FOX VALLEY WELLNESS CENTER has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan FOX VALLEY WELLNESS CENTER 401(K) PLAN
Measure | Date | Value |
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2019: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2019 401k membership |
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Total participants, beginning-of-year | 2019-01-01 | 15 |
Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 11 |
Number of retired or separated participants receiving benefits | 2019-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 3 |
Total of all active and inactive participants | 2019-01-01 | 14 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
Total participants | 2019-01-01 | 14 |
Number of participants with account balances | 2019-01-01 | 14 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 1 |
2018: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2018 401k membership |
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Total participants, beginning-of-year | 2018-01-01 | 17 |
Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 11 |
Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 4 |
Total of all active and inactive participants | 2018-01-01 | 15 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
Total participants | 2018-01-01 | 15 |
Number of participants with account balances | 2018-01-01 | 15 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 3 |
2017: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2017 401k membership |
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Total participants, beginning-of-year | 2017-01-01 | 17 |
Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 13 |
Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 4 |
Total of all active and inactive participants | 2017-01-01 | 17 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
Total participants | 2017-01-01 | 17 |
Number of participants with account balances | 2017-01-01 | 16 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 1 |
2016: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2016 401k membership |
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Total participants, beginning-of-year | 2016-01-01 | 15 |
Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 13 |
Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 4 |
Total of all active and inactive participants | 2016-01-01 | 17 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
Total participants | 2016-01-01 | 17 |
Number of participants with account balances | 2016-01-01 | 17 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 1 |
2015: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2015 401k membership |
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Total participants, beginning-of-year | 2015-01-01 | 15 |
Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 11 |
Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 4 |
Total of all active and inactive participants | 2015-01-01 | 15 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
Total participants | 2015-01-01 | 15 |
Number of participants with account balances | 2015-01-01 | 14 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 2 |
2014: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-01-01 | 13 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 13 |
Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 2 |
Total of all active and inactive participants | 2014-01-01 | 15 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
Total participants | 2014-01-01 | 15 |
Number of participants with account balances | 2014-01-01 | 15 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
Measure | Date | Value |
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2019 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2019 401k financial data |
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Total income from all sources | 2019-12-31 | $206,716 |
Expenses. Total of all expenses incurred | 2019-12-31 | $8,748 |
Benefits paid (including direct rollovers) | 2019-12-31 | $5,458 |
Total plan assets at end of year | 2019-12-31 | $845,871 |
Total plan assets at beginning of year | 2019-12-31 | $647,903 |
Value of fidelity bond covering the plan | 2019-12-31 | $100,000 |
Total contributions received or receivable from participants | 2019-12-31 | $64,518 |
Contributions received from other sources (not participants or employers) | 2019-12-31 | $2,988 |
Other income received | 2019-12-31 | $125,748 |
Net income (gross income less expenses) | 2019-12-31 | $197,968 |
Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $845,871 |
Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $647,903 |
Total contributions received or receivable from employer(s) | 2019-12-31 | $13,462 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2019-12-31 | $3,290 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2019-12-31 | $0 |
2018 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2018 401k financial data |
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Total income from all sources | 2018-12-31 | $42,840 |
Expenses. Total of all expenses incurred | 2018-12-31 | $39,336 |
Benefits paid (including direct rollovers) | 2018-12-31 | $36,289 |
Total plan assets at end of year | 2018-12-31 | $647,903 |
Total plan assets at beginning of year | 2018-12-31 | $644,399 |
Value of fidelity bond covering the plan | 2018-12-31 | $100,000 |
Total contributions received or receivable from participants | 2018-12-31 | $40,763 |
Other income received | 2018-12-31 | $-48,220 |
Net income (gross income less expenses) | 2018-12-31 | $3,504 |
Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $647,903 |
Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $644,399 |
Total contributions received or receivable from employer(s) | 2018-12-31 | $50,297 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2018-12-31 | $3,047 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
2017 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2017 401k financial data |
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Total income from all sources | 2017-12-31 | $188,363 |
Expenses. Total of all expenses incurred | 2017-12-31 | $3,857 |
Benefits paid (including direct rollovers) | 2017-12-31 | $664 |
Total plan assets at end of year | 2017-12-31 | $644,399 |
Total plan assets at beginning of year | 2017-12-31 | $459,893 |
Value of fidelity bond covering the plan | 2017-12-31 | $100,000 |
Total contributions received or receivable from participants | 2017-12-31 | $55,404 |
Other income received | 2017-12-31 | $75,055 |
Net income (gross income less expenses) | 2017-12-31 | $184,506 |
Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $644,399 |
Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $459,893 |
Total contributions received or receivable from employer(s) | 2017-12-31 | $57,904 |
Value of corrective distributions | 2017-12-31 | $659 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $2,534 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
2016 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2016 401k financial data |
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Total income from all sources | 2016-12-31 | $128,259 |
Expenses. Total of all expenses incurred | 2016-12-31 | $6,010 |
Benefits paid (including direct rollovers) | 2016-12-31 | $3,940 |
Total plan assets at end of year | 2016-12-31 | $459,893 |
Total plan assets at beginning of year | 2016-12-31 | $337,644 |
Value of fidelity bond covering the plan | 2016-12-31 | $100,000 |
Total contributions received or receivable from participants | 2016-12-31 | $48,964 |
Other income received | 2016-12-31 | $24,647 |
Net income (gross income less expenses) | 2016-12-31 | $122,249 |
Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $459,893 |
Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $337,644 |
Total contributions received or receivable from employer(s) | 2016-12-31 | $54,648 |
Value of corrective distributions | 2016-12-31 | $50 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2016-12-31 | $2,020 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
2015 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2015 401k financial data |
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Total income from all sources | 2015-12-31 | $58,118 |
Expenses. Total of all expenses incurred | 2015-12-31 | $12,739 |
Benefits paid (including direct rollovers) | 2015-12-31 | $11,101 |
Total plan assets at end of year | 2015-12-31 | $337,644 |
Total plan assets at beginning of year | 2015-12-31 | $292,265 |
Value of fidelity bond covering the plan | 2015-12-31 | $100,000 |
Total contributions received or receivable from participants | 2015-12-31 | $37,935 |
Other income received | 2015-12-31 | $-5,399 |
Net income (gross income less expenses) | 2015-12-31 | $45,379 |
Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $337,644 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $292,265 |
Total contributions received or receivable from employer(s) | 2015-12-31 | $25,582 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2015-12-31 | $1,638 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
2014 : FOX VALLEY WELLNESS CENTER 401(K) PLAN 2014 401k financial data |
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Total income from all sources | 2014-12-31 | $86,283 |
Expenses. Total of all expenses incurred | 2014-12-31 | $53,488 |
Benefits paid (including direct rollovers) | 2014-12-31 | $51,831 |
Total plan assets at end of year | 2014-12-31 | $292,265 |
Total plan assets at beginning of year | 2014-12-31 | $259,470 |
Value of fidelity bond covering the plan | 2014-12-31 | $100,000 |
Total contributions received or receivable from participants | 2014-12-31 | $53,180 |
Other income received | 2014-12-31 | $10,575 |
Net income (gross income less expenses) | 2014-12-31 | $32,795 |
Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $292,265 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $259,470 |
Total contributions received or receivable from employer(s) | 2014-12-31 | $22,528 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2014-12-31 | $1,657 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
2019: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2019 form 5500 responses |
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2019-01-01 | Type of plan entity | Single employer plan |
2019-01-01 | Submission has been amended | No |
2019-01-01 | This submission is the final filing | No |
2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2019-01-01 | Plan is a collectively bargained plan | No |
2019-01-01 | Plan funding arrangement – Insurance | Yes |
2019-01-01 | Plan funding arrangement – Trust | Yes |
2019-01-01 | Plan benefit arrangement – Insurance | Yes |
2019-01-01 | Plan benefit arrangement - Trust | Yes |
2018: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2018 form 5500 responses |
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2018-01-01 | Type of plan entity | Single employer plan |
2018-01-01 | Submission has been amended | No |
2018-01-01 | This submission is the final filing | No |
2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2018-01-01 | Plan is a collectively bargained plan | No |
2018-01-01 | Plan funding arrangement – Insurance | Yes |
2018-01-01 | Plan funding arrangement – Trust | Yes |
2018-01-01 | Plan benefit arrangement – Insurance | Yes |
2018-01-01 | Plan benefit arrangement - Trust | Yes |
2017: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2017 form 5500 responses |
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2017-01-01 | Type of plan entity | Single employer plan |
2017-01-01 | Submission has been amended | No |
2017-01-01 | This submission is the final filing | No |
2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2017-01-01 | Plan is a collectively bargained plan | No |
2017-01-01 | Plan funding arrangement – Insurance | Yes |
2017-01-01 | Plan funding arrangement – Trust | Yes |
2017-01-01 | Plan benefit arrangement – Insurance | Yes |
2017-01-01 | Plan benefit arrangement - Trust | Yes |
2016: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2016 form 5500 responses |
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2016-01-01 | Type of plan entity | Single employer plan |
2016-01-01 | Submission has been amended | No |
2016-01-01 | This submission is the final filing | No |
2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2016-01-01 | Plan is a collectively bargained plan | No |
2016-01-01 | Plan funding arrangement – Insurance | Yes |
2016-01-01 | Plan funding arrangement – Trust | Yes |
2016-01-01 | Plan benefit arrangement – Insurance | Yes |
2016-01-01 | Plan benefit arrangement - Trust | Yes |
2015: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2015 form 5500 responses |
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2015-01-01 | Type of plan entity | Single employer plan |
2015-01-01 | Submission has been amended | No |
2015-01-01 | This submission is the final filing | No |
2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2015-01-01 | Plan is a collectively bargained plan | No |
2015-01-01 | Plan funding arrangement – Insurance | Yes |
2015-01-01 | Plan funding arrangement – Trust | Yes |
2015-01-01 | Plan benefit arrangement – Insurance | Yes |
2015-01-01 | Plan benefit arrangement - Trust | Yes |
2014: FOX VALLEY WELLNESS CENTER 401(K) PLAN 2014 form 5500 responses |
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2014-01-01 | Type of plan entity | Single employer plan |
2014-01-01 | Submission has been amended | No |
2014-01-01 | This submission is the final filing | No |
2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-01-01 | Plan is a collectively bargained plan | No |
2014-01-01 | Plan funding arrangement – Insurance | Yes |
2014-01-01 | Plan funding arrangement – Trust | Yes |
2014-01-01 | Plan benefit arrangement – Insurance | Yes |
2014-01-01 | Plan benefit arrangement - Trust | Yes |
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
Policy contract number | 95818 |
Policy instance | 1 |
Insurance contract or identification number | 95818 | Number of Individuals Covered | 14 | Insurance policy start date | 2019-01-01 | Insurance policy end date | 2019-12-31 | Total amount of commissions paid to insurance broker | USD $1,826 | Total amount of fees paid to insurance company | USD $590 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,826 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 590 | Additional information about fees paid to insurance broker | TPA SERVICES |
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JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
Policy contract number | 95818 |
Policy instance | 1 |
Insurance contract or identification number | 95818 | Number of Individuals Covered | 15 | Insurance policy start date | 2018-01-01 | Insurance policy end date | 2018-12-31 | Total amount of commissions paid to insurance broker | USD $1,545 | Total amount of fees paid to insurance company | USD $549 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,545 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 549 | Additional information about fees paid to insurance broker | TPA SERVICES |
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JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
Policy contract number | 95818 |
Policy instance | 1 |
Insurance contract or identification number | 95818 | Number of Individuals Covered | 16 | Insurance policy start date | 2017-01-01 | Insurance policy end date | 2017-12-31 | Total amount of commissions paid to insurance broker | USD $1,289 | Total amount of fees paid to insurance company | USD $318 | 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 plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $1,289 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 318 | Additional information about fees paid to insurance broker | TPA SERVICES | Insurance broker name | PPG RETIREMENT PLAN SERVICES, LTD. |
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JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
Policy contract number | 95818 |
Policy instance | 1 |
Insurance contract or identification number | 95818 | Number of Individuals Covered | 14 | Insurance policy start date | 2015-01-01 | Insurance policy end date | 2015-12-31 | Total amount of commissions paid to insurance broker | USD $757 | Total amount of fees paid to insurance company | USD $212 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $757 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 212 | Additional information about fees paid to insurance broker | TPA SERVICES | Insurance broker name | PPG RETIREMENT PLAN SERVICES, LTD. |
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JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 ) |
Policy contract number | 95818 |
Policy instance | 1 |
Insurance contract or identification number | 95818 | Number of Individuals Covered | 15 | Insurance policy start date | 2014-01-01 | Insurance policy end date | 2014-12-31 | Total amount of commissions paid to insurance broker | USD $721 | Total amount of fees paid to insurance company | USD $277 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | Are there contracts with unallocated funds for contracts of type immediate participation guarantee? | No | Are there contracts with unallocated funds for contracts of type guaranteed investment? | No | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Were dividends or retroactive rate refunds paid in cash? | No | Were dividends or retroactive rate refunds paid as a credit? | No | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | Commission paid to Insurance Broker | USD $721 | Insurance broker organization code? | 7 | Amount paid for insurance broker fees | 277 | Additional information about fees paid to insurance broker | TPA SERVICES | Insurance broker name | PPG RETIREMENT PLAN SERVICES, LTD. |
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