FLYNN ENTERPRISES, LLC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FLYNN ENTERPRISES GROUP LIFE PLAN
| Measure | Date | Value |
|---|
| 2022: FLYNN ENTERPRISES GROUP LIFE PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-05-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-05-01 | 128 |
| Number of retired or separated participants receiving benefits | 2022-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2022-05-01 | 0 |
| Total of all active and inactive participants | 2022-05-01 | 128 |
| Number of employers contributing to the scheme | 2022-05-01 | 0 |
| 2021: FLYNN ENTERPRISES GROUP LIFE PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-05-01 | 135 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-05-01 | 128 |
| Number of retired or separated participants receiving benefits | 2021-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2021-05-01 | 0 |
| Total of all active and inactive participants | 2021-05-01 | 128 |
| Number of employers contributing to the scheme | 2021-05-01 | 0 |
| 2020: FLYNN ENTERPRISES GROUP LIFE PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-05-01 | 148 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-05-01 | 135 |
| Number of retired or separated participants receiving benefits | 2020-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2020-05-01 | 0 |
| Total of all active and inactive participants | 2020-05-01 | 135 |
| Number of employers contributing to the scheme | 2020-05-01 | 0 |
| 2019: FLYNN ENTERPRISES GROUP LIFE PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-05-01 | 153 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-05-01 | 148 |
| Number of retired or separated participants receiving benefits | 2019-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2019-05-01 | 0 |
| Total of all active and inactive participants | 2019-05-01 | 148 |
| Number of employers contributing to the scheme | 2019-05-01 | 0 |
| 2018: FLYNN ENTERPRISES GROUP LIFE PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-05-01 | 151 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-05-01 | 153 |
| Number of retired or separated participants receiving benefits | 2018-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-05-01 | 0 |
| Total of all active and inactive participants | 2018-05-01 | 153 |
| Number of employers contributing to the scheme | 2018-05-01 | 0 |
| 2017: FLYNN ENTERPRISES GROUP LIFE PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-05-01 | 147 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-05-01 | 151 |
| Number of retired or separated participants receiving benefits | 2017-05-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-05-01 | 0 |
| Total of all active and inactive participants | 2017-05-01 | 151 |
| 2016: FLYNN ENTERPRISES GROUP LIFE PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-05-01 | 131 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-05-01 | 147 |
| Total of all active and inactive participants | 2016-05-01 | 147 |
| 2015: FLYNN ENTERPRISES GROUP LIFE PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-05-01 | 130 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-05-01 | 131 |
| Total of all active and inactive participants | 2015-05-01 | 131 |
| 2014: FLYNN ENTERPRISES GROUP LIFE PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-05-01 | 125 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-05-01 | 130 |
| Total of all active and inactive participants | 2014-05-01 | 130 |
| 2013: FLYNN ENTERPRISES GROUP LIFE PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-05-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-05-01 | 125 |
| Total of all active and inactive participants | 2013-05-01 | 125 |
| Total participants | 2013-05-01 | 0 |
| 2012: FLYNN ENTERPRISES GROUP LIFE PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-05-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-05-01 | 111 |
| Total of all active and inactive participants | 2012-05-01 | 111 |
| Total participants | 2012-05-01 | 111 |
| 2011: FLYNN ENTERPRISES GROUP LIFE PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-05-01 | 116 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-05-01 | 106 |
| Total of all active and inactive participants | 2011-05-01 | 106 |
| Total participants | 2011-05-01 | 106 |
| Total participants, beginning-of-year | 2011-02-01 | 111 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-02-01 | 116 |
| Total of all active and inactive participants | 2011-02-01 | 116 |
| Total participants | 2011-02-01 | 116 |
| 2009: FLYNN ENTERPRISES GROUP LIFE PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-02-01 | 138 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-02-01 | 122 |
| Total of all active and inactive participants | 2009-02-01 | 122 |
| Total participants | 2009-02-01 | 122 |
| 2008: FLYNN ENTERPRISES GROUP LIFE PLAN 2008 401k membership |
|---|
| Total participants, beginning-of-year | 2008-02-01 | 134 |
| Total number of active participants reported on line 7a of the Form 5500 | 2008-02-01 | 138 |
| Total of all active and inactive participants | 2008-02-01 | 138 |
| Total participants | 2008-02-01 | 138 |
| 2007: FLYNN ENTERPRISES GROUP LIFE PLAN 2007 401k membership |
|---|
| Total participants, beginning-of-year | 2007-02-01 | 847 |
| Total number of active participants reported on line 7a of the Form 5500 | 2007-02-01 | 134 |
| Total of all active and inactive participants | 2007-02-01 | 134 |
| Total participants | 2007-02-01 | 134 |
| 2006: FLYNN ENTERPRISES GROUP LIFE PLAN 2006 401k membership |
|---|
| Total participants, beginning-of-year | 2006-02-01 | 1,477 |
| Total number of active participants reported on line 7a of the Form 5500 | 2006-02-01 | 847 |
| Total of all active and inactive participants | 2006-02-01 | 847 |
| Total participants | 2006-02-01 | 847 |
| 2005: FLYNN ENTERPRISES GROUP LIFE PLAN 2005 401k membership |
|---|
| Total participants, beginning-of-year | 2005-02-01 | 2,068 |
| Total number of active participants reported on line 7a of the Form 5500 | 2005-02-01 | 1,477 |
| Total of all active and inactive participants | 2005-02-01 | 1,477 |
| Total participants | 2005-02-01 | 1,477 |
| 2004: FLYNN ENTERPRISES GROUP LIFE PLAN 2004 401k membership |
|---|
| Total participants, beginning-of-year | 2004-02-01 | 2,382 |
| Total number of active participants reported on line 7a of the Form 5500 | 2004-02-01 | 2,068 |
| Total of all active and inactive participants | 2004-02-01 | 2,068 |
| Total participants | 2004-02-01 | 2,068 |
| 2003: FLYNN ENTERPRISES GROUP LIFE PLAN 2003 401k membership |
|---|
| Total participants, beginning-of-year | 2003-02-01 | 2,675 |
| Total number of active participants reported on line 7a of the Form 5500 | 2003-02-01 | 2,382 |
| Total of all active and inactive participants | 2003-02-01 | 2,382 |
| Total participants | 2003-02-01 | 2,382 |
| 2002: FLYNN ENTERPRISES GROUP LIFE PLAN 2002 401k membership |
|---|
| Total participants, beginning-of-year | 2002-02-01 | 2,453 |
| Total number of active participants reported on line 7a of the Form 5500 | 2002-02-01 | 2,675 |
| Total of all active and inactive participants | 2002-02-01 | 2,675 |
| Total participants | 2002-02-01 | 2,675 |
| 2001: FLYNN ENTERPRISES GROUP LIFE PLAN 2001 401k membership |
|---|
| Total participants, beginning-of-year | 2001-02-01 | 2,498 |
| Total number of active participants reported on line 7a of the Form 5500 | 2001-02-01 | 2,453 |
| Total of all active and inactive participants | 2001-02-01 | 2,453 |
| Total participants | 2001-02-01 | 2,453 |
| 2000: FLYNN ENTERPRISES GROUP LIFE PLAN 2000 401k membership |
|---|
| Total participants, beginning-of-year | 2000-02-01 | 2,359 |
| Total number of active participants reported on line 7a of the Form 5500 | 2000-02-01 | 2,498 |
| Total of all active and inactive participants | 2000-02-01 | 2,498 |
| Total participants | 2000-02-01 | 2,498 |
| 1999: FLYNN ENTERPRISES GROUP LIFE PLAN 1999 401k membership |
|---|
| Total participants, beginning-of-year | 1999-02-01 | 2,487 |
| Total number of active participants reported on line 7a of the Form 5500 | 1999-02-01 | 2,359 |
| Total of all active and inactive participants | 1999-02-01 | 2,359 |
| Total participants | 1999-02-01 | 2,359 |
| 1998: FLYNN ENTERPRISES GROUP LIFE PLAN 1998 401k membership |
|---|
| Total participants, beginning-of-year | 1998-02-01 | 2,337 |
| Total number of active participants reported on line 7a of the Form 5500 | 1998-02-01 | 2,487 |
| Total of all active and inactive participants | 1998-02-01 | 2,487 |
| Total participants | 1998-02-01 | 2,487 |
| 1997: FLYNN ENTERPRISES GROUP LIFE PLAN 1997 401k membership |
|---|
| Total participants, beginning-of-year | 1997-02-01 | 2,167 |
| Total number of active participants reported on line 7a of the Form 5500 | 1997-02-01 | 2,337 |
| Total of all active and inactive participants | 1997-02-01 | 2,337 |
| Total participants | 1997-02-01 | 2,337 |
| 1996: FLYNN ENTERPRISES GROUP LIFE PLAN 1996 401k membership |
|---|
| Total participants, beginning-of-year | 1996-02-01 | 2,136 |
| Total number of active participants reported on line 7a of the Form 5500 | 1996-02-01 | 2,167 |
| Total of all active and inactive participants | 1996-02-01 | 2,167 |
| Total participants | 1996-02-01 | 2,167 |
| 1995: FLYNN ENTERPRISES GROUP LIFE PLAN 1995 401k membership |
|---|
| Total participants, beginning-of-year | 1995-02-01 | 2,188 |
| Total number of active participants reported on line 7a of the Form 5500 | 1995-02-01 | 2,136 |
| Total of all active and inactive participants | 1995-02-01 | 2,136 |
| Total participants | 1995-02-01 | 2,136 |
| 1994: FLYNN ENTERPRISES GROUP LIFE PLAN 1994 401k membership |
|---|
| Total participants, beginning-of-year | 1994-02-01 | 2,067 |
| Total number of active participants reported on line 7a of the Form 5500 | 1994-02-01 | 2,188 |
| Total of all active and inactive participants | 1994-02-01 | 2,188 |
| Total participants | 1994-02-01 | 2,188 |
| 1993: FLYNN ENTERPRISES GROUP LIFE PLAN 1993 401k membership |
|---|
| Total participants, beginning-of-year | 1993-02-01 | 2,300 |
| Total number of active participants reported on line 7a of the Form 5500 | 1993-02-01 | 2,067 |
| Total of all active and inactive participants | 1993-02-01 | 2,067 |
| Total participants | 1993-02-01 | 2,067 |
| 1992: FLYNN ENTERPRISES GROUP LIFE PLAN 1992 401k membership |
|---|
| Total participants, beginning-of-year | 1992-02-01 | 1,677 |
| Total number of active participants reported on line 7a of the Form 5500 | 1992-02-01 | 2,300 |
| Total of all active and inactive participants | 1992-02-01 | 2,300 |
| Total participants | 1992-02-01 | 2,300 |
| 1991: FLYNN ENTERPRISES GROUP LIFE PLAN 1991 401k membership |
|---|
| Total participants, beginning-of-year | 1991-02-01 | 2,022 |
| Total number of active participants reported on line 7a of the Form 5500 | 1991-02-01 | 1,677 |
| Total of all active and inactive participants | 1991-02-01 | 1,677 |
| Total participants | 1991-02-01 | 1,677 |
| 1990: FLYNN ENTERPRISES GROUP LIFE PLAN 1990 401k membership |
|---|
| Total participants, beginning-of-year | 1990-02-01 | 2,114 |
| Total number of active participants reported on line 7a of the Form 5500 | 1990-02-01 | 2,022 |
| Total of all active and inactive participants | 1990-02-01 | 2,022 |
| Total participants | 1990-02-01 | 2,022 |
| 1989: FLYNN ENTERPRISES GROUP LIFE PLAN 1989 401k membership |
|---|
| Total participants, beginning-of-year | 1989-02-01 | 1,087 |
| Total number of active participants reported on line 7a of the Form 5500 | 1989-02-01 | 2,114 |
| Total of all active and inactive participants | 1989-02-01 | 2,114 |
| Total participants | 1989-02-01 | 2,114 |
| 1988: FLYNN ENTERPRISES GROUP LIFE PLAN 1988 401k membership |
|---|
| Total participants, beginning-of-year | 1988-02-01 | 994 |
| Total number of active participants reported on line 7a of the Form 5500 | 1988-02-01 | 1,087 |
| Total of all active and inactive participants | 1988-02-01 | 1,087 |
| Total participants | 1988-02-01 | 1,087 |
| 1987: FLYNN ENTERPRISES GROUP LIFE PLAN 1987 401k membership |
|---|
| Total participants, beginning-of-year | 1987-02-01 | 819 |
| Total number of active participants reported on line 7a of the Form 5500 | 1987-02-01 | 994 |
| Total of all active and inactive participants | 1987-02-01 | 994 |
| Total participants | 1987-02-01 | 994 |
| 1986: FLYNN ENTERPRISES GROUP LIFE PLAN 1986 401k membership |
|---|
| Total participants, beginning-of-year | 1986-02-01 | 649 |
| Total number of active participants reported on line 7a of the Form 5500 | 1986-02-01 | 819 |
| Total of all active and inactive participants | 1986-02-01 | 819 |
| Total participants | 1986-02-01 | 819 |
| 1985: FLYNN ENTERPRISES GROUP LIFE PLAN 1985 401k membership |
|---|
| Total participants, beginning-of-year | 1985-02-01 | 567 |
| Total number of active participants reported on line 7a of the Form 5500 | 1985-02-01 | 649 |
| Total of all active and inactive participants | 1985-02-01 | 649 |
| Total participants | 1985-02-01 | 649 |
| 1984: FLYNN ENTERPRISES GROUP LIFE PLAN 1984 401k membership |
|---|
| Total participants, beginning-of-year | 1984-02-01 | 493 |
| Total number of active participants reported on line 7a of the Form 5500 | 1984-02-01 | 567 |
| Total of all active and inactive participants | 1984-02-01 | 567 |
| Total participants | 1984-02-01 | 567 |
| 1983: FLYNN ENTERPRISES GROUP LIFE PLAN 1983 401k membership |
|---|
| Total participants, beginning-of-year | 1983-02-01 | 419 |
| Total number of active participants reported on line 7a of the Form 5500 | 1983-02-01 | 493 |
| Total of all active and inactive participants | 1983-02-01 | 493 |
| Total participants | 1983-02-01 | 493 |
| 1982: FLYNN ENTERPRISES GROUP LIFE PLAN 1982 401k membership |
|---|
| Total participants, beginning-of-year | 1982-02-01 | 280 |
| Total number of active participants reported on line 7a of the Form 5500 | 1982-02-01 | 419 |
| Total of all active and inactive participants | 1982-02-01 | 419 |
| Total participants | 1982-02-01 | 419 |
| 1981: FLYNN ENTERPRISES GROUP LIFE PLAN 1981 401k membership |
|---|
| Total participants, beginning-of-year | 1981-02-01 | 209 |
| Total number of active participants reported on line 7a of the Form 5500 | 1981-02-01 | 280 |
| Total of all active and inactive participants | 1981-02-01 | 280 |
| Total participants | 1981-02-01 | 280 |
| 1980: FLYNN ENTERPRISES GROUP LIFE PLAN 1980 401k membership |
|---|
| Total participants, beginning-of-year | 1980-02-01 | 181 |
| Total number of active participants reported on line 7a of the Form 5500 | 1980-02-01 | 209 |
| Total of all active and inactive participants | 1980-02-01 | 209 |
| Total participants | 1980-02-01 | 209 |
| 1979: FLYNN ENTERPRISES GROUP LIFE PLAN 1979 401k membership |
|---|
| Total participants, beginning-of-year | 1979-02-01 | 141 |
| Total number of active participants reported on line 7a of the Form 5500 | 1979-02-01 | 181 |
| Total of all active and inactive participants | 1979-02-01 | 181 |
| Total participants | 1979-02-01 | 181 |
| 1978: FLYNN ENTERPRISES GROUP LIFE PLAN 1978 401k membership |
|---|
| Total participants, beginning-of-year | 1978-02-01 | 128 |
| Total number of active participants reported on line 7a of the Form 5500 | 1978-02-01 | 141 |
| Total of all active and inactive participants | 1978-02-01 | 141 |
| Total participants | 1978-02-01 | 141 |
| 1977: FLYNN ENTERPRISES GROUP LIFE PLAN 1977 401k membership |
|---|
| Total participants, beginning-of-year | 1977-02-01 | 110 |
| Total number of active participants reported on line 7a of the Form 5500 | 1977-02-01 | 128 |
| Total of all active and inactive participants | 1977-02-01 | 128 |
| Total participants | 1977-02-01 | 128 |
| 2022: FLYNN ENTERPRISES GROUP LIFE PLAN 2022 form 5500 responses |
|---|
| 2022-05-01 | Type of plan entity | Single employer plan |
| 2022-05-01 | Plan funding arrangement – Insurance | Yes |
| 2022-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2021: FLYNN ENTERPRISES GROUP LIFE PLAN 2021 form 5500 responses |
|---|
| 2021-05-01 | Type of plan entity | Single employer plan |
| 2021-05-01 | Plan funding arrangement – Insurance | Yes |
| 2021-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2020: FLYNN ENTERPRISES GROUP LIFE PLAN 2020 form 5500 responses |
|---|
| 2020-05-01 | Type of plan entity | Single employer plan |
| 2020-05-01 | Plan funding arrangement – Insurance | Yes |
| 2020-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2019: FLYNN ENTERPRISES GROUP LIFE PLAN 2019 form 5500 responses |
|---|
| 2019-05-01 | Type of plan entity | Single employer plan |
| 2019-05-01 | Plan funding arrangement – Insurance | Yes |
| 2019-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2018: FLYNN ENTERPRISES GROUP LIFE PLAN 2018 form 5500 responses |
|---|
| 2018-05-01 | Type of plan entity | Single employer plan |
| 2018-05-01 | Plan funding arrangement – Insurance | Yes |
| 2018-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2017: FLYNN ENTERPRISES GROUP LIFE PLAN 2017 form 5500 responses |
|---|
| 2017-05-01 | Type of plan entity | Single employer plan |
| 2017-05-01 | Plan funding arrangement – Insurance | Yes |
| 2017-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2016: FLYNN ENTERPRISES GROUP LIFE PLAN 2016 form 5500 responses |
|---|
| 2016-05-01 | Type of plan entity | Single employer plan |
| 2016-05-01 | Plan funding arrangement – Insurance | Yes |
| 2016-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2015: FLYNN ENTERPRISES GROUP LIFE PLAN 2015 form 5500 responses |
|---|
| 2015-05-01 | Type of plan entity | Single employer plan |
| 2015-05-01 | Plan funding arrangement – Insurance | Yes |
| 2015-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2014: FLYNN ENTERPRISES GROUP LIFE PLAN 2014 form 5500 responses |
|---|
| 2014-05-01 | Type of plan entity | Single employer plan |
| 2014-05-01 | Plan funding arrangement – Insurance | Yes |
| 2014-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2013: FLYNN ENTERPRISES GROUP LIFE PLAN 2013 form 5500 responses |
|---|
| 2013-05-01 | Type of plan entity | Single employer plan |
| 2013-05-01 | Plan funding arrangement – Insurance | Yes |
| 2013-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2012: FLYNN ENTERPRISES GROUP LIFE PLAN 2012 form 5500 responses |
|---|
| 2012-05-01 | Type of plan entity | Single employer plan |
| 2012-05-01 | Submission has been amended | No |
| 2012-05-01 | This submission is the final filing | No |
| 2012-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-05-01 | Plan is a collectively bargained plan | No |
| 2012-05-01 | Plan funding arrangement – Insurance | Yes |
| 2012-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011: FLYNN ENTERPRISES GROUP LIFE PLAN 2011 form 5500 responses |
|---|
| 2011-05-01 | Type of plan entity | Single employer plan |
| 2011-05-01 | Submission has been amended | No |
| 2011-05-01 | This submission is the final filing | No |
| 2011-05-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-05-01 | Plan is a collectively bargained plan | No |
| 2011-05-01 | Plan funding arrangement – Insurance | Yes |
| 2011-05-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-02-01 | Type of plan entity | Single employer plan |
| 2011-02-01 | Submission has been amended | No |
| 2011-02-01 | This submission is the final filing | No |
| 2011-02-01 | This return/report is a short plan year return/report (less than 12 months) | Yes |
| 2011-02-01 | Plan is a collectively bargained plan | No |
| 2011-02-01 | Plan funding arrangement – Insurance | Yes |
| 2011-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2009: FLYNN ENTERPRISES GROUP LIFE PLAN 2009 form 5500 responses |
|---|
| 2009-02-01 | Type of plan entity | Single employer plan |
| 2009-02-01 | Submission has been amended | No |
| 2009-02-01 | This submission is the final filing | No |
| 2009-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-02-01 | Plan is a collectively bargained plan | No |
| 2009-02-01 | Plan funding arrangement – Insurance | Yes |
| 2009-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2008: FLYNN ENTERPRISES GROUP LIFE PLAN 2008 form 5500 responses |
|---|
| 2008-02-01 | Type of plan entity | Single employer plan |
| 2008-02-01 | Submission has been amended | No |
| 2008-02-01 | This submission is the final filing | No |
| 2008-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2008-02-01 | Plan is a collectively bargained plan | No |
| 2008-02-01 | Plan funding arrangement – Insurance | Yes |
| 2008-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2007: FLYNN ENTERPRISES GROUP LIFE PLAN 2007 form 5500 responses |
|---|
| 2007-02-01 | Type of plan entity | Single employer plan |
| 2007-02-01 | Submission has been amended | No |
| 2007-02-01 | This submission is the final filing | No |
| 2007-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2007-02-01 | Plan is a collectively bargained plan | No |
| 2007-02-01 | Plan funding arrangement – Insurance | Yes |
| 2007-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2006: FLYNN ENTERPRISES GROUP LIFE PLAN 2006 form 5500 responses |
|---|
| 2006-02-01 | Type of plan entity | Mulitple employer plan |
| 2006-02-01 | Submission has been amended | No |
| 2006-02-01 | This submission is the final filing | No |
| 2006-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2006-02-01 | Plan is a collectively bargained plan | No |
| 2006-02-01 | Plan funding arrangement – Insurance | Yes |
| 2006-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2005: FLYNN ENTERPRISES GROUP LIFE PLAN 2005 form 5500 responses |
|---|
| 2005-02-01 | Type of plan entity | Mulitple employer plan |
| 2005-02-01 | Submission has been amended | No |
| 2005-02-01 | This submission is the final filing | No |
| 2005-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2005-02-01 | Plan is a collectively bargained plan | No |
| 2005-02-01 | Plan funding arrangement – Insurance | Yes |
| 2005-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2004: FLYNN ENTERPRISES GROUP LIFE PLAN 2004 form 5500 responses |
|---|
| 2004-02-01 | Type of plan entity | Mulitple employer plan |
| 2004-02-01 | Submission has been amended | No |
| 2004-02-01 | This submission is the final filing | No |
| 2004-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2004-02-01 | Plan is a collectively bargained plan | No |
| 2004-02-01 | Plan funding arrangement – Insurance | Yes |
| 2004-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2003: FLYNN ENTERPRISES GROUP LIFE PLAN 2003 form 5500 responses |
|---|
| 2003-02-01 | Type of plan entity | Mulitple employer plan |
| 2003-02-01 | Submission has been amended | No |
| 2003-02-01 | This submission is the final filing | No |
| 2003-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2003-02-01 | Plan is a collectively bargained plan | No |
| 2003-02-01 | Plan funding arrangement – Insurance | Yes |
| 2003-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2002: FLYNN ENTERPRISES GROUP LIFE PLAN 2002 form 5500 responses |
|---|
| 2002-02-01 | Type of plan entity | Mulitple employer plan |
| 2002-02-01 | Submission has been amended | No |
| 2002-02-01 | This submission is the final filing | No |
| 2002-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2002-02-01 | Plan is a collectively bargained plan | No |
| 2002-02-01 | Plan funding arrangement – Insurance | Yes |
| 2002-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2001: FLYNN ENTERPRISES GROUP LIFE PLAN 2001 form 5500 responses |
|---|
| 2001-02-01 | Type of plan entity | Mulitple employer plan |
| 2001-02-01 | Submission has been amended | No |
| 2001-02-01 | This submission is the final filing | No |
| 2001-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2001-02-01 | Plan is a collectively bargained plan | No |
| 2001-02-01 | Plan funding arrangement – Insurance | Yes |
| 2001-02-01 | Plan benefit arrangement – Insurance | Yes |
| 2000: FLYNN ENTERPRISES GROUP LIFE PLAN 2000 form 5500 responses |
|---|
| 2000-02-01 | Type of plan entity | Mulitple employer plan |
| 2000-02-01 | Submission has been amended | No |
| 2000-02-01 | This submission is the final filing | No |
| 2000-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2000-02-01 | Plan is a collectively bargained plan | No |
| 2000-02-01 | Plan funding arrangement – Insurance | Yes |
| 2000-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1999: FLYNN ENTERPRISES GROUP LIFE PLAN 1999 form 5500 responses |
|---|
| 1999-02-01 | Type of plan entity | Mulitple employer plan |
| 1999-02-01 | Submission has been amended | No |
| 1999-02-01 | This submission is the final filing | No |
| 1999-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1999-02-01 | Plan is a collectively bargained plan | No |
| 1999-02-01 | Plan funding arrangement – Insurance | Yes |
| 1999-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1998: FLYNN ENTERPRISES GROUP LIFE PLAN 1998 form 5500 responses |
|---|
| 1998-02-01 | Type of plan entity | Mulitple employer plan |
| 1998-02-01 | Submission has been amended | No |
| 1998-02-01 | This submission is the final filing | No |
| 1998-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1998-02-01 | Plan is a collectively bargained plan | No |
| 1998-02-01 | Plan funding arrangement – Insurance | Yes |
| 1998-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1997: FLYNN ENTERPRISES GROUP LIFE PLAN 1997 form 5500 responses |
|---|
| 1997-02-01 | Type of plan entity | Mulitple employer plan |
| 1997-02-01 | Submission has been amended | No |
| 1997-02-01 | This submission is the final filing | No |
| 1997-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1997-02-01 | Plan is a collectively bargained plan | No |
| 1997-02-01 | Plan funding arrangement – Insurance | Yes |
| 1997-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1996: FLYNN ENTERPRISES GROUP LIFE PLAN 1996 form 5500 responses |
|---|
| 1996-02-01 | Type of plan entity | Mulitple employer plan |
| 1996-02-01 | Submission has been amended | No |
| 1996-02-01 | This submission is the final filing | No |
| 1996-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1996-02-01 | Plan is a collectively bargained plan | No |
| 1996-02-01 | Plan funding arrangement – Insurance | Yes |
| 1996-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1995: FLYNN ENTERPRISES GROUP LIFE PLAN 1995 form 5500 responses |
|---|
| 1995-02-01 | Type of plan entity | Mulitple employer plan |
| 1995-02-01 | Submission has been amended | No |
| 1995-02-01 | This submission is the final filing | No |
| 1995-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1995-02-01 | Plan is a collectively bargained plan | No |
| 1995-02-01 | Plan funding arrangement – Insurance | Yes |
| 1995-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1994: FLYNN ENTERPRISES GROUP LIFE PLAN 1994 form 5500 responses |
|---|
| 1994-02-01 | Type of plan entity | Mulitple employer plan |
| 1994-02-01 | Submission has been amended | No |
| 1994-02-01 | This submission is the final filing | No |
| 1994-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1994-02-01 | Plan is a collectively bargained plan | No |
| 1994-02-01 | Plan funding arrangement – Insurance | Yes |
| 1994-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1993: FLYNN ENTERPRISES GROUP LIFE PLAN 1993 form 5500 responses |
|---|
| 1993-02-01 | Type of plan entity | Single employer plan |
| 1993-02-01 | Submission has been amended | No |
| 1993-02-01 | This submission is the final filing | No |
| 1993-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1993-02-01 | Plan is a collectively bargained plan | No |
| 1993-02-01 | Plan funding arrangement – Insurance | Yes |
| 1993-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1992: FLYNN ENTERPRISES GROUP LIFE PLAN 1992 form 5500 responses |
|---|
| 1992-02-01 | Type of plan entity | Single employer plan |
| 1992-02-01 | Submission has been amended | No |
| 1992-02-01 | This submission is the final filing | No |
| 1992-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1992-02-01 | Plan is a collectively bargained plan | No |
| 1992-02-01 | Plan funding arrangement – Insurance | Yes |
| 1992-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1991: FLYNN ENTERPRISES GROUP LIFE PLAN 1991 form 5500 responses |
|---|
| 1991-02-01 | Type of plan entity | Single employer plan |
| 1991-02-01 | Submission has been amended | No |
| 1991-02-01 | This submission is the final filing | No |
| 1991-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1991-02-01 | Plan is a collectively bargained plan | No |
| 1991-02-01 | Plan funding arrangement – Insurance | Yes |
| 1991-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1990: FLYNN ENTERPRISES GROUP LIFE PLAN 1990 form 5500 responses |
|---|
| 1990-02-01 | Type of plan entity | Single employer plan |
| 1990-02-01 | Submission has been amended | No |
| 1990-02-01 | This submission is the final filing | No |
| 1990-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1990-02-01 | Plan is a collectively bargained plan | No |
| 1990-02-01 | Plan funding arrangement – Insurance | Yes |
| 1990-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1989: FLYNN ENTERPRISES GROUP LIFE PLAN 1989 form 5500 responses |
|---|
| 1989-02-01 | Type of plan entity | Single employer plan |
| 1989-02-01 | Submission has been amended | No |
| 1989-02-01 | This submission is the final filing | No |
| 1989-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1989-02-01 | Plan is a collectively bargained plan | No |
| 1989-02-01 | Plan funding arrangement – Insurance | Yes |
| 1989-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1988: FLYNN ENTERPRISES GROUP LIFE PLAN 1988 form 5500 responses |
|---|
| 1988-02-01 | Type of plan entity | Single employer plan |
| 1988-02-01 | Submission has been amended | No |
| 1988-02-01 | This submission is the final filing | No |
| 1988-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1988-02-01 | Plan is a collectively bargained plan | No |
| 1988-02-01 | Plan funding arrangement – Insurance | Yes |
| 1988-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1987: FLYNN ENTERPRISES GROUP LIFE PLAN 1987 form 5500 responses |
|---|
| 1987-02-01 | Type of plan entity | Single employer plan |
| 1987-02-01 | Submission has been amended | No |
| 1987-02-01 | This submission is the final filing | No |
| 1987-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1987-02-01 | Plan is a collectively bargained plan | No |
| 1987-02-01 | Plan funding arrangement – Insurance | Yes |
| 1987-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1986: FLYNN ENTERPRISES GROUP LIFE PLAN 1986 form 5500 responses |
|---|
| 1986-02-01 | Type of plan entity | Single employer plan |
| 1986-02-01 | Submission has been amended | No |
| 1986-02-01 | This submission is the final filing | No |
| 1986-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1986-02-01 | Plan is a collectively bargained plan | No |
| 1986-02-01 | Plan funding arrangement – Insurance | Yes |
| 1986-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1985: FLYNN ENTERPRISES GROUP LIFE PLAN 1985 form 5500 responses |
|---|
| 1985-02-01 | Type of plan entity | Single employer plan |
| 1985-02-01 | Submission has been amended | No |
| 1985-02-01 | This submission is the final filing | No |
| 1985-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1985-02-01 | Plan is a collectively bargained plan | No |
| 1985-02-01 | Plan funding arrangement – Insurance | Yes |
| 1985-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1984: FLYNN ENTERPRISES GROUP LIFE PLAN 1984 form 5500 responses |
|---|
| 1984-02-01 | Type of plan entity | Single employer plan |
| 1984-02-01 | Submission has been amended | No |
| 1984-02-01 | This submission is the final filing | No |
| 1984-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1984-02-01 | Plan is a collectively bargained plan | No |
| 1984-02-01 | Plan funding arrangement – Insurance | Yes |
| 1984-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1983: FLYNN ENTERPRISES GROUP LIFE PLAN 1983 form 5500 responses |
|---|
| 1983-02-01 | Type of plan entity | Single employer plan |
| 1983-02-01 | Submission has been amended | No |
| 1983-02-01 | This submission is the final filing | No |
| 1983-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1983-02-01 | Plan is a collectively bargained plan | No |
| 1983-02-01 | Plan funding arrangement – Insurance | Yes |
| 1983-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1982: FLYNN ENTERPRISES GROUP LIFE PLAN 1982 form 5500 responses |
|---|
| 1982-02-01 | Type of plan entity | Single employer plan |
| 1982-02-01 | Submission has been amended | No |
| 1982-02-01 | This submission is the final filing | No |
| 1982-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1982-02-01 | Plan is a collectively bargained plan | No |
| 1982-02-01 | Plan funding arrangement – Insurance | Yes |
| 1982-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1981: FLYNN ENTERPRISES GROUP LIFE PLAN 1981 form 5500 responses |
|---|
| 1981-02-01 | Type of plan entity | Single employer plan |
| 1981-02-01 | Submission has been amended | No |
| 1981-02-01 | This submission is the final filing | No |
| 1981-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1981-02-01 | Plan is a collectively bargained plan | No |
| 1981-02-01 | Plan funding arrangement – Insurance | Yes |
| 1981-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1980: FLYNN ENTERPRISES GROUP LIFE PLAN 1980 form 5500 responses |
|---|
| 1980-02-01 | Type of plan entity | Single employer plan |
| 1980-02-01 | Submission has been amended | No |
| 1980-02-01 | This submission is the final filing | No |
| 1980-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1980-02-01 | Plan is a collectively bargained plan | No |
| 1980-02-01 | Plan funding arrangement – Insurance | Yes |
| 1980-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1979: FLYNN ENTERPRISES GROUP LIFE PLAN 1979 form 5500 responses |
|---|
| 1979-02-01 | Type of plan entity | Single employer plan |
| 1979-02-01 | Submission has been amended | No |
| 1979-02-01 | This submission is the final filing | No |
| 1979-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1979-02-01 | Plan is a collectively bargained plan | No |
| 1979-02-01 | Plan funding arrangement – Insurance | Yes |
| 1979-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1978: FLYNN ENTERPRISES GROUP LIFE PLAN 1978 form 5500 responses |
|---|
| 1978-02-01 | Type of plan entity | Single employer plan |
| 1978-02-01 | Submission has been amended | No |
| 1978-02-01 | This submission is the final filing | No |
| 1978-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1978-02-01 | Plan is a collectively bargained plan | No |
| 1978-02-01 | Plan funding arrangement – Insurance | Yes |
| 1978-02-01 | Plan benefit arrangement – Insurance | Yes |
| 1977: FLYNN ENTERPRISES GROUP LIFE PLAN 1977 form 5500 responses |
|---|
| 1977-02-01 | Type of plan entity | Single employer plan |
| 1977-02-01 | First time form 5500 has been submitted | Yes |
| 1977-02-01 | Submission has been amended | No |
| 1977-02-01 | This submission is the final filing | No |
| 1977-02-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 1977-02-01 | Plan is a collectively bargained plan | No |
| 1977-02-01 | Plan funding arrangement – Insurance | Yes |
| 1977-02-01 | Plan benefit arrangement – Insurance | Yes |
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 894444G |
| Policy instance | 1 |
| Insurance contract or identification number | 894444G | | Number of Individuals Covered | 128 | | Insurance policy start date | 2022-05-01 | | Insurance policy end date | 2023-04-30 | | Total amount of commissions paid to insurance broker | USD $4,007 | | Total amount of fees paid to insurance company | USD $402 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $40,075 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,007 | | Amount paid for insurance broker fees | 402 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 ) |
| Policy contract number | 894444G |
| Policy instance | 1 |
| Insurance contract or identification number | 894444G | | Number of Individuals Covered | 128 | | Insurance policy start date | 2021-05-01 | | Insurance policy end date | 2022-04-30 | | Total amount of commissions paid to insurance broker | USD $4,771 | | Total amount of fees paid to insurance company | USD $1,791 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $26,806 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,771 | | Amount paid for insurance broker fees | 1791 | | Additional information about fees paid to insurance broker | BONUS | | Insurance broker organization code? | 3 |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 135 | | Insurance policy start date | 2020-05-01 | | Insurance policy end date | 2021-04-30 | | Total amount of commissions paid to insurance broker | USD $3,627 | | Total amount of fees paid to insurance company | USD $765 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $55,812 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,627 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 148 | | Insurance policy start date | 2019-05-01 | | Insurance policy end date | 2020-04-30 | | Total amount of commissions paid to insurance broker | USD $3,528 | | Total amount of fees paid to insurance company | USD $756 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $60,491 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,528 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 153 | | Insurance policy start date | 2018-05-01 | | Insurance policy end date | 2019-04-30 | | Total amount of commissions paid to insurance broker | USD $3,668 | | Total amount of fees paid to insurance company | USD $741 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $59,272 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,668 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 151 | | Insurance policy start date | 2017-05-01 | | Insurance policy end date | 2018-04-30 | | Total amount of commissions paid to insurance broker | USD $3,496 | | Total amount of fees paid to insurance company | USD $685 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | ACCIDENTAL DEATH AND DISMEMBERMENT | | Welfare Benefit Premiums Paid to Carrier | USD $54,770 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,496 | | Amount paid for insurance broker fees | 0 | | Insurance broker organization code? | 3 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker name | GALLAGHER BENEFIT SERVICES, INC. |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 131 | | Insurance policy start date | 2015-05-01 | | Insurance policy end date | 2016-04-30 | | Total amount of commissions paid to insurance broker | USD $3,044 | | Total amount of fees paid to insurance company | USD $318 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $46,392 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,044 | | Amount paid for insurance broker fees | 318 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | MATTHEW H FONES |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 130 | | Insurance policy start date | 2014-05-01 | | Insurance policy end date | 2015-04-30 | | Total amount of commissions paid to insurance broker | USD $3,329 | | Total amount of fees paid to insurance company | USD $322 | | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $42,929 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,329 | | Amount paid for insurance broker fees | 322 | | Additional information about fees paid to insurance broker | ADDITIONAL COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | MATTHEW H FONES |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 125 | | Insurance policy start date | 2013-05-01 | | Insurance policy end date | 2014-04-30 | | Total amount of commissions paid to insurance broker | USD $2,912 | | Total amount of fees paid to insurance company | USD $270 | | Life Insurance Welfare Benefit | Yes | | Other welfare benefits provided | AD&D | | Welfare Benefit Premiums Paid to Carrier | USD $36,024 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,912 | | Amount paid for insurance broker fees | 270 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | MATTHEW H FONES |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2012-05-01 | | Insurance policy end date | 2013-04-30 | | Total amount of commissions paid to insurance broker | USD $2,978 | | Total amount of fees paid to insurance company | USD $266 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $35,471 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,978 | | Amount paid for insurance broker fees | 266 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 106 | | Insurance policy start date | 2011-05-01 | | Insurance policy end date | 2012-05-01 | | Total amount of commissions paid to insurance broker | USD $2,666 | | Total amount of fees paid to insurance company | USD $323 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $29,768 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 116 | | Insurance policy start date | 2011-02-01 | | Insurance policy end date | 2011-05-01 | | Total amount of commissions paid to insurance broker | USD $738 | | Total amount of fees paid to insurance company | USD $77 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $6,152 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 111 | | Insurance policy start date | 2010-02-01 | | Insurance policy end date | 2011-02-01 | | Total amount of commissions paid to insurance broker | USD $2,311 | | Total amount of fees paid to insurance company | USD $311 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $24,887 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 122 | | Insurance policy start date | 2009-02-01 | | Insurance policy end date | 2010-01-31 | | Total amount of commissions paid to insurance broker | USD $1,860 | | Total amount of fees paid to insurance company | USD $230 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $18,432 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,860 | | Amount paid for insurance broker fees | 230 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 138 | | Insurance policy start date | 2008-02-01 | | Insurance policy end date | 2009-01-31 | | Total amount of commissions paid to insurance broker | USD $1,789 | | Total amount of fees paid to insurance company | USD $218 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $17,461 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,789 | | Amount paid for insurance broker fees | 218 | | Additional information about fees paid to insurance broker | OTHER COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 134 | | Insurance policy start date | 2007-02-01 | | Insurance policy end date | 2008-01-31 | | Total amount of commissions paid to insurance broker | USD $2,766 | | Total amount of fees paid to insurance company | USD $399 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $28,342 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $2,766 | | Amount paid for insurance broker fees | 399 | | Additional information about fees paid to insurance broker | OTHER FEES | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 847 | | Insurance policy start date | 2006-02-01 | | Insurance policy end date | 2007-01-31 | | Total amount of commissions paid to insurance broker | USD $3,662 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $49,931 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $3,662 | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 1477 | | Insurance policy start date | 2005-02-01 | | Insurance policy end date | 2006-01-31 | | Total amount of commissions paid to insurance broker | USD $4,528 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $78,083 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,528 | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 2068 | | Insurance policy start date | 2004-02-01 | | Insurance policy end date | 2005-01-31 | | Total amount of commissions paid to insurance broker | USD $4,749 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $90,474 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,749 | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 2382 | | Insurance policy start date | 2003-02-01 | | Insurance policy end date | 2004-01-31 | | Total amount of commissions paid to insurance broker | USD $4,736 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Other welfare benefits provided | ADD | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $90,745 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $4,736 | | Insurance broker organization code? | 3 | | Insurance broker name | FONES, MATTHEW H |
|
| UNUM LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 62235 ) |
| Policy contract number | 400362 |
| Policy instance | 1 |
| Insurance contract or identification number | 400362 | | Number of Individuals Covered | 2675 | | Insurance policy start date | 2002-02-01 | | Insurance policy end date | 2003-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $91,000 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2453 | | Insurance policy start date | 2001-02-01 | | Insurance policy end date | 2002-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $51,944 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2498 | | Insurance policy start date | 2000-02-01 | | Insurance policy end date | 2001-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $50,554 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2359 | | Insurance policy start date | 1999-02-01 | | Insurance policy end date | 2000-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,590 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2487 | | Insurance policy start date | 1998-02-01 | | Insurance policy end date | 1999-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $48,118 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2337 | | Insurance policy start date | 1997-02-01 | | Insurance policy end date | 1998-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $47,999 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2167 | | Insurance policy start date | 1996-02-01 | | Insurance policy end date | 1997-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $45,526 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2136 | | Insurance policy start date | 1995-02-01 | | Insurance policy end date | 1996-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,805 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2188 | | Insurance policy start date | 1994-02-01 | | Insurance policy end date | 1995-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $34,016 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2067 | | Insurance policy start date | 1993-02-01 | | Insurance policy end date | 1994-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $33,322 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2300 | | Insurance policy start date | 1992-02-01 | | Insurance policy end date | 1993-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $31,504 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 1677 | | Insurance policy start date | 1991-02-01 | | Insurance policy end date | 1992-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $20,500 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2022 | | Insurance policy start date | 1990-02-01 | | Insurance policy end date | 1991-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $20,645 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 2114 | | Insurance policy start date | 1989-02-01 | | Insurance policy end date | 1990-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $20,396 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 1087 | | Insurance policy start date | 1988-02-01 | | Insurance policy end date | 1989-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $17,554 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 994 | | Insurance policy start date | 1987-02-01 | | Insurance policy end date | 1988-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $25,301 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 819 | | Insurance policy start date | 1986-02-01 | | Insurance policy end date | 1987-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $23,355 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 649 | | Insurance policy start date | 1985-02-01 | | Insurance policy end date | 1986-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $18,729 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 567 | | Insurance policy start date | 1984-02-01 | | Insurance policy end date | 1985-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $20,082 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 493 | | Insurance policy start date | 1983-02-01 | | Insurance policy end date | 1984-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $13,990 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 419 | | Insurance policy start date | 1982-02-01 | | Insurance policy end date | 1983-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $9,076 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 280 | | Insurance policy start date | 1981-02-01 | | Insurance policy end date | 1982-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $5,626 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 209 | | Insurance policy start date | 1980-02-01 | | Insurance policy end date | 1981-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $4,035 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 181 | | Insurance policy start date | 1979-02-01 | | Insurance policy end date | 1980-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,836 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 141 | | Insurance policy start date | 1978-02-01 | | Insurance policy end date | 1979-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $1,980 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
| FIDELITY MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 128 | | Insurance policy start date | 1977-02-01 | | Insurance policy end date | 1978-01-31 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | Yes | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No | | Welfare Benefit Premiums Paid to Carrier | USD $2,417 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | Yes |
|
