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TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 401k Plan overview

Plan NameTERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN
Plan identification number 002

TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • Prototype plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion or notification letter; and under which a seperate funding medium (for example, a seperate trust or custodial account) is established for the use of each adopting employer.

401k Sponsoring company profile

TERRY E. LANGETT, DMD, PC has sponsored the creation of one or more 401k plans.

Company Name:TERRY E. LANGETT, DMD, PC
Employer identification number (EIN):251423727
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-01-01TERRY E. LANGETT2022-10-26
0022021-01-01TERRY E. LANGETT2022-08-21
0022020-01-01TERRY E. LANGETT2021-10-07
0022019-01-01TERRY E. LANGETT2020-06-23
0022018-01-01
0022017-01-01
0022016-01-01
0022015-01-01TERRY LANGETT
0022014-01-01TERRY LANGETT
0022013-01-01TERRY LANGETT
0022012-01-01TERRY LANGETT
0022011-01-01TERRY LANGETT
0022010-01-01TERRY LANGETT
0022009-01-01TERRY LANGETT

Plan Statistics for TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN

401k plan membership statisitcs for TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN

Measure Date Value
2022: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-014
Total number of active participants reported on line 7a of the Form 55002022-01-010
Total of all active and inactive participants2022-01-010
Total participants2022-01-010
Number of participants with account balances2022-01-010
2021: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-014
Total number of active participants reported on line 7a of the Form 55002021-01-014
Total of all active and inactive participants2021-01-014
Total participants2021-01-014
Number of participants with account balances2021-01-014
2020: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-014
Total number of active participants reported on line 7a of the Form 55002020-01-014
Total of all active and inactive participants2020-01-014
Total participants2020-01-014
Number of participants with account balances2020-01-014
2019: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-014
Total number of active participants reported on line 7a of the Form 55002019-01-014
Total of all active and inactive participants2019-01-014
Total participants2019-01-014
Number of participants with account balances2019-01-014
2018: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014
Total number of active participants reported on line 7a of the Form 55002018-01-014
Total of all active and inactive participants2018-01-014
Total participants2018-01-014
Number of participants with account balances2018-01-014
2017: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-014
Total number of active participants reported on line 7a of the Form 55002017-01-014
Total of all active and inactive participants2017-01-014
Total participants2017-01-014
Number of participants with account balances2017-01-014
2016: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014
Total number of active participants reported on line 7a of the Form 55002016-01-014
Total of all active and inactive participants2016-01-014
Total participants2016-01-014
Number of participants with account balances2016-01-014
2015: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-014
Total number of active participants reported on line 7a of the Form 55002015-01-014
Total of all active and inactive participants2015-01-014
Total participants2015-01-014
Number of participants with account balances2015-01-014
2014: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-014
Total number of active participants reported on line 7a of the Form 55002014-01-014
Total of all active and inactive participants2014-01-014
Total participants2014-01-014
Number of participants with account balances2014-01-014
2013: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-014
Total number of active participants reported on line 7a of the Form 55002013-01-014
Total of all active and inactive participants2013-01-014
Total participants2013-01-014
Number of participants with account balances2013-01-014
2012: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-014
Total number of active participants reported on line 7a of the Form 55002012-01-014
Total of all active and inactive participants2012-01-014
Total participants2012-01-014
Number of participants with account balances2012-01-014
2011: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-014
Total number of active participants reported on line 7a of the Form 55002011-01-014
Total of all active and inactive participants2011-01-014
Total participants2011-01-014
Number of participants with account balances2011-01-014
2010: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-014
Total number of active participants reported on line 7a of the Form 55002010-01-014
Total of all active and inactive participants2010-01-014
Total participants2010-01-014
Number of participants with account balances2010-01-014
2009: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-014
Total number of active participants reported on line 7a of the Form 55002009-01-014
Total of all active and inactive participants2009-01-014
Total participants2009-01-014
Number of participants with account balances2009-01-014

Financial Data on TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN

Measure Date Value
2022 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2022 401k financial data
Total income from all sources2022-08-31$-57,810
Expenses. Total of all expenses incurred2022-08-31$209,431
Benefits paid (including direct rollovers)2022-08-31$209,431
Total plan assets at end of year2022-08-31$0
Total plan assets at beginning of year2022-08-31$267,241
Other income received2022-08-31$-57,810
Net income (gross income less expenses)2022-08-31$-267,241
Net plan assets at end of year (total assets less liabilities)2022-08-31$0
Net plan assets at beginning of year (total assets less liabilities)2022-08-31$267,241
2021 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2021 401k financial data
Total income from all sources2021-12-31$17,838
Expenses. Total of all expenses incurred2021-12-31$4,434
Benefits paid (including direct rollovers)2021-12-31$4,434
Total plan assets at end of year2021-12-31$267,241
Total plan assets at beginning of year2021-12-31$253,837
Other income received2021-12-31$11,838
Net income (gross income less expenses)2021-12-31$13,404
Net plan assets at end of year (total assets less liabilities)2021-12-31$267,241
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$253,837
Total contributions received or receivable from employer(s)2021-12-31$6,000
2020 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-12-31$55,928
Expenses. Total of all expenses incurred2020-12-31$4,692
Benefits paid (including direct rollovers)2020-12-31$4,692
Total plan assets at end of year2020-12-31$253,837
Total plan assets at beginning of year2020-12-31$202,601
Other income received2020-12-31$49,928
Net income (gross income less expenses)2020-12-31$51,236
Net plan assets at end of year (total assets less liabilities)2020-12-31$253,837
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$202,601
Total contributions received or receivable from employer(s)2020-12-31$6,000
2019 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-12-31$29,342
Expenses. Total of all expenses incurred2019-12-31$4,702
Benefits paid (including direct rollovers)2019-12-31$4,702
Total plan assets at end of year2019-12-31$202,601
Total plan assets at beginning of year2019-12-31$177,961
Other income received2019-12-31$23,342
Net income (gross income less expenses)2019-12-31$24,640
Net plan assets at end of year (total assets less liabilities)2019-12-31$202,601
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$177,961
Total contributions received or receivable from employer(s)2019-12-31$6,000
2018 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-12-31$9,791
Expenses. Total of all expenses incurred2018-12-31$4,737
Benefits paid (including direct rollovers)2018-12-31$4,737
Total plan assets at end of year2018-12-31$177,961
Total plan assets at beginning of year2018-12-31$172,907
Other income received2018-12-31$3,791
Net income (gross income less expenses)2018-12-31$5,054
Net plan assets at end of year (total assets less liabilities)2018-12-31$177,961
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$172,907
Total contributions received or receivable from employer(s)2018-12-31$6,000
2017 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$16,010
Expenses. Total of all expenses incurred2017-12-31$4,655
Benefits paid (including direct rollovers)2017-12-31$4,655
Total plan assets at end of year2017-12-31$172,907
Total plan assets at beginning of year2017-12-31$161,552
Other income received2017-12-31$10,010
Net income (gross income less expenses)2017-12-31$11,355
Net plan assets at end of year (total assets less liabilities)2017-12-31$172,907
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$161,552
Total contributions received or receivable from employer(s)2017-12-31$6,000
2016 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$11,234
Expenses. Total of all expenses incurred2016-12-31$4,736
Benefits paid (including direct rollovers)2016-12-31$4,736
Total plan assets at end of year2016-12-31$161,552
Total plan assets at beginning of year2016-12-31$155,054
Other income received2016-12-31$5,234
Net income (gross income less expenses)2016-12-31$6,498
Net plan assets at end of year (total assets less liabilities)2016-12-31$161,552
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$155,054
Total contributions received or receivable from employer(s)2016-12-31$6,000
2015 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$11,437
Expenses. Total of all expenses incurred2015-12-31$4,544
Benefits paid (including direct rollovers)2015-12-31$4,544
Total plan assets at end of year2015-12-31$155,054
Total plan assets at beginning of year2015-12-31$148,161
Value of fidelity bond covering the plan2015-12-31$100,000
Other income received2015-12-31$5,437
Net income (gross income less expenses)2015-12-31$6,893
Net plan assets at end of year (total assets less liabilities)2015-12-31$155,054
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$148,161
Total contributions received or receivable from employer(s)2015-12-31$6,000
2014 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$11,859
Expenses. Total of all expenses incurred2014-12-31$4,590
Benefits paid (including direct rollovers)2014-12-31$4,590
Total plan assets at end of year2014-12-31$148,161
Total plan assets at beginning of year2014-12-31$140,892
Value of fidelity bond covering the plan2014-12-31$100,000
Other income received2014-12-31$5,859
Net income (gross income less expenses)2014-12-31$7,269
Net plan assets at end of year (total assets less liabilities)2014-12-31$148,161
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$140,892
Total contributions received or receivable from employer(s)2014-12-31$6,000
2013 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$13,740
Expenses. Total of all expenses incurred2013-12-31$4,551
Benefits paid (including direct rollovers)2013-12-31$4,551
Total plan assets at end of year2013-12-31$140,892
Total plan assets at beginning of year2013-12-31$131,703
Value of fidelity bond covering the plan2013-12-31$100,000
Other income received2013-12-31$7,740
Net income (gross income less expenses)2013-12-31$9,189
Net plan assets at end of year (total assets less liabilities)2013-12-31$140,892
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$131,703
Total contributions received or receivable from employer(s)2013-12-31$6,000
2012 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$12,061
Expenses. Total of all expenses incurred2012-12-31$9,215
Benefits paid (including direct rollovers)2012-12-31$9,215
Total plan assets at end of year2012-12-31$131,703
Total plan assets at beginning of year2012-12-31$128,858
Value of fidelity bond covering the plan2012-12-31$100,000
Other income received2012-12-31$6,061
Net income (gross income less expenses)2012-12-31$2,846
Net plan assets at end of year (total assets less liabilities)2012-12-31$131,703
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$128,858
Total contributions received or receivable from employer(s)2012-12-31$6,000
2011 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$9,772
Expenses. Total of all expenses incurred2011-12-31$0
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$128,858
Total plan assets at beginning of year2011-12-31$119,086
Value of fidelity bond covering the plan2011-12-31$100,000
Other income received2011-12-31$3,772
Net income (gross income less expenses)2011-12-31$9,772
Net plan assets at end of year (total assets less liabilities)2011-12-31$128,858
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$119,086
Total contributions received or receivable from employer(s)2011-12-31$6,000
2010 : TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$11,495
Expenses. Total of all expenses incurred2010-12-31$5,779
Benefits paid (including direct rollovers)2010-12-31$5,779
Total plan assets at end of year2010-12-31$119,086
Total plan assets at beginning of year2010-12-31$113,370
Value of fidelity bond covering the plan2010-12-31$100,000
Other income received2010-12-31$5,495
Net income (gross income less expenses)2010-12-31$5,716
Net plan assets at end of year (total assets less liabilities)2010-12-31$119,086
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$113,370
Total contributions received or receivable from employer(s)2010-12-31$6,000

Form 5500 Responses for TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN

2022: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingYes
2022-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: TERRY E. LANGETT, DMD, PC PROFIT SHARING 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
2014: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: TERRY E. LANGETT, DMD, PC PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: TERRY E. LANGETT, DMD, PC PROFIT SHARING 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 – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-08-31
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?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered0
Insurance policy start date2022-01-01
Insurance policy end date2022-08-31
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?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 2
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 1
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker nameJ. VICTOR CONRAD
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 1
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 2
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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?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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 2
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameJ. VICTOR CONRAD
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 1
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameJ. VICTOR CONRAD
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 1
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 2
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MONY LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 66370 )
Policy contract number11524820
Policy instance 1
Insurance contract or identification number11524820
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees0
Insurance broker nameJ. VICTOR CONRAD
MONY (National Association of Insurance Commissioners NAIC id number: 78077 )
Policy contract number908631
Policy instance 2
Insurance contract or identification number908631
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker nameJ. VICTOR CONRAD

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