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NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 401k Plan overview

Plan NameNORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN
Plan identification number 005

NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.

401k Sponsoring company profile

NORTH DAKOTA UNITED has sponsored the creation of one or more 401k plans.

Company Name:NORTH DAKOTA UNITED
Employer identification number (EIN):463004596
NAIC Classification:611000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0052022-09-01MADALYN RAMBOUSEK2023-12-14 MADALYN RAMBOUSEK2023-12-14
0052021-09-01MADALYN RAMBOUSEK2023-01-13 MADALYN RAMBOUSEK2023-01-13
0052020-09-01GARY RATH2021-12-20 GARY RATH2021-12-20
0052019-09-01
0052019-01-01
0052019-01-01
0052018-09-01
0052017-09-01
0052016-09-01
0052015-09-01
0052014-09-01
0052013-09-01

Plan Statistics for NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN

401k plan membership statisitcs for NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN

Measure Date Value
2019: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-09-0139
Total number of active participants reported on line 7a of the Form 55002019-09-0123
Number of other retired or separated participants entitled to future benefits2019-09-0116
Total of all active and inactive participants2019-09-0139
Total participants2019-09-0139
Number of participants with account balances2019-09-0139
Total participants, beginning-of-year2019-01-0139
Total number of active participants reported on line 7a of the Form 55002019-01-0123
Number of other retired or separated participants entitled to future benefits2019-01-0116
Total of all active and inactive participants2019-01-0139
Total participants2019-01-0139
Number of participants with account balances2019-01-0139
2018: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-09-0139
Total number of active participants reported on line 7a of the Form 55002018-09-0123
Number of other retired or separated participants entitled to future benefits2018-09-0116
Total of all active and inactive participants2018-09-0139
Total participants2018-09-0139
Number of participants with account balances2018-09-0139
2017: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-09-0136
Total number of active participants reported on line 7a of the Form 55002017-09-0122
Number of other retired or separated participants entitled to future benefits2017-09-0117
Total of all active and inactive participants2017-09-0139
Total participants2017-09-0139
Number of participants with account balances2017-09-0139
2016: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-09-0135
Total number of active participants reported on line 7a of the Form 55002016-09-0123
Number of other retired or separated participants entitled to future benefits2016-09-0113
Total of all active and inactive participants2016-09-0136
Total participants2016-09-0136
Number of participants with account balances2016-09-0136
2015: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-09-0136
Total number of active participants reported on line 7a of the Form 55002015-09-0121
Number of other retired or separated participants entitled to future benefits2015-09-0111
Total of all active and inactive participants2015-09-0132
Total participants2015-09-0132
Number of participants with account balances2015-09-0132
2014: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-09-0132
Total number of active participants reported on line 7a of the Form 55002014-09-0121
Number of other retired or separated participants entitled to future benefits2014-09-0115
Total of all active and inactive participants2014-09-0136
Total participants2014-09-0136
Number of participants with account balances2014-09-0136
2013: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-09-0128
Total number of active participants reported on line 7a of the Form 55002013-09-0120
Number of other retired or separated participants entitled to future benefits2013-09-0112
Total of all active and inactive participants2013-09-0132
Total participants2013-09-0132
Number of participants with account balances2013-09-0132

Financial Data on NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN

Measure Date Value
2020 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2020 401k financial data
Total income from all sources2020-08-31$405,004
Expenses. Total of all expenses incurred2020-08-31$112,130
Benefits paid (including direct rollovers)2020-08-31$112,055
Total plan assets at end of year2020-08-31$3,608,779
Total plan assets at beginning of year2020-08-31$3,315,905
Total contributions received or receivable from participants2020-08-31$97,647
Other income received2020-08-31$218,835
Net income (gross income less expenses)2020-08-31$292,874
Net plan assets at end of year (total assets less liabilities)2020-08-31$3,608,779
Net plan assets at beginning of year (total assets less liabilities)2020-08-31$3,315,905
Assets. Value of participant loans2020-08-31$23,906
Total contributions received or receivable from employer(s)2020-08-31$88,522
Expenses. Administrative service providers (salaries,fees and commissions)2020-08-31$75
2019 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2019 401k financial data
Total income from all sources2019-12-31$292,975
Expenses. Total of all expenses incurred2019-12-31$42,372
Benefits paid (including direct rollovers)2019-12-31$42,372
Total plan assets at end of year2019-12-31$3,322,334
Total plan assets at beginning of year2019-12-31$3,071,731
Total contributions received or receivable from participants2019-12-31$129,779
Contributions received from other sources (not participants or employers)2019-12-31$78,605
Other income received2019-12-31$76,916
Net income (gross income less expenses)2019-12-31$250,603
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,322,334
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,071,731
Assets. Value of participant loans2019-12-31$44,701
Total contributions received or receivable from employer(s)2019-12-31$86,280
Total income from all sources2019-08-31$286,546
Expenses. Total of all expenses incurred2019-08-31$42,372
Benefits paid (including direct rollovers)2019-08-31$42,372
Total plan assets at end of year2019-08-31$3,315,905
Total plan assets at beginning of year2019-08-31$3,071,731
Total contributions received or receivable from participants2019-08-31$129,779
Other income received2019-08-31$70,487
Net income (gross income less expenses)2019-08-31$244,174
Net plan assets at end of year (total assets less liabilities)2019-08-31$3,315,905
Net plan assets at beginning of year (total assets less liabilities)2019-08-31$3,071,731
Assets. Value of participant loans2019-08-31$44,701
Total contributions received or receivable from employer(s)2019-08-31$86,280
2018 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2018 401k financial data
Total income from all sources2018-08-31$628,407
Expenses. Total of all expenses incurred2018-08-31$147,242
Benefits paid (including direct rollovers)2018-08-31$147,242
Total plan assets at end of year2018-08-31$3,071,731
Total plan assets at beginning of year2018-08-31$2,590,566
Total contributions received or receivable from participants2018-08-31$140,867
Contributions received from other sources (not participants or employers)2018-08-31$78,605
Other income received2018-08-31$345,902
Net income (gross income less expenses)2018-08-31$481,165
Net plan assets at end of year (total assets less liabilities)2018-08-31$3,071,731
Net plan assets at beginning of year (total assets less liabilities)2018-08-31$2,590,566
Assets. Value of participant loans2018-08-31$52,758
Total contributions received or receivable from employer(s)2018-08-31$63,033
2017 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2017 401k financial data
Total income from all sources2017-08-31$357,569
Expenses. Total of all expenses incurred2017-08-31$105,221
Benefits paid (including direct rollovers)2017-08-31$105,221
Total plan assets at end of year2017-08-31$2,590,566
Total plan assets at beginning of year2017-08-31$2,338,218
Total contributions received or receivable from participants2017-08-31$96,138
Contributions received from other sources (not participants or employers)2017-08-31$161,109
Other income received2017-08-31$21,243
Net income (gross income less expenses)2017-08-31$252,348
Net plan assets at end of year (total assets less liabilities)2017-08-31$2,590,566
Net plan assets at beginning of year (total assets less liabilities)2017-08-31$2,338,218
Assets. Value of participant loans2017-08-31$4,617
Total contributions received or receivable from employer(s)2017-08-31$79,079
2016 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2016 401k financial data
Total income from all sources2016-08-31$269,658
Expenses. Total of all expenses incurred2016-08-31$187,354
Benefits paid (including direct rollovers)2016-08-31$187,354
Total plan assets at end of year2016-08-31$2,338,218
Total plan assets at beginning of year2016-08-31$2,255,914
Total contributions received or receivable from participants2016-08-31$65,142
Other income received2016-08-31$127,332
Net income (gross income less expenses)2016-08-31$82,304
Net plan assets at end of year (total assets less liabilities)2016-08-31$2,338,218
Net plan assets at beginning of year (total assets less liabilities)2016-08-31$2,255,914
Assets. Value of participant loans2016-08-31$29,100
Total contributions received or receivable from employer(s)2016-08-31$77,184
2015 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2015 401k financial data
Total income from all sources2015-08-31$268,081
Expenses. Total of all expenses incurred2015-08-31$309,605
Benefits paid (including direct rollovers)2015-08-31$309,605
Total plan assets at end of year2015-08-31$2,255,914
Total plan assets at beginning of year2015-08-31$2,297,438
Total contributions received or receivable from participants2015-08-31$45,478
Other income received2015-08-31$148,923
Net income (gross income less expenses)2015-08-31$-41,524
Net plan assets at end of year (total assets less liabilities)2015-08-31$2,255,914
Net plan assets at beginning of year (total assets less liabilities)2015-08-31$2,297,438
Assets. Value of participant loans2015-08-31$49,810
Total contributions received or receivable from employer(s)2015-08-31$73,680
2014 : NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2014 401k financial data
Total income from all sources2014-08-31$375,249
Expenses. Total of all expenses incurred2014-08-31$141,408
Benefits paid (including direct rollovers)2014-08-31$131,308
Total plan assets at end of year2014-08-31$2,297,438
Total plan assets at beginning of year2014-08-31$2,063,597
Total contributions received or receivable from participants2014-08-31$77,911
Other income received2014-08-31$224,465
Net income (gross income less expenses)2014-08-31$233,841
Net plan assets at end of year (total assets less liabilities)2014-08-31$2,297,438
Net plan assets at beginning of year (total assets less liabilities)2014-08-31$2,063,597
Assets. Value of participant loans2014-08-31$30,517
Total contributions received or receivable from employer(s)2014-08-31$72,873
Value of certain deemed distributions of participant loans2014-08-31$10,100

Form 5500 Responses for NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN

2019: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2019 form 5500 responses
2019-09-01Type of plan entitySingle employer plan
2019-09-01Submission has been amendedYes
2019-09-01This submission is the final filingNo
2019-09-01This return/report is a short plan year return/report (less than 12 months)No
2019-09-01Plan is a collectively bargained planNo
2019-09-01Plan funding arrangement – InsuranceYes
2019-09-01Plan funding arrangement – TrustYes
2019-09-01Plan benefit arrangement – InsuranceYes
2019-09-01Plan benefit arrangement - TrustYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedYes
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: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2018 form 5500 responses
2018-09-01Type of plan entitySingle employer plan
2018-09-01Submission has been amendedYes
2018-09-01This submission is the final filingNo
2018-09-01This return/report is a short plan year return/report (less than 12 months)No
2018-09-01Plan is a collectively bargained planNo
2018-09-01Plan funding arrangement – InsuranceYes
2018-09-01Plan funding arrangement – TrustYes
2018-09-01Plan benefit arrangement – InsuranceYes
2018-09-01Plan benefit arrangement - TrustYes
2017: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2017 form 5500 responses
2017-09-01Type of plan entitySingle employer plan
2017-09-01Submission has been amendedYes
2017-09-01This submission is the final filingNo
2017-09-01This return/report is a short plan year return/report (less than 12 months)No
2017-09-01Plan is a collectively bargained planNo
2017-09-01Plan funding arrangement – InsuranceYes
2017-09-01Plan funding arrangement – TrustYes
2017-09-01Plan benefit arrangement – InsuranceYes
2017-09-01Plan benefit arrangement - TrustYes
2016: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2016 form 5500 responses
2016-09-01Type of plan entitySingle employer plan
2016-09-01Submission has been amendedYes
2016-09-01This submission is the final filingNo
2016-09-01This return/report is a short plan year return/report (less than 12 months)No
2016-09-01Plan is a collectively bargained planNo
2016-09-01Plan funding arrangement – InsuranceYes
2016-09-01Plan funding arrangement – TrustYes
2016-09-01Plan benefit arrangement – InsuranceYes
2016-09-01Plan benefit arrangement - TrustYes
2015: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2015 form 5500 responses
2015-09-01Type of plan entitySingle employer plan
2015-09-01Submission has been amendedYes
2015-09-01This submission is the final filingNo
2015-09-01This return/report is a short plan year return/report (less than 12 months)No
2015-09-01Plan is a collectively bargained planNo
2015-09-01Plan funding arrangement – InsuranceYes
2015-09-01Plan funding arrangement – TrustYes
2015-09-01Plan benefit arrangement – InsuranceYes
2015-09-01Plan benefit arrangement - TrustYes
2014: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2014 form 5500 responses
2014-09-01Type of plan entitySingle employer plan
2014-09-01Submission has been amendedYes
2014-09-01This submission is the final filingNo
2014-09-01This return/report is a short plan year return/report (less than 12 months)No
2014-09-01Plan is a collectively bargained planNo
2014-09-01Plan funding arrangement – InsuranceYes
2014-09-01Plan funding arrangement – TrustYes
2014-09-01Plan benefit arrangement – InsuranceYes
2014-09-01Plan benefit arrangement - TrustYes
2013: NORTH DAKOTA EDUCATION ASSOCIATION 401K PLAN 2013 form 5500 responses
2013-09-01Type of plan entitySingle employer plan
2013-09-01Submission has been amendedYes
2013-09-01This submission is the final filingNo
2013-09-01This return/report is a short plan year return/report (less than 12 months)No
2013-09-01Plan is a collectively bargained planNo
2013-09-01Plan funding arrangement – InsuranceYes
2013-09-01Plan funding arrangement – TrustYes
2013-09-01Plan benefit arrangement – InsuranceYes
2013-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered52
Insurance policy start date2019-09-01
Insurance policy end date2020-08-31
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?1
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
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered39
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
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?1
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
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered39
Insurance policy start date2018-09-01
Insurance policy end date2019-08-31
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?1
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
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered39
Insurance policy start date2017-09-01
Insurance policy end date2018-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered36
Insurance policy start date2016-09-01
Insurance policy end date2017-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered33
Insurance policy start date2015-09-01
Insurance policy end date2016-08-31
Total amount of commissions paid to insurance brokerUSD $1,204
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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
Commission paid to Insurance BrokerUSD $2
Insurance broker organization code?3
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered36
Insurance policy start date2014-09-01
Insurance policy end date2015-08-31
Total amount of commissions paid to insurance brokerUSD $2,453
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $185
Insurance broker organization code?3
HORACE MANN LIFE INSURANCE CO (National Association of Insurance Commissioners NAIC id number: 64513 )
Policy contract numberNDEA401
Policy instance 1
Insurance contract or identification numberNDEA401
Number of Individuals Covered34
Insurance policy start date2013-09-01
Insurance policy end date2014-08-31
Total amount of commissions paid to insurance brokerUSD $3,970
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare 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 $69
Insurance broker organization code?3

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