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TSS 401(K) PLAN 401k Plan overview

Plan NameTSS 401(K) PLAN
Plan identification number 001

TSS 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.

401k Sponsoring company profile

TELECOMMUNICATION SUPPORT SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:TELECOMMUNICATION SUPPORT SERVICES, INC.
Employer identification number (EIN):593068703
NAIC Classification:517000

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01JEFF MORTON2020-07-31
0012018-01-01DEBORAH SYINTSAKOS2019-01-30
0012017-01-01DEBORAH SYINTSAKOS2018-01-29
0012016-01-01DEBORAH SYINTSAKOS2017-03-21
0012015-01-01DEBORAH SYINTSAKOS2016-03-01
0012014-01-01DEBORAH SYINTSAKOS2015-03-24
0012013-01-01DEBORAH SYINTSAKOS2014-02-14
0012012-01-01DEBORAH REECE2013-01-29
0012011-01-01DEBORAH REECE2012-03-13

Plan Statistics for TSS 401(K) PLAN

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

Measure Date Value
2023: TSS 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01117
Total number of active participants reported on line 7a of the Form 55002023-01-0183
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0137
Total of all active and inactive participants2023-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01120
Number of participants with account balances2023-01-0192
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-0114
2022: TSS 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01120
Total number of active participants reported on line 7a of the Form 55002022-01-0175
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0142
Total of all active and inactive participants2022-01-01117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01117
Number of participants with account balances2022-01-01112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0121
2021: TSS 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01123
Total number of active participants reported on line 7a of the Form 55002021-01-0188
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-0129
Total of all active and inactive participants2021-01-01120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01120
Number of participants with account balances2021-01-01116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0116
2020: TSS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01142
Total number of active participants reported on line 7a of the Form 55002020-01-01106
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0116
Total of all active and inactive participants2020-01-01122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01122
Number of participants with account balances2020-01-01117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-017

Financial Data on TSS 401(K) PLAN

Measure Date Value
2023 : TSS 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,206,287
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$908,954
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$860,734
Expenses. Certain deemed distributions of participant loans2023-12-31$16,553
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$578,861
Value of total assets at end of year2023-12-31$4,616,906
Value of total assets at beginning of year2023-12-31$4,319,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$31,667
Total interest from all sources2023-12-31$15,608
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$382,897
Participant contributions at end of year2023-12-31$125,597
Participant contributions at beginning of year2023-12-31$78,367
Other income not declared elsewhere2023-12-31$3,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$297,333
Value of net assets at end of year (total assets less liabilities)2023-12-31$4,616,906
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$4,319,573
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$8,502
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$101,961
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$71,100
Value of interest in pooled separate accounts at end of year2023-12-31$4,110,237
Value of interest in pooled separate accounts at beginning of year2023-12-31$3,882,903
Interest on participant loans2023-12-31$9,076
Interest earned on other investments2023-12-31$6,532
Value of interest in common/collective trusts at end of year2023-12-31$7,210
Value of interest in common/collective trusts at beginning of year2023-12-31$3,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$271,901
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$283,674
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$11,449
Net investment gain/loss from pooled separate accounts2023-12-31$595,316
Net investment gain or loss from common/collective trusts2023-12-31$1,375
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$195,964
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$860,734
Contract administrator fees2023-12-31$23,165
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31FORVIS MAZARS, LLP
Accountancy firm EIN2023-12-31440160260
2022 : TSS 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$2,241
Total income from all sources (including contributions)2022-12-31$67,242
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$711,793
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$671,782
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$687,557
Value of total assets at end of year2022-12-31$4,319,573
Value of total assets at beginning of year2022-12-31$4,966,365
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$40,011
Total interest from all sources2022-12-31$6,735
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
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$463,299
Participant contributions at end of year2022-12-31$78,367
Participant contributions at beginning of year2022-12-31$66,659
Participant contributions at beginning of year2022-12-31$16,021
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$83,705
Other income not declared elsewhere2022-12-31$2,637
Liabilities. Value of operating payables at beginning of year2022-12-31$2,241
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-644,551
Value of net assets at end of year (total assets less liabilities)2022-12-31$4,319,573
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$4,964,124
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
Investment advisory and management fees2022-12-31$6,820
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$71,100
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$61,598
Value of interest in pooled separate accounts at end of year2022-12-31$3,882,903
Value of interest in pooled separate accounts at beginning of year2022-12-31$4,582,393
Interest on participant loans2022-12-31$3,308
Interest earned on other investments2022-12-31$3,427
Value of interest in common/collective trusts at end of year2022-12-31$3,529
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$283,674
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$237,374
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-12,756
Net investment gain/loss from pooled separate accounts2022-12-31$-616,865
Net investment gain or loss from common/collective trusts2022-12-31$-66
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 contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$140,553
Employer contributions (assets) at beginning of year2022-12-31$2,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$671,782
Contract administrator fees2022-12-31$33,191
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 : TSS 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$2,241
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$4,761
Total income from all sources (including contributions)2021-12-31$1,456,785
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,013,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$964,824
Value of total corrective distributions2021-12-31$2,241
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$879,042
Value of total assets at end of year2021-12-31$4,966,365
Value of total assets at beginning of year2021-12-31$4,525,860
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$46,695
Total interest from all sources2021-12-31$8,348
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$644,003
Participant contributions at end of year2021-12-31$66,659
Participant contributions at beginning of year2021-12-31$100,018
Participant contributions at end of year2021-12-31$16,021
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$61,980
Liabilities. Value of operating payables at end of year2021-12-31$2,241
Liabilities. Value of operating payables at beginning of year2021-12-31$4,761
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$443,025
Value of net assets at end of year (total assets less liabilities)2021-12-31$4,964,124
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,521,099
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
Investment advisory and management fees2021-12-31$9,574
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$61,598
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$24,940
Value of interest in pooled separate accounts at end of year2021-12-31$4,582,393
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,939,518
Interest on participant loans2021-12-31$4,838
Interest earned on other investments2021-12-31$3,510
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$237,374
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$461,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$3,344
Net investment gain/loss from pooled separate accounts2021-12-31$566,051
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$173,059
Employer contributions (assets) at end of year2021-12-31$2,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$964,824
Contract administrator fees2021-12-31$37,121
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 : TSS 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$4,761
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$1,200,398
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$288,657
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$254,617
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$741,543
Value of total assets at end of year2020-12-31$4,525,860
Value of total assets at beginning of year2020-12-31$3,609,358
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$34,040
Total interest from all sources2020-12-31$5,578
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$558,443
Participant contributions at end of year2020-12-31$100,018
Participant contributions at beginning of year2020-12-31$124,843
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$4,795
Liabilities. Value of operating payables at end of year2020-12-31$4,761
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$911,741
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,521,099
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,609,358
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
Investment advisory and management fees2020-12-31$6,113
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$24,940
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$52,648
Value of interest in pooled separate accounts at end of year2020-12-31$3,939,518
Value of interest in pooled separate accounts at beginning of year2020-12-31$3,431,867
Interest on participant loans2020-12-31$4,757
Interest earned on other investments2020-12-31$821
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$461,384
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$740
Net investment gain/loss from pooled separate accounts2020-12-31$452,537
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$178,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$254,617
Contract administrator fees2020-12-31$27,927
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BKD LLP
Accountancy firm EIN2020-12-31440160260

Form 5500 Responses for TSS 401(K) PLAN

2023: TSS 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: TSS 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
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: TSS 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: TSS 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number766675-01
Policy instance 1
Insurance contract or identification number766675-01
Number of Individuals Covered92
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $8,360
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM 86433-1
Policy instance 1
Insurance contract or identification numberRM 86433-1
Number of Individuals Covered112
Insurance policy start date2022-01-01
Insurance policy end date2022-09-09
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 number766675-01
Policy instance 2
Insurance contract or identification number766675-01
Number of Individuals Covered112
Insurance policy start date2022-09-10
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $2,004
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,004
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM86433-1
Policy instance 1
Insurance contract or identification numberRM86433-1
Number of Individuals Covered116
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,680
Insurance broker organization code?4
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberRM86433-1
Policy instance 1
Insurance contract or identification numberRM86433-1
Number of Individuals Covered117
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $9,784
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,555
Insurance broker organization code?3

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