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SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 401k Plan overview

Plan NameSAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN
Plan identification number 001

SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • 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

SAN DIEGO NEONATOLOGY, INC. has sponsored the creation of one or more 401k plans.

Company Name:SAN DIEGO NEONATOLOGY, INC.
Employer identification number (EIN):800375421
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01MICHAELA CAVANAUGH
0012017-01-01MICHAELA CAVANAUGH
0012016-01-01MICHAELA CAVANAUGH
0012015-01-01MICHAELA CAVANAUGH
0012014-01-01MICHAELA CAVANAUGH2015-06-09 ALISON GRAHAM2015-06-09
0012013-01-01ALISON GRAHAM2014-04-25 ALISON GRAHAM2014-04-25
0012012-01-01MICHAELA CAVANAUGH2013-04-23 MICHAELA CAVANAUGH2013-04-23
0012011-01-01ALISON GRAHAM2012-04-23 ALISION GRAHAM2012-07-19
0012010-10-01ALISON GRAHAM2011-05-06 ALISON GRAHAM2011-05-06

Plan Statistics for SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN

401k plan membership statisitcs for SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2022: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0123
Total number of active participants reported on line 7a of the Form 55002022-01-0119
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-014
Total of all active and inactive participants2022-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0123
Number of participants with account balances2022-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0121
Total number of active participants reported on line 7a of the Form 55002021-01-0119
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0123
Number of participants with account balances2021-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0121
Total number of active participants reported on line 7a of the Form 55002020-01-0118
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0121
Number of participants with account balances2020-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0121
Total number of active participants reported on line 7a of the Form 55002019-01-0119
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0121
Number of participants with account balances2019-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0120
Total number of active participants reported on line 7a of the Form 55002018-01-0118
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-012
Total of all active and inactive participants2018-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0121
Number of participants with account balances2018-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0120
Total number of active participants reported on line 7a of the Form 55002017-01-0118
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0120
Number of participants with account balances2017-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0120
Total number of active participants reported on line 7a of the Form 55002016-01-0117
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0120
Number of participants with account balances2016-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0118
Total number of active participants reported on line 7a of the Form 55002015-01-0118
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0120
Number of participants with account balances2015-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN

Measure Date Value
2022 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,699,577
Expenses. Total of all expenses incurred2022-12-31$1,008,665
Benefits paid (including direct rollovers)2022-12-31$965,826
Total plan assets at end of year2022-12-31$10,913,109
Total plan assets at beginning of year2022-12-31$13,621,351
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$334,898
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-2,564,287
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-2,708,242
Net plan assets at end of year (total assets less liabilities)2022-12-31$10,913,109
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$13,621,351
Assets. Value of participant loans2022-12-31$52,030
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$529,812
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$42,839
2021 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$2,717,756
Expenses. Total of all expenses incurred2021-12-31$31,762
Benefits paid (including direct rollovers)2021-12-31$22
Total plan assets at end of year2021-12-31$13,621,351
Total plan assets at beginning of year2021-12-31$10,935,357
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$288,626
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$1,906,251
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$2,685,994
Net plan assets at end of year (total assets less liabilities)2021-12-31$13,621,351
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$10,935,357
Assets. Value of participant loans2021-12-31$41,228
Total contributions received or receivable from employer(s)2021-12-31$522,879
Value of certain deemed distributions of participant loans2021-12-31$-8,795
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$40,535
2020 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$2,271,455
Expenses. Total of all expenses incurred2020-12-31$271,845
Benefits paid (including direct rollovers)2020-12-31$233,214
Total plan assets at end of year2020-12-31$10,935,357
Total plan assets at beginning of year2020-12-31$8,935,747
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$301,338
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$1,542,085
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,999,610
Net plan assets at end of year (total assets less liabilities)2020-12-31$10,935,357
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$8,935,747
Assets. Value of participant loans2020-12-31$36,027
Total contributions received or receivable from employer(s)2020-12-31$428,032
Value of certain deemed distributions of participant loans2020-12-31$8,992
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$29,639
2019 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$2,465,097
Expenses. Total of all expenses incurred2019-12-31$149,955
Benefits paid (including direct rollovers)2019-12-31$116,551
Total plan assets at end of year2019-12-31$8,935,747
Total plan assets at beginning of year2019-12-31$6,620,605
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$270,311
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,818,261
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$2,315,142
Net plan assets at end of year (total assets less liabilities)2019-12-31$8,935,747
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$6,620,605
Assets. Value of participant loans2019-12-31$51,675
Total contributions received or receivable from employer(s)2019-12-31$376,525
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$33,404
2018 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$97,123
Expenses. Total of all expenses incurred2018-12-31$575,582
Benefits paid (including direct rollovers)2018-12-31$561,609
Total plan assets at end of year2018-12-31$6,620,605
Total plan assets at beginning of year2018-12-31$7,099,064
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$244,048
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-575,701
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-478,459
Net plan assets at end of year (total assets less liabilities)2018-12-31$6,620,605
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$7,099,064
Assets. Value of participant loans2018-12-31$53,556
Total contributions received or receivable from employer(s)2018-12-31$428,776
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$13,973
2017 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$1,618,818
Expenses. Total of all expenses incurred2017-12-31$769,181
Benefits paid (including direct rollovers)2017-12-31$768,700
Total plan assets at end of year2017-12-31$7,099,064
Total plan assets at beginning of year2017-12-31$6,249,427
Value of fidelity bond covering the plan2017-12-31$500,000
Assets. Value of tangible personal property2017-12-31$0
Total contributions received or receivable from participants2017-12-31$273,996
Assets. Value of loans (other than to participants)2017-12-31$0
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$38,978
Other income received2017-12-31$1,023,569
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$849,637
Net plan assets at end of year (total assets less liabilities)2017-12-31$7,099,064
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$6,249,427
Assets. Value of participant loans2017-12-31$54,221
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Assets. Value of real-estate (other than employer real property)2017-12-31$0
Assets. Value of employer securities2017-12-31$0
Assets. Value of employer real property2017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$282,275
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$481
2016 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$1,245,285
Expenses. Total of all expenses incurred2016-12-31$1,828
Benefits paid (including direct rollovers)2016-12-31$1,509
Total plan assets at end of year2016-12-31$6,249,427
Total plan assets at beginning of year2016-12-31$5,005,970
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$284,589
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$463,503
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$1,243,457
Net plan assets at end of year (total assets less liabilities)2016-12-31$6,249,427
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$5,005,970
Assets. Value of participant loans2016-12-31$18,698
Total contributions received or receivable from employer(s)2016-12-31$497,193
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$319
2015 : SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$352,353
Expenses. Total of all expenses incurred2015-12-31$20,700
Benefits paid (including direct rollovers)2015-12-31$962
Total plan assets at end of year2015-12-31$5,005,970
Total plan assets at beginning of year2015-12-31$4,674,317
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$253,036
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$25,892
Other income received2015-12-31$-256,456
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$331,653
Net plan assets at end of year (total assets less liabilities)2015-12-31$5,005,970
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,674,317
Assets. Value of participant loans2015-12-31$34,473
Total contributions received or receivable from employer(s)2015-12-31$329,881
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$19,738

Form 5500 Responses for SAN DIEGO NEONATOLOGY, INC. 401(K) RETIREMENT PLAN

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

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number613953
Policy instance 1
Insurance contract or identification number613953
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $21
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 $16
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameLPL FINANCIAL CORPORATION

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