NORTH ATLANTA SURGICAL ASSOCIATES, PC has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2022: NASA 401(K) PLAN 2022 401k membership |
|---|
| Total participants, beginning-of-year | 2022-01-01 | 34 |
| Total number of active participants reported on line 7a of the Form 5500 | 2022-01-01 | 8 |
| Number of retired or separated participants receiving benefits | 2022-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2022-01-01 | 23 |
| Total of all active and inactive participants | 2022-01-01 | 33 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2022-01-01 | 1 |
| Total participants | 2022-01-01 | 34 |
| Number of participants with account balances | 2022-01-01 | 34 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2022-01-01 | 2 |
| 2021: NASA 401(K) PLAN 2021 401k membership |
|---|
| Total participants, beginning-of-year | 2021-01-01 | 41 |
| Total number of active participants reported on line 7a of the Form 5500 | 2021-01-01 | 13 |
| Number of retired or separated participants receiving benefits | 2021-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2021-01-01 | 19 |
| Total of all active and inactive participants | 2021-01-01 | 33 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2021-01-01 | 1 |
| Total participants | 2021-01-01 | 34 |
| Number of participants with account balances | 2021-01-01 | 34 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2021-01-01 | 0 |
| 2020: NASA 401(K) PLAN 2020 401k membership |
|---|
| Total participants, beginning-of-year | 2020-01-01 | 68 |
| Total number of active participants reported on line 7a of the Form 5500 | 2020-01-01 | 14 |
| Number of retired or separated participants receiving benefits | 2020-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2020-01-01 | 24 |
| Total of all active and inactive participants | 2020-01-01 | 39 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2020-01-01 | 1 |
| Total participants | 2020-01-01 | 40 |
| Number of participants with account balances | 2020-01-01 | 40 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2020-01-01 | 0 |
| 2019: NASA 401(K) PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 84 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 17 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 7 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 44 |
| Total of all active and inactive participants | 2019-01-01 | 68 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 68 |
| Number of participants with account balances | 2019-01-01 | 68 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 8 |
| 2018: NASA 401(K) PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 82 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 43 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 14 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 27 |
| Total of all active and inactive participants | 2018-01-01 | 84 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 84 |
| Number of participants with account balances | 2018-01-01 | 84 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 10 |
| 2017: NASA 401(K) PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 48 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 4 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 20 |
| Total of all active and inactive participants | 2017-01-01 | 72 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 72 |
| Number of participants with account balances | 2017-01-01 | 72 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 6 |
| 2016: NASA 401(K) PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 88 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 54 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 29 |
| Total of all active and inactive participants | 2016-01-01 | 83 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 83 |
| Number of participants with account balances | 2016-01-01 | 83 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 2 |
| 2015: NASA 401(K) PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 91 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 49 |
| 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 | 38 |
| Total of all active and inactive participants | 2015-01-01 | 87 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 87 |
| Number of participants with account balances | 2015-01-01 | 87 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 6 |
| 2014: NASA 401(K) PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 90 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 61 |
| 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 | 28 |
| Total of all active and inactive participants | 2014-01-01 | 89 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 89 |
| Number of participants with account balances | 2014-01-01 | 89 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 4 |
| Measure | Date | Value |
|---|
| 2022 : NASA 401(K) PLAN 2022 401k financial data |
|---|
| Total income from all sources | 2022-12-31 | $-2,244,146 |
| Expenses. Total of all expenses incurred | 2022-12-31 | $1,746,509 |
| Benefits paid (including direct rollovers) | 2022-12-31 | $1,732,279 |
| Total plan assets at end of year | 2022-12-31 | $13,024,999 |
| Total plan assets at beginning of year | 2022-12-31 | $17,015,654 |
| Value of fidelity bond covering the plan | 2022-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2022-12-31 | $89,830 |
| Other income received | 2022-12-31 | $-2,333,976 |
| Net income (gross income less expenses) | 2022-12-31 | $-3,990,655 |
| Net plan assets at end of year (total assets less liabilities) | 2022-12-31 | $13,024,999 |
| Net plan assets at beginning of year (total assets less liabilities) | 2022-12-31 | $17,015,654 |
| Value of certain deemed distributions of participant loans | 2022-12-31 | $14,230 |
| 2021 : NASA 401(K) PLAN 2021 401k financial data |
|---|
| Total income from all sources | 2021-12-31 | $2,852,094 |
| Expenses. Total of all expenses incurred | 2021-12-31 | $1,681,907 |
| Benefits paid (including direct rollovers) | 2021-12-31 | $1,658,171 |
| Total plan assets at end of year | 2021-12-31 | $17,015,654 |
| Total plan assets at beginning of year | 2021-12-31 | $15,845,467 |
| Value of fidelity bond covering the plan | 2021-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2021-12-31 | $143,054 |
| Other income received | 2021-12-31 | $2,510,337 |
| Net income (gross income less expenses) | 2021-12-31 | $1,170,187 |
| Net plan assets at end of year (total assets less liabilities) | 2021-12-31 | $17,015,654 |
| Net plan assets at beginning of year (total assets less liabilities) | 2021-12-31 | $15,845,467 |
| Total contributions received or receivable from employer(s) | 2021-12-31 | $198,703 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2021-12-31 | $23,736 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2021-12-31 | $0 |
| 2020 : NASA 401(K) PLAN 2020 401k financial data |
|---|
| Total income from all sources | 2020-12-31 | $1,267,779 |
| Expenses. Total of all expenses incurred | 2020-12-31 | $2,816,589 |
| Benefits paid (including direct rollovers) | 2020-12-31 | $2,784,938 |
| Total plan assets at end of year | 2020-12-31 | $15,845,467 |
| Total plan assets at beginning of year | 2020-12-31 | $17,394,277 |
| Value of fidelity bond covering the plan | 2020-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2020-12-31 | $150,004 |
| Contributions received from other sources (not participants or employers) | 2020-12-31 | $13,284 |
| Other income received | 2020-12-31 | $924,124 |
| Net income (gross income less expenses) | 2020-12-31 | $-1,548,810 |
| Net plan assets at end of year (total assets less liabilities) | 2020-12-31 | $15,845,467 |
| Net plan assets at beginning of year (total assets less liabilities) | 2020-12-31 | $17,394,277 |
| Total contributions received or receivable from employer(s) | 2020-12-31 | $180,367 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2020-12-31 | $31,651 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2020-12-31 | $0 |
| 2019 : NASA 401(K) PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $4,478,895 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $3,098,079 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $3,052,329 |
| Total plan assets at end of year | 2019-12-31 | $17,394,277 |
| Total plan assets at beginning of year | 2019-12-31 | $16,013,461 |
| Value of fidelity bond covering the plan | 2019-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $266,922 |
| Expenses. Other expenses not covered elsewhere | 2019-12-31 | $25,568 |
| Other income received | 2019-12-31 | $3,832,346 |
| Net income (gross income less expenses) | 2019-12-31 | $1,380,816 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $17,394,277 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $16,013,461 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $379,627 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $20,182 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-12-31 | $0 |
| 2018 : NASA 401(K) PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $-20,908 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $2,556,856 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $2,489,742 |
| Total plan assets at end of year | 2018-12-31 | $16,013,461 |
| Total plan assets at beginning of year | 2018-12-31 | $18,591,225 |
| Value of fidelity bond covering the plan | 2018-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $364,257 |
| Expenses. Other expenses not covered elsewhere | 2018-12-31 | $38,351 |
| Other income received | 2018-12-31 | $-964,613 |
| Net income (gross income less expenses) | 2018-12-31 | $-2,577,764 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $16,013,461 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $18,591,225 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $579,448 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $28,763 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
| 2017 : NASA 401(K) PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $3,785,569 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $612,437 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $507,667 |
| Total plan assets at end of year | 2017-12-31 | $18,591,225 |
| Total plan assets at beginning of year | 2017-12-31 | $15,418,093 |
| Value of fidelity bond covering the plan | 2017-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $383,775 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $63,919 |
| Other income received | 2017-12-31 | $2,815,988 |
| Net income (gross income less expenses) | 2017-12-31 | $3,173,132 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $18,591,225 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $15,418,093 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $585,806 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $40,851 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| 2016 : NASA 401(K) PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $2,300,864 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $1,403,231 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $1,325,259 |
| Total plan assets at end of year | 2016-12-31 | $15,418,093 |
| Total plan assets at beginning of year | 2016-12-31 | $14,520,460 |
| Value of fidelity bond covering the plan | 2016-12-31 | $500,000 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $38,351 |
| Other income received | 2016-12-31 | $1,222,986 |
| Net income (gross income less expenses) | 2016-12-31 | $897,633 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $15,418,093 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $14,520,460 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $1,077,878 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $39,621 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2015 : NASA 401(K) PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $958,201 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $2,477,785 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $2,449,370 |
| Total plan assets at end of year | 2015-12-31 | $14,520,460 |
| Total plan assets at beginning of year | 2015-12-31 | $16,040,044 |
| Value of fidelity bond covering the plan | 2015-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $467,696 |
| Other income received | 2015-12-31 | $-178,020 |
| Net income (gross income less expenses) | 2015-12-31 | $-1,519,584 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $14,520,460 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $16,040,044 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $668,525 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $28,415 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : NASA 401(K) PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $2,171,585 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $373,859 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $333,823 |
| Total plan assets at end of year | 2014-12-31 | $16,040,044 |
| Total plan assets at beginning of year | 2014-12-31 | $14,242,318 |
| Value of fidelity bond covering the plan | 2014-12-31 | $500,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $460,851 |
| Contributions received from other sources (not participants or employers) | 2014-12-31 | $3,297 |
| Other income received | 2014-12-31 | $989,884 |
| Net income (gross income less expenses) | 2014-12-31 | $1,797,726 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $16,040,044 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $14,242,318 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $717,553 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $40,036 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2022: NASA 401(K) PLAN 2022 form 5500 responses |
|---|
| 2022-01-01 | Type of plan entity | Single employer plan |
| 2022-01-01 | Submission has been amended | No |
| 2022-01-01 | This submission is the final filing | No |
| 2022-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2022-01-01 | Plan is a collectively bargained plan | No |
| 2022-01-01 | Plan funding arrangement – Trust | Yes |
| 2022-01-01 | Plan benefit arrangement - Trust | Yes |
| 2021: NASA 401(K) PLAN 2021 form 5500 responses |
|---|
| 2021-01-01 | Type of plan entity | Single employer plan |
| 2021-01-01 | Submission has been amended | No |
| 2021-01-01 | This submission is the final filing | No |
| 2021-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2021-01-01 | Plan is a collectively bargained plan | No |
| 2021-01-01 | Plan funding arrangement – Trust | Yes |
| 2021-01-01 | Plan benefit arrangement - Trust | Yes |
| 2020: NASA 401(K) PLAN 2020 form 5500 responses |
|---|
| 2020-01-01 | Type of plan entity | Single employer plan |
| 2020-01-01 | Submission has been amended | No |
| 2020-01-01 | This submission is the final filing | No |
| 2020-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2020-01-01 | Plan is a collectively bargained plan | No |
| 2020-01-01 | Plan funding arrangement – Insurance | Yes |
| 2020-01-01 | Plan funding arrangement – Trust | Yes |
| 2020-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2020-01-01 | Plan benefit arrangement - Trust | Yes |
| 2019: NASA 401(K) PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: NASA 401(K) PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: NASA 401(K) PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: NASA 401(K) PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: NASA 401(K) PLAN 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: NASA 401(K) PLAN 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 |
| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2020-01-01 | | Insurance policy end date | 2020-01-27 | | Are there contracts with allocated funds for individual policies? | 1 | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $959 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $959 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 |
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| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $1,598 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | 1 | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,598 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | JACK MARTIN MAZURE |
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| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $959 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $959 | | Insurance broker organization code? | 3 | | Insurance broker name | JACK MARTIN MAZURE |
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| LIFE INSURANCE COMPANY OF THE SOUTHWEST (National Association of Insurance Commissioners NAIC id number: 65528 ) |
| Policy contract number | 0356650 |
| Policy instance | 1 |
| Insurance contract or identification number | 0356650 | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $12,145 | | Total amount of fees paid to insurance company | USD $0 | | Are there contracts with allocated funds for individual policies? | Yes | | 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? | No | | 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 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $12,145 | | Amount paid for insurance broker fees | 0 | | Additional information about fees paid to insurance broker | NON-MONETARY COMPENSATION | | Insurance broker organization code? | 3 | | Insurance broker name | JACK MARTIN MAZURE |
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