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CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 401k Plan overview

Plan NameCENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN
Plan identification number 001

CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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

CENTER FOR EYE HEALTH, INC. has sponsored the creation of one or more 401k plans.

Company Name:CENTER FOR EYE HEALTH, INC.
Employer identification number (EIN):042522491
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01PAUL BEADE2023-09-20
0012021-01-01PAUL BEADE2022-09-02
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01JOSEPH LEVY
0012015-01-01JOSEPH LEVY
0012014-01-01JOSEPH LEVY
0012013-01-01HERBERT RUBIN
0012012-01-01HERBERT RUBIN
0012011-01-01HERBERT RUBIN
0012010-01-01HERBERT RUBIN

Plan Statistics for CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN

401k plan membership statisitcs for CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN

Measure Date Value
2017: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0136
Total number of active participants reported on line 7a of the Form 55002017-01-0127
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0137
Number of participants with account balances2017-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0131
Total number of active participants reported on line 7a of the Form 55002016-01-0131
Number of retired or separated participants receiving benefits2016-01-012
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0136
Number of participants with account balances2016-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0133
Total number of active participants reported on line 7a of the Form 55002015-01-0126
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-014
Total of all active and inactive participants2015-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0131
Number of participants with account balances2015-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0132
Total number of active participants reported on line 7a of the Form 55002014-01-0129
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0133
Number of participants with account balances2014-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0132
Total number of active participants reported on line 7a of the Form 55002013-01-0128
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-010
Total of all active and inactive participants2013-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0132
Number of participants with account balances2013-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0130
Total number of active participants reported on line 7a of the Form 55002012-01-0128
Number of retired or separated participants receiving benefits2012-01-012
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0132
Number of participants with account balances2012-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0129
Total number of active participants reported on line 7a of the Form 55002011-01-0126
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-014
Total of all active and inactive participants2011-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0130
Number of participants with account balances2011-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0129
Total number of active participants reported on line 7a of the Form 55002010-01-0125
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-014
Total of all active and inactive participants2010-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0129
Number of participants with account balances2010-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010

Financial Data on CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN

Measure Date Value
2017 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$898,116
Expenses. Total of all expenses incurred2017-12-31$225,269
Benefits paid (including direct rollovers)2017-12-31$214,402
Total plan assets at end of year2017-12-31$5,106,950
Total plan assets at beginning of year2017-12-31$4,434,103
Value of fidelity bond covering the plan2017-12-31$600,000
Total contributions received or receivable from participants2017-12-31$117,630
Contributions received from other sources (not participants or employers)2017-12-31$74,759
Other income received2017-12-31$528,148
Net income (gross income less expenses)2017-12-31$672,847
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,106,950
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$4,434,103
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$177,579
Value of certain deemed distributions of participant loans2017-12-31$10,867
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$396,941
Expenses. Total of all expenses incurred2016-12-31$32,972
Benefits paid (including direct rollovers)2016-12-31$21,358
Total plan assets at end of year2016-12-31$4,434,103
Total plan assets at beginning of year2016-12-31$4,070,134
Value of fidelity bond covering the plan2016-12-31$600,000
Total contributions received or receivable from participants2016-12-31$106,105
Contributions received from other sources (not participants or employers)2016-12-31$5,621
Other income received2016-12-31$105,148
Net income (gross income less expenses)2016-12-31$363,969
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,434,103
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,070,134
Assets. Value of assets in partnership/joint-venture interests2016-12-31$10,971
Total contributions received or receivable from employer(s)2016-12-31$180,067
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$11,614
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$300,088
Expenses. Total of all expenses incurred2015-12-31$2,098,601
Benefits paid (including direct rollovers)2015-12-31$2,082,713
Total plan assets at end of year2015-12-31$4,070,134
Total plan assets at beginning of year2015-12-31$5,868,647
Value of fidelity bond covering the plan2015-12-31$600,000
Other income received2015-12-31$72,245
Net income (gross income less expenses)2015-12-31$-1,798,513
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,070,134
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,868,647
Assets. Value of assets in partnership/joint-venture interests2015-12-31$194,164
Total contributions received or receivable from employer(s)2015-12-31$227,843
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$15,888
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$606,227
Expenses. Total of all expenses incurred2014-12-31$267,968
Benefits paid (including direct rollovers)2014-12-31$252,758
Total plan assets at end of year2014-12-31$5,868,647
Total plan assets at beginning of year2014-12-31$5,530,388
Value of fidelity bond covering the plan2014-12-31$600,000
Other income received2014-12-31$347,094
Net income (gross income less expenses)2014-12-31$338,259
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,868,647
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$5,530,388
Assets. Value of assets in partnership/joint-venture interests2014-12-31$98,950
Total contributions received or receivable from employer(s)2014-12-31$259,133
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$15,210
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$898,215
Expenses. Total of all expenses incurred2013-12-31$159,106
Benefits paid (including direct rollovers)2013-12-31$138,587
Total plan assets at end of year2013-12-31$5,530,388
Total plan assets at beginning of year2013-12-31$4,791,279
Value of fidelity bond covering the plan2013-12-31$500,000
Other income received2013-12-31$664,438
Net income (gross income less expenses)2013-12-31$739,109
Net plan assets at end of year (total assets less liabilities)2013-12-31$5,530,388
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$4,791,279
Assets. Value of assets in partnership/joint-venture interests2013-12-31$70,900
Total contributions received or receivable from employer(s)2013-12-31$233,777
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$20,519
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$611,713
Expenses. Total of all expenses incurred2012-12-31$115,116
Benefits paid (including direct rollovers)2012-12-31$93,579
Total plan assets at end of year2012-12-31$4,791,279
Total plan assets at beginning of year2012-12-31$4,294,682
Value of fidelity bond covering the plan2012-12-31$450,000
Other income received2012-12-31$369,340
Net income (gross income less expenses)2012-12-31$496,597
Net plan assets at end of year (total assets less liabilities)2012-12-31$4,791,279
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,294,682
Total contributions received or receivable from employer(s)2012-12-31$242,373
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$21,537
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$192,344
Expenses. Total of all expenses incurred2011-12-31$134,864
Benefits paid (including direct rollovers)2011-12-31$113,413
Total plan assets at end of year2011-12-31$4,294,682
Total plan assets at beginning of year2011-12-31$4,237,202
Value of fidelity bond covering the plan2011-12-31$450,000
Other income received2011-12-31$-25,791
Net income (gross income less expenses)2011-12-31$57,480
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,294,682
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,237,202
Total contributions received or receivable from employer(s)2011-12-31$218,135
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$21,451
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$561,998
Expenses. Total of all expenses incurred2010-12-31$122,269
Benefits paid (including direct rollovers)2010-12-31$99,000
Total plan assets at end of year2010-12-31$4,237,202
Total plan assets at beginning of year2010-12-31$3,797,473
Value of fidelity bond covering the plan2010-12-31$400,000
Other income received2010-12-31$349,157
Net income (gross income less expenses)2010-12-31$439,729
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,237,202
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,797,473
Total contributions received or receivable from employer(s)2010-12-31$212,841
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$23,269
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN

2017: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CENTER FOR EYE HEALTH, INC. PROFIT SHARING 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 planNo
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CENTER FOR EYE HEALTH, INC. PROFIT SHARING 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 planNo
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: CENTER FOR EYE HEALTH, INC. PROFIT SHARING 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 planNo
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: CENTER FOR EYE HEALTH, INC. PROFIT SHARING 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 – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: CENTER FOR EYE HEALTH, INC. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number0203951
Policy instance 1
Insurance contract or identification number0203951
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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

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