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MID ATLANTIC PRO-TEL PLAN 401k Plan overview

Plan NameMID ATLANTIC PRO-TEL PLAN
Plan identification number 001

MID ATLANTIC PRO-TEL 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MID ATLANTIC PROTEL, INC. has sponsored the creation of one or more 401k plans.

Company Name:MID ATLANTIC PROTEL, INC.
Employer identification number (EIN):550748346
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID ATLANTIC PRO-TEL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01
0012017-01-01ANNETTE M BUTLER ANNETTE M BUTLER2018-10-12
0012016-01-01BRYAN BUTLER2017-06-27 ANNETTE BUTLER2017-06-27
0012015-01-01ANNETTE BUTLER2016-07-08 ANNETTE BUTLER2016-07-08
0012014-01-01ANNETTE M BUTLER ANNETTE M BUTLER2015-06-15
0012013-01-01ANNETTE BUTLER
0012012-01-01ANNETTE BUTLER ANNETTE BUTLER2013-07-10
0012011-01-01ANNETTE BUTLER

Plan Statistics for MID ATLANTIC PRO-TEL PLAN

401k plan membership statisitcs for MID ATLANTIC PRO-TEL PLAN

Measure Date Value
2018: MID ATLANTIC PRO-TEL PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01123
Total number of active participants reported on line 7a of the Form 55002018-01-0184
Number of retired or separated participants receiving benefits2018-01-012
Number of other retired or separated participants entitled to future benefits2018-01-0133
Total of all active and inactive participants2018-01-01119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01119
Number of participants with account balances2018-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0126
2017: MID ATLANTIC PRO-TEL PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01111
Total number of active participants reported on line 7a of the Form 55002017-01-01107
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0135
Total of all active and inactive participants2017-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01143
Number of participants with account balances2017-01-01134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0118
2014: MID ATLANTIC PRO-TEL PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0174
Total number of active participants reported on line 7a of the Form 55002014-01-0152
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0161
Number of participants with account balances2014-01-0159
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-019
2013: MID ATLANTIC PRO-TEL PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0154
Total number of active participants reported on line 7a of the Form 55002013-01-0148
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-017
Total of all active and inactive participants2013-01-0155
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0155
Number of participants with account balances2013-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-017
2012: MID ATLANTIC PRO-TEL PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0147
Total number of active participants reported on line 7a of the Form 55002012-01-0149
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-015
Total of all active and inactive participants2012-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0154
Number of participants with account balances2012-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-019
2011: MID ATLANTIC PRO-TEL PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0148
Total number of active participants reported on line 7a of the Form 55002011-01-0149
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0149
Number of participants with account balances2011-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on MID ATLANTIC PRO-TEL PLAN

Measure Date Value
2018 : MID ATLANTIC PRO-TEL 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$356,989
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,093,221
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,087,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$428,924
Value of total assets at end of year2018-12-31$1,714,336
Value of total assets at beginning of year2018-12-31$2,450,568
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$5,735
Total interest from all sources2018-12-31$2,742
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$94,141
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$94,141
Administrative expenses professional fees incurred2018-12-31$5,735
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$300,000
If this is an individual account plan, was there a blackout period2018-12-31Yes
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$210,821
Participant contributions at end of year2018-12-31$49,961
Participant contributions at beginning of year2018-12-31$38,852
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$110,141
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-736,232
Value of net assets at end of year (total assets less liabilities)2018-12-31$1,714,336
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,450,568
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$1,664,375
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,337,676
Interest on participant loans2018-12-31$2,742
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$74,040
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-168,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$107,962
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,087,486
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
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 name2018-12-31ALBRIGHT CRUMBACKER MOUL & ITELL
Accountancy firm EIN2018-12-31521130974
2017 : MID ATLANTIC PRO-TEL PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$635,669
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$149,907
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$144,257
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$315,082
Value of total assets at end of year2017-12-31$2,450,568
Value of total assets at beginning of year2017-12-31$1,964,806
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,650
Total interest from all sources2017-12-31$4,739
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$300,000
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$235,542
Participant contributions at end of year2017-12-31$38,852
Participant contributions at beginning of year2017-12-31$37,668
Administrative expenses (other) incurred2017-12-31$5,650
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$485,762
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,450,568
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,964,806
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$2,337,676
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$1,842,393
Interest on participant loans2017-12-31$2,442
Interest earned on other investments2017-12-31$2,297
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$74,040
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$84,745
Net investment gain/loss from pooled separate accounts2017-12-31$315,848
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$79,540
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$144,257
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 name2017-12-31ALBRIGHT CRUMBACKER MOUL & ITELL
Accountancy firm EIN2017-12-31521130974
2014 : MID ATLANTIC PRO-TEL PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$404
Total income from all sources2014-12-31$261,301
Expenses. Total of all expenses incurred2014-12-31$22,958
Benefits paid (including direct rollovers)2014-12-31$14,428
Total plan assets at end of year2014-12-31$1,701,565
Total plan assets at beginning of year2014-12-31$1,462,818
Value of fidelity bond covering the plan2014-12-31$170,000
Total contributions received or receivable from participants2014-12-31$117,275
Expenses. Other expenses not covered elsewhere2014-12-31$2,652
Contributions received from other sources (not participants or employers)2014-12-31$23,295
Other income received2014-12-31$85,787
Net income (gross income less expenses)2014-12-31$238,343
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,701,565
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,462,818
Assets. Value of participant loans2014-12-31$37,407
Total contributions received or receivable from employer(s)2014-12-31$34,944
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$5,878
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : MID ATLANTIC PRO-TEL PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$133
Total income from all sources2013-12-31$330,863
Expenses. Total of all expenses incurred2013-12-31$87,627
Benefits paid (including direct rollovers)2013-12-31$79,567
Total plan assets at end of year2013-12-31$1,462,818
Total plan assets at beginning of year2013-12-31$1,219,449
Value of fidelity bond covering the plan2013-12-31$170,000
Total contributions received or receivable from participants2013-12-31$79,690
Expenses. Other expenses not covered elsewhere2013-12-31$2,936
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$223,938
Net income (gross income less expenses)2013-12-31$243,236
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,462,818
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,219,449
Assets. Value of participant loans2013-12-31$33,243
Total contributions received or receivable from employer(s)2013-12-31$27,235
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$5,124
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : MID ATLANTIC PRO-TEL PLAN 2012 401k financial data
Total income from all sources2012-12-31$238,438
Expenses. Total of all expenses incurred2012-12-31$186,365
Benefits paid (including direct rollovers)2012-12-31$181,890
Total plan assets at end of year2012-12-31$1,219,449
Total plan assets at beginning of year2012-12-31$1,167,376
Value of fidelity bond covering the plan2012-12-31$170,000
Total contributions received or receivable from participants2012-12-31$74,264
Expenses. Other expenses not covered elsewhere2012-12-31$1,282
Contributions received from other sources (not participants or employers)2012-12-31$0
Other income received2012-12-31$146,836
Net income (gross income less expenses)2012-12-31$52,073
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,219,449
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,167,376
Assets. Value of participant loans2012-12-31$26,142
Total contributions received or receivable from employer(s)2012-12-31$17,338
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$3,193
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : MID ATLANTIC PRO-TEL PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$68,277
Expenses. Total of all expenses incurred2011-12-31$82,814
Benefits paid (including direct rollovers)2011-12-31$77,933
Total plan assets at end of year2011-12-31$1,167,376
Total plan assets at beginning of year2011-12-31$1,181,913
Value of fidelity bond covering the plan2011-12-31$170,000
Total contributions received or receivable from participants2011-12-31$85,607
Expenses. Other expenses not covered elsewhere2011-12-31$1,015
Contributions received from other sources (not participants or employers)2011-12-31$996
Other income received2011-12-31$-46,857
Net income (gross income less expenses)2011-12-31$-14,537
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,167,376
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,181,913
Assets. Value of participant loans2011-12-31$18,067
Total contributions received or receivable from employer(s)2011-12-31$28,531
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$3,866
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : MID ATLANTIC PRO-TEL PLAN 2010 401k financial data
Total income from all sources2010-12-31$226,123
Expenses. Total of all expenses incurred2010-12-31$27,808
Benefits paid (including direct rollovers)2010-12-31$26,903
Total plan assets at end of year2010-12-31$1,181,913
Total plan assets at beginning of year2010-12-31$983,598
Value of fidelity bond covering the plan2010-12-31$170,000
Total contributions received or receivable from participants2010-12-31$74,744
Expenses. Other expenses not covered elsewhere2010-12-31$905
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$108,396
Net income (gross income less expenses)2010-12-31$198,315
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,181,913
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$983,598
Assets. Value of participant loans2010-12-31$25,939
Total contributions received or receivable from employer(s)2010-12-31$42,983
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0

Form 5500 Responses for MID ATLANTIC PRO-TEL PLAN

2018: MID ATLANTIC PRO-TEL 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: MID ATLANTIC PRO-TEL 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
2014: MID ATLANTIC PRO-TEL PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MID ATLANTIC PRO-TEL PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MID ATLANTIC PRO-TEL 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 planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MID ATLANTIC PRO-TEL PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

AMERICAN FUNDS (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract numberIRK143980
Policy instance 1
Insurance contract or identification numberIRK143980
Number of Individuals Covered123
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA822584
Policy instance 1
Insurance contract or identification numberGA822584
Number of Individuals Covered143
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,667
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $2,667
Insurance broker organization code?3
Insurance broker nameUNITED BROKERAGE SERVICES
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822584
Policy instance 1
Insurance contract or identification numberGA-822584
Number of Individuals Covered59
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $1,489
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,489
Insurance broker organization code?3
Insurance broker nameUNITED BROKERAGE SERVICES INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822584
Policy instance 1
Insurance contract or identification numberGA-822584
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,258
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,258
Insurance broker organization code?3
Insurance broker nameUNITED BROKERAGE SVCS
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822584
Policy instance 1
Insurance contract or identification numberGA-822584
Number of Individuals Covered49
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $1,162
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,162
Insurance broker organization code?3
Insurance broker nameUNITED BROKERAGE SVCS
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822584
Policy instance 1
Insurance contract or identification numberGA-822584
Number of Individuals Covered49
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $637
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-822584
Policy instance 1
Insurance contract or identification numberGA-822584
Number of Individuals Covered46
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $5,058
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,058
Insurance broker organization code?3
Insurance broker nameLPL FINANCIAL CORPORATION

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