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INSERV 401(K) PLAN 401k Plan overview

Plan NameINSERV 401(K) PLAN
Plan identification number 001

INSERV 401(K) PLAN Benefits

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

401k Sponsoring company profile

INTEGRATED SERVICES COMPANY, LLC has sponsored the creation of one or more 401k plans.

Company Name:INTEGRATED SERVICES COMPANY, LLC
Employer identification number (EIN):465212780
NAIC Classification:333900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INSERV 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01DONNA MATLOCK
0012016-01-01DONNA MATLOCK
0012015-01-01DONNA MATLOCK
0012014-07-01GARY ROUSE2015-10-14

Plan Statistics for INSERV 401(K) PLAN

401k plan membership statisitcs for INSERV 401(K) PLAN

Measure Date Value
2022: INSERV 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01840
Total number of active participants reported on line 7a of the Form 55002022-01-011,470
Number of retired or separated participants receiving benefits2022-01-014
Number of other retired or separated participants entitled to future benefits2022-01-0164
Total of all active and inactive participants2022-01-011,538
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,538
Number of participants with account balances2022-01-01228
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: INSERV 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01720
Total number of active participants reported on line 7a of the Form 55002021-01-011,479
Number of retired or separated participants receiving benefits2021-01-018
Number of other retired or separated participants entitled to future benefits2021-01-0172
Total of all active and inactive participants2021-01-011,559
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,559
Number of participants with account balances2021-01-01242
2020: INSERV 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01412
Total number of active participants reported on line 7a of the Form 55002020-01-01781
Number of retired or separated participants receiving benefits2020-01-0156
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01837
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01837
Number of participants with account balances2020-01-01263
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: INSERV 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01664
Total number of active participants reported on line 7a of the Form 55002019-01-01141
Number of retired or separated participants receiving benefits2019-01-0119
Number of other retired or separated participants entitled to future benefits2019-01-01208
Total of all active and inactive participants2019-01-01368
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01368
Number of participants with account balances2019-01-01231
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: INSERV 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01619
Total number of active participants reported on line 7a of the Form 55002018-01-01531
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0148
Total of all active and inactive participants2018-01-01579
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01579
Number of participants with account balances2018-01-01206
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: INSERV 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01966
Total number of active participants reported on line 7a of the Form 55002017-01-011,948
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-011,958
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-011,958
Number of participants with account balances2017-01-01191
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: INSERV 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01334
Total number of active participants reported on line 7a of the Form 55002016-01-01885
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0110
Total of all active and inactive participants2016-01-01895
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01895
Number of participants with account balances2016-01-01151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: INSERV 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01168
Total number of active participants reported on line 7a of the Form 55002015-01-01293
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-018
Total of all active and inactive participants2015-01-01301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01301
Number of participants with account balances2015-01-01113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on INSERV 401(K) PLAN

Measure Date Value
2022 : INSERV 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$-2,163,473
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,431,728
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,358,239
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,938,667
Value of total assets at end of year2022-12-31$19,352,942
Value of total assets at beginning of year2022-12-31$22,948,143
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$73,489
Total interest from all sources2022-12-31$14,286
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$1,108,322
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$1,108,322
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,383,269
Participant contributions at end of year2022-12-31$382,804
Participant contributions at beginning of year2022-12-31$377,165
Participant contributions at end of year2022-12-31$23,800
Participant contributions at beginning of year2022-12-31$24,635
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$55,840
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,595,201
Value of net assets at end of year (total assets less liabilities)2022-12-31$19,352,942
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$22,948,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$18,195,758
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$21,938,836
Value of interest in pooled separate accounts at end of year2022-12-31$743,893
Value of interest in pooled separate accounts at beginning of year2022-12-31$601,400
Interest on participant loans2022-12-31$14,286
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,224,748
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$499,558
Employer contributions (assets) at end of year2022-12-31$6,687
Employer contributions (assets) at beginning of year2022-12-31$6,107
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,358,239
Contract administrator fees2022-12-31$73,489
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FORVIS, LLP
Accountancy firm EIN2022-12-31440160260
2021 : INSERV 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$6,484,812
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,332,603
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,264,811
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,315,590
Value of total assets at end of year2021-12-31$22,948,143
Value of total assets at beginning of year2021-12-31$18,795,934
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$67,792
Total interest from all sources2021-12-31$14,676
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,365,281
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,365,281
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$1,294,106
Participant contributions at end of year2021-12-31$377,165
Participant contributions at beginning of year2021-12-31$414,868
Participant contributions at end of year2021-12-31$24,635
Participant contributions at beginning of year2021-12-31$23,449
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$1,485,843
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$4,152,209
Value of net assets at end of year (total assets less liabilities)2021-12-31$22,948,143
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$18,795,934
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 registered invesment companies (eg mutual funds) at end of year2021-12-31$21,938,836
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$17,802,040
Value of interest in pooled separate accounts at end of year2021-12-31$601,400
Value of interest in pooled separate accounts at beginning of year2021-12-31$549,019
Income. Interest from loans (other than to participants)2021-12-31$14,676
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$1,789,265
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$535,641
Employer contributions (assets) at end of year2021-12-31$6,107
Employer contributions (assets) at beginning of year2021-12-31$6,558
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,264,811
Contract administrator fees2021-12-31$67,792
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 name2021-12-31FORVIS, LLP
Accountancy firm EIN2021-12-31440160260
2020 : INSERV 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$5,673,434
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$4,941,334
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$4,879,218
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,679,973
Value of total assets at end of year2020-12-31$18,795,934
Value of total assets at beginning of year2020-12-31$18,063,834
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$62,116
Total interest from all sources2020-12-31$18,033
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$823,541
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$823,541
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$1,803,817
Participant contributions at end of year2020-12-31$414,868
Participant contributions at beginning of year2020-12-31$495,786
Participant contributions at end of year2020-12-31$23,449
Participant contributions at beginning of year2020-12-31$34,219
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$243,937
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$732,100
Value of net assets at end of year (total assets less liabilities)2020-12-31$18,795,934
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,063,834
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 registered invesment companies (eg mutual funds) at end of year2020-12-31$17,802,040
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$17,067,550
Value of interest in pooled separate accounts at end of year2020-12-31$549,019
Value of interest in pooled separate accounts at beginning of year2020-12-31$457,432
Interest on participant loans2020-12-31$18,033
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$2,151,887
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$632,219
Employer contributions (assets) at end of year2020-12-31$6,558
Employer contributions (assets) at beginning of year2020-12-31$8,847
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$4,879,218
Contract administrator fees2020-12-31$62,116
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 plan2020-12-31Disclaimer
Accountancy firm name2020-12-31BKD LLP
Accountancy firm EIN2020-12-31440160260
2019 : INSERV 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 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 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$5,357,157
Total income from all sources (including contributions)2019-12-31$5,357,157
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,002,914
Total of all expenses incurred2019-12-31$1,002,914
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$933,425
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$933,425
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,132,278
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,132,278
Value of total assets at end of year2019-12-31$18,063,834
Value of total assets at end of year2019-12-31$18,063,834
Value of total assets at beginning of year2019-12-31$13,709,591
Value of total assets at beginning of year2019-12-31$13,709,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$69,489
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$69,489
Total interest from all sources2019-12-31$18,847
Total interest from all sources2019-12-31$18,847
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$812,624
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$812,624
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$812,624
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$812,624
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
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
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,445,627
Contributions received from participants2019-12-31$1,445,627
Participant contributions at end of year2019-12-31$495,786
Participant contributions at end of year2019-12-31$495,786
Participant contributions at beginning of year2019-12-31$428,360
Participant contributions at beginning of year2019-12-31$428,360
Participant contributions at end of year2019-12-31$34,219
Participant contributions at end of year2019-12-31$34,219
Participant contributions at beginning of year2019-12-31$29,832
Participant contributions at beginning of year2019-12-31$29,832
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$94,086
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$94,086
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
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$4,354,243
Value of net income/loss2019-12-31$4,354,243
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,063,834
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,063,834
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,709,591
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,709,591
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
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 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
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$17,067,550
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$17,067,550
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$12,873,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$12,873,640
Value of interest in pooled separate accounts at end of year2019-12-31$457,432
Value of interest in pooled separate accounts at end of year2019-12-31$457,432
Value of interest in pooled separate accounts at beginning of year2019-12-31$368,856
Value of interest in pooled separate accounts at beginning of year2019-12-31$368,856
Income. Interest from loans (other than to participants)2019-12-31$18,847
Income. Interest from loans (other than to participants)2019-12-31$18,847
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,393,408
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$2,393,408
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
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 contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$592,565
Contributions received in cash from employer2019-12-31$592,565
Employer contributions (assets) at end of year2019-12-31$8,847
Employer contributions (assets) at end of year2019-12-31$8,847
Employer contributions (assets) at beginning of year2019-12-31$8,903
Employer contributions (assets) at beginning of year2019-12-31$8,903
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$933,425
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$933,425
Contract administrator fees2019-12-31$69,489
Contract administrator fees2019-12-31$69,489
Did the plan have assets held for investment2019-12-31Yes
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
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
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
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
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31BKD LLP
Accountancy firm name2019-12-31BKD LLP
Accountancy firm EIN2019-12-31440160260
Accountancy firm EIN2019-12-31440160260
2018 : INSERV 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$1,624,358
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$850,606
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$782,749
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,478,220
Value of total assets at end of year2018-12-31$13,709,591
Value of total assets at beginning of year2018-12-31$12,935,839
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$67,857
Total interest from all sources2018-12-31$17,590
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$986,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$986,545
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
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$1,435,191
Participant contributions at end of year2018-12-31$29,832
Participant contributions at beginning of year2018-12-31$33,244
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$459,262
Assets. Loans (other than to participants) at end of year2018-12-31$428,360
Assets. Loans (other than to participants) at beginning of year2018-12-31$484,141
Other income not declared elsewhere2018-12-31$0
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$773,752
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,709,591
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$12,935,839
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 registered invesment companies (eg mutual funds) at end of year2018-12-31$12,873,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$12,123,508
Value of interest in pooled separate accounts at end of year2018-12-31$368,856
Value of interest in pooled separate accounts at beginning of year2018-12-31$285,500
Income. Interest from loans (other than to participants)2018-12-31$17,590
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-1,857,997
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 contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$583,767
Employer contributions (assets) at end of year2018-12-31$8,903
Employer contributions (assets) at beginning of year2018-12-31$9,446
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$782,749
Contract administrator fees2018-12-31$67,857
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 name2018-12-31BKD LLP
Accountancy firm EIN2018-12-31440160260
2017 : INSERV 401(K) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total transfer of assets to this plan2017-12-31$441,225
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$3,819,608
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$439,414
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$385,725
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,907,992
Value of total assets at end of year2017-12-31$12,935,839
Value of total assets at beginning of year2017-12-31$9,114,420
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$53,689
Total interest from all sources2017-12-31$14,007
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$693,702
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$693,702
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
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$1,228,199
Participant contributions at end of year2017-12-31$33,244
Participant contributions at beginning of year2017-12-31$27,000
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$178,984
Assets. Loans (other than to participants) at end of year2017-12-31$484,141
Assets. Loans (other than to participants) at beginning of year2017-12-31$383,340
Other income not declared elsewhere2017-12-31$0
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$3,380,194
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,935,839
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,114,420
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 registered invesment companies (eg mutual funds) at end of year2017-12-31$12,123,508
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,325,809
Value of interest in pooled separate accounts at end of year2017-12-31$285,500
Value of interest in pooled separate accounts at beginning of year2017-12-31$370,493
Income. Interest from loans (other than to participants)2017-12-31$14,007
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,203,907
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 contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$500,809
Employer contributions (assets) at end of year2017-12-31$9,446
Employer contributions (assets) at beginning of year2017-12-31$7,778
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$385,725
Contract administrator fees2017-12-31$53,689
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 name2017-12-31BKD LLP
Accountancy firm EIN2017-12-31440160260
2016 : INSERV 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$3,056,021
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$420,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$382,389
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$2,491,053
Value of total assets at end of year2016-12-31$9,114,420
Value of total assets at beginning of year2016-12-31$6,478,867
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$38,079
Total interest from all sources2016-12-31$11,010
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$1,029,581
Participant contributions at end of year2016-12-31$27,000
Participant contributions at beginning of year2016-12-31$17,659
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,058,306
Assets. Loans (other than to participants) at end of year2016-12-31$383,340
Assets. Loans (other than to participants) at beginning of year2016-12-31$282,079
Other income not declared elsewhere2016-12-31$0
Administrative expenses (other) incurred2016-12-31$0
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$2,635,553
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,114,420
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$6,478,867
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 registered invesment companies (eg mutual funds) at end of year2016-12-31$8,325,809
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$5,877,133
Value of interest in pooled separate accounts at end of year2016-12-31$370,493
Value of interest in pooled separate accounts at beginning of year2016-12-31$290,244
Income. Interest from loans (other than to participants)2016-12-31$11,010
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$553,958
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 contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$403,166
Employer contributions (assets) at end of year2016-12-31$7,778
Employer contributions (assets) at beginning of year2016-12-31$11,752
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$382,389
Contract administrator fees2016-12-31$38,079
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 name2016-12-31BKD LLP
Accountancy firm EIN2016-12-31440160260
2015 : INSERV 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$1,508,850
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$502,766
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$473,969
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,453,608
Value of total assets at end of year2015-12-31$6,478,867
Value of total assets at beginning of year2015-12-31$5,472,783
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$28,797
Total interest from all sources2015-12-31$10,498
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
Administrative expenses professional fees incurred2015-12-31$294
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 period2015-12-31No
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$760,568
Participant contributions at end of year2015-12-31$17,659
Participant contributions at beginning of year2015-12-31$10,023
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$401,578
Assets. Loans (other than to participants) at end of year2015-12-31$282,079
Assets. Loans (other than to participants) at beginning of year2015-12-31$346,448
Administrative expenses (other) incurred2015-12-31$25,743
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$1,006,084
Value of net assets at end of year (total assets less liabilities)2015-12-31$6,478,867
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,472,783
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 registered invesment companies (eg mutual funds) at end of year2015-12-31$5,877,133
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$5,042,511
Value of interest in pooled separate accounts at end of year2015-12-31$290,244
Value of interest in pooled separate accounts at beginning of year2015-12-31$68,489
Interest on participant loans2015-12-31$10,498
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$44,744
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$291,462
Employer contributions (assets) at end of year2015-12-31$11,752
Employer contributions (assets) at beginning of year2015-12-31$5,312
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$473,969
Contract administrator fees2015-12-31$2,760
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 name2015-12-31BKD LLP
Accountancy firm EIN2015-12-31440160260

Form 5500 Responses for INSERV 401(K) PLAN

2022: INSERV 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained 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: INSERV 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: INSERV 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: INSERV 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: INSERV 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: INSERV 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: INSERV 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: INSERV 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

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $9,725
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
Amount paid for insurance broker fees9725
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $10,782
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
Amount paid for insurance broker fees10782
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $306
Total amount of fees paid to insurance companyUSD $8,560
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
Amount paid for insurance broker fees8560
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $306
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Number of Individuals Covered0
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,064
Total amount of fees paid to insurance companyUSD $7,847
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
Amount paid for insurance broker fees7847
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $970
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $895
Total amount of fees paid to insurance companyUSD $6,787
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
Commission paid to Insurance BrokerUSD $895
Insurance broker organization code?3
Amount paid for insurance broker fees6787
Additional information about fees paid to insurance brokerTPA FEES
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $650
Total amount of fees paid to insurance companyUSD $5,282
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
Commission paid to Insurance BrokerUSD $650
Insurance broker organization code?3
Amount paid for insurance broker fees5282
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameWJPR CPAS
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number512295-000
Policy instance 1
Insurance contract or identification number512295-000
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $294
Total amount of fees paid to insurance companyUSD $2,760
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
Commission paid to Insurance BrokerUSD $294
Insurance broker organization code?3
Amount paid for insurance broker fees2760
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameWJPR CPAS

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