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FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 401k Plan overview

Plan NameFRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN
Plan identification number 001

FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

FRONT RANGE SPINE & NEUROSURGERY, PC has sponsored the creation of one or more 401k plans.

Company Name:FRONT RANGE SPINE & NEUROSURGERY, PC
Employer identification number (EIN):201827380
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MICHAEL RAUZZINO2023-09-19
0012021-01-01MICHAEL RAUZZINO2022-09-27
0012020-01-01MICHAEL RAUZZINO2021-09-28
0012019-01-01MICHAEL RAUZZINO2020-09-23
0012018-01-01MICHAEL RAUZZINO2019-09-13
0012017-01-01MICHAEL RAUZZINO
0012016-01-01MICHAEL RAUZZINO
0012015-01-01MICHAEL RAUZZINO
0012014-01-01MICHAEL RAUZZINO
0012013-01-01MICHAEL RAUZZINO
0012012-01-01MICHAEL RAUZZINO
0012011-01-01MICHAEL RAUZZINO
0012010-01-01MICHAEL RAUZZINO
0012009-01-01MICHAEL RAUZZINO

Plan Statistics for FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN

401k plan membership statisitcs for FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN

Measure Date Value
2017: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-0111
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-011
Total of all active and inactive participants2017-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0112
Number of participants with account balances2017-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0110
Total number of active participants reported on line 7a of the Form 55002016-01-0110
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0112
Number of participants with account balances2016-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0110
Total number of active participants reported on line 7a of the Form 55002015-01-018
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-019
Number of participants with account balances2015-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-018
Total number of active participants reported on line 7a of the Form 55002014-01-016
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-018
Number of participants with account balances2014-01-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-018
Total number of active participants reported on line 7a of the Form 55002013-01-016
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-017
Number of participants with account balances2012-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-013
Total number of active participants reported on line 7a of the Form 55002011-01-017
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-017
Number of participants with account balances2011-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-013
Total number of active participants reported on line 7a of the Form 55002010-01-013
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-013
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-013
Number of participants with account balances2010-01-013
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-012
Total number of active participants reported on line 7a of the Form 55002009-01-012
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-012
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-012
Number of participants with account balances2009-01-012
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN

Measure Date Value
2017 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$253,894
Expenses. Total of all expenses incurred2017-12-31$29,739
Benefits paid (including direct rollovers)2017-12-31$28,323
Total plan assets at end of year2017-12-31$1,213,189
Total plan assets at beginning of year2017-12-31$989,034
Value of fidelity bond covering the plan2017-12-31$156,500
Total contributions received or receivable from participants2017-12-31$39,015
Other income received2017-12-31$128,237
Net income (gross income less expenses)2017-12-31$224,155
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,213,189
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$989,034
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$2,049
Total contributions received or receivable from employer(s)2017-12-31$86,642
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,416
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$195,601
Expenses. Total of all expenses incurred2016-12-31$4,953
Benefits paid (including direct rollovers)2016-12-31$4,953
Total plan assets at end of year2016-12-31$989,034
Total plan assets at beginning of year2016-12-31$798,386
Value of fidelity bond covering the plan2016-12-31$156,500
Total contributions received or receivable from participants2016-12-31$38,593
Contributions received from other sources (not participants or employers)2016-12-31$28,656
Other income received2016-12-31$56,610
Net income (gross income less expenses)2016-12-31$190,648
Net plan assets at end of year (total assets less liabilities)2016-12-31$989,034
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$798,386
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022016-12-31$3,492
Total contributions received or receivable from employer(s)2016-12-31$71,742
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$62,155
Expenses. Total of all expenses incurred2015-12-31$8,045
Benefits paid (including direct rollovers)2015-12-31$5,680
Total plan assets at end of year2015-12-31$798,386
Total plan assets at beginning of year2015-12-31$744,276
Total contributions received or receivable from participants2015-12-31$31,435
Contributions received from other sources (not participants or employers)2015-12-31$4,873
Other income received2015-12-31$-20,215
Net income (gross income less expenses)2015-12-31$54,110
Net plan assets at end of year (total assets less liabilities)2015-12-31$798,386
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$744,276
Total contributions received or receivable from employer(s)2015-12-31$46,062
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$2,365
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$110,896
Expenses. Total of all expenses incurred2014-12-31$2,360
Total plan assets at end of year2014-12-31$744,276
Total plan assets at beginning of year2014-12-31$635,740
Total contributions received or receivable from participants2014-12-31$8,075
Other income received2014-12-31$33,309
Net income (gross income less expenses)2014-12-31$108,536
Net plan assets at end of year (total assets less liabilities)2014-12-31$744,276
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$635,740
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$4,574
Total contributions received or receivable from employer(s)2014-12-31$69,512
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$2,360
2013 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total income from all sources2013-12-31$58,614
Expenses. Total of all expenses incurred2013-12-31$4,327
Benefits paid (including direct rollovers)2013-12-31$2,899
Total plan assets at end of year2013-12-31$635,740
Total plan assets at beginning of year2013-12-31$581,453
Total contributions received or receivable from participants2013-12-31$800
Other income received2013-12-31$57,014
Net income (gross income less expenses)2013-12-31$54,287
Net plan assets at end of year (total assets less liabilities)2013-12-31$635,740
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$581,453
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022013-12-31$800
Total contributions received or receivable from employer(s)2013-12-31$800
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,428
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$108,522
Expenses. Total of all expenses incurred2012-12-31$0
Total plan assets at end of year2012-12-31$581,453
Total plan assets at beginning of year2012-12-31$472,931
Other income received2012-12-31$43,028
Net income (gross income less expenses)2012-12-31$108,522
Net plan assets at end of year (total assets less liabilities)2012-12-31$581,453
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$472,931
Total contributions received or receivable from employer(s)2012-12-31$65,494
2011 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 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$66,679
Expenses. Total of all expenses incurred2011-12-31$0
Total plan assets at end of year2011-12-31$472,931
Total plan assets at beginning of year2011-12-31$406,252
Other income received2011-12-31$-1,841
Net income (gross income less expenses)2011-12-31$66,679
Net plan assets at end of year (total assets less liabilities)2011-12-31$472,931
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$406,252
Total contributions received or receivable from employer(s)2011-12-31$68,520
2010 : FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 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$86,081
Expenses. Total of all expenses incurred2010-12-31$0
Total plan assets at end of year2010-12-31$406,252
Total plan assets at beginning of year2010-12-31$320,171
Other income received2010-12-31$30,526
Net income (gross income less expenses)2010-12-31$86,081
Net plan assets at end of year (total assets less liabilities)2010-12-31$406,252
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$320,171
Total contributions received or receivable from employer(s)2010-12-31$55,555

Form 5500 Responses for FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN

2017: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 - TrustYes
2014: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: FRONT RANGE SPINE & NEUROSURGERY, PC 401K 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 – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: FRONT RANGE SPINE & NEUROSURGERY, PC 401K PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number110437
Policy instance 1
Insurance contract or identification number110437
Number of Individuals Covered11
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $508
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees508
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number110437
Policy instance 1
Insurance contract or identification number110437
Number of Individuals Covered10
Insurance policy start date2015-05-20
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,666
Total amount of fees paid to insurance companyUSD $365
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
Commission paid to Insurance BrokerUSD $3,666
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerRIA FEES
Insurance broker organization code?3
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number110437
Policy instance 1
Insurance contract or identification number110437
Number of Individuals Covered8
Insurance policy start date2014-05-20
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,276
Total amount of fees paid to insurance companyUSD $683
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
Commission paid to Insurance BrokerUSD $3,276
Insurance broker organization code?3
Amount paid for insurance broker fees683
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number110437
Policy instance 1
Insurance contract or identification number110437
Number of Individuals Covered8
Insurance policy start date2013-05-20
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $1,903
Total amount of fees paid to insurance companyUSD $836
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
Commission paid to Insurance BrokerUSD $1,903
Insurance broker organization code?3
Amount paid for insurance broker fees836
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP

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