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DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 401k Plan overview

Plan NameDERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST
Plan identification number 001

DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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.
  • 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.
  • 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

DERMATOLOGY ASSOCIATES, LTD. has sponsored the creation of one or more 401k plans.

Company Name:DERMATOLOGY ASSOCIATES, LTD.
Employer identification number (EIN):201641512
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DR. VIVEK IYENGAR, M.D.2023-07-07
0012021-01-01DR. VIVEK IYENGAR, M.D.2022-07-19
0012020-01-01DR. VIVEK IYENGAR, M.D.2021-07-15
0012019-01-01DR. VIVEK IYENGAR, M.D.2020-07-13
0012018-01-01DR. VIVEK IYENGAR, M.D.2019-06-25
0012017-01-01DR. VIVEK IYENGAR, M.D.
0012016-01-01DR. VIVEK IYENGAR, M.D.
0012015-01-01MANUEL MESIROW
0012014-01-01MANUEL MESIROW
0012013-01-01MANUEL MESIROW
0012012-01-01MANUEL MESIROW
0012011-01-01MANUEL MESIROW
0012009-01-01IRMA VELA
0012009-01-01IRMA VELA

Plan Statistics for DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST

401k plan membership statisitcs for DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST

Measure Date Value
2017: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0142
Total number of active participants reported on line 7a of the Form 55002017-01-0134
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-013
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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0137
Total number of active participants reported on line 7a of the Form 55002016-01-0133
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-016
Total of all active and inactive participants2016-01-0139
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0139
Number of participants with account balances2016-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0136
Total number of active participants reported on line 7a of the Form 55002015-01-0133
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0136
Number of participants with account balances2015-01-0136
2014: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0135
Total number of active participants reported on line 7a of the Form 55002014-01-0133
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0136
Number of participants with account balances2014-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0133
Total number of active participants reported on line 7a of the Form 55002013-01-0131
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-012
Total of all active and inactive participants2013-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0133
Number of participants with account balances2013-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0133
Total number of active participants reported on line 7a of the Form 55002012-01-0129
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0131
Number of participants with account balances2012-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0132
Total number of active participants reported on line 7a of the Form 55002011-01-0128
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 participants2011-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0132
Number of participants with account balances2011-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2009: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0133
Total number of active participants reported on line 7a of the Form 55002009-01-0131
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0132
Number of participants with account balances2009-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST

Measure Date Value
2017 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2017 401k financial data
Total plan liabilities at end of year2017-12-31$335
Total income from all sources2017-12-31$378,710
Expenses. Total of all expenses incurred2017-12-31$2,343,877
Benefits paid (including direct rollovers)2017-12-31$2,341,745
Total plan assets at end of year2017-12-31$1,815,467
Total plan assets at beginning of year2017-12-31$3,780,299
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$113,565
Other income received2017-12-31$210,896
Net income (gross income less expenses)2017-12-31$-1,965,167
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,815,132
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,780,299
Total contributions received or receivable from employer(s)2017-12-31$54,249
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$2,132
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2016 401k financial data
Total plan liabilities at beginning of year2016-12-31$2,568
Total income from all sources2016-12-31$383,589
Expenses. Total of all expenses incurred2016-12-31$67,649
Benefits paid (including direct rollovers)2016-12-31$48,445
Total plan assets at end of year2016-12-31$3,780,299
Total plan assets at beginning of year2016-12-31$3,466,927
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$136,085
Other income received2016-12-31$189,509
Net income (gross income less expenses)2016-12-31$315,940
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,780,299
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,464,359
Total contributions received or receivable from employer(s)2016-12-31$57,995
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$19,204
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2015 401k financial data
Total plan liabilities at end of year2015-12-31$2,568
Total income from all sources2015-12-31$184,809
Expenses. Total of all expenses incurred2015-12-31$23,504
Benefits paid (including direct rollovers)2015-12-31$2,568
Total plan assets at end of year2015-12-31$3,466,927
Total plan assets at beginning of year2015-12-31$3,303,054
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$127,641
Expenses. Other expenses not covered elsewhere2015-12-31$1,111
Other income received2015-12-31$-2,616
Net income (gross income less expenses)2015-12-31$161,305
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,464,359
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,303,054
Total contributions received or receivable from employer(s)2015-12-31$59,784
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$19,825
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2014 401k financial data
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$266,225
Expenses. Total of all expenses incurred2014-12-31$22,215
Total plan assets at end of year2014-12-31$3,303,054
Total plan assets at beginning of year2014-12-31$3,059,044
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$124,712
Expenses. Other expenses not covered elsewhere2014-12-31$1,635
Other income received2014-12-31$84,116
Net income (gross income less expenses)2014-12-31$244,010
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,303,054
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,059,044
Total contributions received or receivable from employer(s)2014-12-31$57,397
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$20,580
2013 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$573,052
Expenses. Total of all expenses incurred2013-12-31$23,208
Benefits paid (including direct rollovers)2013-12-31$3,884
Total plan assets at end of year2013-12-31$3,059,044
Total plan assets at beginning of year2013-12-31$2,509,200
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$120,615
Expenses. Other expenses not covered elsewhere2013-12-31$19,324
Other income received2013-12-31$397,333
Net income (gross income less expenses)2013-12-31$549,844
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,059,044
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,509,200
Total contributions received or receivable from employer(s)2013-12-31$55,104
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$395,519
Expenses. Total of all expenses incurred2012-12-31$191,318
Benefits paid (including direct rollovers)2012-12-31$172,231
Total plan assets at end of year2012-12-31$2,509,200
Total plan assets at beginning of year2012-12-31$2,304,999
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$105,533
Expenses. Other expenses not covered elsewhere2012-12-31$19,087
Other income received2012-12-31$239,031
Net income (gross income less expenses)2012-12-31$204,201
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,509,200
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,304,999
Total contributions received or receivable from employer(s)2012-12-31$50,955
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$83,560
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$2,304,999
Total plan assets at beginning of year2011-12-31$2,221,439
Value of fidelity bond covering the plan2011-12-31$80,000
Total contributions received or receivable from participants2011-12-31$101,553
Other income received2011-12-31$-65,936
Net income (gross income less expenses)2011-12-31$83,560
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,304,999
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,221,439
Total contributions received or receivable from employer(s)2011-12-31$47,943
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
2010 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$333,561
Expenses. Total of all expenses incurred2010-12-31$545
Benefits paid (including direct rollovers)2010-12-31$526
Total plan assets at end of year2010-12-31$2,221,439
Total plan assets at beginning of year2010-12-31$1,888,423
Value of fidelity bond covering the plan2010-12-31$80,000
Total contributions received or receivable from participants2010-12-31$87,925
Contributions received from other sources (not participants or employers)2010-12-31$22,728
Other income received2010-12-31$178,134
Net income (gross income less expenses)2010-12-31$333,016
Net plan assets at end of year (total assets less liabilities)2010-12-31$2,221,439
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,888,423
Total contributions received or receivable from employer(s)2010-12-31$44,774
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$19
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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 DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST

2017: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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
2009: DERMATOLOGY ASSOCIATES, LTD. EMPLOYEES' PROFIT SHARING AND SAVINGS PLAN & TRUST 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered36
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered36
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered33
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered31
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered32
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NEW YORK LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 91596 )
Policy contract number51012691
Policy instance 1
Insurance contract or identification number51012691
Number of Individuals Covered31
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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