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COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 401k Plan overview

Plan NameCOMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P
Plan identification number 003

COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 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.
  • 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

COMMUNITY HEALTH SYSTEMS, INC. has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH SYSTEMS, INC.
Employer identification number (EIN):630849233
NAIC Classification:551112
NAIC Description:Offices of Other Holding Companies

Additional information about COMMUNITY HEALTH SYSTEMS, INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1984-07-25
Company Identification Number: H13805
Legal Registered Office Address: 226 SOUTH PALAFOX STREET

PENSACOLA

32501

More information about COMMUNITY HEALTH SYSTEMS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01MELISSA OREAR2023-10-16 MELISSA OREAR2023-10-16
0032021-01-01KENNETH AMS2023-03-03 KENNETH AMS2023-03-03
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01DOUG WARREN
0032016-01-01DOUG WARREN
0032015-01-01ROBIN JOHNSON
0032014-01-01
0032013-01-01
0032012-01-01ROBIN E. JOHNSON
0032011-01-01ROBIN E. JOHNSON
0032010-01-01ROBIN JOHNSON2011-07-15 ROBIN JOHNSON2011-07-15

Plan Statistics for COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P

401k plan membership statisitcs for COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P

Measure Date Value
2020: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2020 401k membership
Total participants, beginning-of-year2020-01-0122
Total number of active participants reported on line 7a of the Form 55002020-01-0119
Number of other retired or separated participants entitled to future benefits2020-01-017
Total of all active and inactive participants2020-01-0126
Total participants2020-01-0126
Number of participants with account balances2020-01-0126
2019: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2019 401k membership
Total participants, beginning-of-year2019-01-0123
Total number of active participants reported on line 7a of the Form 55002019-01-0119
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0122
Total participants2019-01-0122
Number of participants with account balances2019-01-0122
2018: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2018 401k membership
Total participants, beginning-of-year2018-01-0121
Total number of active participants reported on line 7a of the Form 55002018-01-0120
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0121
Total participants2018-01-0121
Number of participants with account balances2018-01-0121
2017: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2017 401k membership
Total participants, beginning-of-year2017-01-0122
Total number of active participants reported on line 7a of the Form 55002017-01-0118
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0120
Total participants2017-01-0120
Number of participants with account balances2017-01-0120
2016: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2016 401k membership
Total participants, beginning-of-year2016-01-0125
Total number of active participants reported on line 7a of the Form 55002016-01-0121
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0122
Total participants2016-01-0122
Number of participants with account balances2016-01-0120
2015: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2015 401k membership
Total participants, beginning-of-year2015-01-0123
Total number of active participants reported on line 7a of the Form 55002015-01-0124
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0125
Total participants2015-01-0125
Number of participants with account balances2015-01-0124
2014: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2014 401k membership
Total participants, beginning-of-year2014-01-0121
Total number of active participants reported on line 7a of the Form 55002014-01-0122
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-0123
Total participants2014-01-0123
Number of participants with account balances2014-01-0123
2013: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2013 401k membership
Total participants, beginning-of-year2013-01-0123
Total number of active participants reported on line 7a of the Form 55002013-01-0120
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0121
Total participants2013-01-0121
Number of participants with account balances2013-01-0121
2012: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2012 401k membership
Total participants, beginning-of-year2012-01-0122
Total number of active participants reported on line 7a of the Form 55002012-01-0122
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0123
Number of participants with account balances2012-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2011 401k membership
Total participants, beginning-of-year2011-01-0125
Total number of active participants reported on line 7a of the Form 55002011-01-0120
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0122
Number of participants with account balances2011-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P

Measure Date Value
2020 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2020 401k financial data
Total income from all sources2020-12-31$694,618
Expenses. Total of all expenses incurred2020-12-31$231,710
Benefits paid (including direct rollovers)2020-12-31$216,474
Total plan assets at end of year2020-12-31$4,481,605
Total plan assets at beginning of year2020-12-31$4,018,697
Value of fidelity bond covering the plan2020-12-31$402,000
Total contributions received or receivable from participants2020-12-31$127,437
Other income received2020-12-31$434,020
Net income (gross income less expenses)2020-12-31$462,908
Net plan assets at end of year (total assets less liabilities)2020-12-31$4,481,605
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$4,018,697
Total contributions received or receivable from employer(s)2020-12-31$133,161
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$15,236
2019 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2019 401k financial data
Total income from all sources2019-12-31$805,047
Expenses. Total of all expenses incurred2019-12-31$11,518
Benefits paid (including direct rollovers)2019-12-31$11,468
Total plan assets at end of year2019-12-31$4,018,697
Total plan assets at beginning of year2019-12-31$3,225,168
Value of fidelity bond covering the plan2019-12-31$323,000
Total contributions received or receivable from participants2019-12-31$122,409
Other income received2019-12-31$539,309
Net income (gross income less expenses)2019-12-31$793,529
Net plan assets at end of year (total assets less liabilities)2019-12-31$4,018,697
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$3,225,168
Total contributions received or receivable from employer(s)2019-12-31$143,329
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$50
2018 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2018 401k financial data
Total plan liabilities at beginning of year2018-12-31$700
Total income from all sources2018-12-31$22,739
Expenses. Total of all expenses incurred2018-12-31$55,888
Benefits paid (including direct rollovers)2018-12-31$55,808
Total plan assets at end of year2018-12-31$3,225,168
Total plan assets at beginning of year2018-12-31$3,259,017
Value of fidelity bond covering the plan2018-12-31$325,000
Total contributions received or receivable from participants2018-12-31$86,790
Contributions received from other sources (not participants or employers)2018-12-31$2,443
Other income received2018-12-31$-191,854
Net income (gross income less expenses)2018-12-31$-33,149
Net plan assets at end of year (total assets less liabilities)2018-12-31$3,225,168
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$3,258,317
Total contributions received or receivable from employer(s)2018-12-31$125,360
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$80
2017 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2017 401k financial data
Total plan liabilities at end of year2017-12-31$700
Total income from all sources2017-12-31$519,173
Expenses. Total of all expenses incurred2017-12-31$35,883
Benefits paid (including direct rollovers)2017-12-31$35,803
Total plan assets at end of year2017-12-31$3,259,017
Total plan assets at beginning of year2017-12-31$2,775,027
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$61,154
Contributions received from other sources (not participants or employers)2017-12-31$19,497
Other income received2017-12-31$345,513
Net income (gross income less expenses)2017-12-31$483,290
Net plan assets at end of year (total assets less liabilities)2017-12-31$3,258,317
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,775,027
Total contributions received or receivable from employer(s)2017-12-31$93,009
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$80
2016 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2016 401k financial data
Total income from all sources2016-12-31$331,521
Expenses. Total of all expenses incurred2016-12-31$49,064
Benefits paid (including direct rollovers)2016-12-31$48,944
Total plan assets at end of year2016-12-31$2,775,027
Total plan assets at beginning of year2016-12-31$2,492,570
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$66,546
Other income received2016-12-31$146,737
Net income (gross income less expenses)2016-12-31$282,457
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,775,027
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,492,570
Total contributions received or receivable from employer(s)2016-12-31$118,238
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$120
2015 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2015 401k financial data
Total income from all sources2015-12-31$172,692
Total plan assets at end of year2015-12-31$2,492,570
Total plan assets at beginning of year2015-12-31$2,319,878
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$64,749
Contributions received from other sources (not participants or employers)2015-12-31$36,774
Other income received2015-12-31$-45,313
Net income (gross income less expenses)2015-12-31$172,692
Net plan assets at end of year (total assets less liabilities)2015-12-31$2,492,570
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$2,319,878
Total contributions received or receivable from employer(s)2015-12-31$116,482
2014 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2014 401k financial data
Total income from all sources2014-12-31$231,668
Total plan assets at end of year2014-12-31$2,319,878
Total plan assets at beginning of year2014-12-31$2,088,210
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$57,738
Other income received2014-12-31$69,290
Net income (gross income less expenses)2014-12-31$231,668
Net plan assets at end of year (total assets less liabilities)2014-12-31$2,319,878
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$2,088,210
Total contributions received or receivable from employer(s)2014-12-31$104,640
2013 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2013 401k financial data
Total income from all sources2013-12-31$379,896
Expenses. Total of all expenses incurred2013-12-31$504,205
Benefits paid (including direct rollovers)2013-12-31$504,205
Total plan assets at end of year2013-12-31$2,088,210
Total plan assets at beginning of year2013-12-31$2,212,519
Value of fidelity bond covering the plan2013-12-31$1,000,000
Total contributions received or receivable from participants2013-12-31$64,684
Other income received2013-12-31$218,959
Net income (gross income less expenses)2013-12-31$-124,309
Net plan assets at end of year (total assets less liabilities)2013-12-31$2,088,210
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,212,519
Total contributions received or receivable from employer(s)2013-12-31$96,253
2012 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2012 401k financial data
Total income from all sources2012-12-31$335,602
Expenses. Total of all expenses incurred2012-12-31$153,491
Benefits paid (including direct rollovers)2012-12-31$153,491
Total plan assets at end of year2012-12-31$2,212,519
Total plan assets at beginning of year2012-12-31$2,030,408
Value of fidelity bond covering the plan2012-12-31$1,000,000
Total contributions received or receivable from participants2012-12-31$72,876
Contributions received from other sources (not participants or employers)2012-12-31$26,866
Other income received2012-12-31$133,916
Net income (gross income less expenses)2012-12-31$182,111
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,212,519
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,030,408
Total contributions received or receivable from employer(s)2012-12-31$101,944
2011 : COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2011 401k financial data
Total income from all sources2011-12-31$253,681
Expenses. Total of all expenses incurred2011-12-31$615,839
Benefits paid (including direct rollovers)2011-12-31$613,434
Total plan assets at end of year2011-12-31$2,030,408
Total plan assets at beginning of year2011-12-31$2,392,566
Value of fidelity bond covering the plan2011-12-31$1,000,000
Total contributions received or receivable from participants2011-12-31$69,826
Contributions received from other sources (not participants or employers)2011-12-31$1,500
Other income received2011-12-31$-3,794
Net income (gross income less expenses)2011-12-31$-362,158
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,030,408
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$2,392,566
Total contributions received or receivable from employer(s)2011-12-31$186,149
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$2,405

Form 5500 Responses for COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P

2020: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: COMMUNITY HEALTH SYSTEMS, INC. RETIREMENT INCOME P 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered26
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $1,218
Total amount of fees paid to insurance companyUSD $1,075
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,218
Insurance broker organization code?3
Amount paid for insurance broker fees1075
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered23
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,996
Total amount of fees paid to insurance companyUSD $1,063
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,996
Insurance broker organization code?3
Amount paid for insurance broker fees1063
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered22
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,473
Total amount of fees paid to insurance companyUSD $1,637
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,473
Insurance broker organization code?3
Amount paid for insurance broker fees1020
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered21
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,851
Total amount of fees paid to insurance companyUSD $1,348
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,851
Insurance broker organization code?3
Amount paid for insurance broker fees830
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered24
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $2,833
Total amount of fees paid to insurance companyUSD $900
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,833
Insurance broker organization code?3
Amount paid for insurance broker fees545
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered23
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,372
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,525
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered21
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,106
Total amount of fees paid to insurance companyUSD $3,379
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,106
Amount paid for insurance broker fees1414
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameMERRILL LYNCH PIERCE FENNER & SMITH
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered22
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,289
Total amount of fees paid to insurance companyUSD $2,927
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,289
Amount paid for insurance broker fees1800
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker namePEARCE BEVILL LEESBURG MOORE, PC
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number806781
Policy instance 1
Insurance contract or identification number806781
Number of Individuals Covered21
Insurance policy start date2011-05-02
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $9,486
Total amount of fees paid to insurance companyUSD $7,045
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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