HAYASHI & WAYLAND ACCOUNTING AND CONSULTING, LLP has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan HAYASHI WAYLAND 401(K) PLAN AND TRUST
| Measure | Date | Value |
|---|
| 2015: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 106 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 86 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 21 |
| Total of all active and inactive participants | 2015-01-01 | 107 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 107 |
| Number of participants with account balances | 2015-01-01 | 99 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 5 |
| 2014: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 86 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 16 |
| Total of all active and inactive participants | 2014-01-01 | 102 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 1 |
| Total participants | 2014-01-01 | 103 |
| Number of participants with account balances | 2014-01-01 | 98 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 9 |
| 2013: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 114 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 87 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 15 |
| Total of all active and inactive participants | 2013-01-01 | 102 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 102 |
| Number of participants with account balances | 2013-01-01 | 85 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 2 |
| 2012: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 95 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 87 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 16 |
| Total of all active and inactive participants | 2012-01-01 | 103 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 103 |
| Number of participants with account balances | 2012-01-01 | 90 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 2 |
| 2011: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 103 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 72 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 22 |
| Total of all active and inactive participants | 2011-01-01 | 94 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 94 |
| Number of participants with account balances | 2011-01-01 | 89 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 5 |
| 2009: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 93 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 80 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 7 |
| Total of all active and inactive participants | 2009-01-01 | 87 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 87 |
| Number of participants with account balances | 2009-01-01 | 81 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-01-01 | 1 |
| Measure | Date | Value |
|---|
| 2015 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $845,689 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $1,230,492 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $1,214,584 |
| Total plan assets at end of year | 2015-12-31 | $11,172,276 |
| Total plan assets at beginning of year | 2015-12-31 | $11,557,079 |
| Value of fidelity bond covering the plan | 2015-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $650,518 |
| Contributions received from other sources (not participants or employers) | 2015-12-31 | $54,242 |
| Other income received | 2015-12-31 | $43,351 |
| Net income (gross income less expenses) | 2015-12-31 | $-384,803 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $11,172,276 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $11,557,079 |
| Assets. Value of participant loans | 2015-12-31 | $223,569 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $97,578 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $15,908 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $1,407,606 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $550,250 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $534,849 |
| Total plan assets at end of year | 2014-12-31 | $11,557,079 |
| Total plan assets at beginning of year | 2014-12-31 | $10,699,723 |
| Value of fidelity bond covering the plan | 2014-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $665,347 |
| Contributions received from other sources (not participants or employers) | 2014-12-31 | $68,040 |
| Other income received | 2014-12-31 | $582,756 |
| Net income (gross income less expenses) | 2014-12-31 | $857,356 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $11,557,079 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $10,699,723 |
| Assets. Value of participant loans | 2014-12-31 | $253,520 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $91,463 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $15,401 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $2,366,975 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $1,010,264 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $1,009,310 |
| Total plan assets at end of year | 2013-12-31 | $10,699,723 |
| Total plan assets at beginning of year | 2013-12-31 | $9,343,012 |
| Value of fidelity bond covering the plan | 2013-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $474,026 |
| Contributions received from other sources (not participants or employers) | 2013-12-31 | $312,203 |
| Other income received | 2013-12-31 | $1,509,642 |
| Net income (gross income less expenses) | 2013-12-31 | $1,356,711 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $10,699,723 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $9,343,012 |
| Assets. Value of participant loans | 2013-12-31 | $285,641 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $71,104 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2013-12-31 | $954 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2012 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $1,605,236 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $495,719 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $489,443 |
| Total plan assets at end of year | 2012-12-31 | $9,343,012 |
| Total plan assets at beginning of year | 2012-12-31 | $8,233,495 |
| Value of fidelity bond covering the plan | 2012-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $433,343 |
| Contributions received from other sources (not participants or employers) | 2012-12-31 | $91,830 |
| Other income received | 2012-12-31 | $1,015,061 |
| Net income (gross income less expenses) | 2012-12-31 | $1,109,517 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $9,343,012 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $8,233,495 |
| Assets. Value of participant loans | 2012-12-31 | $189,989 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $65,002 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2012-12-31 | $6,276 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2012-12-31 | $0 |
| 2011 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $914,489 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $167,177 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $151,685 |
| Total plan assets at end of year | 2011-12-31 | $8,233,495 |
| Total plan assets at beginning of year | 2011-12-31 | $7,486,183 |
| Value of fidelity bond covering the plan | 2011-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $434,430 |
| Contributions received from other sources (not participants or employers) | 2011-12-31 | $563,523 |
| Other income received | 2011-12-31 | $-198,268 |
| Net income (gross income less expenses) | 2011-12-31 | $747,312 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $8,233,495 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $7,486,183 |
| Assets. Value of participant loans | 2011-12-31 | $135,502 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $114,804 |
| Value of certain deemed distributions of participant loans | 2011-12-31 | $1,206 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $14,286 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2011-12-31 | $0 |
| 2010 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $1,351,215 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $140,256 |
| Benefits paid (including direct rollovers) | 2010-12-31 | $133,019 |
| Total plan assets at end of year | 2010-12-31 | $7,486,183 |
| Total plan assets at beginning of year | 2010-12-31 | $6,275,224 |
| Value of fidelity bond covering the plan | 2010-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $355,440 |
| Expenses. Other expenses not covered elsewhere | 2010-12-31 | $345 |
| Contributions received from other sources (not participants or employers) | 2010-12-31 | $24,028 |
| Other income received | 2010-12-31 | $875,980 |
| Net income (gross income less expenses) | 2010-12-31 | $1,210,959 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $7,486,183 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $6,275,224 |
| Assets. Value of participant loans | 2010-12-31 | $133,484 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $95,767 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $6,892 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2010-12-31 | $0 |
| 2009 : HAYASHI WAYLAND 401(K) PLAN AND TRUST 2009 401k financial data |
|---|
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2009-12-31 | $0 |
| 2015: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Submission has been amended | No |
| 2012-01-01 | This submission is the final filing | No |
| 2012-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-01-01 | Plan is a collectively bargained plan | No |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Submission has been amended | No |
| 2011-01-01 | This submission is the final filing | No |
| 2011-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2011-01-01 | Plan is a collectively bargained plan | No |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: HAYASHI WAYLAND 401(K) PLAN AND TRUST 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | No |
| 2009-01-01 | This submission is the final filing | No |
| 2009-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2009-01-01 | Plan is a collectively bargained plan | No |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | 810866 |
| Policy instance | 1 |
| Insurance contract or identification number | 810866 | | Number of Individuals Covered | 99 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 14436 |
| Policy instance | 1 |
| Insurance contract or identification number | 14436 | | Number of Individuals Covered | 0 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 ) |
| Policy contract number | 810866 |
| Policy instance | 2 |
| Insurance contract or identification number | 810866 | | Number of Individuals Covered | 96 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 14436 |
| Policy instance | 1 |
| Insurance contract or identification number | 14436 | | Number of Individuals Covered | 90 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 14436 |
| Policy instance | 1 |
| Insurance contract or identification number | 14436 | | Number of Individuals Covered | 92 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $11,345 | | Total amount of fees paid to insurance company | USD $10 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | Were dividends or retroactive rate refunds paid in cash? | No | | Were dividends or retroactive rate refunds paid as a credit? | No |
|
| JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
| Policy contract number | 14436 |
| Policy instance | 1 |
| Insurance contract or identification number | 14436 | | Number of Individuals Covered | 88 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $8,947 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $8,947 | | Insurance broker organization code? | 3 | | Insurance broker name | LPL FINANCIAL CORPORATION |
|
