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DEAN & DELUCA, INC. 401(K) PLAN 401k Plan overview

Plan NameDEAN & DELUCA, INC. 401(K) PLAN
Plan identification number 002

DEAN & DELUCA, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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

DEAN & DELUCA, INC. has sponsored the creation of one or more 401k plans.

Company Name:DEAN & DELUCA, INC.
Employer identification number (EIN):522222998
NAIC Classification:445299
NAIC Description:All Other Specialty Food Stores

Additional information about DEAN & DELUCA, INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 3074352

More information about DEAN & DELUCA, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DEAN & DELUCA, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022018-01-01
0022017-01-01JONATHAN LEVY JONATHAN LEVY2018-10-09
0022016-01-01JONATHAN LEVY JONATHAN LEVY2017-09-28
0022015-01-01DUSTIN SCHWIND DUSTIN SCHWIND2016-07-22

Plan Statistics for DEAN & DELUCA, INC. 401(K) PLAN

401k plan membership statisitcs for DEAN & DELUCA, INC. 401(K) PLAN

Measure Date Value
2018: DEAN & DELUCA, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01438
Total number of active participants reported on line 7a of the Form 55002018-01-01273
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0140
Total of all active and inactive participants2018-01-01313
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01313
Number of participants with account balances2018-01-01119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: DEAN & DELUCA, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01449
Total number of active participants reported on line 7a of the Form 55002017-01-01359
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0132
Total of all active and inactive participants2017-01-01391
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01391
Number of participants with account balances2017-01-01132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-018
2016: DEAN & DELUCA, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01432
Total number of active participants reported on line 7a of the Form 55002016-01-01374
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0122
Total of all active and inactive participants2016-01-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01396
Number of participants with account balances2016-01-01128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-019
2015: DEAN & DELUCA, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01501
Total number of active participants reported on line 7a of the Form 55002015-01-01380
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0121
Total of all active and inactive participants2015-01-01401
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01401
Number of participants with account balances2015-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0111

Financial Data on DEAN & DELUCA, INC. 401(K) PLAN

Measure Date Value
2018 : DEAN & DELUCA, INC. 401(K) PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,509
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$1,543
Total income from all sources (including contributions)2018-12-31$392,608
Total of all expenses incurred2018-12-31$1,126,257
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,115,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$594,933
Value of total assets at end of year2018-12-31$2,362,204
Value of total assets at beginning of year2018-12-31$3,093,887
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$11,249
Total interest from all sources2018-12-31$6,679
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$9,592
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$353,962
Participant contributions at end of year2018-12-31$102,548
Participant contributions at beginning of year2018-12-31$114,862
Participant contributions at end of year2018-12-31$268
Assets. Other investments not covered elsewhere at end of year2018-12-31$29,686
Assets. Other investments not covered elsewhere at beginning of year2018-12-31$21,570
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$7,554
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$3,509
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$1,543
Administrative expenses (other) incurred2018-12-31$1,657
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-733,649
Value of net assets at end of year (total assets less liabilities)2018-12-31$2,358,695
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,092,344
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$2,226,039
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$2,956,782
Interest on participant loans2018-12-31$5,255
Interest earned on other investments2018-12-31$1,424
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$3,482
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$673
Net investment gain/loss from pooled separate accounts2018-12-31$-209,004
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$233,417
Employer contributions (assets) at end of year2018-12-31$181
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,115,008
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31ALLEN, GIBBS & HOULIK, L.C.
Accountancy firm EIN2018-12-31481032601
2017 : DEAN & DELUCA, INC. 401(K) PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$1,543
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,059
Total income from all sources (including contributions)2017-12-31$1,166,215
Total of all expenses incurred2017-12-31$397,563
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$357,281
Value of total corrective distributions2017-12-31$35,193
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$751,443
Value of total assets at end of year2017-12-31$3,093,887
Value of total assets at beginning of year2017-12-31$2,326,751
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,089
Total interest from all sources2017-12-31$6,038
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$4,101
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$344,452
Participant contributions at end of year2017-12-31$114,862
Participant contributions at beginning of year2017-12-31$95,736
Assets. Other investments not covered elsewhere at end of year2017-12-31$21,570
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$18,923
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$168,237
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$1,543
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$3,059
Administrative expenses (other) incurred2017-12-31$988
Total non interest bearing cash at beginning of year2017-12-31$3,059
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$768,652
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,092,344
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$2,323,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$2,956,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$2,209,033
Interest on participant loans2017-12-31$4,706
Interest earned on other investments2017-12-31$1,332
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$673
Net investment gain/loss from pooled separate accounts2017-12-31$408,734
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$238,754
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$357,281
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31ALLEN, GIBBS & HOULIK, L.C.
Accountancy firm EIN2017-12-31481032601
2016 : DEAN & DELUCA, INC. 401(K) PLAN 2016 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$3,059
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$192
Total income from all sources (including contributions)2016-12-31$821,432
Total of all expenses incurred2016-12-31$589,253
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$581,126
Expenses. Certain deemed distributions of participant loans2016-12-31$1,973
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$634,232
Value of total assets at end of year2016-12-31$2,326,751
Value of total assets at beginning of year2016-12-31$2,091,705
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$6,154
Total interest from all sources2016-12-31$2,963
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$5,792
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$354,350
Participant contributions at end of year2016-12-31$95,736
Participant contributions at beginning of year2016-12-31$19,542
Assets. Other investments not covered elsewhere at end of year2016-12-31$18,923
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$15,163
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$41,271
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$3,059
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$192
Administrative expenses (other) incurred2016-12-31$362
Liabilities. Value of operating payables at beginning of year2016-12-31$0
Total non interest bearing cash at end of year2016-12-31$3,059
Total non interest bearing cash at beginning of year2016-12-31$917
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$232,179
Value of net assets at end of year (total assets less liabilities)2016-12-31$2,323,692
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$2,091,513
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$2,209,033
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$2,056,083
Interest on participant loans2016-12-31$1,888
Interest earned on other investments2016-12-31$1,075
Net investment gain/loss from pooled separate accounts2016-12-31$184,237
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$238,611
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$581,126
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31ALLEN, GIBBS & HOULIK, L.C.
Accountancy firm EIN2016-12-31481032601
2015 : DEAN & DELUCA, INC. 401(K) PLAN 2015 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$192
Total income from all sources (including contributions)2015-12-31$2,179,711
Total of all expenses incurred2015-12-31$88,198
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$74,928
Expenses. Certain deemed distributions of participant loans2015-12-31$12,799
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,263,599
Value of total assets at end of year2015-12-31$2,091,705
Value of total assets at beginning of year2015-12-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$471
Total interest from all sources2015-12-31$1,069
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$320,966
Participant contributions at end of year2015-12-31$19,542
Assets. Other investments not covered elsewhere at end of year2015-12-31$15,163
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,720,139
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$192
Liabilities. Value of operating payables at end of year2015-12-31$0
Total non interest bearing cash at end of year2015-12-31$917
Total non interest bearing cash at beginning of year2015-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,091,513
Value of net assets at end of year (total assets less liabilities)2015-12-31$2,091,513
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$2,056,083
Interest on participant loans2015-12-31$1,069
Net investment gain/loss from pooled separate accounts2015-12-31$-84,957
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$222,494
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$74,928
Contract administrator fees2015-12-31$471
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31ALLEN, GIBBS & HOULIK, L.C.
Accountancy firm EIN2015-12-31481032601

Form 5500 Responses for DEAN & DELUCA, INC. 401(K) PLAN

2018: DEAN & DELUCA, INC. 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: DEAN & DELUCA, INC. 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: DEAN & DELUCA, INC. 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: DEAN & DELUCA, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number117908
Policy instance 1
Insurance contract or identification number117908
Number of Individuals Covered119
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $8,780
Total amount of fees paid to insurance companyUSD $11,112
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,780
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Amount paid for insurance broker fees11112
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number117908
Policy instance 1
Insurance contract or identification number117908
Number of Individuals Covered132
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,806
Total amount of fees paid to insurance companyUSD $8,849
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,806
Insurance broker organization code?3
Amount paid for insurance broker fees8849
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number117908
Policy instance 1
Insurance contract or identification number117908
Number of Individuals Covered144
Insurance policy start date2015-02-19
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $3,896
Total amount of fees paid to insurance companyUSD $9,690
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,896
Insurance broker organization code?3
Amount paid for insurance broker fees9690
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC

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