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INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 401k Plan overview

Plan NameINDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN
Plan identification number 501

INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Temporary disability (accident and sickness)

401k Sponsoring company profile

INDUSTRIAL DIELECTRICS, INC. has sponsored the creation of one or more 401k plans.

Company Name:INDUSTRIAL DIELECTRICS, INC.
Employer identification number (EIN):800503722
NAIC Classification:335900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012023-01-01ALEX DESANTIS2024-04-21
5012022-01-01ALEX DESANTIS2023-04-10
5012021-01-01ALEX DESANTIS2022-05-10
5012020-01-01ALEX DESANTIS2021-04-16
5012019-01-01ALEX DESANTIS2020-05-15
5012018-01-01
5012017-01-01
5012016-01-01ALEX DESANTIS
5012015-01-01ALEX DESANTIS
5012014-01-01ALEX DESANTIS
5012013-01-01ALEX DE SANTIS
5012012-02-01ALEX DESANTIS
5012012-02-01ALEX DESANTIS
5012011-02-01ALEX DESANTIS

Plan Statistics for INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN

401k plan membership statisitcs for INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN

Measure Date Value
2023: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01258
Total number of active participants reported on line 7a of the Form 55002023-01-01269
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0110
Total of all active and inactive participants2023-01-01279
Number of employers contributing to the scheme2023-01-010
2022: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01252
Total number of active participants reported on line 7a of the Form 55002022-01-01267
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-01269
Number of employers contributing to the scheme2022-01-010
2021: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01241
Total number of active participants reported on line 7a of the Form 55002021-01-01251
Number of retired or separated participants receiving benefits2021-01-011
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-01252
Number of employers contributing to the scheme2021-01-010
2020: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01241
Total number of active participants reported on line 7a of the Form 55002020-01-01241
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-01241
Number of employers contributing to the scheme2020-01-010
2019: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01256
Total number of active participants reported on line 7a of the Form 55002019-01-01241
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-01241
Number of employers contributing to the scheme2019-01-010
2018: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01274
Total number of active participants reported on line 7a of the Form 55002018-01-01256
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-01256
Number of employers contributing to the scheme2018-01-010
2017: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01284
Total number of active participants reported on line 7a of the Form 55002017-01-01274
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-01274
2016: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01255
Total number of active participants reported on line 7a of the Form 55002016-01-01252
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-01253
2015: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01277
Total number of active participants reported on line 7a of the Form 55002015-01-01281
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-01281
2014: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01254
Total number of active participants reported on line 7a of the Form 55002014-01-01249
Number of retired or separated participants receiving benefits2014-01-011
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-01250
2013: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01252
Total number of active participants reported on line 7a of the Form 55002013-01-01252
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-01252
2012: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2012 401k membership
Total participants, beginning-of-year2012-02-01245
Total number of active participants reported on line 7a of the Form 55002012-02-01252
Number of retired or separated participants receiving benefits2012-02-010
Number of other retired or separated participants entitled to future benefits2012-02-010
Total of all active and inactive participants2012-02-01252
2011: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2011 401k membership
Total participants, beginning-of-year2011-02-01259
Total number of active participants reported on line 7a of the Form 55002011-02-01245
Number of retired or separated participants receiving benefits2011-02-010
Number of other retired or separated participants entitled to future benefits2011-02-010
Total of all active and inactive participants2011-02-01245

Financial Data on INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN

Measure Date Value
2012 : INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total transfer of assets to this plan2012-12-31$49,676
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$378,876
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$168,056
Total income from all sources (including contributions)2012-12-31$3,196,993
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$3,524,946
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$3,424,378
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$3,196,993
Value of total assets at end of year2012-12-31$49,676
Value of total assets at beginning of year2012-12-31$117,133
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$100,568
Total interest from all sources2012-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$49,676
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$354,979
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$264,965
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$46,164
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$115,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$324,876
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$139,056
Total non interest bearing cash at end of year2012-12-31$3,512
Total non interest bearing cash at beginning of year2012-12-31$2,041
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-327,953
Value of net assets at end of year (total assets less liabilities)2012-12-31$-329,200
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$-50,923
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$164,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$2,577,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$3,259,750
Contract administrator fees2012-12-31$100,568
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$54,000
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$29,000
Did the plan have assets held for investment2012-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31BKD, LLP
Accountancy firm EIN2012-12-31440160260
Total unrealized appreciation/depreciation of assets2012-01-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$168,056
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-01-31$147,660
Total income from all sources (including contributions)2012-01-31$3,130,756
Total loss/gain on sale of assets2012-01-31$0
Total of all expenses incurred2012-01-31$3,200,419
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-01-31$3,095,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-01-31$3,130,756
Value of total assets at end of year2012-01-31$117,133
Value of total assets at beginning of year2012-01-31$166,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-01-31$104,669
Total interest from all sources2012-01-31$0
Total dividends received (eg from common stock, registered investment company shares)2012-01-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-01-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-01-31$0
Was this plan covered by a fidelity bond2012-01-31Yes
Value of fidelity bond cover2012-01-31$1,000,000
If this is an individual account plan, was there a blackout period2012-01-31No
Were there any nonexempt tranactions with any party-in-interest2012-01-31No
Contributions received from participants2012-01-31$403,804
Income. Received or receivable in cash from other sources (including rollovers)2012-01-31$275,359
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-01-31$115,092
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-01-31$151,417
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-01-31$139,056
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-01-31$115,660
Total non interest bearing cash at end of year2012-01-31$2,041
Total non interest bearing cash at beginning of year2012-01-31$14,983
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Value of net income/loss2012-01-31$-69,663
Value of net assets at end of year (total assets less liabilities)2012-01-31$-50,923
Value of net assets at beginning of year (total assets less liabilities)2012-01-31$18,740
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-01-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-01-31No
Were any leases to which the plan was party in default or uncollectible2012-01-31No
Expenses. Payments to insurance carriers foe the provision of benefits2012-01-31$156,506
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-01-31No
Was there a failure to transmit to the plan any participant contributions2012-01-31No
Has the plan failed to provide any benefit when due under the plan2012-01-31No
Contributions received in cash from employer2012-01-31$2,451,593
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-01-31$2,939,244
Contract administrator fees2012-01-31$104,669
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-01-31No
Liabilities. Value of benefit claims payable at end of year2012-01-31$29,000
Liabilities. Value of benefit claims payable at beginning of year2012-01-31$32,000
Did the plan have assets held for investment2012-01-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-01-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-01-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-01-31No
Opinion of an independent qualified public accountant for this plan2012-01-31Unqualified
Accountancy firm name2012-01-31BKD, LLP
Accountancy firm EIN2012-01-31440160260

Form 5500 Responses for INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN

2023: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Plan funding arrangement – General assets of the sponsorYes
2023-01-01Plan benefit arrangement – General assets of the sponsorYes
2022: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan is a collectively bargained planYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan is a collectively bargained planYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes
2015: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planYes
2015-01-01Plan funding arrangement – General assets of the sponsorYes
2015-01-01Plan benefit arrangement – General assets of the sponsorYes
2014: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planYes
2014-01-01Plan funding arrangement – General assets of the sponsorYes
2014-01-01Plan benefit arrangement – General assets of the sponsorYes
2013: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – General assets of the sponsorYes
2013-01-01Plan benefit arrangement – General assets of the sponsorYes
2012: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2012 form 5500 responses
2012-02-01Type of plan entitySingle employer plan
2012-02-01Submission has been amendedNo
2012-02-01This submission is the final filingNo
2012-02-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-02-01Plan is a collectively bargained planNo
2012-02-01Plan funding arrangement – InsuranceYes
2012-02-01Plan funding arrangement – TrustYes
2012-02-01Plan funding arrangement – General assets of the sponsorYes
2012-02-01Plan benefit arrangement – InsuranceYes
2012-02-01Plan benefit arrangement - TrustYes
2012-02-01Plan benefit arrangement – General assets of the sponsorYes
2011: INDUSTRIAL DIELECTRICS, INC. AND AFFILIATES EMPLOYEE BENEFIT PLAN 2011 form 5500 responses
2011-02-01Type of plan entitySingle employer plan
2011-02-01Submission has been amendedNo
2011-02-01This submission is the final filingNo
2011-02-01This return/report is a short plan year return/report (less than 12 months)No
2011-02-01Plan is a collectively bargained planNo
2011-02-01Plan funding arrangement – InsuranceYes
2011-02-01Plan funding arrangement – TrustYes
2011-02-01Plan funding arrangement – General assets of the sponsorYes
2011-02-01Plan benefit arrangement – InsuranceYes
2011-02-01Plan benefit arrangement - TrustYes
2011-02-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17600
Policy instance 1
Insurance contract or identification numberHCL17600
Number of Individuals Covered253
Insurance policy start date2012-02-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,155
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $166,210
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees4155
Additional information about fees paid to insurance brokerOTHER COMMISSION OVERRIDE
Insurance broker organization code?3
Insurance broker nameMERITAIN HEALTH
HCC LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 92711 )
Policy contract numberHCL17600
Policy instance 1
Insurance contract or identification numberHCL17600
Number of Individuals Covered245
Insurance policy start date2011-02-01
Insurance policy end date2012-01-31
Total amount of commissions paid to insurance brokerUSD $3,538
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $154,337
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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