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CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 401k Plan overview

Plan NameCONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP
Plan identification number 001

CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

CONTRACTORS HEATING & COOLING SUPPL Y INC has sponsored the creation of one or more 401k plans.

Company Name:CONTRACTORS HEATING & COOLING SUPPL Y INC
Employer identification number (EIN):870319910
NAIC Classification:423700

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01BRENT KEETCH
0012016-01-01BRENT KEETCH
0012015-01-01BRENT KEETCH
0012014-01-01BRENT KEETCH
0012013-01-01BRENT KEETCH
0012012-01-01BRENT KEETCH
0012011-01-01BRENT KEETCH
0012009-01-01BRENT KEETCH BRENT KEETCH2010-10-13

Plan Statistics for CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP

401k plan membership statisitcs for CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP

Measure Date Value
2019: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2019 401k membership
Total participants, beginning-of-year2019-01-0148
Total number of active participants reported on line 7a of the Form 55002019-01-010
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 participants2019-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-010
Number of participants with account balances2019-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2018 401k membership
Total participants, beginning-of-year2018-01-0179
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0148
Total of all active and inactive participants2018-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0148
Number of participants with account balances2018-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2017 401k membership
Total participants, beginning-of-year2017-01-0181
Total number of active participants reported on line 7a of the Form 55002017-01-0158
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0121
Total of all active and inactive participants2017-01-0179
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0179
Number of participants with account balances2017-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2016 401k membership
Total participants, beginning-of-year2016-01-0163
Total number of active participants reported on line 7a of the Form 55002016-01-0151
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-0112
Total of all active and inactive participants2016-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0165
Number of participants with account balances2016-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2015 401k membership
Total participants, beginning-of-year2015-01-0161
Total number of active participants reported on line 7a of the Form 55002015-01-0146
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-0113
Total of all active and inactive participants2015-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0161
Number of participants with account balances2015-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2014 401k membership
Total participants, beginning-of-year2014-01-0164
Total number of active participants reported on line 7a of the Form 55002014-01-0151
Number of retired or separated participants receiving benefits2014-01-0152
Number of other retired or separated participants entitled to future benefits2014-01-0149
Total of all active and inactive participants2014-01-01152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01152
Number of participants with account balances2014-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2013 401k membership
Total participants, beginning-of-year2013-01-0164
Total number of active participants reported on line 7a of the Form 55002013-01-0153
Number of retired or separated participants receiving benefits2013-01-012
Number of other retired or separated participants entitled to future benefits2013-01-018
Total of all active and inactive participants2013-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0163
Number of participants with account balances2013-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2012 401k membership
Total participants, beginning-of-year2012-01-0163
Total number of active participants reported on line 7a of the Form 55002012-01-0152
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-017
Total of all active and inactive participants2012-01-0162
Total participants2012-01-0162
Number of participants with account balances2012-01-0151
2011: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2011 401k membership
Total participants, beginning-of-year2011-01-0163
Total number of active participants reported on line 7a of the Form 55002011-01-0153
Number of retired or separated participants receiving benefits2011-01-013
Number of other retired or separated participants entitled to future benefits2011-01-017
Total of all active and inactive participants2011-01-0163
Total participants2011-01-0163
Number of participants with account balances2011-01-0151
2009: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2009 401k membership
Total participants, beginning-of-year2009-01-0159
Total number of active participants reported on line 7a of the Form 55002009-01-0162
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-013
Total of all active and inactive participants2009-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0165
Number of participants with account balances2009-01-0155
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP

Measure Date Value
2019 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2019 401k financial data
Transfers to/from the plan2019-12-31$-3,589,347
Total income from all sources2019-12-31$-395,182
Expenses. Total of all expenses incurred2019-12-31$85,254
Benefits paid (including direct rollovers)2019-12-31$81,762
Total plan assets at end of year2019-12-31$0
Total plan assets at beginning of year2019-12-31$4,069,783
Value of fidelity bond covering the plan2019-12-31$1,000,000
Other income received2019-12-31$-395,182
Net income (gross income less expenses)2019-12-31$-480,436
Net plan assets at end of year (total assets less liabilities)2019-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,069,783
Assets. Value of assets in partnership/joint-venture interests2019-12-31$0
Assets. Value of real-estate (other than employer real property)2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$3,492
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2018 401k financial data
Transfers to/from the plan2018-12-31$-352,555
Total income from all sources2018-12-31$207,702
Expenses. Total of all expenses incurred2018-12-31$64,034
Benefits paid (including direct rollovers)2018-12-31$25,960
Total plan assets at end of year2018-12-31$4,069,783
Total plan assets at beginning of year2018-12-31$4,278,670
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$232,692
Other income received2018-12-31$-190,268
Net income (gross income less expenses)2018-12-31$143,668
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,069,783
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,278,670
Assets. Value of assets in partnership/joint-venture interests2018-12-31$920,206
Assets. Value of employer securities2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$165,278
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$38,074
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$1,250
Total income from all sources2017-12-31$721,929
Expenses. Total of all expenses incurred2017-12-31$679,827
Benefits paid (including direct rollovers)2017-12-31$637,852
Total plan assets at end of year2017-12-31$4,278,670
Total plan assets at beginning of year2017-12-31$4,237,818
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$87,655
Other income received2017-12-31$583,199
Net income (gross income less expenses)2017-12-31$42,102
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,278,670
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,236,568
Assets. Value of assets in partnership/joint-venture interests2017-12-31$847,595
Assets. Value of employer securities2017-12-31$352,555
Total contributions received or receivable from employer(s)2017-12-31$51,075
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$41,975
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2016 401k financial data
Total plan liabilities at end of year2016-12-31$1,250
Total income from all sources2016-12-31$407,506
Expenses. Total of all expenses incurred2016-12-31$452,753
Benefits paid (including direct rollovers)2016-12-31$406,460
Total plan assets at end of year2016-12-31$4,237,818
Total plan assets at beginning of year2016-12-31$4,281,815
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$24,490
Other income received2016-12-31$383,016
Net income (gross income less expenses)2016-12-31$-45,247
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,236,568
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,281,815
Assets. Value of assets in partnership/joint-venture interests2016-12-31$781,720
Assets. Value of employer securities2016-12-31$236,705
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$46,293
2015 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2015 401k financial data
Total income from all sources2015-12-31$12,700
Expenses. Total of all expenses incurred2015-12-31$752,118
Benefits paid (including direct rollovers)2015-12-31$696,734
Total plan assets at end of year2015-12-31$4,281,815
Total plan assets at beginning of year2015-12-31$5,021,233
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$20,625
Other income received2015-12-31$-7,925
Net income (gross income less expenses)2015-12-31$-739,418
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,281,815
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,021,233
Assets. Value of assets in partnership/joint-venture interests2015-12-31$582,759
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-12-31$3,640
Assets. Value of employer securities2015-12-31$234,640
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$55,384
2014 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2014 401k financial data
Total income from all sources2014-12-31$224,111
Expenses. Total of all expenses incurred2014-12-31$60,577
Benefits paid (including direct rollovers)2014-12-31$4,276
Total plan assets at end of year2014-12-31$5,021,233
Total plan assets at beginning of year2014-12-31$4,857,699
Value of fidelity bond covering the plan2014-12-31$1,000,000
Total contributions received or receivable from participants2014-12-31$1,350
Other income received2014-12-31$222,761
Net income (gross income less expenses)2014-12-31$163,534
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,021,233
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$4,857,699
Assets. Value of assets in partnership/joint-venture interests2014-12-31$581,955
Assets. Value of employer securities2014-12-31$233,485
Total contributions received or receivable from employer(s)2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$56,301
2013 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$1,681
Total income from all sources2013-12-31$547,731
Expenses. Total of all expenses incurred2013-12-31$69,742
Total plan assets at end of year2013-12-31$4,857,699
Total plan assets at beginning of year2013-12-31$4,381,391
Total contributions received or receivable from participants2013-12-31$280
Other income received2013-12-31$547,451
Net income (gross income less expenses)2013-12-31$477,989
Net plan assets at end of year (total assets less liabilities)2013-12-31$4,857,699
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,379,710
Assets. Value of assets in partnership/joint-venture interests2013-12-31$582,219
Assets. Value of employer securities2013-12-31$218,890
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$69,742
2012 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2012 401k financial data
Total plan liabilities at end of year2012-12-31$1,681
Total income from all sources2012-12-31$407,490
Expenses. Total of all expenses incurred2012-12-31$50,893
Benefits paid (including direct rollovers)2012-12-31$10,457
Total plan assets at end of year2012-12-31$4,381,391
Total plan assets at beginning of year2012-12-31$4,023,113
Value of fidelity bond covering the plan2012-12-31$700,000
Assets. Value of loans (other than to participants)2012-12-31$50,000
Other income received2012-12-31$407,490
Net income (gross income less expenses)2012-12-31$356,597
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,379,710
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,023,113
Assets. Value of assets in partnership/joint-venture interests2012-12-31$548,144
Assets. Value of employer securities2012-12-31$222,740
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$40,436
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2011 401k financial data
Total income from all sources2011-12-31$61,342
Expenses. Total of all expenses incurred2011-12-31$71,246
Benefits paid (including direct rollovers)2011-12-31$30,000
Total plan assets at end of year2011-12-31$4,023,113
Total plan assets at beginning of year2011-12-31$4,033,017
Value of fidelity bond covering the plan2011-12-31$700,000
Assets. Value of loans (other than to participants)2011-12-31$50,000
Expenses. Other expenses not covered elsewhere2011-12-31$41,246
Other income received2011-12-31$61,342
Net income (gross income less expenses)2011-12-31$-9,904
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,023,113
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,033,017
Assets. Value of assets in partnership/joint-venture interests2011-12-31$508,362
Assets. Value of employer securities2011-12-31$216,580
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$192,671
Expenses. Total of all expenses incurred2010-12-31$83,904
Benefits paid (including direct rollovers)2010-12-31$73,667
Total plan assets at end of year2010-12-31$4,033,017
Total plan assets at beginning of year2010-12-31$3,924,250
Value of fidelity bond covering the plan2010-12-31$700,000
Assets. Value of loans (other than to participants)2010-12-31$50,000
Other income received2010-12-31$192,671
Net income (gross income less expenses)2010-12-31$108,767
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,033,017
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,924,250
Assets. Value of assets in partnership/joint-venture interests2010-12-31$516,268
Assets. Value of employer securities2010-12-31$203,385
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$10,237
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP

2019: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingYes
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CONTRACTORS HEATING & COOLING SUPPLY INC EMPLOYEE PSP 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AMERITAS LIFE INSURANCE CORP. (National Association of Insurance Commissioners NAIC id number: 61301 )
Policy contract numberE634451
Policy instance 1
Insurance contract or identification numberE634451
Number of Individuals Covered48
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $733
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $733
Insurance broker organization code?4
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300320
Policy instance 1
Insurance contract or identification number300320
Number of Individuals Covered29
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $337
Total amount of fees paid to insurance companyUSD $30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $337
Insurance broker organization code?4
Amount paid for insurance broker fees30
Additional information about fees paid to insurance brokerADVISORY SERVICES TO PLAN
Insurance broker nameSWBC INVESTMENT ADVISORY SERIVCES
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 78778 )
Policy contract number300320
Policy instance 1
Insurance contract or identification number300320
Number of Individuals Covered1
Total amount of commissions paid to insurance brokerUSD $2
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2
Additional information about fees paid to insurance brokerCOMISSIONS
Insurance broker organization code?7
Insurance broker nameJOHNSON, JEFFREY

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