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HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 401k Plan overview

Plan NameHOMETOWN BANK OF CORBIN, INC. 401(K) PLAN
Plan identification number 001

HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

HOMETOWN BANK OF CORBIN, INC. has sponsored the creation of one or more 401k plans.

Company Name:HOMETOWN BANK OF CORBIN, INC.
Employer identification number (EIN):611353577
NAIC Classification:522110
NAIC Description:Commercial Banking

Form 5500 Filing Information

Submission information for form 5500 for 401k plan HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01MELODY BEECHAM
0012023-01-01
0012023-01-01MELODY BEECHAM
0012022-01-01
0012022-01-01MELODY BEECHAM
0012021-01-01
0012021-01-01MELODY BEECHAM
0012020-01-01
0012019-01-01
0012018-01-01MELODY BEECHAM
0012017-01-01MELODY BEECHAM
0012016-01-01MELODY BEECHAM
0012015-01-01MELODY BEECHAM
0012014-01-01MELODY BEECHAM
0012013-01-01MELODY BEECHAM2014-01-21
0012012-01-01MELODY BEECHAM2013-01-31
0012011-01-01MELODY BEECHAM2012-05-02
0012010-01-01MELODY BEECHAM2011-04-26

Financial Data on HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN

Measure Date Value
2024 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2024 401k financial data
Transfers to/from the plan2024-01-01$0
Total plan liabilities at end of year2024-01-01$0
Total plan liabilities at beginning of year2024-01-01$0
Total income from all sources2024-01-01$874,174
Expenses. Total of all expenses incurred2024-01-01$688,710
Benefits paid (including direct rollovers)2024-01-01$681,506
Total plan assets at end of year2024-01-01$5,170,527
Total plan assets at beginning of year2024-01-01$4,985,063
Value of fidelity bond covering the plan2024-01-01$500,000
Assets. Value of tangible personal property2024-01-01$0
Total contributions received or receivable from participants2024-01-01$178,700
Assets. Value of loans (other than to participants)2024-01-01$0
Expenses. Other expenses not covered elsewhere2024-01-01$0
Contributions received from other sources (not participants or employers)2024-01-01$0
Other income received2024-01-01$570,233
Noncash contributions received2024-01-01$0
Net income (gross income less expenses)2024-01-01$185,464
Net plan assets at end of year (total assets less liabilities)2024-01-01$5,170,527
Net plan assets at beginning of year (total assets less liabilities)2024-01-01$4,985,063
Assets. Value of participant loans2024-01-01$84,109
Assets. Value of assets in partnership/joint-venture interests2024-01-01$0
Assets. Value of real-estate (other than employer real property)2024-01-01$0
Assets. Value of employer securities2024-01-01$0
Assets. Value of employer real property2024-01-01$0
Total contributions received or receivable from employer(s)2024-01-01$125,241
Value of certain deemed distributions of participant loans2024-01-01$0
Value of corrective distributions2024-01-01$0
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-01$7,204
2023 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2023 401k financial data
Transfers to/from the plan2023-12-31$0
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$0
Total income from all sources2023-12-31$928,336
Expenses. Total of all expenses incurred2023-12-31$439,746
Benefits paid (including direct rollovers)2023-12-31$433,139
Total plan assets at end of year2023-12-31$4,985,063
Total plan assets at beginning of year2023-12-31$4,496,473
Value of fidelity bond covering the plan2023-12-31$500,000
Assets. Value of tangible personal property2023-12-31$0
Total contributions received or receivable from participants2023-12-31$177,339
Assets. Value of loans (other than to participants)2023-12-31$0
Expenses. Other expenses not covered elsewhere2023-12-31$0
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$642,186
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$488,590
Net plan assets at end of year (total assets less liabilities)2023-12-31$4,985,063
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$4,496,473
Assets. Value of participant loans2023-12-31$83,079
Assets. Value of assets in partnership/joint-venture interests2023-12-31$0
Assets. Value of real-estate (other than employer real property)2023-12-31$0
Assets. Value of employer securities2023-12-31$0
Assets. Value of employer real property2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$108,811
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$6,607
2022 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-355,519
Expenses. Total of all expenses incurred2022-12-31$445,292
Benefits paid (including direct rollovers)2022-12-31$439,211
Total plan assets at end of year2022-12-31$4,496,473
Total plan assets at beginning of year2022-12-31$5,297,284
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$170,179
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-628,093
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-800,811
Net plan assets at end of year (total assets less liabilities)2022-12-31$4,496,473
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,297,284
Assets. Value of participant loans2022-12-31$71,938
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$102,395
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$6,081
2021 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$714,858
Expenses. Total of all expenses incurred2021-12-31$315,134
Benefits paid (including direct rollovers)2021-12-31$309,140
Total plan assets at end of year2021-12-31$5,297,284
Total plan assets at beginning of year2021-12-31$4,897,560
Value of fidelity bond covering the plan2021-12-31$500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$168,304
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$5,730
Other income received2021-12-31$446,841
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$399,724
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,297,284
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$4,897,560
Assets. Value of participant loans2021-12-31$46,602
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$93,983
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$5,994
2020 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$873,992
Expenses. Total of all expenses incurred2020-12-31$370,286
Benefits paid (including direct rollovers)2020-12-31$364,230
Total plan assets at end of year2020-12-31$4,897,560
Total plan assets at beginning of year2020-12-31$4,393,854
Value of fidelity bond covering the plan2020-12-31$500,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$175,540
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$600,301
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$503,706
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,897,560
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,393,854
Assets. Value of participant loans2020-12-31$53,472
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$98,151
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$6,056
2019 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,020,486
Expenses. Total of all expenses incurred2019-12-31$32,727
Benefits paid (including direct rollovers)2019-12-31$26,458
Total plan assets at end of year2019-12-31$4,393,854
Total plan assets at beginning of year2019-12-31$3,406,095
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$152,542
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$782,585
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$987,759
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,393,854
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,406,095
Assets. Value of participant loans2019-12-31$35,920
Total contributions received or receivable from employer(s)2019-12-31$85,359
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,269
2018 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$66,317
Expenses. Total of all expenses incurred2018-12-31$31,503
Benefits paid (including direct rollovers)2018-12-31$25,534
Total plan assets at end of year2018-12-31$3,406,095
Total plan assets at beginning of year2018-12-31$3,371,281
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$146,564
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$13,928
Other income received2018-12-31$-178,002
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$34,814
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,406,095
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,371,281
Assets. Value of participant loans2018-12-31$74,053
Total contributions received or receivable from employer(s)2018-12-31$83,827
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$5,969
2017 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$731,278
Expenses. Total of all expenses incurred2017-12-31$204,952
Benefits paid (including direct rollovers)2017-12-31$198,896
Total plan assets at end of year2017-12-31$3,371,281
Total plan assets at beginning of year2017-12-31$2,844,955
Value of fidelity bond covering the plan2017-12-31$500,000
Assets. Value of tangible personal property2017-12-31$0
Total contributions received or receivable from participants2017-12-31$128,529
Assets. Value of loans (other than to participants)2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$529,088
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$526,326
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,371,281
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,844,955
Assets. Value of participant loans2017-12-31$79,366
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Assets. Value of real-estate (other than employer real property)2017-12-31$0
Assets. Value of employer securities2017-12-31$0
Assets. Value of employer real property2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$73,661
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$6,056
2016 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$382,209
Expenses. Total of all expenses incurred2016-12-31$82,709
Benefits paid (including direct rollovers)2016-12-31$76,772
Total plan assets at end of year2016-12-31$2,844,955
Total plan assets at beginning of year2016-12-31$2,545,455
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$117,292
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$196,286
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$299,500
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,844,955
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,545,455
Assets. Value of participant loans2016-12-31$83,360
Total contributions received or receivable from employer(s)2016-12-31$68,631
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,937
2015 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$194,372
Expenses. Total of all expenses incurred2015-12-31$28,489
Benefits paid (including direct rollovers)2015-12-31$22,420
Total plan assets at end of year2015-12-31$2,545,455
Total plan assets at beginning of year2015-12-31$2,379,572
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$113,715
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$0
Other income received2015-12-31$13,202
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$165,883
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,545,455
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,379,572
Assets. Value of participant loans2015-12-31$103,327
Total contributions received or receivable from employer(s)2015-12-31$67,455
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$6,069
2014 : HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$337,224
Expenses. Total of all expenses incurred2014-12-31$42,402
Benefits paid (including direct rollovers)2014-12-31$27,507
Total plan assets at end of year2014-12-31$2,379,572
Total plan assets at beginning of year2014-12-31$2,084,750
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$96,743
Expenses. Other expenses not covered elsewhere2014-12-31$0
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$177,646
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$294,822
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,379,572
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,084,750
Assets. Value of participant loans2014-12-31$26,000
Total contributions received or receivable from employer(s)2014-12-31$62,835
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$14,895

Form 5500 Responses for HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN

2023: HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingNo
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: HOMETOWN BANK OF CORBIN, INC. 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: HOMETOWN BANK OF CORBIN, 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 – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: HOMETOWN BANK OF CORBIN, 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
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: HOMETOWN BANK OF CORBIN, 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: HOMETOWN BANK OF CORBIN, INC. 401(K) 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: HOMETOWN BANK OF CORBIN, INC. 401(K) 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number72294
Policy instance 1

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