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MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameMONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN
Plan identification number 001

MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MONTEREY BAY GI CONSULTANTS MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:MONTEREY BAY GI CONSULTANTS MEDICAL GROUP, INC.
Employer identification number (EIN):770139017
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01DANIEL LUBA, M.D.2023-10-05 DANIEL LUBA, M.D.2023-10-05
0012021-01-01DANIEL LUBA, M.D.2022-10-06 DANIEL LUBA, M.D.2022-10-06
0012020-01-01DANIEL LUBA, M.D.2021-10-05 DANIEL LUBA, M.D.2021-10-05
0012019-01-01DANIEL G. LUBA, M.D.2020-10-07 DANIEL G. LUBA, M.D.2020-10-07
0012018-01-01DANIEL G. LUBA, M.D.2019-09-29 DANIEL G. LUBA, M.D.2019-09-29
0012017-01-01
0012016-01-01DANIEL G. LUBA, M.D.
0012015-01-01DANIEL G. LUBA, M.D.
0012014-01-01DANIEL G. LUBA, M.D.
0012013-01-01DANIEL G. LUBA, M.D.
0012012-01-01DANIEL G. LUBA, M.D.
0012011-01-01DANIEL G. LUBA, M.D.
0012010-01-01DANIEL G. LUBA, M.D.
0012009-01-01DANIEL G. LUBA, M.D.

Plan Statistics for MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2022: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0193
Total number of active participants reported on line 7a of the Form 55002022-01-0158
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0125
Total of all active and inactive participants2022-01-0183
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0183
Number of participants with account balances2022-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0185
Total number of active participants reported on line 7a of the Form 55002021-01-0157
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0125
Total of all active and inactive participants2021-01-0182
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0182
Number of participants with account balances2021-01-0181
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-013
2020: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0176
Total number of active participants reported on line 7a of the Form 55002020-01-0165
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0113
Total of all active and inactive participants2020-01-0178
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0178
Number of participants with account balances2020-01-0176
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-011
2019: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0177
Total number of active participants reported on line 7a of the Form 55002019-01-0163
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0110
Total of all active and inactive participants2019-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0173
Number of participants with account balances2019-01-0169
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0174
Total number of active participants reported on line 7a of the Form 55002018-01-0153
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0111
Total of all active and inactive participants2018-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0164
Number of participants with account balances2018-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-012
2017: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0165
Total number of active participants reported on line 7a of the Form 55002017-01-0157
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0167
Number of participants with account balances2017-01-0156
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0164
Total number of active participants reported on line 7a of the Form 55002016-01-0146
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0110
Total of all active and inactive participants2016-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0156
Number of participants with account balances2016-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-013
2015: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0162
Total number of active participants reported on line 7a of the Form 55002015-01-0151
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0111
Total of all active and inactive participants2015-01-0162
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0162
Number of participants with account balances2015-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0156
Total number of active participants reported on line 7a of the Form 55002014-01-0153
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-013
Total of all active and inactive participants2014-01-0156
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0156
Number of participants with account balances2014-01-0151
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0158
Total number of active participants reported on line 7a of the Form 55002013-01-0149
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-014
Total of all active and inactive participants2013-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0153
Number of participants with account balances2013-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0156
Total number of active participants reported on line 7a of the Form 55002012-01-0148
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-016
Total of all active and inactive participants2012-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0154
Number of participants with account balances2012-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-013
2011: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0156
Total number of active participants reported on line 7a of the Form 55002011-01-0140
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0148
Number of participants with account balances2011-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-012
2010: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0149
Total number of active participants reported on line 7a of the Form 55002010-01-0141
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0144
Number of participants with account balances2010-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-015
2009: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0152
Total number of active participants reported on line 7a of the Form 55002009-01-0142
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-016
Total of all active and inactive participants2009-01-0148
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0148
Number of participants with account balances2009-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN

Measure Date Value
2022 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2022 401k financial data
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-2,695,675
Expenses. Total of all expenses incurred2022-12-31$336,928
Benefits paid (including direct rollovers)2022-12-31$283,673
Total plan assets at end of year2022-12-31$13,541,817
Total plan assets at beginning of year2022-12-31$16,574,420
Value of fidelity bond covering the plan2022-12-31$1,000,000
Total contributions received or receivable from participants2022-12-31$337,205
Other income received2022-12-31$-3,501,200
Net income (gross income less expenses)2022-12-31$-3,032,603
Net plan assets at end of year (total assets less liabilities)2022-12-31$13,541,817
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$16,574,420
Assets. Value of participant loans2022-12-31$205,366
Assets. Value of real-estate (other than employer real property)2022-12-31$578,135
Total contributions received or receivable from employer(s)2022-12-31$468,320
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$53,255
2021 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2021 401k financial data
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$2,973,510
Expenses. Total of all expenses incurred2021-12-31$200,326
Benefits paid (including direct rollovers)2021-12-31$171,648
Total plan assets at end of year2021-12-31$16,574,420
Total plan assets at beginning of year2021-12-31$13,801,236
Value of fidelity bond covering the plan2021-12-31$1,000,000
Total contributions received or receivable from participants2021-12-31$344,112
Other income received2021-12-31$2,174,624
Net income (gross income less expenses)2021-12-31$2,773,184
Net plan assets at end of year (total assets less liabilities)2021-12-31$16,574,420
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$13,801,236
Assets. Value of participant loans2021-12-31$125,825
Assets. Value of real-estate (other than employer real property)2021-12-31$554,576
Total contributions received or receivable from employer(s)2021-12-31$454,774
Value of certain deemed distributions of participant loans2021-12-31$18,221
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$10,457
2020 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2020 401k financial data
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$4,446,296
Expenses. Total of all expenses incurred2020-12-31$119,662
Benefits paid (including direct rollovers)2020-12-31$116,766
Total plan assets at end of year2020-12-31$13,801,236
Total plan assets at beginning of year2020-12-31$9,474,602
Value of fidelity bond covering the plan2020-12-31$1,000,000
Total contributions received or receivable from participants2020-12-31$329,492
Contributions received from other sources (not participants or employers)2020-12-31$1,105,656
Other income received2020-12-31$2,572,568
Net income (gross income less expenses)2020-12-31$4,326,634
Net plan assets at end of year (total assets less liabilities)2020-12-31$13,801,236
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$9,474,602
Assets. Value of participant loans2020-12-31$160,921
Assets. Value of real-estate (other than employer real property)2020-12-31$532,808
Total contributions received or receivable from employer(s)2020-12-31$438,580
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$2,896
2019 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2019 401k financial data
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$2,627,901
Expenses. Total of all expenses incurred2019-12-31$3,419,591
Benefits paid (including direct rollovers)2019-12-31$3,407,320
Total plan assets at end of year2019-12-31$9,474,602
Total plan assets at beginning of year2019-12-31$10,266,292
Value of fidelity bond covering the plan2019-12-31$1,000,000
Total contributions received or receivable from participants2019-12-31$321,376
Other income received2019-12-31$1,848,218
Net income (gross income less expenses)2019-12-31$-791,690
Net plan assets at end of year (total assets less liabilities)2019-12-31$9,474,602
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$10,266,292
Assets. Value of participant loans2019-12-31$136,752
Assets. Value of real-estate (other than employer real property)2019-12-31$535,588
Total contributions received or receivable from employer(s)2019-12-31$458,307
Value of certain deemed distributions of participant loans2019-12-31$5,299
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$6,972
2018 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2018 401k financial data
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$136,754
Expenses. Total of all expenses incurred2018-12-31$240,614
Benefits paid (including direct rollovers)2018-12-31$210,440
Total plan assets at end of year2018-12-31$10,266,292
Total plan assets at beginning of year2018-12-31$10,370,152
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$284,933
Other income received2018-12-31$-595,909
Net income (gross income less expenses)2018-12-31$-103,860
Net plan assets at end of year (total assets less liabilities)2018-12-31$10,266,292
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$10,370,152
Assets. Value of participant loans2018-12-31$75,888
Assets. Value of real-estate (other than employer real property)2018-12-31$530,609
Total contributions received or receivable from employer(s)2018-12-31$447,730
Value of certain deemed distributions of participant loans2018-12-31$915
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$29,259
2017 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2017 401k financial data
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$1,728,697
Expenses. Total of all expenses incurred2017-12-31$693,871
Benefits paid (including direct rollovers)2017-12-31$667,978
Total plan assets at end of year2017-12-31$10,370,152
Total plan assets at beginning of year2017-12-31$9,335,326
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$248,821
Other income received2017-12-31$1,116,433
Net income (gross income less expenses)2017-12-31$1,034,826
Net plan assets at end of year (total assets less liabilities)2017-12-31$10,370,152
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$9,335,326
Assets. Value of participant loans2017-12-31$99,275
Total contributions received or receivable from employer(s)2017-12-31$363,443
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$25,893
2016 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2016 401k financial data
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$928,106
Expenses. Total of all expenses incurred2016-12-31$318,583
Benefits paid (including direct rollovers)2016-12-31$284,332
Total plan assets at end of year2016-12-31$9,335,326
Total plan assets at beginning of year2016-12-31$8,725,803
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$207,793
Expenses. Other expenses not covered elsewhere2016-12-31$105
Other income received2016-12-31$397,842
Net income (gross income less expenses)2016-12-31$609,523
Net plan assets at end of year (total assets less liabilities)2016-12-31$9,335,326
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$8,725,803
Assets. Value of participant loans2016-12-31$51,887
Total contributions received or receivable from employer(s)2016-12-31$322,471
Value of certain deemed distributions of participant loans2016-12-31$10,180
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$23,966
2015 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2015 401k financial data
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$1,044,343
Expenses. Total of all expenses incurred2015-12-31$219,688
Benefits paid (including direct rollovers)2015-12-31$194,529
Total plan assets at end of year2015-12-31$8,725,803
Total plan assets at beginning of year2015-12-31$7,901,148
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$198,073
Contributions received from other sources (not participants or employers)2015-12-31$21,237
Other income received2015-12-31$517,094
Net income (gross income less expenses)2015-12-31$824,655
Net plan assets at end of year (total assets less liabilities)2015-12-31$8,725,803
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$7,901,148
Assets. Value of participant loans2015-12-31$60,533
Total contributions received or receivable from employer(s)2015-12-31$307,939
Value of certain deemed distributions of participant loans2015-12-31$7,663
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$17,496
2014 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2014 401k financial data
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$1,059,456
Expenses. Total of all expenses incurred2014-12-31$54,459
Benefits paid (including direct rollovers)2014-12-31$29,050
Total plan assets at end of year2014-12-31$7,901,148
Total plan assets at beginning of year2014-12-31$6,896,151
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$212,577
Contributions received from other sources (not participants or employers)2014-12-31$12,994
Other income received2014-12-31$510,436
Net income (gross income less expenses)2014-12-31$1,004,997
Net plan assets at end of year (total assets less liabilities)2014-12-31$7,901,148
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6,896,151
Assets. Value of participant loans2014-12-31$92,711
Total contributions received or receivable from employer(s)2014-12-31$323,449
Value of certain deemed distributions of participant loans2014-12-31$5,058
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$20,351
2013 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$2,071,490
Expenses. Total of all expenses incurred2013-12-31$2,571,546
Benefits paid (including direct rollovers)2013-12-31$2,551,081
Total plan assets at end of year2013-12-31$6,896,151
Total plan assets at beginning of year2013-12-31$7,396,207
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$237,065
Expenses. Other expenses not covered elsewhere2013-12-31$27
Contributions received from other sources (not participants or employers)2013-12-31$11,033
Other income received2013-12-31$1,485,384
Net income (gross income less expenses)2013-12-31$-500,056
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,896,151
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$7,396,207
Assets. Value of participant loans2013-12-31$108,793
Assets. Value of assets in partnership/joint-venture interests2013-12-31$0
Assets. Value of real-estate (other than employer real property)2013-12-31$0
Total contributions received or receivable from employer(s)2013-12-31$338,008
Value of certain deemed distributions of participant loans2013-12-31$1,544
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$18,894
2012 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$0
Total income from all sources2012-12-31$1,358,063
Expenses. Total of all expenses incurred2012-12-31$102,748
Benefits paid (including direct rollovers)2012-12-31$82,047
Total plan assets at end of year2012-12-31$7,396,207
Total plan assets at beginning of year2012-12-31$6,140,892
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$234,039
Other income received2012-12-31$782,255
Net income (gross income less expenses)2012-12-31$1,255,315
Net plan assets at end of year (total assets less liabilities)2012-12-31$7,396,207
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$6,140,892
Assets. Value of participant loans2012-12-31$109,909
Assets. Value of assets in partnership/joint-venture interests2012-12-31$168,730
Assets. Value of real-estate (other than employer real property)2012-12-31$100,000
Total contributions received or receivable from employer(s)2012-12-31$341,769
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$20,701
2011 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$0
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$519,365
Expenses. Total of all expenses incurred2011-12-31$201,870
Benefits paid (including direct rollovers)2011-12-31$190,924
Total plan assets at end of year2011-12-31$6,140,892
Total plan assets at beginning of year2011-12-31$5,823,397
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$168,686
Contributions received from other sources (not participants or employers)2011-12-31$3,213
Other income received2011-12-31$59,968
Net income (gross income less expenses)2011-12-31$317,495
Net plan assets at end of year (total assets less liabilities)2011-12-31$6,140,892
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$5,823,397
Assets. Value of participant loans2011-12-31$120,193
Assets. Value of assets in partnership/joint-venture interests2011-12-31$169,601
Assets. Value of real-estate (other than employer real property)2011-12-31$100,000
Total contributions received or receivable from employer(s)2011-12-31$287,498
Value of certain deemed distributions of participant loans2011-12-31$858
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$10,088
2010 : MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$0
Total plan liabilities at beginning of year2010-12-31$0
Total income from all sources2010-12-31$1,125,516
Expenses. Total of all expenses incurred2010-12-31$174,764
Benefits paid (including direct rollovers)2010-12-31$131,652
Total plan assets at end of year2010-12-31$5,823,397
Total plan assets at beginning of year2010-12-31$4,872,645
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$188,582
Other income received2010-12-31$613,829
Net income (gross income less expenses)2010-12-31$950,752
Net plan assets at end of year (total assets less liabilities)2010-12-31$5,823,397
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,872,645
Assets. Value of participant loans2010-12-31$92,851
Assets. Value of assets in partnership/joint-venture interests2010-12-31$283,004
Total contributions received or receivable from employer(s)2010-12-31$323,105
Value of certain deemed distributions of participant loans2010-12-31$32,298
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$10,814

Form 5500 Responses for MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN

2022: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 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 – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
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: MONTEREY BAY GI CONSULTANTS 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered66
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,436
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $9,436
Insurance broker organization code?3
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered74
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $11,250
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $11,250
Insurance broker organization code?3
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered68
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $8,272
Total amount of fees paid to insurance companyUSD $1,325
Commission paid to Insurance BrokerUSD $8,272
Amount paid for insurance broker fees1325
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered60
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,945
Total amount of fees paid to insurance companyUSD $1,123
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $6,945
Amount paid for insurance broker fees1123
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered54
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $27,507
Total amount of fees paid to insurance companyUSD $1,120
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $27,507
Amount paid for insurance broker fees1120
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811605
Policy instance 2
Insurance contract or identification number811605
Number of Individuals Covered52
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $6,268
Total amount of fees paid to insurance companyUSD $881
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $6,268
Amount paid for insurance broker fees881
Additional information about fees paid to insurance brokerTPA PARTNERSHIP AND ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE
VOYA RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818673
Policy instance 1
Insurance contract or identification number818673
Number of Individuals Covered50
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,589
Total amount of fees paid to insurance companyUSD $87
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $1,589
Amount paid for insurance broker fees87
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811605
Policy instance 1
Insurance contract or identification number811605
Number of Individuals Covered44
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,521
Total amount of fees paid to insurance companyUSD $3,619
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
Commission paid to Insurance BrokerUSD $6,521
Amount paid for insurance broker fees3619
Additional information about fees paid to insurance brokerTPA PARTNERSHIP AND ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811605
Policy instance 2
Insurance contract or identification number811605
Number of Individuals Covered45
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $18,684
Total amount of fees paid to insurance companyUSD $7,381
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
Commission paid to Insurance BrokerUSD $18,684
Amount paid for insurance broker fees7381
Additional information about fees paid to insurance brokerTPA PARTNERSHIP AND ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameHAYASHI & WAYLAND ADMINISTRATIVE
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number45976
Policy instance 1
Insurance contract or identification number45976
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-06-16
Total amount of commissions paid to insurance brokerUSD $2,966
Total amount of fees paid to insurance companyUSD $1,298
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
Commission paid to Insurance BrokerUSD $2,966
Amount paid for insurance broker fees1298
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker organization code?7
Insurance broker nameHAYASHI WAYLAND
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number45976
Policy instance 1
Insurance contract or identification number45976
Number of Individuals Covered45
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $4,937
Total amount of fees paid to insurance companyUSD $3,379
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
Commission paid to Insurance BrokerUSD $4,937
Amount paid for insurance broker fees3379
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker organization code?7
Insurance broker nameHAYASHI WAYLAND
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number45976
Policy instance 1
Insurance contract or identification number45976
Number of Individuals Covered35
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $3,285
Total amount of fees paid to insurance companyUSD $2,474
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
Commission paid to Insurance BrokerUSD $3,285
Insurance broker organization code?7
Amount paid for insurance broker fees2474
Additional information about fees paid to insurance brokerTPA FEES & COMPENSATION
Insurance broker nameHAYASHI & WAYLAND RPS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number45976
Policy instance 1
Insurance contract or identification number45976
Number of Individuals Covered35
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $3,285
Total amount of fees paid to insurance companyUSD $2,474
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number45976
Policy instance 1
Insurance contract or identification number45976
Number of Individuals Covered34
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,243
Total amount of fees paid to insurance companyUSD $3,207
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

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