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SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 401k Plan overview

Plan NameSOUTH BAY ALLERGY & ASTHMA 401(K) PLAN
Plan identification number 002

SOUTH BAY ALLERGY & ASTHMA 401(K) 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
  • 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.
  • 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

SOUTH BAY ALLERGY & ASTHMA ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name:SOUTH BAY ALLERGY & ASTHMA ASSOCIATES
Employer identification number (EIN):330581330
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01EDWARD BUCHSBAUM2023-09-21
0022021-01-01EDWARD BUCHSBAUM2022-09-15
0022020-01-01EDWARD BUCHSBAUM2021-10-11
0022019-01-01EDWARD BUCHSBAUM2020-10-01
0022018-01-01EDWARD BUCHSBAUM2019-09-19
0022017-01-01
0022016-01-01
0022015-01-01
0022014-01-01EDWARD BUCHSBAUM
0022013-01-01EDWARD BUCHSBAUM
0022012-01-01EDWARD BUCHSBAUM

Plan Statistics for SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN

401k plan membership statisitcs for SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN

Measure Date Value
2022: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0120
Total number of active participants reported on line 7a of the Form 55002022-01-019
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0111
Total of all active and inactive participants2022-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0120
Number of participants with account balances2022-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0121
Total number of active participants reported on line 7a of the Form 55002021-01-018
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0112
Total of all active and inactive participants2021-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0120
Number of participants with account balances2021-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0119
Total number of active participants reported on line 7a of the Form 55002020-01-018
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0113
Total of all active and inactive participants2020-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0121
Number of participants with account balances2020-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0119
Total number of active participants reported on line 7a of the Form 55002019-01-017
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0112
Total of all active and inactive participants2019-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0119
Number of participants with account balances2019-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-012
2018: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0116
Total number of active participants reported on line 7a of the Form 55002018-01-019
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0110
Total of all active and inactive participants2018-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0119
Number of participants with account balances2018-01-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-018
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-018
Total of all active and inactive participants2017-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0116
Number of participants with account balances2017-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-017
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0114
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0111
Total number of active participants reported on line 7a of the Form 55002015-01-016
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0112
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0111
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 benefits2014-01-015
Total of all active and inactive participants2014-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0111
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-012
2013: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-019
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-013
Total of all active and inactive participants2013-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0111
Number of participants with account balances2013-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-012
2012: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-017
Total number of active participants reported on line 7a of the Form 55002012-01-018
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 participants2012-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-019
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN

Measure Date Value
2022 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2022 401k financial data
Total income from all sources2022-12-31$-132,128
Expenses. Total of all expenses incurred2022-12-31$146,180
Benefits paid (including direct rollovers)2022-12-31$860
Total plan assets at end of year2022-12-31$5,694,160
Total plan assets at beginning of year2022-12-31$5,972,468
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$41,200
Other income received2022-12-31$-309,685
Net income (gross income less expenses)2022-12-31$-278,308
Net plan assets at end of year (total assets less liabilities)2022-12-31$5,694,160
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,972,468
Assets. Value of participant loans2022-12-31$842
Total contributions received or receivable from employer(s)2022-12-31$136,357
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$145,320
2021 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2021 401k financial data
Total income from all sources2021-12-31$627,896
Expenses. Total of all expenses incurred2021-12-31$47,263
Benefits paid (including direct rollovers)2021-12-31$186
Total plan assets at end of year2021-12-31$5,972,468
Total plan assets at beginning of year2021-12-31$5,391,835
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$20,700
Other income received2021-12-31$491,196
Net income (gross income less expenses)2021-12-31$580,633
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,972,468
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$5,391,835
Assets. Value of participant loans2021-12-31$1,255
Assets. Value of assets in partnership/joint-venture interests2021-12-31$587,579
Total contributions received or receivable from employer(s)2021-12-31$116,000
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$47,077
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2020 401k financial data
Total income from all sources2020-12-31$331,001
Expenses. Total of all expenses incurred2020-12-31$34,295
Total plan assets at end of year2020-12-31$5,391,835
Total plan assets at beginning of year2020-12-31$5,095,129
Value of fidelity bond covering the plan2020-12-31$500,000
Other income received2020-12-31$310,299
Net income (gross income less expenses)2020-12-31$296,706
Net plan assets at end of year (total assets less liabilities)2020-12-31$5,391,835
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$5,095,129
Assets. Value of participant loans2020-12-31$1,641
Assets. Value of assets in partnership/joint-venture interests2020-12-31$587,579
Total contributions received or receivable from employer(s)2020-12-31$20,702
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$34,295
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2019 401k financial data
Total income from all sources2019-12-31$795,771
Expenses. Total of all expenses incurred2019-12-31$31,176
Total plan assets at end of year2019-12-31$5,095,129
Total plan assets at beginning of year2019-12-31$4,330,534
Value of fidelity bond covering the plan2019-12-31$440,000
Total contributions received or receivable from participants2019-12-31$31,948
Other income received2019-12-31$727,486
Net income (gross income less expenses)2019-12-31$764,595
Net plan assets at end of year (total assets less liabilities)2019-12-31$5,095,129
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,330,534
Assets. Value of participant loans2019-12-31$2,003
Assets. Value of assets in partnership/joint-venture interests2019-12-31$567,269
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022019-12-31$3,220
Total contributions received or receivable from employer(s)2019-12-31$36,337
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$31,176
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2018 401k financial data
Total income from all sources2018-12-31$-32,221
Expenses. Total of all expenses incurred2018-12-31$33,182
Benefits paid (including direct rollovers)2018-12-31$4,710
Total plan assets at end of year2018-12-31$4,330,534
Total plan assets at beginning of year2018-12-31$4,395,937
Value of fidelity bond covering the plan2018-12-31$440,000
Total contributions received or receivable from participants2018-12-31$26,300
Other income received2018-12-31$-188,655
Net income (gross income less expenses)2018-12-31$-65,403
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,330,534
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,395,937
Assets. Value of assets in partnership/joint-venture interests2018-12-31$539,145
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022018-12-31$12,675
Total contributions received or receivable from employer(s)2018-12-31$130,134
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$28,472
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2017 401k financial data
Total income from all sources2017-12-31$599,300
Expenses. Total of all expenses incurred2017-12-31$18,393
Total plan assets at end of year2017-12-31$4,395,937
Total plan assets at beginning of year2017-12-31$3,815,030
Value of fidelity bond covering the plan2017-12-31$440,000
Total contributions received or receivable from participants2017-12-31$38,085
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$430,757
Net income (gross income less expenses)2017-12-31$580,907
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,395,937
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,815,030
Assets. Value of assets in partnership/joint-venture interests2017-12-31$488,386
Total contributions received or receivable from employer(s)2017-12-31$130,458
Value of certain deemed distributions of participant loans2017-12-31$18,393
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2016 401k financial data
Total income from all sources2016-12-31$381,133
Expenses. Total of all expenses incurred2016-12-31$187,790
Total plan assets at end of year2016-12-31$3,815,030
Total plan assets at beginning of year2016-12-31$3,621,687
Value of fidelity bond covering the plan2016-12-31$362,170
Total contributions received or receivable from participants2016-12-31$30,450
Expenses. Other expenses not covered elsewhere2016-12-31$166,116
Other income received2016-12-31$228,994
Net income (gross income less expenses)2016-12-31$193,343
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,815,030
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$3,621,687
Assets. Value of assets in partnership/joint-venture interests2016-12-31$456,096
Total contributions received or receivable from employer(s)2016-12-31$121,689
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$21,674
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$306,183
Expenses. Total of all expenses incurred2015-12-31$22,411
Total plan assets at end of year2015-12-31$3,621,687
Total plan assets at beginning of year2015-12-31$3,337,915
Value of fidelity bond covering the plan2015-12-31$362,170
Total contributions received or receivable from participants2015-12-31$30,000
Other income received2015-12-31$157,357
Net income (gross income less expenses)2015-12-31$283,772
Net plan assets at end of year (total assets less liabilities)2015-12-31$3,621,687
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$3,337,915
Assets. Value of assets in partnership/joint-venture interests2015-12-31$616,465
Total contributions received or receivable from employer(s)2015-12-31$118,826
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$22,411
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$376,678
Expenses. Total of all expenses incurred2014-12-31$21,456
Total plan assets at end of year2014-12-31$3,337,915
Total plan assets at beginning of year2014-12-31$2,982,693
Value of fidelity bond covering the plan2014-12-31$333,780
Total contributions received or receivable from participants2014-12-31$17,104
Other income received2014-12-31$238,262
Net income (gross income less expenses)2014-12-31$355,222
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,337,915
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,982,693
Assets. Value of assets in partnership/joint-venture interests2014-12-31$409,585
Total contributions received or receivable from employer(s)2014-12-31$121,312
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$21,456
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$374,112
Expenses. Total of all expenses incurred2013-12-31$18,985
Total plan assets at end of year2013-12-31$2,982,693
Total plan assets at beginning of year2013-12-31$2,627,566
Value of fidelity bond covering the plan2013-12-31$263,000
Total contributions received or receivable from participants2013-12-31$23,735
Other income received2013-12-31$225,062
Net income (gross income less expenses)2013-12-31$355,127
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,982,693
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,627,566
Assets. Value of assets in partnership/joint-venture interests2013-12-31$293,667
Total contributions received or receivable from employer(s)2013-12-31$125,315
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$18,985
2012 : SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$445,268
Expenses. Total of all expenses incurred2012-12-31$85,207
Benefits paid (including direct rollovers)2012-12-31$69,865
Total plan assets at end of year2012-12-31$2,627,566
Total plan assets at beginning of year2012-12-31$2,267,505
Value of fidelity bond covering the plan2012-12-31$230,000
Total contributions received or receivable from participants2012-12-31$15,500
Other income received2012-12-31$314,300
Net income (gross income less expenses)2012-12-31$360,061
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,627,566
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,267,505
Assets. Value of assets in partnership/joint-venture interests2012-12-31$349,906
Total contributions received or receivable from employer(s)2012-12-31$115,468
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$15,342
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0

Form 5500 Responses for SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN

2022: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: SOUTH BAY ALLERGY & ASTHMA 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SOUTH BAY ALLERGY & ASTHMA 401(K) 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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SOUTH BAY ALLERGY & ASTHMA 401(K) 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 – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: SOUTH BAY ALLERGY & ASTHMA 401(K) 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: SOUTH BAY ALLERGY & ASTHMA 401(K) 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: SOUTH BAY ALLERGY & ASTHMA 401(K) 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: SOUTH BAY ALLERGY & ASTHMA 401(K) 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 – InsuranceYes
2012-01-01Plan 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 number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered20
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,692
Total amount of fees paid to insurance companyUSD $419
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 $1,692
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered18
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,775
Total amount of fees paid to insurance companyUSD $436
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 $1,775
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered19
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,440
Total amount of fees paid to insurance companyUSD $289
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 $1,440
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered19
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,270
Total amount of fees paid to insurance companyUSD $379
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 $1,270
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered14
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $926
Total amount of fees paid to insurance companyUSD $185
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 $926
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameACTUARIAL BENEFITS CORP.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $618
Total amount of fees paid to insurance companyUSD $150
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 $618
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameACTUARIAL BENEFITS CORP.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered11
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $509
Total amount of fees paid to insurance companyUSD $147
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 $509
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameACTUARIAL BENEFITS CORP.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered9
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $376
Total amount of fees paid to insurance companyUSD $413
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 $0
Amount paid for insurance broker fees413
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameUBS FINANCIAL SERVICES INS AGENCY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number104662
Policy instance 1
Insurance contract or identification number104662
Number of Individuals Covered4
Insurance policy start date2012-01-04
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $143
Total amount of fees paid to insurance companyUSD $1,035
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 $0
Amount paid for insurance broker fees1035
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
Insurance broker nameUBS FINANCIAL SERVICES INS AGENCY

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