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ZOOM NORTH AMERICA LLC 401(K) PLAN 401k Plan overview

Plan NameZOOM NORTH AMERICA LLC 401(K) PLAN
Plan identification number 001

ZOOM NORTH AMERICA LLC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Life insurance

401k Sponsoring company profile

ZOOM NORTH AMERICA LLC has sponsored the creation of one or more 401k plans.

Company Name:ZOOM NORTH AMERICA LLC
Employer identification number (EIN):364762022
NAIC Classification:423600

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ZOOM NORTH AMERICA LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01ANITA MASSON
0012016-01-01ANITA MASSON
0012015-01-01ANITA MASSON

Plan Statistics for ZOOM NORTH AMERICA LLC 401(K) PLAN

401k plan membership statisitcs for ZOOM NORTH AMERICA LLC 401(K) PLAN

Measure Date Value
2022: ZOOM NORTH AMERICA LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0123
Total number of active participants reported on line 7a of the Form 55002022-01-0123
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-015
Total of all active and inactive participants2022-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0128
Number of participants with account balances2022-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ZOOM NORTH AMERICA LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0120
Total number of active participants reported on line 7a of the Form 55002021-01-0119
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-014
Total of all active and inactive participants2021-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0123
Number of participants with account balances2021-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ZOOM NORTH AMERICA LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0120
Total number of active participants reported on line 7a of the Form 55002020-01-0115
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-015
Total of all active and inactive participants2020-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0120
Number of participants with account balances2020-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ZOOM NORTH AMERICA LLC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0118
Total number of active participants reported on line 7a of the Form 55002019-01-0117
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0120
Number of participants with account balances2019-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ZOOM NORTH AMERICA LLC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0115
Total number of active participants reported on line 7a of the Form 55002018-01-0115
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0118
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0118
Number of participants with account balances2018-01-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: ZOOM NORTH AMERICA LLC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-0112
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0116
Number of participants with account balances2017-01-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ZOOM NORTH AMERICA LLC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0110
Total number of active participants reported on line 7a of the Form 55002016-01-0113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0114
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ZOOM NORTH AMERICA LLC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-018
Total number of active participants reported on line 7a of the Form 55002015-01-0110
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0110
Number of participants with account balances2015-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on ZOOM NORTH AMERICA LLC 401(K) PLAN

Measure Date Value
2022 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-61,170
Expenses. Total of all expenses incurred2022-12-31$16,510
Benefits paid (including direct rollovers)2022-12-31$5,039
Total plan assets at end of year2022-12-31$1,608,199
Total plan assets at beginning of year2022-12-31$1,685,879
Value of fidelity bond covering the plan2022-12-31$199,000
Total contributions received or receivable from participants2022-12-31$167,703
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-322,524
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-77,680
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,608,199
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,685,879
Assets. Value of participant loans2022-12-31$46,673
Total contributions received or receivable from employer(s)2022-12-31$93,651
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$1,821
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$9,650
2021 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$488,862
Expenses. Total of all expenses incurred2021-12-31$24,521
Benefits paid (including direct rollovers)2021-12-31$6,736
Total plan assets at end of year2021-12-31$1,685,879
Total plan assets at beginning of year2021-12-31$1,221,538
Value of fidelity bond covering the plan2021-12-31$199,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$160,045
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$238,068
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$464,341
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,685,879
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$1,221,538
Assets. Value of participant loans2021-12-31$57,619
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$90,749
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$9,023
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$8,762
2020 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$414,012
Expenses. Total of all expenses incurred2020-12-31$50,983
Benefits paid (including direct rollovers)2020-12-31$39,668
Total plan assets at end of year2020-12-31$1,221,538
Total plan assets at beginning of year2020-12-31$858,509
Value of fidelity bond covering the plan2020-12-31$199,000
Total contributions received or receivable from participants2020-12-31$151,355
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$15,838
Other income received2020-12-31$163,275
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$363,029
Net plan assets at end of year (total assets less liabilities)2020-12-31$1,221,538
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$858,509
Assets. Value of participant loans2020-12-31$2,074
Total contributions received or receivable from employer(s)2020-12-31$83,544
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$11,315
2019 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2019 401k financial data
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$366,485
Expenses. Total of all expenses incurred2019-12-31$19,765
Benefits paid (including direct rollovers)2019-12-31$8,071
Total plan assets at end of year2019-12-31$858,509
Total plan assets at beginning of year2019-12-31$511,789
Value of fidelity bond covering the plan2019-12-31$199,000
Total contributions received or receivable from participants2019-12-31$135,496
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$166,395
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$346,720
Net plan assets at end of year (total assets less liabilities)2019-12-31$858,509
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$511,789
Assets. Value of participant loans2019-12-31$3,186
Total contributions received or receivable from employer(s)2019-12-31$64,594
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$11,694
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total income from all sources2018-12-31$147,385
Expenses. Total of all expenses incurred2018-12-31$10,573
Benefits paid (including direct rollovers)2018-12-31$2,348
Total plan assets at end of year2018-12-31$511,789
Total plan assets at beginning of year2018-12-31$374,977
Value of fidelity bond covering the plan2018-12-31$199,000
Total contributions received or receivable from participants2018-12-31$106,469
Contributions received from other sources (not participants or employers)2018-12-31$31,789
Other income received2018-12-31$-41,527
Net income (gross income less expenses)2018-12-31$136,812
Net plan assets at end of year (total assets less liabilities)2018-12-31$511,789
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$374,977
Assets. Value of participant loans2018-12-31$4,235
Total contributions received or receivable from employer(s)2018-12-31$50,654
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$8,225
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$179,388
Expenses. Total of all expenses incurred2017-12-31$5,183
Total plan assets at end of year2017-12-31$374,977
Total plan assets at beginning of year2017-12-31$200,772
Value of fidelity bond covering the plan2017-12-31$199,000
Total contributions received or receivable from participants2017-12-31$85,494
Other income received2017-12-31$47,152
Net income (gross income less expenses)2017-12-31$174,205
Net plan assets at end of year (total assets less liabilities)2017-12-31$374,977
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$200,772
Total contributions received or receivable from employer(s)2017-12-31$46,742
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$5,183
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$131,687
Expenses. Total of all expenses incurred2016-12-31$2,523
Total plan assets at end of year2016-12-31$200,772
Total plan assets at beginning of year2016-12-31$71,608
Value of fidelity bond covering the plan2016-12-31$199,000
Total contributions received or receivable from participants2016-12-31$75,838
Other income received2016-12-31$14,104
Net income (gross income less expenses)2016-12-31$129,164
Net plan assets at end of year (total assets less liabilities)2016-12-31$200,772
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$71,608
Total contributions received or receivable from employer(s)2016-12-31$41,745
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$2,523
2015 : ZOOM NORTH AMERICA LLC 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$71,608
Expenses. Total of all expenses incurred2015-12-31$0
Total plan assets at end of year2015-12-31$71,608
Total plan assets at beginning of year2015-12-31$0
Value of fidelity bond covering the plan2015-12-31$199,000
Total contributions received or receivable from participants2015-12-31$49,924
Other income received2015-12-31$-298
Net income (gross income less expenses)2015-12-31$71,608
Net plan assets at end of year (total assets less liabilities)2015-12-31$71,608
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$0
Total contributions received or receivable from employer(s)2015-12-31$21,982

Form 5500 Responses for ZOOM NORTH AMERICA LLC 401(K) PLAN

2022: ZOOM NORTH AMERICA LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ZOOM NORTH AMERICA LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ZOOM NORTH AMERICA LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ZOOM NORTH AMERICA LLC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ZOOM NORTH AMERICA LLC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ZOOM NORTH AMERICA LLC 401(K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ZOOM NORTH AMERICA LLC 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ZOOM NORTH AMERICA LLC 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number801092
Policy instance 1
Insurance contract or identification number801092
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-11-02
Total amount of commissions paid to insurance brokerUSD $3,811
Total amount of fees paid to insurance companyUSD $508
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
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?Yes
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
Amount paid for insurance broker fees125
Commission paid to Insurance BrokerUSD $3,811
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number801092
Policy instance 1
Insurance contract or identification number801092
Number of Individuals Covered19
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $3,308
Total amount of fees paid to insurance companyUSD $458
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,308
Insurance broker organization code?3
Amount paid for insurance broker fees333
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY OF NEW YORK (National Association of Insurance Commissioners NAIC id number: 86375 )
Policy contract number801092
Policy instance 1
Insurance contract or identification number801092
Number of Individuals Covered15
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,369
Total amount of fees paid to insurance companyUSD $137
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 $1,369
Insurance broker organization code?3
Amount paid for insurance broker fees137
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameDAVID G LEONARD

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