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THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 401k Plan overview

Plan NameTHROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN
Plan identification number 002

THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(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
  • 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.
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

THROGS NECK EXTENDED CARE, LLC has sponsored the creation of one or more 401k plans.

Company Name:THROGS NECK EXTENDED CARE, LLC
Employer identification number (EIN):421558553
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01RACHELLE FRIEDMAN2019-10-15
0022017-01-01RACHELLE FRIEDMAN2018-09-28
0022016-01-01RACHELLE FRIEDMAN2017-05-11 RACHELLE FRIEDMAN2017-05-11
0022015-01-01JEFFREY GOLDSTEIN2016-08-08 JEFFREY GOLDSTEIN2016-08-08
0022014-01-01JEFFREY GOLDSTEIN2015-04-20 JEFFREY GOLDSTEIN2015-04-20
0022013-01-01JEFFREY GOLDSTEIN2014-06-09 JEFFREY GOLDSTEIN2014-06-09
0022012-01-01RACHELLE FRIEDMAN2013-06-04 RACHELLE FRIEDMAN2013-06-04
0022011-01-01RACHEL FRIEDMAN2012-10-12 RACHEL FRIEDMAN2012-10-12

Plan Statistics for THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN

401k plan membership statisitcs for THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN

Measure Date Value
2022: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01138
Total number of active participants reported on line 7a of the Form 55002022-01-0195
Number of retired or separated participants receiving benefits2022-01-0112
Number of other retired or separated participants entitled to future benefits2022-01-0128
Total of all active and inactive participants2022-01-01135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01135
Number of participants with account balances2022-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-014
2021: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01136
Total number of active participants reported on line 7a of the Form 55002021-01-01102
Number of retired or separated participants receiving benefits2021-01-0110
Number of other retired or separated participants entitled to future benefits2021-01-0126
Total of all active and inactive participants2021-01-01138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01138
Number of participants with account balances2021-01-01138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-012
2020: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01127
Total number of active participants reported on line 7a of the Form 55002020-01-01102
Number of other retired or separated participants entitled to future benefits2020-01-0134
Total of all active and inactive participants2020-01-01136
Total participants2020-01-01136
Number of participants with account balances2020-01-01136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-014
2019: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01123
Total number of active participants reported on line 7a of the Form 55002019-01-01103
Number of retired or separated participants receiving benefits2019-01-014
Number of other retired or separated participants entitled to future benefits2019-01-0120
Total of all active and inactive participants2019-01-01127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01127
Number of participants with account balances2019-01-01121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010

Financial Data on THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN

Measure Date Value
2022 : THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$2,360
Total income from all sources (including contributions)2022-12-31$110,077
Total of all expenses incurred2022-12-31$124,265
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$111,530
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$259,074
Value of total assets at end of year2022-12-31$1,251,866
Value of total assets at beginning of year2022-12-31$1,263,694
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$12,735
Total interest from all sources2022-12-31$1,219
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$12,735
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$5,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$54,027
Participant contributions at end of year2022-12-31$30,261
Participant contributions at beginning of year2022-12-31$15,388
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$2,360
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-14,188
Value of net assets at end of year (total assets less liabilities)2022-12-31$1,249,506
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,263,694
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$840,112
Value of interest in pooled separate accounts at beginning of year2022-12-31$753,172
Interest on participant loans2022-12-31$1,219
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$176,847
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$118,169
Net investment gain or loss from common/collective trusts2022-12-31$-150,216
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$205,047
Employer contributions (assets) at end of year2022-12-31$204,646
Employer contributions (assets) at beginning of year2022-12-31$376,965
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$111,530
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2022-12-31472319109
2021 : THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$302,393
Total of all expenses incurred2021-12-31$57,442
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$49,149
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$238,162
Value of total assets at end of year2021-12-31$1,263,694
Value of total assets at beginning of year2021-12-31$1,018,743
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$8,293
Total interest from all sources2021-12-31$595
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31No
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$49,805
Participant contributions at end of year2021-12-31$15,388
Participant contributions at beginning of year2021-12-31$8,402
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$244,951
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,263,694
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,018,743
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$8,293
Value of interest in pooled separate accounts at end of year2021-12-31$753,172
Value of interest in pooled separate accounts at beginning of year2021-12-31$542,395
Interest on participant loans2021-12-31$595
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$118,169
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$88,815
Net investment gain/loss from pooled separate accounts2021-12-31$63,636
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$188,357
Employer contributions (assets) at end of year2021-12-31$376,965
Employer contributions (assets) at beginning of year2021-12-31$379,131
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$49,149
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31FASTEN HALBERSTAM
Accountancy firm EIN2021-12-31472319109
2020 : THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$498,638
Total of all expenses incurred2020-12-31$41,956
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$41,956
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$397,881
Value of total assets at end of year2020-12-31$1,018,743
Value of total assets at beginning of year2020-12-31$562,061
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31No
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$51,016
Participant contributions at end of year2020-12-31$8,402
Participant contributions at beginning of year2020-12-31$9,158
Participant contributions at beginning of year2020-12-31$3,077
Total non interest bearing cash at beginning of year2020-12-31$2,270
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$456,682
Value of net assets at end of year (total assets less liabilities)2020-12-31$1,018,743
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$562,061
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$542,395
Value of interest in pooled separate accounts at beginning of year2020-12-31$345,304
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$88,815
Net investment gain/loss from pooled separate accounts2020-12-31$100,757
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$346,865
Employer contributions (assets) at end of year2020-12-31$379,131
Employer contributions (assets) at beginning of year2020-12-31$202,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$41,956
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31FASTEN HALBERSTAM
Accountancy firm EIN2020-12-31472319109
2019 : THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2019 401k financial data
Total income from all sources (including contributions)2019-12-31$130,702
Total income from all sources (including contributions)2019-12-31$130,702
Total of all expenses incurred2019-12-31$4,844
Total of all expenses incurred2019-12-31$4,844
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,471
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$3,471
Expenses. Certain deemed distributions of participant loans2019-12-31$1,373
Expenses. Certain deemed distributions of participant loans2019-12-31$1,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$86,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$86,243
Value of total assets at end of year2019-12-31$562,061
Value of total assets at end of year2019-12-31$562,061
Value of total assets at beginning of year2019-12-31$436,203
Value of total assets at beginning of year2019-12-31$436,203
Total interest from all sources2019-12-31$384
Total interest from all sources2019-12-31$384
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$53,977
Contributions received from participants2019-12-31$53,977
Participant contributions at end of year2019-12-31$9,158
Participant contributions at end of year2019-12-31$9,158
Participant contributions at beginning of year2019-12-31$9,614
Participant contributions at beginning of year2019-12-31$9,614
Participant contributions at end of year2019-12-31$3,077
Participant contributions at end of year2019-12-31$3,077
Participant contributions at beginning of year2019-12-31$2,829
Participant contributions at beginning of year2019-12-31$2,829
Total non interest bearing cash at end of year2019-12-31$2,270
Total non interest bearing cash at end of year2019-12-31$2,270
Total non interest bearing cash at beginning of year2019-12-31$2,248
Total non interest bearing cash at beginning of year2019-12-31$2,248
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$125,858
Value of net income/loss2019-12-31$125,858
Value of net assets at end of year (total assets less liabilities)2019-12-31$562,061
Value of net assets at end of year (total assets less liabilities)2019-12-31$562,061
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$436,203
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$436,203
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in pooled separate accounts at end of year2019-12-31$345,304
Value of interest in pooled separate accounts at end of year2019-12-31$345,304
Value of interest in pooled separate accounts at beginning of year2019-12-31$249,256
Value of interest in pooled separate accounts at beginning of year2019-12-31$249,256
Interest on participant loans2019-12-31$384
Interest on participant loans2019-12-31$384
Net investment gain/loss from pooled separate accounts2019-12-31$44,075
Net investment gain/loss from pooled separate accounts2019-12-31$44,075
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$32,266
Contributions received in cash from employer2019-12-31$32,266
Employer contributions (assets) at end of year2019-12-31$202,252
Employer contributions (assets) at end of year2019-12-31$202,252
Employer contributions (assets) at beginning of year2019-12-31$172,256
Employer contributions (assets) at beginning of year2019-12-31$172,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,471
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$3,471
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31FASTEN HALBERSTAM
Accountancy firm name2019-12-31FASTEN HALBERSTAM
Accountancy firm EIN2019-12-31472319109
Accountancy firm EIN2019-12-31472319109

Form 5500 Responses for THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN

2022: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
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: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: THROGS NECK EXTENDED CARE, LLC LOCAL 670 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberFX7Z
Policy instance 1
Insurance contract or identification numberFX7Z
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $3,862
Total amount of fees paid to insurance companyUSD $457
Commission paid to Insurance BrokerUSD $3,862
Insurance broker organization code?4
Amount paid for insurance broker fees457
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberFX7Z
Policy instance 1
Insurance contract or identification numberFX7Z
Number of Individuals Covered125
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $2,659
Total amount of fees paid to insurance companyUSD $320
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,659
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSION
Insurance broker organization code?4
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberFX7Z
Policy instance 1
Insurance contract or identification numberFX7Z
Number of Individuals Covered118
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $2,011
Total amount of fees paid to insurance companyUSD $246
Commission paid to Insurance BrokerUSD $2,011
Insurance broker organization code?4
Amount paid for insurance broker fees246
LINCOLN LIFE AND ANNUITY CO OF NY (National Association of Insurance Commissioners NAIC id number: 62057 )
Policy contract numberFX7Z
Policy instance 1
Insurance contract or identification numberFX7Z
Number of Individuals Covered104
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $1,185
Total amount of fees paid to insurance companyUSD $144
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Other information about contractGROUP VAR ANNUITY W/GUAR FUND
Commission paid to Insurance BrokerUSD $1,185
Amount paid for insurance broker fees0
Insurance broker organization code?4

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