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FORM 5500 DATA

Ascension Healthcare 401k Retirement Savings Plan

Overview

Plan Information

  • Plan Year01/01/2019 — 12/31/2019
  • Date of Plan08/01/1996
  • Net Assets as of 12/31/2019 $587,398,169
  • Plan Number333
  • Plan Type Single Employer
  • Is the plan collectively bargained? No
  • Did the plan file for an extension of time or the DFVC Program?Yes
  • Plan Funding ArrangementInsurance Trust
  • Plan Benefit ArrangementInsurance Trust

Participant Information as of 12/31/2019

  • Active (Eligible) Participants2,444
  • Retired or separated participants receiving benefits105
  • Other retired or separated participants entitled to future benefits7,904
  • Subtotal10,453
  • Deceased participants whose beneficiaries are receiving or are entitled to receive benefits56
  • Total10,509
  • Total number of participants as of 01/01/20195,225
  • Number of participants with account balances10,407
  • Number of participants that terminated employment during the plan year with accrued benefits that were less than 100% vested0

Expenses

  • Total Benefit Payments$0
  • Corrective Distributions$0
  • Administrative Service Providers$0
  • Other Expenses$0
  • Total Expenses$0
  • Total Transfers$0

Sponsor Information

  • AddressPo Box 46944
  • CitySt Louis
  • StateMO
  • Zip63146-6944
  • Telephone(314) 733-8600
  • EIN31-1662309
  • Industry Code813000
  • Named AdministratorChristopher Belcher

Plan Administrator Information

  • Administrator NameAscension Healthcare Pension Committee
  • AddressPo Box 46944
  • CitySt Louis
  • StateMO
  • Zip63146-6944
  • Telephone(314) 733-8600
  • Administrator EIN43-1898317

Audit Information

  • Audit StatusAudited
  • AuditorCliftonlarsonallen LLP
  • Auditor EIN41-0746749
  • Audit OpinionUnqualified
  • Audit Type Full Audit

Benefits Provided Under the Plan

Code Benefit Description
2F ERISA section 404(c) Plan This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
2G 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.
2J 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.
2K Code section 401(m) arrangement Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contributions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
2R Brokerage Window Participant-directed brokerage accounts provided as an investment option under the plan.
2T Participant-directed Account Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
3H Controlled Group Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

Questions and Answers

Question Answer Amount
During the plan year did the employer fail to transmit to the plan any participant contributions within the time period described in 29 CFT 2510.3-102? No
Were any loans by the plan or fixed income obligations due the plan in default as of the close of plan year or classified during the year as uncollectible? Disregard participant loans secured by participant's account balance. No
Were any leases to which the plan was a party in default or classified during the year as uncollectible? No
Were there any nonexempt transactions with any party-in-interest? No
Was this plan covered by a fidelity bond? Yes $20,000,000
Did the plan have a loss, whether or not reimbursed by the plan's fidelity bond, that was caused by fraud or dishonesty? No
Did the plan hold any assets whose current value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan receive any noncash contributions whose value was neither readily determinable on an established market nor set by an independent third party appraiser? No
Did the plan have assets held for investment? Yes
Were any plan transactions or series of transactions in excess of 5% of the current value of plan assets? No
Were all the plan assets either distributed to participants or beneficiaries, transferred to another plan, or brought under the control of the PBGC? No
Has the plan failed to provide any benefit when due under the plan? No
If this is an individual account plan, was there a blackout period? No
If there was a blackout period, have you either provided the required notice or one of the exceptions to providing the notice applied under 29 CFR 2520.101-3? No

Financials

Income and Expense Statement

Income $92,756,626
Contributions $17,234,987
Cash Contributions $17,234,987
Cash from Employers $0
Cash from Participants $14,890,647
Others (including rollovers) $2,344,340
Noncash Contributions $0
Total Earnings on Investments $73,823,346
Total Interest $273,795
Interest-Bearing Cash $0
U.S. Government Securities $0
Corporate Debt Instruments $0
Loans (other than to participants) $0
Participant Loans $249,571
Interest from Other Investments $24,224
Total Dividends $7,634,440
Preferred Stock $0
Common Stock $0
Rents $0
Net gain (loss) on sale of assets $0
Aggregate Proceeds $0
Aggregate Carrying Amount $0
Total Unrealized Appreciation (depreciation) of assets $0
Real Estate $0
Other $0
Net investment gain (loss) from common/collective trusts $0
Net investment gain (loss) from pooled separate accounts $74,478
Net investment gain (loss) from master trust investment accounts $0
Net investment gain (loss) from 103-12 investment entities $0
Net investment gain (loss) from registered investment companies $65,840,633
Other Income $1,698,293
Expenses $40,240,002
Total Benefit Payments $39,833,229
Directly to participants or beneficiaries, including direct rollovers $39,833,229
To insurance carriers for the provision of benefits $0
Other Benefit Payment Fees $0
Corrective Distributions $16,211
Certain deemed distributions of participant loans $21,298
Interest expense $0
Total Administrative Expenses $369,264
Professional Fees $0
Contract Administrator Fees $0
Investment Advisory and management fees $0
Other Administrative Fees $369,264
Net Income $52,516,624
Transfers of Assets to this Plan $0
Transfers of Assets from this Plan $0

Asset and Liability Statement

12/31/2019 12/31/2018 Change YOY
Total Assets $587,398,169 $255,725,728 129.70%
Total noninterest-bearing cash $0 $0 0.0%
Receivables $16,884 $11,803 43.05%
Employer Contributions $0 $0 0.0%
Participant Contributions $349 $174 100.57%
Other Contributions $16,535 $11,629 42.19%
General Investments $0 $0 0.0%
Interest-bearing cash $0 $0 0.0%
U.S. Government Securities $0 $0 0.0%
Corporate Debt Instruments $0 $0 0.0%
Preferred $0 $0 0.0%
All Other $0 $0 0.0%
Corporate Stocks $0 $0 0.0%
Preferred $0 $0 0.0%
Common $0 $0 0.0%
Partnership/joint venture interests $0 $0 0.0%
Real estate (other than employer real property) $0 $0 0.0%
Loans (other than to participants) $0 $0 0.0%
Participants Loans $6,310,251 $3,878,871 62.68%
Value of interest in common/collective trusts $0 $0 0.0%
Value of interest in pooled separate accounts $1,005,028 $97,409 931.76%
Value of interest in master trust investment accounts $0 $0 0.0%
Value of interest in 103-12 investment entities $0 $0 0.0%
Value of interest in registered investment companies $537,181,382 $231,989,408 131.55%
Value of funds held in insurance co. general account $1,879,445 $198,874 845.04%
Other Investments $41,005,179 $19,549,363 109.75%
Employer-related Investments $0 $0 0.0%
Employer Securities $0 $0 0.0%
Employer Real Property $0 $0 0.0%
Buildings and other property used in plan operation $0 $0 0.0%
Total Liabilities $0 $0 0.0%
Benefit Claims Payable (1) $0 $0 0.0%
Operating Payables (1) $0 $0 0.0%
Acquisition Indebtedness (1) $0 $0 0.0%
Other liabilities (1) $0 $0 0.0%
Net Assets $587,398,169 $255,725,728 129.70%

Service Providers

Persons Receiving Only Eligible Indirect Compensation

  • Transamerica Retirement Solutions
  • Voya Retirement Ins and Annuity Co
  • Charles Schwab & Co., Inc.

Other Service Providers Receiving Direct or Indirect Compensation

Name Nature of Service Relationship to Plan Sponsor Direct Compensation Paid by Plan Indirect Compensation Paid by Plan Total Compensation
Transamerica Retirement Solutions Claims processing, Recordkeeping and information management (computing, tabulating, data processing, etc.), Investment management, Participant loan processing, Participant communication, Direct payment from the plan, Sales loads (front end and deferred), Shareholder servicing fees, Finders' fees/placement fees, Float revenue, Distribution (12b-1) fees, Recordkeeping fees, Account maintenance fees Record Keeper $369,264 $0 $369,264
Charles Schwab & Co., Inc. Securities brokerage, Securities brokerage commissions and fees Securities Broker $1,165 $0 $1,165
National Financial Services Securities brokerage, Securities brokerage commissions and fees Securities Broker $0 $0 $0
Total $370,429 $0 $370,429

Indirect Compensation

Name Source of Indirect Compensation* Nature of Service Description of Indirect Compensation Indirect Compensation Paid by Plan
National Financial Services Baird Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
National Financial Services Causeway Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
National Financial Services Dfa-Dimensional Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
National Financial Services Dodge & Cox Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
National Financial Services Hartford Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
National Financial Services Principal Securities brokerage, Securities brokerage commissions and fees Revenue Sharing See Attachment To Line 2(H) $0
Charles Schwab & Co., Inc. AKRE Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Allianz Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. American Beacon Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. American Century Investments Securities brokerage, Securities brokerage commissions and fees Range of 0.28 - 0.35% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. American Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.37% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Artisan Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Ave Maria Mutual Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Baird Securities brokerage, Securities brokerage commissions and fees Rate of 0.27% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Blackrock Securities brokerage, Securities brokerage commissions and fees Range of 0.06 - 0.50% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Boston Trust & Walden Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Brown Advisory Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Buffalo Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Carillon Family of Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Clipper Fund Securities brokerage, Securities brokerage commissions and fees Rate of 0.35% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Cohen & Steers Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Davis Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Doubleline Securities brokerage, Securities brokerage commissions and fees Rate of 0.15% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Euro Pacific Asset Management Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Eventide Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Federated Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Fidelity Investments Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. First Eagle Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Firsthand Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Fmi Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Franklin Templeton Investments Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Glenmede Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Harbor Securities brokerage, Securities brokerage commissions and fees Range of 0.08 - 0.43% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Hartford Mutual Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Hennessy Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Hodges Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Invesco Securities brokerage, Securities brokerage commissions and fees Rate of 0.50% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Janus Henderson Securities brokerage, Securities brokerage commissions and fees Rate of 0.35% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Jpmorgan Securities brokerage, Securities brokerage commissions and fees Rate of 0.50% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Laudus Funds Securities brokerage, Securities brokerage commissions and fees Range of 0.10 - 0.20% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Lazard Securities brokerage, Securities brokerage commissions and fees Range of 0.10 - 0.40% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Legg Mason Securities brokerage, Securities brokerage commissions and fees Rate of 0.23% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Leuthold Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Lord Abbett Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Madison Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Manning & Napier Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Matthews Asia Funds Securities brokerage, Securities brokerage commissions and fees Range of 0.33 - 0.40% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Metropolitan West Funds Securities brokerage, Securities brokerage commissions and fees Range of 0.10 - 0.35% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. MFS Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Morgan Stanley Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Natixis Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.20% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Neuberger Berman Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Northern Funds Securities brokerage, Securities brokerage commissions and fees Range of 0.10 - 0.40% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Nuveen Securities brokerage, Securities brokerage commissions and fees Rate of 0.50% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Oakmark Securities brokerage, Securities brokerage commissions and fees Rate of 0.35% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Parnassus Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Pgim Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.25% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Power Mutual Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Primecap Odyssey Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.08% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Profunds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Rational Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Royce Securities brokerage, Securities brokerage commissions and fees Rate of 0.10% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Rydex Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.45% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Schwab Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.25% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. T. Rowe Price Securities brokerage, Securities brokerage commissions and fees Rate of 0.15% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. TCW Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. The Pacific Financial Group Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Thornburg Securities brokerage, Securities brokerage commissions and fees Rate of 0.60% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Tiaa Investments Securities brokerage, Securities brokerage commissions and fees Range of 0.38 - 0.40% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Tocqueville Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Touchstone Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Victory Securities brokerage, Securities brokerage commissions and fees Rate of 0.40% of Average Daily Balance of Asset(S) $0
Charles Schwab & Co., Inc. Virtus Securities brokerage, Securities brokerage commissions and fees Range of 0.22 - 0.31% of Average Daily Balance of Assets $0
Charles Schwab & Co., Inc. Wells Fargo Funds Securities brokerage, Securities brokerage commissions and fees Rate of 0.55% of Average Daily Balance of Asset(S) $0
*As outlined by the Form 5500 Instructions for service providers with indirect compensation.

Service Providers Who Fail or Refuse to Provide Information

There are no service providers who failed or refused to provide information.

Termination Information on Accountants and Enrolled Actuaries

There is no termination information for this plan.

Investments

Investments

Name of Investment Investment Manager Type of Investment Dollar Value
Futurefund Series Acct II of Gwl Great-West Life & Annuity Ins Co DFE: Pooled Separate Account $1,005,028
Guaranteed Pooled Fund Transamerica Financial Life Ins Co DFE: Pooled Separate Account $0
Total $1,005,028

Insurance Information

Insurance Information

Insurance Carrier Summary Persons Covered
Transamerica Life Insurance Co. 10,161
EIN 39-0989781
Industry Code 86231
Contract Number TT080214
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $30,950,961
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Unspecified
Balance at the end of the previous year $0
Additions $0
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $0
Deductions $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0
Transamerica Financial Life Insurance Company 10,161
EIN 36-6071399
Industry Code 70688
Contract Number TT080214
Contract Year 01/01/2019 — 12/31/2019
Value in General Account at Year End $36
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract Guaranteed Investment
Balance at the end of the previous year $19
Additions $17
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $17
Total of Balance and Additions $36
Deductions $0
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $36
Great-West Life & Annuity Insurance Company 339
EIN 84-0467907
Industry Code 7692
Contract Number 95153-02
Contract Year 09/01/2019 — 12/31/2019
Value in General Account at Year End $1,879,409
Value in Separate Accounts at Year End $1,005,028
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract GROUP ANNUITY CONTRACT
Balance at the end of the previous year $0
Additions $1,898,277
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $21,626
Transferred from separate account $0
Other $1,876,651
Total of Balance and Additions $1,898,277
Deductions $18,868
Disbursed from fund to pay benefits or purchase annuities during the year $18,868
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $1,879,409
Voya Retirement Insurance and Annuity Company 0
EIN 71-0294708
Industry Code 86509
Contract Number 666409
Contract Year 01/01/2019 — 09/30/2019
Value in General Account at Year End $0
Value in Separate Accounts at Year End $0
Insurance Fees and Commissions $0
Persons Receiving Commissions and Fees There are no brokers listed for this plan.
Allocated Funds
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
Unallocated Funds
Type of Contract UNALLOCATED ANNUITY CONTRACT
Balance at the end of the previous year $198,855
Additions $2,597
Contributions Deposited during the year $0
Dividends and credits $0
Interest credited during the year $2,597
Transferred from separate account $0
Other $0
Total of Balance and Additions $201,452
Deductions $201,452
Disbursed from fund to pay benefits or purchase annuities during the year $0
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $201,452
Balance at the end of the current year $0