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OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameOFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN
Plan identification number 001

OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS 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.
  • 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

OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL #30 has sponsored the creation of one or more 401k plans.

Company Name:OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL #30
Employer identification number (EIN):840374986
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012019-01-01WALTER ALLEN2020-10-13
0012018-01-01WALTER ALLEN2019-09-26
0012017-01-01
0012016-01-01
0012016-01-01WALTER ALLEN2017-10-16
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01JAMES Z. STONE ERPA 00000775-EP2013-10-15 JAMES Z. STONE ERPA 00000775-EP2013-10-15
0012011-01-01JAMES Z. STONE ERPA 00000775-EP2012-09-04 JAMES Z. STONE ERPA 00000775-EP2012-09-04
0012010-01-01CHRISTINE KIRSCHENMAN2011-03-21 CHRISTINE KIRSCHENMAN2011-03-21

Plan Statistics for OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN

Measure Date Value
2021: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0190
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-010
Number of participants with account balances2021-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
Number of employers contributing to the scheme2021-01-010
2020: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0187
Total number of active participants reported on line 7a of the Form 55002020-01-0175
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0115
Total of all active and inactive participants2020-01-0190
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0190
Number of participants with account balances2020-01-0183
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
Number of employers contributing to the scheme2020-01-0115
2019: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0184
Total number of active participants reported on line 7a of the Form 55002019-01-0162
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0125
Total of all active and inactive participants2019-01-0187
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0187
Number of participants with account balances2019-01-0187
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
Number of employers contributing to the scheme2019-01-0115
2018: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0184
Total number of active participants reported on line 7a of the Form 55002018-01-0177
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-017
Total of all active and inactive participants2018-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0184
Number of participants with account balances2018-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
Number of employers contributing to the scheme2018-01-0115
2017: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0191
Total number of active participants reported on line 7a of the Form 55002017-01-0178
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-016
Total of all active and inactive participants2017-01-0184
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0184
Number of participants with account balances2017-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
Number of employers contributing to the scheme2017-01-0113
2016: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0188
Total number of active participants reported on line 7a of the Form 55002016-01-0164
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0124
Total of all active and inactive participants2016-01-0188
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0188
Number of participants with account balances2016-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
Number of employers contributing to the scheme2016-01-0113
2015: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0176
Total number of active participants reported on line 7a of the Form 55002015-01-0176
Number of other retired or separated participants entitled to future benefits2015-01-018
Total of all active and inactive participants2015-01-0184
Total participants2015-01-0184
Number of participants with account balances2015-01-0184
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
Number of employers contributing to the scheme2015-01-0114

Financial Data on OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN

Measure Date Value
2021 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2021 401k financial data
Transfers to/from the plan2021-05-31$-2,286,163
Total income from all sources2021-05-31$254,795
Expenses. Total of all expenses incurred2021-05-31$11,037
Benefits paid (including direct rollovers)2021-05-31$10,770
Total plan assets at end of year2021-05-31$0
Total plan assets at beginning of year2021-05-31$2,042,405
Value of fidelity bond covering the plan2021-05-31$500,000
Total contributions received or receivable from participants2021-05-31$60,786
Expenses. Other expenses not covered elsewhere2021-05-31$92
Other income received2021-05-31$151,472
Net income (gross income less expenses)2021-05-31$243,758
Net plan assets at end of year (total assets less liabilities)2021-05-31$0
Net plan assets at beginning of year (total assets less liabilities)2021-05-31$2,042,405
Total contributions received or receivable from employer(s)2021-05-31$42,537
Expenses. Administrative service providers (salaries,fees and commissions)2021-05-31$175
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-05-31$0
2020 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2020 401k financial data
Total income from all sources2020-12-31$515,324
Expenses. Total of all expenses incurred2020-12-31$388,923
Benefits paid (including direct rollovers)2020-12-31$386,448
Total plan assets at end of year2020-12-31$2,042,405
Total plan assets at beginning of year2020-12-31$1,916,004
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$159,542
Expenses. Other expenses not covered elsewhere2020-12-31$2,475
Contributions received from other sources (not participants or employers)2020-12-31$21,221
Other income received2020-12-31$243,684
Net income (gross income less expenses)2020-12-31$126,401
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,042,405
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,916,004
Total contributions received or receivable from employer(s)2020-12-31$90,877
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources2019-12-31$533,607
Expenses. Total of all expenses incurred2019-12-31$178,995
Benefits paid (including direct rollovers)2019-12-31$177,944
Total plan assets at end of year2019-12-31$1,916,004
Total plan assets at beginning of year2019-12-31$1,561,392
Value of fidelity bond covering the plan2019-12-31$160,000
Total contributions received or receivable from participants2019-12-31$154,600
Other income received2019-12-31$294,755
Net income (gross income less expenses)2019-12-31$354,612
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,916,004
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,561,392
Total contributions received or receivable from employer(s)2019-12-31$84,252
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$1,051
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-12-31$92,853
Expenses. Total of all expenses incurred2018-12-31$92,065
Benefits paid (including direct rollovers)2018-12-31$91,487
Total plan assets at end of year2018-12-31$1,561,392
Total plan assets at beginning of year2018-12-31$1,560,604
Value of fidelity bond covering the plan2018-12-31$160,000
Total contributions received or receivable from participants2018-12-31$116,748
Contributions received from other sources (not participants or employers)2018-12-31$1,410
Other income received2018-12-31$-120,717
Net income (gross income less expenses)2018-12-31$788
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,561,392
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,560,604
Total contributions received or receivable from employer(s)2018-12-31$95,412
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$578
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$399,291
Expenses. Total of all expenses incurred2017-12-31$356,604
Benefits paid (including direct rollovers)2017-12-31$352,672
Total plan assets at end of year2017-12-31$1,560,604
Total plan assets at beginning of year2017-12-31$1,517,917
Value of fidelity bond covering the plan2017-12-31$160,000
Total contributions received or receivable from participants2017-12-31$97,378
Contributions received from other sources (not participants or employers)2017-12-31$214,961
Net income (gross income less expenses)2017-12-31$42,687
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,560,604
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,517,917
Total contributions received or receivable from employer(s)2017-12-31$86,952
Value of corrective distributions2017-12-31$2,136
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$1,796
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$271,186
Expenses. Total of all expenses incurred2016-12-31$252,621
Benefits paid (including direct rollovers)2016-12-31$249,979
Total plan assets at end of year2016-12-31$1,517,917
Total plan assets at beginning of year2016-12-31$1,499,352
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$99,203
Other income received2016-12-31$97,427
Net income (gross income less expenses)2016-12-31$18,565
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,517,917
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,499,352
Total contributions received or receivable from employer(s)2016-12-31$74,556
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,642
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2015 401k financial data
Total income from all sources2015-12-31$133,228
Expenses. Total of all expenses incurred2015-12-31$448,524
Benefits paid (including direct rollovers)2015-12-31$446,169
Total plan assets at end of year2015-12-31$1,499,352
Total plan assets at beginning of year2015-12-31$1,814,648
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$88,683
Expenses. Other expenses not covered elsewhere2015-12-31$721
Other income received2015-12-31$-30,963
Net income (gross income less expenses)2015-12-31$-315,296
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,499,352
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,814,648
Total contributions received or receivable from employer(s)2015-12-31$75,508
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,634
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0

Form 5500 Responses for OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN

2021: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulti-employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan is a collectively bargained planYes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2020 form 5500 responses
2020-01-01Type of plan entityMulti-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 planYes
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2019 form 5500 responses
2019-01-01Type of plan entityMulti-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 planYes
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entityMulti-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 planYes
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2017 form 5500 responses
2017-01-01Type of plan entityMulti-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 planYes
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2016 form 5500 responses
2016-01-01Type of plan entityMulti-employer plan
2016-01-01Submission has been amendedYes
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 planYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: OFFICE & PROFESSIONAL EMPLOYEES INTERNATIONAL UNION LOCAL NO. 5 RETIREMENT SAVINGS PLAN 2015 form 5500 responses
2015-01-01Type of plan entityMulti-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 planYes
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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-05-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $235
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees235
Additional information about fees paid to insurance brokerADMINISTRATION FEES; TPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered91
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $3,154
Total amount of fees paid to insurance companyUSD $0
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,154
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerADMINISTRATION FEES; TPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered87
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $6,920
Total amount of fees paid to insurance companyUSD $1,775
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,920
Insurance broker organization code?3
Amount paid for insurance broker fees1775
Additional information about fees paid to insurance brokerADMINISTRATION FEES; TPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered88
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,971
Total amount of fees paid to insurance companyUSD $1,299
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,971
Insurance broker organization code?3
Amount paid for insurance broker fees1299
Additional information about fees paid to insurance brokerADMINISTRATION FEES; TPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered82
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $5,264
Total amount of fees paid to insurance companyUSD $2,067
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,264
Insurance broker organization code?3
Amount paid for insurance broker fees2067
Additional information about fees paid to insurance brokerADMINISTRATION FEES; TPA COMPENSATION
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP, I
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number92879
Policy instance 1
Insurance contract or identification number92879
Number of Individuals Covered76
Insurance policy start date2016-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,634
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractGROUP ANNUITY
Amount paid for insurance broker fees1634
Additional information about fees paid to insurance brokerDISTRIBUTION FEES
Insurance broker organization code?5
Insurance broker nameNORTH AMERICAN EMPLOYER SOLUTIONS

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