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NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameNEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number 001

NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Partial participant-directed account plan - Participants have the opportunity to direct the investment of a portion of the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.

401k Sponsoring company profile

NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. has sponsored the creation of one or more 401k plans.

Company Name:NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C.
Employer identification number (EIN):581379454
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012019-01-01
0012018-01-01
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01JUDY CHESIN JUDY CHESIN2013-06-21
0012011-01-01JUDY CHESIN JUDY CHESIN2012-05-10
0012009-01-01JUDY CHESIN

Plan Statistics for NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0133
Total number of active participants reported on line 7a of the Form 55002018-01-0121
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0130
Number of participants with account balances2018-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-013
2017: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0134
Total number of active participants reported on line 7a of the Form 55002017-01-0123
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0133
Number of participants with account balances2017-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0133
Total number of active participants reported on line 7a of the Form 55002016-01-0126
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-018
Total of all active and inactive participants2016-01-0134
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0134
Number of participants with account balances2016-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0132
Total number of active participants reported on line 7a of the Form 55002015-01-0126
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0131
Number of participants with account balances2015-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0131
Total number of active participants reported on line 7a of the Form 55002014-01-0127
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-015
Total of all active and inactive participants2014-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0132
Number of participants with account balances2014-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0129
Total number of active participants reported on line 7a of the Form 55002013-01-0125
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-016
Total of all active and inactive participants2013-01-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0131
Number of participants with account balances2013-01-0131
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-013
2012: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0128
Total number of active participants reported on line 7a of the Form 55002012-01-0127
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-013
Total of all active and inactive participants2012-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0130
Number of participants with account balances2012-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0130
Total number of active participants reported on line 7a of the Form 55002011-01-0126
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-011
Total of all active and inactive participants2011-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-0128
Number of participants with account balances2011-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0132
Total number of active participants reported on line 7a of the Form 55002009-01-0130
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0132
Number of participants with account balances2009-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$89,637
Expenses. Total of all expenses incurred2018-12-31$383,346
Benefits paid (including direct rollovers)2018-12-31$342,376
Total plan assets at end of year2018-12-31$10,976,377
Total plan assets at beginning of year2018-12-31$11,270,086
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$216,943
Other income received2018-12-31$-380,756
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-293,709
Net plan assets at end of year (total assets less liabilities)2018-12-31$10,976,377
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$11,270,086
Assets. Value of participant loans2018-12-31$5,214
Total contributions received or receivable from employer(s)2018-12-31$253,450
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$40,970
2017 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,831,759
Expenses. Total of all expenses incurred2017-12-31$3,766,459
Benefits paid (including direct rollovers)2017-12-31$3,727,681
Total plan assets at end of year2017-12-31$11,270,086
Total plan assets at beginning of year2017-12-31$13,204,786
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$195,870
Other income received2017-12-31$1,339,975
Net income (gross income less expenses)2017-12-31$-1,934,700
Net plan assets at end of year (total assets less liabilities)2017-12-31$11,270,086
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$13,204,786
Assets. Value of participant loans2017-12-31$11,694
Total contributions received or receivable from employer(s)2017-12-31$295,914
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$38,778
2016 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,625,017
Expenses. Total of all expenses incurred2016-12-31$1,170,920
Benefits paid (including direct rollovers)2016-12-31$1,142,600
Total plan assets at end of year2016-12-31$13,204,786
Total plan assets at beginning of year2016-12-31$12,750,689
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$291,507
Contributions received from other sources (not participants or employers)2016-12-31$31,617
Other income received2016-12-31$1,000,852
Net income (gross income less expenses)2016-12-31$454,097
Net plan assets at end of year (total assets less liabilities)2016-12-31$13,204,786
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$12,750,689
Assets. Value of participant loans2016-12-31$20,455
Total contributions received or receivable from employer(s)2016-12-31$301,041
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$28,320
2015 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$640,098
Expenses. Total of all expenses incurred2015-12-31$670,332
Benefits paid (including direct rollovers)2015-12-31$660,297
Total plan assets at end of year2015-12-31$12,750,689
Total plan assets at beginning of year2015-12-31$12,780,923
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$270,133
Other income received2015-12-31$-28,922
Net income (gross income less expenses)2015-12-31$-30,234
Net plan assets at end of year (total assets less liabilities)2015-12-31$12,750,689
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$12,780,923
Assets. Value of participant loans2015-12-31$8,297
Total contributions received or receivable from employer(s)2015-12-31$398,887
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$10,035
2014 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,486,259
Expenses. Total of all expenses incurred2014-12-31$166,187
Benefits paid (including direct rollovers)2014-12-31$159,643
Total plan assets at end of year2014-12-31$12,780,923
Total plan assets at beginning of year2014-12-31$11,460,851
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$230,863
Other income received2014-12-31$935,396
Net income (gross income less expenses)2014-12-31$1,320,072
Net plan assets at end of year (total assets less liabilities)2014-12-31$12,780,923
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$11,460,851
Assets. Value of participant loans2014-12-31$22,434
Total contributions received or receivable from employer(s)2014-12-31$320,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$6,544
2013 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,730,444
Expenses. Total of all expenses incurred2013-12-31$281,450
Benefits paid (including direct rollovers)2013-12-31$276,933
Total plan assets at end of year2013-12-31$11,460,851
Total plan assets at beginning of year2013-12-31$10,011,857
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$209,285
Other income received2013-12-31$1,096,971
Net income (gross income less expenses)2013-12-31$1,448,994
Net plan assets at end of year (total assets less liabilities)2013-12-31$11,460,851
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$10,011,857
Assets. Value of participant loans2013-12-31$31,468
Total contributions received or receivable from employer(s)2013-12-31$424,188
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,517
2012 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,467,809
Expenses. Total of all expenses incurred2012-12-31$387,977
Benefits paid (including direct rollovers)2012-12-31$385,487
Total plan assets at end of year2012-12-31$10,011,857
Total plan assets at beginning of year2012-12-31$8,932,025
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$208,592
Other income received2012-12-31$807,023
Net income (gross income less expenses)2012-12-31$1,079,832
Net plan assets at end of year (total assets less liabilities)2012-12-31$10,011,857
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$8,932,025
Assets. Value of participant loans2012-12-31$102,322
Total contributions received or receivable from employer(s)2012-12-31$452,194
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$2,490
2011 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$425,544
Expenses. Total of all expenses incurred2011-12-31$35,992
Benefits paid (including direct rollovers)2011-12-31$34,948
Total plan assets at end of year2011-12-31$8,932,025
Total plan assets at beginning of year2011-12-31$8,542,473
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$187,274
Other income received2011-12-31$-245,997
Net income (gross income less expenses)2011-12-31$389,552
Net plan assets at end of year (total assets less liabilities)2011-12-31$8,932,025
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$8,542,473
Assets. Value of participant loans2011-12-31$72,082
Total contributions received or receivable from employer(s)2011-12-31$484,267
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$1,044
2010 : NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,352,447
Expenses. Total of all expenses incurred2010-12-31$1,444,358
Benefits paid (including direct rollovers)2010-12-31$1,443,926
Total plan assets at end of year2010-12-31$8,542,473
Total plan assets at beginning of year2010-12-31$8,634,384
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$188,709
Other income received2010-12-31$709,686
Net income (gross income less expenses)2010-12-31$-91,911
Net plan assets at end of year (total assets less liabilities)2010-12-31$8,542,473
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$8,634,384
Assets. Value of participant loans2010-12-31$86,142
Total contributions received or receivable from employer(s)2010-12-31$454,052
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$432

Form 5500 Responses for NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN

2018: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING 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: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2009: NEW LONDON ANESTHESIA & PAIN CONSULTANTS, P.C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60515-1
Policy instance 1
Insurance contract or identification numberMR 60515-1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
Insurance broker organization code?1
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberMR 60515-1
Policy instance 1
Insurance contract or identification numberMR 60515-1
Number of Individuals Covered21
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $201
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $201
Insurance broker organization code?1
Insurance broker nameMORGAN STANEY SMITH BARNEY, LLC

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