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A MED HEALTH CARE 401(K) PLAN 401k Plan overview

Plan NameA MED HEALTH CARE 401(K) PLAN
Plan identification number 001

A MED HEALTH CARE 401(K) 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.
  • Plan covering Self-Employed individuals.
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

A-MED HEALTH CARE has sponsored the creation of one or more 401k plans.

Company Name:A-MED HEALTH CARE
Employer identification number (EIN):680501454
NAIC Classification:621610
NAIC Description:Home Health Care Services

Additional information about A-MED HEALTH CARE

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 2002-03-29
Company Identification Number: C2409227
Legal Registered Office Address: 21006 Devonshire St, Suite 203A

Chatsworth
United States of America (USA)
91311

More information about A-MED HEALTH CARE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan A MED HEALTH CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012013-01-01JOSEPH ARTINO2013-06-26
0012012-01-01JOSEPH ARTINO
0012011-01-01JOSEPH ARTINO
0012010-01-01MICHELLE KNOWLES
0012009-01-01JOSEPH ARTINO
0012007-01-01MICHELLE KNOWLES

Plan Statistics for A MED HEALTH CARE 401(K) PLAN

401k plan membership statisitcs for A MED HEALTH CARE 401(K) PLAN

Measure Date Value
2012: A MED HEALTH CARE 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01157
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-017
Number of other retired or separated participants entitled to future benefits2012-01-0158
Total of all active and inactive participants2012-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0165
Number of participants with account balances2012-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: A MED HEALTH CARE 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01191
Total number of active participants reported on line 7a of the Form 55002011-01-01146
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0111
Total of all active and inactive participants2011-01-01157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01157
Number of participants with account balances2011-01-0182
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: A MED HEALTH CARE 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-01131
Total number of active participants reported on line 7a of the Form 55002010-01-01164
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0124
Total of all active and inactive participants2010-01-01188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-01188
Number of participants with account balances2010-01-0189
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: A MED HEALTH CARE 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01125
Total number of active participants reported on line 7a of the Form 55002009-01-01129
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-01131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01131
Number of participants with account balances2009-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010
2007: A MED HEALTH CARE 401(K) PLAN 2007 401k membership
Total participants, beginning-of-year2007-01-01111
Total number of active participants reported on line 7a of the Form 55002007-01-0163
Number of retired or separated participants receiving benefits2007-01-0128
Number of other retired or separated participants entitled to future benefits2007-01-010
Total of all active and inactive participants2007-01-0191
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2007-01-011
Total participants2007-01-0192
Number of participants with account balances2007-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2007-01-010

Financial Data on A MED HEALTH CARE 401(K) PLAN

Measure Date Value
2012 : A MED HEALTH CARE 401(K) PLAN 2012 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$585,379
Total of all expenses incurred2012-12-31$335,884
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$331,460
Value of total corrective distributions2012-12-31$2,316
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$350,307
Value of total assets at end of year2012-12-31$2,154,282
Value of total assets at beginning of year2012-12-31$1,904,787
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$2,108
Total interest from all sources2012-12-31$1,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$2,108
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$259,052
Participant contributions at end of year2012-12-31$2,903
Participant contributions at beginning of year2012-12-31$34,315
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$91,255
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$0
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$249,495
Value of net assets at end of year (total assets less liabilities)2012-12-31$2,154,282
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$1,904,787
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 pooled separate accounts at end of year2012-12-31$2,151,379
Value of interest in pooled separate accounts at beginning of year2012-12-31$1,651,679
Income. Interest from loans (other than to participants)2012-12-31$1,148
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$218,793
Net investment gain/loss from pooled separate accounts2012-12-31$233,924
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$331,460
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
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 name2012-12-31ALMICH AND ASSOCIATES
Accountancy firm EIN2012-12-31330526284
2011 : A MED HEALTH CARE 401(K) 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,650
Total income from all sources (including contributions)2011-12-31$242,039
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$240,872
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$238,531
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$305,504
Value of total assets at end of year2011-12-31$1,904,787
Value of total assets at beginning of year2011-12-31$1,905,270
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$2,341
Total interest from all sources2011-12-31$8,115
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
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
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$305,504
Participant contributions at end of year2011-12-31$34,315
Participant contributions at beginning of year2011-12-31$49,608
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$1,650
Administrative expenses (other) incurred2011-12-31$2,341
Total non interest bearing cash at end of year2011-12-31$0
Total non interest bearing cash at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$1,167
Value of net assets at end of year (total assets less liabilities)2011-12-31$1,904,787
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$1,903,620
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 pooled separate accounts at end of year2011-12-31$1,651,679
Value of interest in pooled separate accounts at beginning of year2011-12-31$1,652,135
Interest on participant loans2011-12-31$1,816
Interest earned on other investments2011-12-31$6,299
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$218,793
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$203,527
Net investment gain/loss from pooled separate accounts2011-12-31$-71,580
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$238,531
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 name2011-12-31ALMICH & ASSOCIATES
Accountancy firm EIN2011-12-31330526284
2010 : A MED HEALTH CARE 401(K) 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$1,650
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$530,915
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$31,393
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$30,893
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$361,200
Value of total assets at end of year2010-12-31$1,905,270
Value of total assets at beginning of year2010-12-31$1,404,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$500
Total interest from all sources2010-12-31$8,606
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
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
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$331,074
Participant contributions at end of year2010-12-31$49,608
Participant contributions at beginning of year2010-12-31$67,307
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$30,126
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$1,650
Other income not declared elsewhere2010-12-31$66
Administrative expenses (other) incurred2010-12-31$500
Total non interest bearing cash at end of year2010-12-31$0
Total non interest bearing cash at beginning of year2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$499,522
Value of net assets at end of year (total assets less liabilities)2010-12-31$1,903,620
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$1,404,098
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 pooled separate accounts at end of year2010-12-31$1,652,135
Value of interest in pooled separate accounts at beginning of year2010-12-31$1,165,528
Interest on participant loans2010-12-31$2,619
Interest earned on other investments2010-12-31$5,987
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$203,527
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$171,263
Net investment gain/loss from pooled separate accounts2010-12-31$161,043
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
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$30,893
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 name2010-12-31ALMICH & ASSOCIATES
Accountancy firm EIN2010-12-31330526284
2009 : A MED HEALTH CARE 401(K) 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$0
2008 : A MED HEALTH CARE 401(K) PLAN 2008 401k financial data
Total income from all sources2008-12-31$-289,515
Expenses. Total of all expenses incurred2008-12-31$112,690
Benefits paid (including direct rollovers)2008-12-31$111,950
Total plan assets at end of year2008-12-31$958,585
Total plan assets at beginning of year2008-12-31$1,360,790
Total contributions received or receivable from participants2008-12-31$219,139
Expenses. Other expenses not covered elsewhere2008-12-31$740
Other income received2008-12-31$-508,654
Net income (gross income less expenses)2008-12-31$-402,205
Net plan assets at end of year (total assets less liabilities)2008-12-31$958,585
Net plan assets at beginning of year (total assets less liabilities)2008-12-31$1,360,790
2007 : A MED HEALTH CARE 401(K) PLAN 2007 401k financial data
Total income from all sources2007-12-31$388,519
Expenses. Total of all expenses incurred2007-12-31$263,539
Benefits paid (including direct rollovers)2007-12-31$263,229
Total plan assets at end of year2007-12-31$1,360,790
Total plan assets at beginning of year2007-12-31$1,235,810
Value of fidelity bond covering the plan2007-12-31$18,948
Total contributions received or receivable from participants2007-12-31$227,451
Expenses. Other expenses not covered elsewhere2007-12-31$310
Contributions received from other sources (not participants or employers)2007-12-31$16,908
Other income received2007-12-31$144,160
Net income (gross income less expenses)2007-12-31$124,980
Net plan assets at end of year (total assets less liabilities)2007-12-31$1,360,790
Net plan assets at beginning of year (total assets less liabilities)2007-12-31$1,235,810

Form 5500 Responses for A MED HEALTH CARE 401(K) PLAN

2012: A MED HEALTH CARE 401(K) PLAN 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 – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: A MED HEALTH CARE 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: A MED HEALTH CARE 401(K) 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 – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: A MED HEALTH CARE 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes
2007: A MED HEALTH CARE 401(K) PLAN 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedYes
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo
2007-01-01Plan funding arrangement – TrustYes
2007-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712162
Policy instance 1
Insurance contract or identification numberGA-712162
Number of Individuals Covered83
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $6,118
Total amount of fees paid to insurance companyUSD $1,021
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-712162
Policy instance 1
Insurance contract or identification numberGA-712162
Number of Individuals Covered89
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,699
Total amount of fees paid to insurance companyUSD $0
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,067
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY SMITH BARNEY LLC

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