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PCS 401K PLAN 401k Plan overview

Plan NamePCS 401K PLAN
Plan identification number 001

PCS 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

PROFESSIONAL COMMUNICATION SYSTEMS OF WI, INC. has sponsored the creation of one or more 401k plans.

Company Name:PROFESSIONAL COMMUNICATION SYSTEMS OF WI, INC.
Employer identification number (EIN):391589741
NAIC Classification:517000

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PCS 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-07-01SHERRY PONIEWAZ2022-05-31
0012020-07-01SHERRY PONIEWAZ2021-09-03
0012019-07-01
0012018-07-01
0012017-07-01SHERRY PONIEWAZ
0012016-07-01SHERRY PONIEWAZ
0012015-07-01SHERRY PONIEWAZ
0012014-07-01SHERRY PONIEWAZ
0012013-07-01SHERRY PONIEWAZ
0012012-07-01SHERRY PONIEWAZ
0012011-07-01SHERRY PONIEWAZ

Plan Statistics for PCS 401K PLAN

401k plan membership statisitcs for PCS 401K PLAN

Measure Date Value
2019: PCS 401K PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0111
Total number of active participants reported on line 7a of the Form 55002019-07-0110
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-0110
Number of participants with account balances2019-07-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
2018: PCS 401K PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0112
Total number of active participants reported on line 7a of the Form 55002018-07-0110
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-011
Total of all active and inactive participants2018-07-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-0111
Number of participants with account balances2018-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: PCS 401K PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0111
Total number of active participants reported on line 7a of the Form 55002017-07-0110
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-012
Total of all active and inactive participants2017-07-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0112
Number of participants with account balances2017-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-011
2016: PCS 401K PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0113
Total number of active participants reported on line 7a of the Form 55002016-07-0111
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-010
Total of all active and inactive participants2016-07-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-0111
Number of participants with account balances2016-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-011
2015: PCS 401K PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0112
Total number of active participants reported on line 7a of the Form 55002015-07-0113
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0113
Number of participants with account balances2015-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: PCS 401K PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0113
Total number of active participants reported on line 7a of the Form 55002014-07-0112
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-010
Total of all active and inactive participants2014-07-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0112
Number of participants with account balances2014-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: PCS 401K PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0111
Total number of active participants reported on line 7a of the Form 55002013-07-0113
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-010
Total of all active and inactive participants2013-07-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0113
Number of participants with account balances2013-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: PCS 401K PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0112
Total number of active participants reported on line 7a of the Form 55002012-07-0111
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-010
Total of all active and inactive participants2012-07-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0111
Number of participants with account balances2012-07-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: PCS 401K PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0112
Total number of active participants reported on line 7a of the Form 55002011-07-0112
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-010
Total of all active and inactive participants2011-07-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0112
Number of participants with account balances2011-07-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010

Financial Data on PCS 401K PLAN

Measure Date Value
2020 : PCS 401K PLAN 2020 401k financial data
Total income from all sources2020-06-30$71,372
Expenses. Total of all expenses incurred2020-06-30$20,777
Benefits paid (including direct rollovers)2020-06-30$15,217
Total plan assets at end of year2020-06-30$826,402
Total plan assets at beginning of year2020-06-30$775,807
Value of fidelity bond covering the plan2020-06-30$100,000
Total contributions received or receivable from participants2020-06-30$41,497
Other income received2020-06-30$14,265
Net income (gross income less expenses)2020-06-30$50,595
Net plan assets at end of year (total assets less liabilities)2020-06-30$826,402
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$775,807
Assets. Value of participant loans2020-06-30$474
Total contributions received or receivable from employer(s)2020-06-30$15,610
Value of corrective distributions2020-06-30$594
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$4,966
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-06-30$0
2019 : PCS 401K PLAN 2019 401k financial data
Total income from all sources2019-06-30$65,636
Expenses. Total of all expenses incurred2019-06-30$162,340
Benefits paid (including direct rollovers)2019-06-30$157,589
Total plan assets at end of year2019-06-30$775,807
Total plan assets at beginning of year2019-06-30$872,511
Value of fidelity bond covering the plan2019-06-30$100,000
Total contributions received or receivable from participants2019-06-30$38,575
Other income received2019-06-30$11,905
Net income (gross income less expenses)2019-06-30$-96,704
Net plan assets at end of year (total assets less liabilities)2019-06-30$775,807
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$872,511
Assets. Value of participant loans2019-06-30$2,597
Total contributions received or receivable from employer(s)2019-06-30$15,156
Value of corrective distributions2019-06-30$56
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$4,695
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2018 : PCS 401K PLAN 2018 401k financial data
Total income from all sources2018-06-30$101,209
Expenses. Total of all expenses incurred2018-06-30$4,908
Total plan assets at end of year2018-06-30$872,511
Total plan assets at beginning of year2018-06-30$776,210
Value of fidelity bond covering the plan2018-06-30$100,000
Total contributions received or receivable from participants2018-06-30$32,589
Other income received2018-06-30$55,371
Net income (gross income less expenses)2018-06-30$96,301
Net plan assets at end of year (total assets less liabilities)2018-06-30$872,511
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$776,210
Assets. Value of participant loans2018-06-30$9,577
Total contributions received or receivable from employer(s)2018-06-30$13,249
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$4,908
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : PCS 401K PLAN 2017 401k financial data
Total income from all sources2017-06-30$130,267
Expenses. Total of all expenses incurred2017-06-30$68,615
Benefits paid (including direct rollovers)2017-06-30$63,755
Total plan assets at end of year2017-06-30$776,210
Total plan assets at beginning of year2017-06-30$714,558
Value of fidelity bond covering the plan2017-06-30$100,000
Total contributions received or receivable from participants2017-06-30$33,796
Contributions received from other sources (not participants or employers)2017-06-30$24,819
Other income received2017-06-30$58,205
Net income (gross income less expenses)2017-06-30$61,652
Net plan assets at end of year (total assets less liabilities)2017-06-30$776,210
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$714,558
Assets. Value of participant loans2017-06-30$9,988
Total contributions received or receivable from employer(s)2017-06-30$13,447
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$4,860
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-06-30$0
2016 : PCS 401K PLAN 2016 401k financial data
Total income from all sources2016-06-30$63,160
Expenses. Total of all expenses incurred2016-06-30$5,003
Total plan assets at end of year2016-06-30$714,558
Total plan assets at beginning of year2016-06-30$656,401
Value of fidelity bond covering the plan2016-06-30$100,000
Total contributions received or receivable from participants2016-06-30$30,576
Contributions received from other sources (not participants or employers)2016-06-30$1,921
Other income received2016-06-30$19,075
Net income (gross income less expenses)2016-06-30$58,157
Net plan assets at end of year (total assets less liabilities)2016-06-30$714,558
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$656,401
Assets. Value of participant loans2016-06-30$33,143
Total contributions received or receivable from employer(s)2016-06-30$11,588
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$5,003
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : PCS 401K PLAN 2015 401k financial data
Total income from all sources2015-06-30$11,226
Expenses. Total of all expenses incurred2015-06-30$4,393
Total plan assets at end of year2015-06-30$656,401
Total plan assets at beginning of year2015-06-30$649,568
Value of fidelity bond covering the plan2015-06-30$100,000
Total contributions received or receivable from participants2015-06-30$26,595
Other income received2015-06-30$-24,615
Net income (gross income less expenses)2015-06-30$6,833
Net plan assets at end of year (total assets less liabilities)2015-06-30$656,401
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$649,568
Assets. Value of participant loans2015-06-30$58,244
Total contributions received or receivable from employer(s)2015-06-30$9,246
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$4,393
2014 : PCS 401K PLAN 2014 401k financial data
Total income from all sources2014-06-30$119,141
Expenses. Total of all expenses incurred2014-06-30$4,673
Total plan assets at end of year2014-06-30$649,568
Total plan assets at beginning of year2014-06-30$535,100
Value of fidelity bond covering the plan2014-06-30$100,000
Total contributions received or receivable from participants2014-06-30$23,772
Other income received2014-06-30$87,487
Net income (gross income less expenses)2014-06-30$114,468
Net plan assets at end of year (total assets less liabilities)2014-06-30$649,568
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$535,100
Assets. Value of participant loans2014-06-30$72,137
Total contributions received or receivable from employer(s)2014-06-30$7,882
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$4,673
2013 : PCS 401K PLAN 2013 401k financial data
Transfers to/from the plan2013-06-30$0
Total income from all sources2013-06-30$11,547
Expenses. Total of all expenses incurred2013-06-30$5,237
Total plan assets at end of year2013-06-30$535,100
Total plan assets at beginning of year2013-06-30$528,790
Value of fidelity bond covering the plan2013-06-30$30,000
Total contributions received or receivable from participants2013-06-30$26,470
Other income received2013-06-30$-23,489
Net income (gross income less expenses)2013-06-30$6,310
Net plan assets at end of year (total assets less liabilities)2013-06-30$535,100
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$528,790
Assets. Value of participant loans2013-06-30$94,821
Total contributions received or receivable from employer(s)2013-06-30$8,566
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$5,237
2012 : PCS 401K PLAN 2012 401k financial data
Total income from all sources2012-06-30$13,235
Expenses. Total of all expenses incurred2012-06-30$12,324
Benefits paid (including direct rollovers)2012-06-30$5,470
Total plan assets at end of year2012-06-30$528,790
Total plan assets at beginning of year2012-06-30$527,879
Value of fidelity bond covering the plan2012-06-30$30,000
Total contributions received or receivable from participants2012-06-30$30,765
Other income received2012-06-30$-27,662
Net income (gross income less expenses)2012-06-30$911
Net plan assets at end of year (total assets less liabilities)2012-06-30$528,790
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$527,879
Assets. Value of participant loans2012-06-30$92,286
Total contributions received or receivable from employer(s)2012-06-30$10,132
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$6,854
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-06-30$0
2011 : PCS 401K PLAN 2011 401k financial data
Total plan liabilities at beginning of year2011-06-30$0
Total income from all sources2011-06-30$120,493
Expenses. Total of all expenses incurred2011-06-30$6,180
Total plan assets at end of year2011-06-30$527,879
Total plan assets at beginning of year2011-06-30$413,566
Value of fidelity bond covering the plan2011-06-30$30,000
Total contributions received or receivable from participants2011-06-30$31,379
Other income received2011-06-30$77,683
Net income (gross income less expenses)2011-06-30$114,313
Net plan assets at end of year (total assets less liabilities)2011-06-30$527,879
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$413,566
Assets. Value of participant loans2011-06-30$26,515
Total contributions received or receivable from employer(s)2011-06-30$11,431
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$6,180

Form 5500 Responses for PCS 401K PLAN

2019: PCS 401K PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: PCS 401K PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: PCS 401K PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: PCS 401K PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: PCS 401K PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: PCS 401K PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: PCS 401K PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: PCS 401K PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: PCS 401K PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered9
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,322
Total amount of fees paid to insurance companyUSD $2,230
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,322
Insurance broker organization code?7
Amount paid for insurance broker fees2230
Additional information about fees paid to insurance brokerTPA FEES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered11
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $4,976
Total amount of fees paid to insurance companyUSD $1,892
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,976
Insurance broker organization code?7
Amount paid for insurance broker fees1892
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered11
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $3,577
Total amount of fees paid to insurance companyUSD $2,374
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
Commission paid to Insurance BrokerUSD $3,577
Insurance broker organization code?7
Amount paid for insurance broker fees2374
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered10
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $3,439
Total amount of fees paid to insurance companyUSD $1,811
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
Commission paid to Insurance BrokerUSD $3,439
Insurance broker organization code?7
Amount paid for insurance broker fees1811
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered10
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $2,789
Total amount of fees paid to insurance companyUSD $1,668
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
Commission paid to Insurance BrokerUSD $2,320
Insurance broker organization code?7
Amount paid for insurance broker fees1668
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameAMERITAS INVESTMENTS
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered9
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $2,732
Total amount of fees paid to insurance companyUSD $2,460
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
Commission paid to Insurance BrokerUSD $2,732
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?7
Insurance broker namePPG RETIREMENT PLAN SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered9
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $3,510
Total amount of fees paid to insurance companyUSD $3,998
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number100018
Policy instance 1
Insurance contract or identification number100018
Number of Individuals Covered10
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $6,191
Total amount of fees paid to insurance companyUSD $1,342
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

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