0000110698-24-000015.txt : 20240315 0000110698-24-000015.hdr.sgml : 20240315 20240315111236 ACCESSION NUMBER: 0000110698-24-000015 CONFORMED SUBMISSION TYPE: N-CEN PUBLIC DOCUMENT COUNT: 1 CONFORMED PERIOD OF REPORT: 20231231 FILED AS OF DATE: 20240315 DATE AS OF CHANGE: 20240315 EFFECTIVENESS DATE: 20240315 FILER: COMPANY DATA: COMPANY CONFORMED NAME: Horace Mann Life Insurance CO Qualified Group Annuity Separate Account CENTRAL INDEX KEY: 0001379482 ORGANIZATION NAME: IRS NUMBER: 000000000 STATE OF INCORPORATION: IL FISCAL YEAR END: 1231 FILING VALUES: FORM TYPE: N-CEN SEC ACT: 1940 Act SEC FILE NUMBER: 811-21974 FILM NUMBER: 24753096 BUSINESS ADDRESS: STREET 1: #1 HORACE MANN PLAZA CITY: SPRINGFIELD STATE: IL ZIP: 62715 BUSINESS PHONE: 217-789-2500 MAIL ADDRESS: STREET 1: #1 HORACE MANN PLAZA CITY: SPRINGFIELD STATE: IL ZIP: 62715 0001379482 S000015168 Horace Mann Life Insurance CO Qualified Group Annuity Separate Account C000041630 Qualified Variable Deferred Group Annuity Contract C000116281 Retirement Protector N-CEN 1 primary_doc.xml X0404 N-CEN LIVE 0001379482 XXXXXXXX false false false N-4 true Horace Mann Life Insurance CO Qualified Group Annuity Separate Account 811-21974 0001379482 2549005GB555I97PD568 One Horace Mann Plaza Springfield 62715 US-IL US 217-789-2500 Horace Mann Life Insurance Company One Horace Mann Plaza Springfield 62715 217-789-2500 Horace Mann Life Insurance Company, the depositor, is located at One Horace Mann Plaza, Springfield, Illinois 62715. Horace Mann Life Insurance Company maintains those accounts and records required to be maintained pursuant to Section 31(a) of the Investment Company Act of 1940 and the rules promulgated thereunder that are not maintained by Horace Mann Investors, Inc. Horace Mann Investors, Inc., underwriter of the Registrant, is located at One Horace Mann Plaza, Springfield, Illinois 62715. Horace Mann Investors, Inc. maintains those accounts and records associated with its duties as underwriter required to be maintained pursuant to Section 31(a) of the Investment Company Act and the rules promulgated thereunder. N N N-4 Y Adam Paglione 004673183 One Horace Mann Plaza Springfield 62715 XXXXXX Y N N N N N Horace Mann Investors, Inc. 008-06082 000011643 254900OFJVU7T8WTK224 Y N KPMG LLP 185 N/A N N N N Horace Mann Life Insurance Company N/A 5493000HR2JKKNH2FL09 Horace Mann Educators Corporation N 20754 N Y Y N false false false false false false