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PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 401k Plan overview

Plan NamePEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN
Plan identification number 004

PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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.
  • 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

SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON, LLC has sponsored the creation of one or more 401k plans.

Company Name:SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON, LLC
Employer identification number (EIN):591198552
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON, LLC

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 2006-04-19
Company Identification Number: P06000056069
Legal Registered Office Address: 900 S. Pine Island Road, Suite 800

PLANTATION

33324

More information about SALTZMAN, TANIS, PITTELL, LEVIN, & JACOBSON, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042016-01-01
0042015-01-01
0042014-01-01ANGELA CARUSO
0042013-01-01ANGELA CARUSO
0042012-01-01ANGELA CARUSO
0042011-01-01ANGELA CARUSO
0042010-01-01ANGELA CARUSO
0042009-01-01ANGELA CARUSO

Plan Statistics for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

401k plan membership statisitcs for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Measure Date Value
2016: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-011,423
Total number of active participants reported on line 7a of the Form 55002016-01-011,638
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-011,638
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,638
Number of participants with account balances2016-01-011,448
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-01184
2015: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,273
Total number of active participants reported on line 7a of the Form 55002015-01-011,128
Number of retired or separated participants receiving benefits2015-01-0126
Number of other retired or separated participants entitled to future benefits2015-01-01246
Total of all active and inactive participants2015-01-011,400
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,400
Number of participants with account balances2015-01-011,112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0149
2014: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,071
Total number of active participants reported on line 7a of the Form 55002014-01-011,075
Number of retired or separated participants receiving benefits2014-01-0121
Number of other retired or separated participants entitled to future benefits2014-01-01142
Total of all active and inactive participants2014-01-011,238
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,238
Number of participants with account balances2014-01-01998
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01126
2013: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01997
Total number of active participants reported on line 7a of the Form 55002013-01-01930
Number of retired or separated participants receiving benefits2013-01-0119
Number of other retired or separated participants entitled to future benefits2013-01-01105
Total of all active and inactive participants2013-01-011,054
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,054
Number of participants with account balances2013-01-01830
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0175
2012: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01915
Total number of active participants reported on line 7a of the Form 55002012-01-01870
Number of retired or separated participants receiving benefits2012-01-0117
Number of other retired or separated participants entitled to future benefits2012-01-0197
Total of all active and inactive participants2012-01-01984
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01984
Number of participants with account balances2012-01-01690
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0160
2011: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-011,010
Total number of active participants reported on line 7a of the Form 55002011-01-01785
Number of retired or separated participants receiving benefits2011-01-0120
Number of other retired or separated participants entitled to future benefits2011-01-0199
Total of all active and inactive participants2011-01-01904
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01904
Number of participants with account balances2011-01-01622
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0175
2010: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01920
Total number of active participants reported on line 7a of the Form 55002010-01-01788
Number of retired or separated participants receiving benefits2010-01-0149
Number of other retired or separated participants entitled to future benefits2010-01-01159
Total of all active and inactive participants2010-01-01996
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01996
Number of participants with account balances2010-01-01745
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-0174
2009: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01866
Total number of active participants reported on line 7a of the Form 55002009-01-01736
Number of retired or separated participants receiving benefits2009-01-0139
Number of other retired or separated participants entitled to future benefits2009-01-01135
Total of all active and inactive participants2009-01-01910
Total participants2009-01-01910
Number of participants with account balances2009-01-01644
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0166

Financial Data on PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

Measure Date Value
2016 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$1,057
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,333
Total income from all sources (including contributions)2016-12-31$4,312,545
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,199,947
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,945,978
Expenses. Certain deemed distributions of participant loans2016-12-31$85,736
Value of total corrective distributions2016-12-31$128,085
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,181,015
Value of total assets at end of year2016-12-31$24,791,641
Value of total assets at beginning of year2016-12-31$22,680,319
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$40,148
Total interest from all sources2016-12-31$27,083
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
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$28,874
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,759,220
Participant contributions at end of year2016-12-31$796,042
Participant contributions at beginning of year2016-12-31$738,161
Participant contributions at end of year2016-12-31$14,988
Participant contributions at beginning of year2016-12-31$496
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$49,451
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$1,057
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$2,333
Other income not declared elsewhere2016-12-31$30,740
Administrative expenses (other) incurred2016-12-31$6
Total non interest bearing cash at end of year2016-12-31$31,824
Total non interest bearing cash at beginning of year2016-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$2,112,598
Value of net assets at end of year (total assets less liabilities)2016-12-31$24,790,584
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$22,677,986
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$23,599,481
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$0
Value of interest in pooled separate accounts at end of year2016-12-31$0
Value of interest in pooled separate accounts at beginning of year2016-12-31$21,260,273
Interest on participant loans2016-12-31$27,083
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$290,440
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$681,293
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,073,707
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$372,344
Employer contributions (assets) at end of year2016-12-31$58,768
Employer contributions (assets) at beginning of year2016-12-31$-2
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,945,978
Contract administrator fees2016-12-31$11,268
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 name2016-12-31GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN2016-12-31591262947
2015 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,333
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$40,494
Total income from all sources (including contributions)2015-12-31$2,857,254
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$723,183
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$527,304
Expenses. Certain deemed distributions of participant loans2015-12-31$47,508
Value of total corrective distributions2015-12-31$93,800
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$2,844,543
Value of total assets at end of year2015-12-31$22,680,319
Value of total assets at beginning of year2015-12-31$20,584,409
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$54,571
Total interest from all sources2015-12-31$1,214,268
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$26,838
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,363,673
Participant contributions at end of year2015-12-31$738,161
Participant contributions at beginning of year2015-12-31$675,622
Participant contributions at end of year2015-12-31$496
Participant contributions at beginning of year2015-12-31$2,018
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$186,872
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$2,333
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$40,494
Other income not declared elsewhere2015-12-31$-318
Administrative expenses (other) incurred2015-12-31$87
Total non interest bearing cash at end of year2015-12-31$0
Total non interest bearing cash at beginning of year2015-12-31$12,296
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$2,134,071
Value of net assets at end of year (total assets less liabilities)2015-12-31$22,677,986
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$20,543,915
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 pooled separate accounts at end of year2015-12-31$21,260,273
Value of interest in pooled separate accounts at beginning of year2015-12-31$19,273,593
Interest on participant loans2015-12-31$22,451
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$1,191,817
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$681,293
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$620,723
Net investment gain/loss from pooled separate accounts2015-12-31$-1,201,239
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$293,998
Employer contributions (assets) at end of year2015-12-31$-2
Employer contributions (assets) at beginning of year2015-12-31$59
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$527,304
Contract administrator fees2015-12-31$27,646
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 name2015-12-31GERSON, PRESTON, KLEIN, LIPS, ETAL.
Accountancy firm EIN2015-12-31591262947
2014 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$40,494
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$3,899
Total income from all sources (including contributions)2014-12-31$3,716,999
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$887,408
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$763,578
Expenses. Certain deemed distributions of participant loans2014-12-31$34,718
Value of total corrective distributions2014-12-31$41,339
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,375,270
Value of total assets at end of year2014-12-31$20,584,409
Value of total assets at beginning of year2014-12-31$17,718,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$47,773
Total interest from all sources2014-12-31$1,118,143
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$21,565
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$1,999,989
Participant contributions at end of year2014-12-31$675,622
Participant contributions at beginning of year2014-12-31$656,847
Participant contributions at end of year2014-12-31$2,018
Participant contributions at beginning of year2014-12-31$2,494
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$140,203
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$171
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$98
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$40,494
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$3,899
Other income not declared elsewhere2014-12-31$6,725
Total non interest bearing cash at end of year2014-12-31$12,296
Total non interest bearing cash at beginning of year2014-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,829,591
Value of net assets at end of year (total assets less liabilities)2014-12-31$20,543,915
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$17,714,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in pooled separate accounts at end of year2014-12-31$19,273,593
Value of interest in pooled separate accounts at beginning of year2014-12-31$16,512,052
Interest on participant loans2014-12-31$21,008
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$1,097,135
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$620,723
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$546,683
Net investment gain/loss from pooled separate accounts2014-12-31$216,861
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$235,078
Employer contributions (assets) at end of year2014-12-31$59
Employer contributions (assets) at beginning of year2014-12-31$49
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$763,407
Contract administrator fees2014-12-31$26,208
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31GERSON, PRESTON, ROBINSON & CO., PA
Accountancy firm EIN2014-12-31591262947
2013 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$3,899
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$5,747
Total income from all sources (including contributions)2013-12-31$4,762,457
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,011,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$825,270
Expenses. Certain deemed distributions of participant loans2013-12-31$35,122
Value of total corrective distributions2013-12-31$113,873
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,967,419
Value of total assets at end of year2013-12-31$17,718,223
Value of total assets at beginning of year2013-12-31$13,969,329
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$37,450
Total interest from all sources2013-12-31$18,342
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$16,188
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,716,913
Participant contributions at end of year2013-12-31$656,847
Participant contributions at beginning of year2013-12-31$558,107
Participant contributions at end of year2013-12-31$2,494
Participant contributions at beginning of year2013-12-31$36,009
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$43,150
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$98
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$3,899
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$5,747
Other income not declared elsewhere2013-12-31$953
Administrative expenses (other) incurred2013-12-31$32
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$3,750,742
Value of net assets at end of year (total assets less liabilities)2013-12-31$17,714,324
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,963,582
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in pooled separate accounts at end of year2013-12-31$16,512,052
Value of interest in pooled separate accounts at beginning of year2013-12-31$12,606,577
Interest on participant loans2013-12-31$18,342
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$546,683
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$766,776
Net investment gain/loss from pooled separate accounts2013-12-31$2,775,743
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$207,356
Employer contributions (assets) at end of year2013-12-31$49
Employer contributions (assets) at beginning of year2013-12-31$1,860
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$825,270
Contract administrator fees2013-12-31$21,230
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31GERSON, PRESTON, ROBINSON & CO., PA
Accountancy firm EIN2013-12-31591262947
2012 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,747
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$5,520
Total income from all sources (including contributions)2012-12-31$3,014,973
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$394,649
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$291,490
Expenses. Certain deemed distributions of participant loans2012-12-31$4,292
Value of total corrective distributions2012-12-31$70,331
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,681,741
Value of total assets at end of year2012-12-31$13,969,329
Value of total assets at beginning of year2012-12-31$11,348,778
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$28,536
Total interest from all sources2012-12-31$15,454
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$17,189
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,436,856
Participant contributions at end of year2012-12-31$558,107
Participant contributions at beginning of year2012-12-31$469,729
Participant contributions at end of year2012-12-31$36,009
Participant contributions at beginning of year2012-12-31$1,262
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$59,456
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$5,747
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$5,520
Other income not declared elsewhere2012-12-31$-3,745
Administrative expenses (other) incurred2012-12-31$1
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$2,620,324
Value of net assets at end of year (total assets less liabilities)2012-12-31$13,963,582
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$11,343,258
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$10,868,630
Value of interest in pooled separate accounts at end of year2012-12-31$12,606,577
Value of interest in pooled separate accounts at beginning of year2012-12-31$0
Interest on participant loans2012-12-31$15,454
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$9,157
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$9,157
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$766,776
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$688,482
Net investment gain/loss from pooled separate accounts2012-12-31$624,467
Net gain/loss from 103.12 investment entities2012-12-31$8,574
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$185,429
Employer contributions (assets) at end of year2012-12-31$1,860
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$291,490
Contract administrator fees2012-12-31$11,346
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31GERSON, PRESTON, ROBINSON & CO., PA
Accountancy firm EIN2012-12-31591262947
2011 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$5,520
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,933
Total income from all sources (including contributions)2011-12-31$1,765,739
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$854,362
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$550,421
Expenses. Certain deemed distributions of participant loans2011-12-31$36,994
Value of total corrective distributions2011-12-31$235,147
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,951,038
Value of total assets at end of year2011-12-31$11,348,778
Value of total assets at beginning of year2011-12-31$10,433,814
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$31,800
Total interest from all sources2011-12-31$12,589
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$20,589
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,395,302
Participant contributions at end of year2011-12-31$469,729
Participant contributions at beginning of year2011-12-31$364,959
Participant contributions at end of year2011-12-31$1,262
Participant contributions at beginning of year2011-12-31$1,262
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$379,254
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$5,520
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,933
Other income not declared elsewhere2011-12-31$1,928
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$911,377
Value of net assets at end of year (total assets less liabilities)2011-12-31$11,343,258
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$10,431,881
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$10,868,630
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$10,063,408
Interest on participant loans2011-12-31$12,589
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$9,157
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$4,185
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$4,185
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-199,816
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$176,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$550,421
Contract administrator fees2011-12-31$11,211
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31GERSON, PRESTON, ROBINSON & CO., PA
Accountancy firm EIN2011-12-31010720052
2010 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,933
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$11
Total income from all sources (including contributions)2010-12-31$2,582,863
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$943,973
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$664,633
Value of total corrective distributions2010-12-31$262,700
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,539,730
Value of total assets at end of year2010-12-31$10,433,814
Value of total assets at beginning of year2010-12-31$8,793,002
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$16,640
Total interest from all sources2010-12-31$9,900
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$8,163
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,377,492
Participant contributions at end of year2010-12-31$364,959
Participant contributions at beginning of year2010-12-31$259,054
Participant contributions at end of year2010-12-31$1,262
Participant contributions at beginning of year2010-12-31$1,256
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$11,835
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,933
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$11
Other income not declared elsewhere2010-12-31$-111
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$1,638,890
Value of net assets at end of year (total assets less liabilities)2010-12-31$10,431,881
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,792,991
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$10,063,408
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$8,529,535
Interest on participant loans2010-12-31$9,900
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$4,185
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$3,022
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$3,022
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,033,344
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$150,403
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$135
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$664,633
Contract administrator fees2010-12-31$8,477
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31GERSON, PRESTON, ROBINSON & CO., PA
Accountancy firm EIN2010-12-31010720052
2009 : PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN

2016: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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 – TrustYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedYes
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement - TrustYes
2009: PEDIATRIC ASSOCIATES EMPLOYEE SAVINGS & RETIREMENT 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number831316
Policy instance 1
Insurance contract or identification number831316
Number of Individuals Covered1102
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $58,387
Total amount of fees paid to insurance companyUSD $17,991
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $58,387
Insurance broker organization code?3
Amount paid for insurance broker fees10319
Additional information about fees paid to insurance brokerCONTRACT MANAGEMENT ASSISTANCE
Insurance broker nameEJREYNOLDS, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number831316
Policy instance 1
Insurance contract or identification number831316
Number of Individuals Covered982
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $50,136
Total amount of fees paid to insurance companyUSD $8,824
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $50,136
Insurance broker organization code?3
Amount paid for insurance broker fees8824
Additional information about fees paid to insurance brokerCONTRACT MANAGEMENT ASSISTANCE
Insurance broker nameEJREYNOLDS, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number831316
Policy instance 1
Insurance contract or identification number831316
Number of Individuals Covered825
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $40,514
Total amount of fees paid to insurance companyUSD $9,077
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $40,514
Insurance broker organization code?3
Amount paid for insurance broker fees9077
Additional information about fees paid to insurance brokerCONTRACT MANAGEMENT ASSISTANCE
Insurance broker nameEJREYNOLDS, INC.
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number831316
Policy instance 1
Insurance contract or identification number831316
Number of Individuals Covered681
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,374
Total amount of fees paid to insurance companyUSD $1,560
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $9,374
Insurance broker organization code?3
Amount paid for insurance broker fees1560
Additional information about fees paid to insurance brokerCONTRACT MANAGEMENT ASSISTANCE
Insurance broker nameEJREYNOLDS, INC.

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