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COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameCOMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN
Plan identification number 001

COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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.
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

COMPREHENSIVE MEDICAL MANAGEMENT, PC has sponsored the creation of one or more 401k plans.

Company Name:COMPREHENSIVE MEDICAL MANAGEMENT, PC
Employer identification number (EIN):841405139
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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
0012018-01-01
0012018-01-01
0012017-01-01TIMOTHY GRANGE TIMOTHY GRANGE2018-09-28
0012017-01-01
0012016-01-01TIMOTHY GRANGE TIMOTHY GRANGE2017-07-27
0012015-01-01TIMOTHY GRANGE
0012014-01-01TIMOTHY GRANGE2015-10-12
0012013-01-01TIMOTHY GRANGE2014-09-22
0012012-01-01TIMOTHY GRANGE2013-10-12
0012011-01-01TIM GRANGE2012-09-29
0012010-01-01BRENDA KENTOR2011-10-14
0012009-01-01TIM GRANGE

Plan Statistics for COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2022: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0116
Total number of active participants reported on line 7a of the Form 55002022-01-019
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-012
Total of all active and inactive participants2022-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0113
Number of participants with account balances2022-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0116
Total number of active participants reported on line 7a of the Form 55002021-01-019
Number of retired or separated participants receiving benefits2021-01-013
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0116
Number of participants with account balances2021-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0116
Total number of active participants reported on line 7a of the Form 55002020-01-0110
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0116
Number of participants with account balances2020-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-012
2019: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0116
Total number of active participants reported on line 7a of the Form 55002019-01-0111
Number of retired or separated participants receiving benefits2019-01-013
Number of other retired or separated participants entitled to future benefits2019-01-012
Total of all active and inactive participants2019-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0116
Number of participants with account balances2019-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0115
Total number of active participants reported on line 7a of the Form 55002018-01-0113
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 participants2018-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0116
Number of participants with account balances2018-01-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-0110
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0113
Number of participants with account balances2017-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-012
2016: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-0111
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-012
Total of all active and inactive participants2016-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0113
Number of participants with account balances2016-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0111
Total number of active participants reported on line 7a of the Form 55002015-01-0112
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0113
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2009: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015
Total number of active participants reported on line 7a of the Form 55002009-01-014
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-011
Total of all active and inactive participants2009-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-015
Number of participants with account balances2009-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN

Measure Date Value
2022 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2022 401k financial data
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-216,341
Expenses. Total of all expenses incurred2022-12-31$30,370
Benefits paid (including direct rollovers)2022-12-31$30,370
Total plan assets at end of year2022-12-31$1,275,188
Total plan assets at beginning of year2022-12-31$1,521,899
Value of fidelity bond covering the plan2022-12-31$200,000
Total contributions received or receivable from participants2022-12-31$34,244
Noncash contributions received2022-12-31$-264,385
Net income (gross income less expenses)2022-12-31$-246,711
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,275,188
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,521,899
Assets. Value of participant loans2022-12-31$27,094
Assets. Value of assets in partnership/joint-venture interests2022-12-31$40,000
Total contributions received or receivable from employer(s)2022-12-31$13,800
2021 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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$245,199
Expenses. Total of all expenses incurred2021-12-31$529,512
Benefits paid (including direct rollovers)2021-12-31$528,362
Total plan assets at end of year2021-12-31$1,523,424
Total plan assets at beginning of year2021-12-31$1,807,737
Value of fidelity bond covering the plan2021-12-31$200,000
Total contributions received or receivable from participants2021-12-31$34,303
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$193,974
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$-284,313
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,523,424
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,807,737
Assets. Value of participant loans2021-12-31$49,505
Assets. Value of assets in partnership/joint-venture interests2021-12-31$17,774
Total contributions received or receivable from employer(s)2021-12-31$16,922
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$1,150
2020 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2020 401k financial data
Total income from all sources2020-12-31$424,195
Expenses. Total of all expenses incurred2020-12-31$4,968
Benefits paid (including direct rollovers)2020-12-31$4,000
Total plan assets at end of year2020-12-31$1,807,737
Total plan assets at beginning of year2020-12-31$1,388,510
Value of fidelity bond covering the plan2020-12-31$200,000
Total contributions received or receivable from participants2020-12-31$32,593
Contributions received from other sources (not participants or employers)2020-12-31$780
Other income received2020-12-31$374,535
Net income (gross income less expenses)2020-12-31$419,227
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,807,737
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,388,510
Assets. Value of participant loans2020-12-31$86,915
Assets. Value of assets in partnership/joint-venture interests2020-12-31$25,853
Total contributions received or receivable from employer(s)2020-12-31$16,287
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$968
2019 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2019 401k financial data
Total income from all sources2019-12-31$300,716
Expenses. Total of all expenses incurred2019-12-31$13,109
Benefits paid (including direct rollovers)2019-12-31$13,109
Total plan assets at end of year2019-12-31$1,388,510
Total plan assets at beginning of year2019-12-31$1,100,903
Value of fidelity bond covering the plan2019-12-31$75,000
Total contributions received or receivable from participants2019-12-31$33,218
Other income received2019-12-31$254,527
Net income (gross income less expenses)2019-12-31$287,607
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,388,510
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,100,903
Assets. Value of participant loans2019-12-31$91,479
Assets. Value of assets in partnership/joint-venture interests2019-12-31$48,360
Total contributions received or receivable from employer(s)2019-12-31$12,971
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2018 401k financial data
Total income from all sources2018-12-31$-15,634
Expenses. Total of all expenses incurred2018-12-31$5,000
Benefits paid (including direct rollovers)2018-12-31$5,000
Total plan assets at end of year2018-12-31$1,101,105
Total plan assets at beginning of year2018-12-31$1,121,739
Value of fidelity bond covering the plan2018-12-31$75,000
Total contributions received or receivable from participants2018-12-31$42,171
Other income received2018-12-31$-81,830
Net income (gross income less expenses)2018-12-31$-20,634
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,101,105
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,121,739
Assets. Value of participant loans2018-12-31$32,212
Assets. Value of assets in partnership/joint-venture interests2018-12-31$46,692
Total contributions received or receivable from employer(s)2018-12-31$24,025
2017 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2017 401k financial data
Total income from all sources2017-12-31$175,383
Expenses. Total of all expenses incurred2017-12-31$2,129
Benefits paid (including direct rollovers)2017-12-31$2,129
Total plan assets at end of year2017-12-31$1,109,912
Total plan assets at beginning of year2017-12-31$936,658
Value of fidelity bond covering the plan2017-12-31$75,000
Total contributions received or receivable from participants2017-12-31$42,116
Other income received2017-12-31$117,814
Net income (gross income less expenses)2017-12-31$173,254
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,109,912
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$936,658
Assets. Value of participant loans2017-12-31$27,122
Assets. Value of assets in partnership/joint-venture interests2017-12-31$46,692
Total contributions received or receivable from employer(s)2017-12-31$15,453
2016 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2016 401k financial data
Total income from all sources2016-12-31$154,128
Expenses. Total of all expenses incurred2016-12-31$0
Total plan assets at end of year2016-12-31$936,658
Total plan assets at beginning of year2016-12-31$782,530
Value of fidelity bond covering the plan2016-12-31$75,000
Total contributions received or receivable from participants2016-12-31$38,789
Other income received2016-12-31$88,064
Net income (gross income less expenses)2016-12-31$154,128
Net plan assets at end of year (total assets less liabilities)2016-12-31$936,658
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$782,530
Assets. Value of participant loans2016-12-31$10,106
Assets. Value of assets in partnership/joint-venture interests2016-12-31$44,950
Total contributions received or receivable from employer(s)2016-12-31$27,275
2015 : COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2015 401k financial data
Total plan liabilities at beginning of year2015-12-31$4,102
Total income from all sources2015-12-31$33,645
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$782,530
Total plan assets at beginning of year2015-12-31$752,987
Value of fidelity bond covering the plan2015-12-31$30,000
Total contributions received or receivable from participants2015-12-31$37,517
Other income received2015-12-31$-30,414
Net income (gross income less expenses)2015-12-31$33,645
Net plan assets at end of year (total assets less liabilities)2015-12-31$782,530
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$748,885
Assets. Value of participant loans2015-12-31$11,318
Assets. Value of assets in partnership/joint-venture interests2015-12-31$38,958
Total contributions received or receivable from employer(s)2015-12-31$26,542
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 COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN

2022: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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 – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedYes
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 – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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 – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
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: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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
2009: COMPREHENSIVE MEDICAL MANAGEMENT, PC 401(K) RETIREMENT SAVINGS 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP29128
Policy instance 1
Insurance contract or identification numberGP29128
Number of Individuals Covered12
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $1,011
Total amount of fees paid to insurance companyUSD $101
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
Commission paid to Insurance BrokerUSD $1,011
Insurance broker organization code?4
Amount paid for insurance broker fees101
Additional information about fees paid to insurance brokerTPA FEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP29128
Policy instance 1
Insurance contract or identification numberGP29128
Number of Individuals Covered15
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $1,045
Total amount of fees paid to insurance companyUSD $105
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
Commission paid to Insurance BrokerUSD $1,045
Insurance broker organization code?4
Amount paid for insurance broker fees105
Additional information about fees paid to insurance brokerTPA FEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP29128
Policy instance 1
Insurance contract or identification numberGP29128
Number of Individuals Covered15
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $880
Total amount of fees paid to insurance companyUSD $88
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
Commission paid to Insurance BrokerUSD $880
Insurance broker organization code?4
Amount paid for insurance broker fees88
Additional information about fees paid to insurance brokerTPA FEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP29128
Policy instance 1
Insurance contract or identification numberGP29128
Number of Individuals Covered14
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
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
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 29128
Policy instance 1
Insurance contract or identification numberGP 29128
Number of Individuals Covered14
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $741
Total amount of fees paid to insurance companyUSD $82
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
Commission paid to Insurance BrokerUSD $741
Insurance broker organization code?4
Amount paid for insurance broker fees82
Additional information about fees paid to insurance brokerFEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 29128
Policy instance 1
Insurance contract or identification numberGP 29128
Number of Individuals Covered13
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $675
Total amount of fees paid to insurance companyUSD $18
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
Commission paid to Insurance BrokerUSD $675
Insurance broker organization code?4
Amount paid for insurance broker fees18
Additional information about fees paid to insurance brokerFEES
Insurance broker nameNATIONAL BENEFIT SERVICES, LLC
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 29128
Policy instance 1
Insurance contract or identification numberGP 29128
Number of Individuals Covered10
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $713
Total amount of fees paid to insurance companyUSD $30
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?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 $713
Amount paid for insurance broker fees30
Additional information about fees paid to insurance brokerN/A
Insurance broker organization code?4
Insurance broker nameSECURITIES AMERICA, INC

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