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SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 401k Plan overview

Plan NameSOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN
Plan identification number 002

SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Life insurance

401k Sponsoring company profile

SOUTH BEND EMERGENCY PHYSICIANS, INC. has sponsored the creation of one or more 401k plans.

Company Name:SOUTH BEND EMERGENCY PHYSICIANS, INC.
Employer identification number (EIN):351278228
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 BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01MICHAEL L. BLAKESLEY, M.D.2023-10-16
0022021-01-01MICHAEL L. BLAKESLEY, M.D.2022-10-07 MICHAEL L BLAKESLEY. MD2022-10-07
0022020-01-01MICHAEL L. BLAKESLEY, M.D.2021-08-25 MICHAEL L. BLAKESLEY, M.D.2021-08-25
0022019-01-01MICHAEL L. BLAKESLEY, M.D.2020-06-02 MICHAEL L. BLAKESLEY, M.D.2020-06-02
0022018-04-01MICHAEL L. BLAKESLEY, M.D.2019-07-18 MICHAEL L. BLAKESLEY, M.D.2019-07-18
0022017-04-01MICHAEL L. BLAKESLEY, M.D.2018-10-23 MICHAEL L. BLAKESLEY, M.D.2018-10-23
0022016-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2017-06-14
0022015-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2016-08-19
0022014-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2015-06-25
0022013-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2014-06-20
0022012-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2013-05-09
0022011-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2012-11-20
0022010-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2011-05-26
0022009-04-01MICHAEL L. BLAKESLEY, M.D. MICHAEL L. BLAKESLEY, M.D.2010-08-04

Plan Statistics for SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN

401k plan membership statisitcs for SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN

Measure Date Value
2016: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0122
Total number of active participants reported on line 7a of the Form 55002016-04-0121
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-010
Total of all active and inactive participants2016-04-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0121
Number of participants with account balances2016-04-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-010
2015: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0121
Total number of active participants reported on line 7a of the Form 55002015-04-0120
Number of other retired or separated participants entitled to future benefits2015-04-012
Total of all active and inactive participants2015-04-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0122
Number of participants with account balances2015-04-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-010
2014: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-0121
Total number of active participants reported on line 7a of the Form 55002014-04-0120
Number of retired or separated participants receiving benefits2014-04-011
Total of all active and inactive participants2014-04-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-0121
Number of participants with account balances2014-04-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-010
2013: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0122
Total number of active participants reported on line 7a of the Form 55002013-04-0119
Number of retired or separated participants receiving benefits2013-04-011
Number of other retired or separated participants entitled to future benefits2013-04-012
Total of all active and inactive participants2013-04-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-0122
Number of participants with account balances2013-04-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-010
2012: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0121
Total number of active participants reported on line 7a of the Form 55002012-04-0120
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-012
Total of all active and inactive participants2012-04-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-0122
Number of participants with account balances2012-04-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-010
2011: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-0120
Total number of active participants reported on line 7a of the Form 55002011-04-0120
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-011
Total of all active and inactive participants2011-04-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-0121
Number of participants with account balances2011-04-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-010
2010: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-04-0116
Total number of active participants reported on line 7a of the Form 55002010-04-0118
Number of retired or separated participants receiving benefits2010-04-010
Number of other retired or separated participants entitled to future benefits2010-04-011
Total of all active and inactive participants2010-04-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-04-010
Total participants2010-04-0119
Number of participants with account balances2010-04-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-04-010
2009: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-04-0116
Total number of active participants reported on line 7a of the Form 55002009-04-0114
Number of retired or separated participants receiving benefits2009-04-011
Number of other retired or separated participants entitled to future benefits2009-04-011
Total of all active and inactive participants2009-04-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-04-010
Total participants2009-04-0116
Number of participants with account balances2009-04-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-04-010

Financial Data on SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN

Measure Date Value
2017 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2017 401k financial data
Total income from all sources2017-03-31$3,078,171
Expenses. Total of all expenses incurred2017-03-31$316,878
Benefits paid (including direct rollovers)2017-03-31$311,629
Total plan assets at end of year2017-03-31$19,432,315
Total plan assets at beginning of year2017-03-31$16,671,022
Value of fidelity bond covering the plan2017-03-31$600,000
Total contributions received or receivable from participants2017-03-31$296,150
Other income received2017-03-31$2,060,602
Net income (gross income less expenses)2017-03-31$2,761,293
Net plan assets at end of year (total assets less liabilities)2017-03-31$19,432,315
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$16,671,022
Assets. Value of participant loans2017-03-31$0
Total contributions received or receivable from employer(s)2017-03-31$721,419
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$5,249
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
2016 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2016 401k financial data
Total income from all sources2016-03-31$200,847
Expenses. Total of all expenses incurred2016-03-31$124,275
Benefits paid (including direct rollovers)2016-03-31$124,275
Total plan assets at end of year2016-03-31$16,671,022
Total plan assets at beginning of year2016-03-31$16,594,450
Value of fidelity bond covering the plan2016-03-31$600,000
Total contributions received or receivable from participants2016-03-31$261,700
Other income received2016-03-31$-748,276
Net income (gross income less expenses)2016-03-31$76,572
Net plan assets at end of year (total assets less liabilities)2016-03-31$16,671,022
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$16,594,450
Assets. Value of participant loans2016-03-31$929
Total contributions received or receivable from employer(s)2016-03-31$687,423
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
2015 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2015 401k financial data
Total income from all sources2015-03-31$1,813,043
Expenses. Total of all expenses incurred2015-03-31$486,248
Benefits paid (including direct rollovers)2015-03-31$482,431
Total plan assets at end of year2015-03-31$16,594,450
Total plan assets at beginning of year2015-03-31$15,267,655
Value of fidelity bond covering the plan2015-03-31$600,000
Total contributions received or receivable from participants2015-03-31$252,000
Other income received2015-03-31$915,129
Net income (gross income less expenses)2015-03-31$1,326,795
Net plan assets at end of year (total assets less liabilities)2015-03-31$16,594,450
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$15,267,655
Assets. Value of participant loans2015-03-31$5,351
Total contributions received or receivable from employer(s)2015-03-31$645,914
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$3,817
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
2014 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2014 401k financial data
Total income from all sources2014-03-31$2,222,870
Expenses. Total of all expenses incurred2014-03-31$394,261
Benefits paid (including direct rollovers)2014-03-31$392,176
Total plan assets at end of year2014-03-31$15,267,655
Total plan assets at beginning of year2014-03-31$13,439,046
Value of fidelity bond covering the plan2014-03-31$600,000
Total contributions received or receivable from participants2014-03-31$259,500
Contributions received from other sources (not participants or employers)2014-03-31$30,000
Other income received2014-03-31$1,295,291
Net income (gross income less expenses)2014-03-31$1,828,609
Net plan assets at end of year (total assets less liabilities)2014-03-31$15,267,655
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$13,439,046
Assets. Value of participant loans2014-03-31$9,414
Total contributions received or receivable from employer(s)2014-03-31$638,079
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$2,085
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
2013 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2013 401k financial data
Total income from all sources2013-03-31$2,088,723
Expenses. Total of all expenses incurred2013-03-31$388,484
Benefits paid (including direct rollovers)2013-03-31$388,484
Total plan assets at end of year2013-03-31$13,439,046
Total plan assets at beginning of year2013-03-31$11,738,807
Value of fidelity bond covering the plan2013-03-31$600,000
Total contributions received or receivable from participants2013-03-31$265,250
Contributions received from other sources (not participants or employers)2013-03-31$172,104
Other income received2013-03-31$1,014,869
Net income (gross income less expenses)2013-03-31$1,700,239
Net plan assets at end of year (total assets less liabilities)2013-03-31$13,439,046
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$11,738,807
Assets. Value of participant loans2013-03-31$12,848
Total contributions received or receivable from employer(s)2013-03-31$636,500
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
2012 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-03-31$0
Total income from all sources2012-03-31$1,104,625
Expenses. Total of all expenses incurred2012-03-31$593,862
Benefits paid (including direct rollovers)2012-03-31$593,862
Total plan assets at end of year2012-03-31$11,738,807
Total plan assets at beginning of year2012-03-31$11,228,044
Value of fidelity bond covering the plan2012-03-31$600,000
Total contributions received or receivable from participants2012-03-31$248,500
Other income received2012-03-31$229,125
Net income (gross income less expenses)2012-03-31$510,763
Net plan assets at end of year (total assets less liabilities)2012-03-31$11,738,807
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$11,228,044
Assets. Value of participant loans2012-03-31$16,577
Total contributions received or receivable from employer(s)2012-03-31$627,000
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0
2011 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-03-31$0
Total plan liabilities at beginning of year2011-03-31$0
Total income from all sources2011-03-31$2,038,789
Expenses. Total of all expenses incurred2011-03-31$109,229
Benefits paid (including direct rollovers)2011-03-31$109,229
Total plan assets at end of year2011-03-31$11,228,044
Total plan assets at beginning of year2011-03-31$9,298,484
Value of fidelity bond covering the plan2011-03-31$600,000
Total contributions received or receivable from participants2011-03-31$225,500
Other income received2011-03-31$1,260,789
Net income (gross income less expenses)2011-03-31$1,929,560
Net plan assets at end of year (total assets less liabilities)2011-03-31$11,228,044
Net plan assets at beginning of year (total assets less liabilities)2011-03-31$9,298,484
Assets. Value of participant loans2011-03-31$19,728
Total contributions received or receivable from employer(s)2011-03-31$552,500
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-03-31$0
2010 : SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-03-31$0

Form 5500 Responses for SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN

2016: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes
2010: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2010 form 5500 responses
2010-04-01Type of plan entitySingle employer plan
2010-04-01Submission has been amendedNo
2010-04-01This submission is the final filingNo
2010-04-01This return/report is a short plan year return/report (less than 12 months)No
2010-04-01Plan is a collectively bargained planNo
2010-04-01Plan funding arrangement – InsuranceYes
2010-04-01Plan funding arrangement – TrustYes
2010-04-01Plan benefit arrangement – InsuranceYes
2010-04-01Plan benefit arrangement - TrustYes
2009: SOUTH BEND EMERGENCY PHYSICIANS, INC. EMPLOYEES' PROFIT SHARING AND 401(K) PLAN 2009 form 5500 responses
2009-04-01Type of plan entitySingle employer plan
2009-04-01Submission has been amendedNo
2009-04-01This submission is the final filingNo
2009-04-01This return/report is a short plan year return/report (less than 12 months)No
2009-04-01Plan is a collectively bargained planNo
2009-04-01Plan funding arrangement – InsuranceYes
2009-04-01Plan funding arrangement – TrustYes
2009-04-01Plan benefit arrangement – InsuranceYes
2009-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number30348
Policy instance 1
Insurance contract or identification number30348
Number of Individuals Covered1
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31385
Policy instance 2
Insurance contract or identification number31385
Number of Individuals Covered1
Insurance policy start date2010-04-01
Insurance policy end date2011-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?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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