at end of year2019-12-31$7,668,293
Value of total assets at beginning of year2019-12-31$5,310,411
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$8,568
Total interest from all sources2019-12-31$11,530
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,057,683
Participant contributions at end of year2019-12-31$213,445
Participant contributions at beginning of year2019-12-31$160,396
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$104,933
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$2,357,882
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,668,293
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,310,411
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$7,280,992
Value of interest in pooled separate accounts at beginning of year2019-12-31$5,011,886
Interest on participant loans2019-12-31$9,117
Interest earned on other investments2019-12-31$2,413
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$173,856
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$138,129
Net investment gain/loss from pooled separate accounts2019-12-31$1,288,933
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$198,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$291,131
Contract administrator fees2019-12-31$8,568
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31RIVERO, GORDIMER & COMPANY, P.A.
Accountancy firm EIN2019-12-31593040705
2018 : VXCHNGE OPERATING, LLC 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$817,667
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$425,298
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$396,006
Expenses. Certain deemed distributions of participant loans2018-12-31$21,395
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,205,460
Value of total assets at end of year2018-12-31$5,310,411
Value of total assets at beginning of year2018-12-31$4,918,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$7,897
Total interest from all sources2018-12-31$9,661
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$984,992
Participant contributions at end of year2018-12-31$160,396
Participant contributions at beginning of year2018-12-31$165,511
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$36,348
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$392,369
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,310,411
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$4,918,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in pooled separate accounts at end of year2018-12-31$5,011,886
Value of interest in pooled separate accounts at beginning of year2018-12-31$4,648,543
Interest on participant loans2018-12-31$8,239
Interest earned on other investments2018-12-31$1,422
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$138,129
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$103,988
Net investment gain/loss from pooled separate accounts2018-12-31$-397,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$184,120
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$396,006
Contract administrator fees2018-12-31$7,897
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31RIVERO, GORDIMER & COMPANY, P.A.
Accountancy firm EIN2018-12-31593040705
2017 : VXCHNGE OPERATING, LLC 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$2,015,922
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$348,696
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$319,596
Expenses. Certain deemed distributions of participant loans2017-12-31$2,950
Value of total corrective distributions2017-12-31$19,189
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,341,590
Value of total assets at end of year2017-12-31$4,918,042
Value of total assets at beginning of year2017-12-31$3,250,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$6,961
Total interest from all sources2017-12-31$8,242
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$872,977
Participant contributions at end of year2017-12-31$165,511
Participant contributions at beginning of year2017-12-31$141,677
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$297,712
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,667,226
Value of net assets at end of year (total assets less liabilities)2017-12-31$4,918,042
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$3,250,816
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in pooled separate accounts at end of year2017-12-31$4,648,543
Value of interest in pooled separate accounts at beginning of year2017-12-31$2,951,779
Interest on participant loans2017-12-31$7,029
Interest earned on other investments2017-12-31$1,213
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$103,988
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$157,360
Net investment gain/loss from pooled separate accounts2017-12-31$666,090
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$170,901
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$319,596
Contract administrator fees2017-12-31$6,961
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31RIVERO, GORDIMER & COMPANY, P.A.
Accountancy firm EIN2017-12-31593040705
2016 : VXCHNGE OPERATING, LLC 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,506,543
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$124,723
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$118,560
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,295,444
Value of total assets at end of year2016-12-31$3,250,816
Value of total assets at beginning of year2016-12-31$1,868,996
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,163
Total interest from all sources2016-12-31$6,488
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$855,623
Participant contributions at end of year2016-12-31$141,677
Participant contributions at beginning of year2016-12-31$75,922
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$270,021
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,381,820
Value of net assets at end of year (total assets less liabilities)2016-12-31$3,250,816
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$1,868,996
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$2,951,779
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,436,407
Interest on participant loans2016-12-31$4,125
Interest earned on other investments2016-12-31$2,363
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$157,360
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$356,667
Net investment gain/loss from pooled separate accounts2016-12-31$204,611
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$169,800
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$118,560
Contract administrator fees2016-12-31$6,163
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31RIVERO, GORDIMER & COMPANY, P.A.
Accountancy firm EIN2016-12-31593040705
2015 : VXCHNGE OPERATING, LLC 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,585,485
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$19,200
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$17,283
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,625,807
Value of total assets at end of year2015-12-31$1,868,996
Value of total assets at beginning of year2015-12-31$302,711
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$1,917
Total interest from all sources2015-12-31$1,715
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$624,240
Participant contributions at end of year2015-12-31$75,922
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$897,363
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$1,566,285
Value of net assets at end of year (total assets less liabilities)2015-12-31$1,868,996
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$302,711
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in pooled separate accounts at end of year2015-12-31$1,436,407
Value of interest in pooled separate accounts at beginning of year2015-12-31$281,311
Interest on participant loans2015-12-31$948
Interest earned on other investments2015-12-31$767
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$356,667
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$21,400
Net investment gain/loss from pooled separate accounts2015-12-31$-42,037
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$104,204
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$17,283
Contract administrator fees2015-12-31$1,917
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32015-12-31Yes
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31RIVERO, GORDIMER & COMPANY, P.A
Accountancy firm EIN2015-12-31593040705

Form 5500 Responses for VXCHNGE OPERATING, LLC 401(K) PLAN

2022: VXCHNGE OPERATING, LLC 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 filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: VXCHNGE OPERATING, LLC 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 planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: VXCHNGE OPERATING, LLC 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 planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: VXCHNGE OPERATING, LLC 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 planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: VXCHNGE OPERATING, LLC 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 planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: VXCHNGE OPERATING, LLC 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: VXCHNGE OPERATING, LLC 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 funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: VXCHNGE OPERATING, LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-11-21
Total amount of commissions paid to insurance brokerUSD $19,939
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
Commission paid to Insurance BrokerUSD $19,939
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered169
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $34,411
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
Commission paid to Insurance BrokerUSD $34,411
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered204
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $28,620
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
Commission paid to Insurance BrokerUSD $28,620
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered202
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $26,550
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
Commission paid to Insurance BrokerUSD $26,550
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered209
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $26,188
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
Commission paid to Insurance BrokerUSD $26,188
Insurance broker organization code?3
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 1
Insurance contract or identification number068560
Number of Individuals Covered199
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $20,003
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
Commission paid to Insurance BrokerUSD $20,003
Insurance broker organization code?3
Insurance broker nameROBERT W BAIRD AND COMPANY
NATIONWIDE TRUST COMPANY FSB (National Association of Insurance Commissioners NAIC id number: 66869 )
Policy contract number350-80112
Policy instance 1
Insurance contract or identification number350-80112
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-03-31
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
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
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number068560
Policy instance 2
Insurance contract or identification number068560
Number of Individuals Covered177
Insurance policy start date2015-04-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,823
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?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
Commission paid to Insurance BrokerUSD $4,823
Insurance broker organization code?3
Insurance broker nameROBERT W BAIRD AND COMPANY

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