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WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 401k Plan overview

Plan NameWALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN
Plan identification number 006

WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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.
  • Life insurance

401k Sponsoring company profile

ROLLINS, INC & SUBSIDIARIES has sponsored the creation of one or more 401k plans.

Company Name:ROLLINS, INC & SUBSIDIARIES
Employer identification number (EIN):510068479
NAIC Classification:561710
NAIC Description:Exterminating and Pest Control Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0062022-01-01JAMIE BENTON2023-09-14 JAMIE BENTON2023-09-14
0062021-01-01KELLI H. DAVIS2022-07-21 KELLI H. DAVIS2022-07-21
0062020-01-01TERESA SMITH2021-06-30 TERESA SMITH2021-06-30
0062019-01-01TERESA SMITH2020-07-08 TERESA SMITH2020-07-08
0062018-01-01TERESA SMITH2019-07-16 TERESA SMITH2019-07-16
0062017-01-01TERESA SMITH2018-07-23 TERESA SMITH2018-07-23
0062016-01-01TERESA SMITH2017-07-13 TERESA SMITH2017-07-13
0062015-01-01TERESA SMITH2016-07-12 TERESA SMITH2016-07-12
0062014-01-01TERESA SMITH2015-07-07 TERESA SMITH2015-07-07
0062013-01-01JOANNE THOMAS2014-10-14 JOANNE THOMAS2014-10-14
0062012-01-01JOANNE THOMAS JOANNE THOMAS2013-07-29
0062011-09-01JOANNE THOMAS JOANNE THOMAS2012-07-24
0062010-09-01JOANNE S THOMAS
0062009-09-01JOANNE THOMAS JOANNE THOMAS2011-06-15

Plan Statistics for WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN

401k plan membership statisitcs for WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN

Measure Date Value
2012: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0185
Total number of active participants reported on line 7a of the Form 55002012-01-0168
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0111
Total of all active and inactive participants2012-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0179
Number of participants with account balances2012-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-09-01133
Total number of active participants reported on line 7a of the Form 55002011-09-0175
Number of retired or separated participants receiving benefits2011-09-010
Number of other retired or separated participants entitled to future benefits2011-09-0110
Total of all active and inactive participants2011-09-0185
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-09-010
Total participants2011-09-0185
Number of participants with account balances2011-09-0168
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-09-011
2010: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2010 401k membership
Total participants, beginning-of-year2010-09-01171
Total number of active participants reported on line 7a of the Form 55002010-09-01133
Total of all active and inactive participants2010-09-01133
Total participants2010-09-01133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-09-0113
2009: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-09-01176
Total number of active participants reported on line 7a of the Form 55002009-09-01157
Number of retired or separated participants receiving benefits2009-09-011
Number of other retired or separated participants entitled to future benefits2009-09-0113
Total of all active and inactive participants2009-09-01171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-09-010
Total participants2009-09-01171
Number of participants with account balances2009-09-01146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-09-0114

Financial Data on WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN

Measure Date Value
2012 : WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$2
Total unrealized appreciation/depreciation of assets2012-12-31$2
Total transfer of assets from this plan2012-12-31$15,789
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$366,745
Total loss/gain on sale of assets2012-12-31$-23
Total of all expenses incurred2012-12-31$150,335
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$148,632
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$135,722
Value of total assets at end of year2012-12-31$1,978,575
Value of total assets at beginning of year2012-12-31$1,777,954
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,703
Total interest from all sources2012-12-31$3,752
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$23,101
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$23,094
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$123,609
Participant contributions at end of year2012-12-31$99,802
Participant contributions at beginning of year2012-12-31$86,516
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Other income not declared elsewhere2012-12-31$-577
Administrative expenses (other) incurred2012-12-31$1,703
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$216,410
Value of net assets at end of year (total assets less liabilities)2012-12-31$1,978,575
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,777,954
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$1,633,950
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$1,423,315
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Interest on participant loans2012-12-31$3,752
Value of interest in common/collective trusts at end of year2012-12-31$244,823
Value of interest in common/collective trusts at beginning of year2012-12-31$268,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$195,196
Net investment gain or loss from common/collective trusts2012-12-31$9,572
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at beginning of year2012-12-31$86
Contributions received in cash from employer2012-12-31$12,113
Income. Dividends from common stock2012-12-31$7
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$148,632
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Aggregate proceeds on sale of assets2012-12-31$738
Aggregate carrying amount (costs) on sale of assets2012-12-31$761
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31WINDHAM BRANNON, P.C.
Accountancy firm EIN2012-12-31581763439
2011 : WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-2
Total unrealized appreciation/depreciation of assets2011-12-31$-2
Total transfer of assets from this plan2011-12-31$4,807,122
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$25,562
Total income from all sources (including contributions)2011-12-31$84,932
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$97,393
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$97,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$42,131
Value of total assets at end of year2011-12-31$1,777,954
Value of total assets at beginning of year2011-12-31$6,623,099
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$228
Total interest from all sources2011-12-31$1,129
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$14,672
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$14,672
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$42,054
Participant contributions at end of year2011-12-31$86,516
Participant contributions at beginning of year2011-12-31$112,175
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$25,562
Other income not declared elsewhere2011-12-31$27,528
Administrative expenses (other) incurred2011-12-31$228
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-12,461
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,777,954
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$6,597,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$1,423,315
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$0
Value of interest in pooled separate accounts at beginning of year2011-12-31$6,510,924
Interest on participant loans2011-12-31$1,129
Value of interest in common/collective trusts at end of year2011-12-31$268,037
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-4,253
Net investment gain or loss from common/collective trusts2011-12-31$3,727
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$86
Assets. Invements in employer securities at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$77
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$97,165
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31Yes
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31WINDHAM BRANNON, P.C.
Accountancy firm EIN2011-12-31581763439
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-08-31$25,562
Total income from all sources (including contributions)2011-08-31$1,512,931
Total of all expenses incurred2011-08-31$1,250,874
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-08-31$1,192,577
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-08-31$540,325
Value of total assets at end of year2011-08-31$6,623,099
Value of total assets at beginning of year2011-08-31$6,335,480
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-08-31$58,297
Total interest from all sources2011-08-31$4,320
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-08-31No
Was this plan covered by a fidelity bond2011-08-31Yes
Value of fidelity bond cover2011-08-31$10,000,000
If this is an individual account plan, was there a blackout period2011-08-31No
Were there any nonexempt tranactions with any party-in-interest2011-08-31No
Contributions received from participants2011-08-31$486,936
Participant contributions at end of year2011-08-31$112,175
Participant contributions at beginning of year2011-08-31$74,953
Participant contributions at beginning of year2011-08-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-08-31$53,389
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-08-31$25,562
Administrative expenses (other) incurred2011-08-31$58,297
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Value of net income/loss2011-08-31$262,057
Value of net assets at end of year (total assets less liabilities)2011-08-31$6,597,537
Value of net assets at beginning of year (total assets less liabilities)2011-08-31$6,335,480
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-08-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-08-31No
Were any leases to which the plan was party in default or uncollectible2011-08-31No
Value of interest in pooled separate accounts at end of year2011-08-31$6,510,924
Value of interest in pooled separate accounts at beginning of year2011-08-31$6,260,516
Interest on participant loans2011-08-31$4,320
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-08-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-08-31$11
Expenses. Payments to insurance carriers foe the provision of benefits2011-08-31$3,642
Net investment gain/loss from pooled separate accounts2011-08-31$968,286
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-08-31No
Was there a failure to transmit to the plan any participant contributions2011-08-31No
Has the plan failed to provide any benefit when due under the plan2011-08-31No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-08-31$1,188,935
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-08-31No
Did the plan have assets held for investment2011-08-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-08-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-08-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-08-31Yes
Opinion of an independent qualified public accountant for this plan2011-08-31Disclaimer
Accountancy firm name2011-08-31WINDHAM BRANNON, P.C.
Accountancy firm EIN2011-08-31581763439
2010 : WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-08-31$0

Form 5500 Responses for WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN

2012: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planYes
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2011 form 5500 responses
2011-09-01Type of plan entitySingle employer plan
2011-09-01Submission has been amendedNo
2011-09-01This submission is the final filingNo
2011-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2011-09-01Plan is a collectively bargained planYes
2011-09-01Plan funding arrangement – InsuranceYes
2011-09-01Plan funding arrangement – TrustYes
2011-09-01Plan benefit arrangement – InsuranceYes
2011-09-01Plan benefit arrangement - TrustYes
2010: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2010 form 5500 responses
2010-09-01Type of plan entitySingle employer plan
2010-09-01Plan is a collectively bargained planYes
2010-09-01Plan funding arrangement – InsuranceYes
2010-09-01Plan funding arrangement – TrustYes
2010-09-01Plan benefit arrangement – InsuranceYes
2010-09-01Plan benefit arrangement - TrustYes
2009: WALTHAM SERVICES, LLC TAX-FAVORED EMPLOYEES' SAVINGS PLAN 2009 form 5500 responses
2009-09-01Type of plan entitySingle employer plan
2009-09-01Submission has been amendedNo
2009-09-01This submission is the final filingNo
2009-09-01This return/report is a short plan year return/report (less than 12 months)No
2009-09-01Plan is a collectively bargained planYes
2009-09-01Plan funding arrangement – InsuranceYes
2009-09-01Plan funding arrangement – TrustYes
2009-09-01Plan benefit arrangement – InsuranceYes
2009-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62072
Policy instance 1
Insurance contract or identification number62072
Number of Individuals Covered79
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?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
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number62072
Policy instance 1
Insurance contract or identification number62072
Number of Individuals Covered85
Insurance policy start date2011-09-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberSF 6252-1
Policy instance 1
Insurance contract or identification numberSF 6252-1
Number of Individuals Covered133
Insurance policy start date2010-09-01
Insurance policy end date2011-08-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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