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BEACON BANK 401(K) PLAN 401k Plan overview

Plan NameBEACON BANK 401(K) PLAN
Plan identification number 002

BEACON BANK 401(K) 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Life insurance

401k Sponsoring company profile

BEACON BANK has sponsored the creation of one or more 401k plans.

Company Name:BEACON BANK
Employer identification number (EIN):410257510
NAIC Classification:522110
NAIC Description:Commercial Banking

Additional information about BEACON BANK

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1988-04-05
Company Identification Number: J83032

More information about BEACON BANK

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BEACON BANK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022016-01-01ROBERT WEISS ROBERT WEISS2016-05-17
0022015-01-01ROBERT WEISS ROBERT WEISS2016-01-29
0022014-01-01ROBERT M. WEISS ROBERT M. WEISS2015-09-29
0022013-01-01ROBERT M. WEISS ROBERT M. WEISS2014-10-02
0022012-01-01ROBERT WEISS ROBERT WEISS2013-09-20
0022011-01-01ROBERT M. WEISS ROBERT M. WEISS2012-10-09
0022009-01-01ROBERT WEISS ROBERT WEISS2010-10-08

Plan Statistics for BEACON BANK 401(K) PLAN

401k plan membership statisitcs for BEACON BANK 401(K) PLAN

Measure Date Value
2016: BEACON BANK 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0155
Total number of active participants reported on line 7a of the Form 55002016-01-010
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-010
Number of participants with account balances2016-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BEACON BANK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0160
Total number of active participants reported on line 7a of the Form 55002015-01-0148
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-015
Total of all active and inactive participants2015-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0153
Number of participants with account balances2015-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BEACON BANK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0156
Total number of active participants reported on line 7a of the Form 55002014-01-0144
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0153
Number of participants with account balances2014-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: BEACON BANK 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0161
Total number of active participants reported on line 7a of the Form 55002013-01-0143
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0110
Total of all active and inactive participants2013-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0153
Number of participants with account balances2013-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BEACON BANK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0164
Total number of active participants reported on line 7a of the Form 55002012-01-0146
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0115
Total of all active and inactive participants2012-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0161
Number of participants with account balances2012-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: BEACON BANK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0165
Total number of active participants reported on line 7a of the Form 55002011-01-0154
Number of retired or separated participants receiving benefits2011-01-012
Number of other retired or separated participants entitled to future benefits2011-01-018
Total of all active and inactive participants2011-01-0164
Total participants2011-01-0164
Number of participants with account balances2011-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: BEACON BANK 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0166
Total number of active participants reported on line 7a of the Form 55002009-01-0154
Number of other retired or separated participants entitled to future benefits2009-01-0110
Total of all active and inactive participants2009-01-0164
Total participants2009-01-0164
Number of participants with account balances2009-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on BEACON BANK 401(K) PLAN

Measure Date Value
2016 : BEACON BANK 401(K) PLAN 2016 401k financial data
Total plan liabilities at end of year2016-04-29$0
Total income from all sources2016-04-29$146,404
Expenses. Total of all expenses incurred2016-04-29$5,084,206
Benefits paid (including direct rollovers)2016-04-29$5,040,760
Total plan assets at end of year2016-04-29$0
Total plan assets at beginning of year2016-04-29$4,937,802
Value of fidelity bond covering the plan2016-04-29$5,600,000
Total contributions received or receivable from participants2016-04-29$7,716
Expenses. Other expenses not covered elsewhere2016-04-29$43,446
Other income received2016-04-29$133,743
Net income (gross income less expenses)2016-04-29$-4,937,802
Net plan assets at end of year (total assets less liabilities)2016-04-29$0
Net plan assets at beginning of year (total assets less liabilities)2016-04-29$4,937,802
Assets. Value of participant loans2016-04-29$0
Assets. Value of employer securities2016-04-29$0
Total contributions received or receivable from employer(s)2016-04-29$4,945
2015 : BEACON BANK 401(K) PLAN 2015 401k financial data
Total income from all sources2015-12-31$595,656
Expenses. Total of all expenses incurred2015-12-31$1,243,590
Benefits paid (including direct rollovers)2015-12-31$1,134,989
Total plan assets at end of year2015-12-31$4,937,802
Total plan assets at beginning of year2015-12-31$5,585,736
Value of fidelity bond covering the plan2015-12-31$5,600,000
Total contributions received or receivable from participants2015-12-31$221,103
Expenses. Other expenses not covered elsewhere2015-12-31$108,601
Contributions received from other sources (not participants or employers)2015-12-31$6,812
Other income received2015-12-31$246,091
Net income (gross income less expenses)2015-12-31$-647,934
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,937,802
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,585,736
Assets. Value of participant loans2015-12-31$3,756
Assets. Value of employer securities2015-12-31$1,244,411
Total contributions received or receivable from employer(s)2015-12-31$121,650
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
2014 : BEACON BANK 401(K) PLAN 2014 401k financial data
Total income from all sources2014-12-31$803,366
Expenses. Total of all expenses incurred2014-12-31$1,137,654
Benefits paid (including direct rollovers)2014-12-31$1,016,013
Total plan assets at end of year2014-12-31$5,585,736
Total plan assets at beginning of year2014-12-31$5,920,024
Value of fidelity bond covering the plan2014-12-31$5,600,000
Total contributions received or receivable from participants2014-12-31$216,228
Expenses. Other expenses not covered elsewhere2014-12-31$121,641
Contributions received from other sources (not participants or employers)2014-12-31$101,367
Other income received2014-12-31$371,711
Net income (gross income less expenses)2014-12-31$-334,288
Net plan assets at end of year (total assets less liabilities)2014-12-31$5,585,736
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$5,920,024
Assets. Value of participant loans2014-12-31$16,382
Assets. Value of employer securities2014-12-31$1,236,357
Total contributions received or receivable from employer(s)2014-12-31$114,060
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
2013 : BEACON BANK 401(K) PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$559
Total income from all sources2013-12-31$1,115,443
Expenses. Total of all expenses incurred2013-12-31$323,006
Benefits paid (including direct rollovers)2013-12-31$190,786
Total plan assets at end of year2013-12-31$5,920,024
Total plan assets at beginning of year2013-12-31$5,128,146
Value of fidelity bond covering the plan2013-12-31$4,600,000
Total contributions received or receivable from participants2013-12-31$192,106
Expenses. Other expenses not covered elsewhere2013-12-31$132,220
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$809,333
Net income (gross income less expenses)2013-12-31$792,437
Net plan assets at end of year (total assets less liabilities)2013-12-31$5,920,024
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,127,587
Assets. Value of participant loans2013-12-31$46,622
Assets. Value of employer securities2013-12-31$1,203,655
Total contributions received or receivable from employer(s)2013-12-31$114,004
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
2012 : BEACON BANK 401(K) PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$559
Total plan liabilities at beginning of year2012-12-31$1,320
Total income from all sources2012-12-31$852,888
Expenses. Total of all expenses incurred2012-12-31$324,391
Benefits paid (including direct rollovers)2012-12-31$298,217
Total plan assets at end of year2012-12-31$5,128,146
Total plan assets at beginning of year2012-12-31$4,600,410
Value of fidelity bond covering the plan2012-12-31$4,600,000
Total contributions received or receivable from participants2012-12-31$187,520
Expenses. Other expenses not covered elsewhere2012-12-31$26,174
Contributions received from other sources (not participants or employers)2012-12-31$138,114
Other income received2012-12-31$407,864
Net income (gross income less expenses)2012-12-31$528,497
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,127,587
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$4,599,090
Assets. Value of participant loans2012-12-31$65,373
Assets. Value of employer securities2012-12-31$1,216,589
Total contributions received or receivable from employer(s)2012-12-31$119,390
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
2011 : BEACON BANK 401(K) PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$1,320
Total income from all sources2011-12-31$378,234
Expenses. Total of all expenses incurred2011-12-31$131,727
Benefits paid (including direct rollovers)2011-12-31$66,100
Total plan assets at end of year2011-12-31$4,600,410
Total plan assets at beginning of year2011-12-31$4,352,583
Value of fidelity bond covering the plan2011-12-31$4,600,000
Total contributions received or receivable from participants2011-12-31$180,741
Expenses. Other expenses not covered elsewhere2011-12-31$65,627
Other income received2011-12-31$86,582
Net income (gross income less expenses)2011-12-31$246,507
Net plan assets at end of year (total assets less liabilities)2011-12-31$4,599,090
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$4,352,583
Assets. Value of participant loans2011-12-31$59,447
Assets. Value of employer securities2011-12-31$1,202,434
Total contributions received or receivable from employer(s)2011-12-31$110,911
2010 : BEACON BANK 401(K) PLAN 2010 401k financial data
Total plan liabilities at beginning of year2010-12-31$2,004
Total income from all sources2010-12-31$719,660
Expenses. Total of all expenses incurred2010-12-31$229,909
Benefits paid (including direct rollovers)2010-12-31$155,985
Total plan assets at end of year2010-12-31$4,352,583
Total plan assets at beginning of year2010-12-31$3,864,836
Value of fidelity bond covering the plan2010-12-31$4,600,000
Total contributions received or receivable from participants2010-12-31$163,111
Expenses. Other expenses not covered elsewhere2010-12-31$73,924
Other income received2010-12-31$455,150
Net income (gross income less expenses)2010-12-31$489,751
Net plan assets at end of year (total assets less liabilities)2010-12-31$4,352,583
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$3,862,832
Assets. Value of participant loans2010-12-31$74,287
Assets. Value of employer securities2010-12-31$1,165,095
Total contributions received or receivable from employer(s)2010-12-31$101,399

Form 5500 Responses for BEACON BANK 401(K) PLAN

2016: BEACON BANK 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 filingYes
2016-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: BEACON BANK 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BEACON BANK 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BEACON BANK 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BEACON BANK 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BEACON BANK 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: BEACON BANK 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 1
Insurance contract or identification number12711
Number of Individuals Covered0
Insurance policy start date2016-01-01
Insurance policy end date2016-04-29
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $5,668
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,124
Insurance broker organization code?3
Insurance broker nameJEFFREY A FOSTER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered41
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $13,745
Total amount of fees paid to insurance companyUSD $1,986
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $13,745
Insurance broker organization code?3
Amount paid for insurance broker fees1986
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameTAX SHELTERED COMPENSATION, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered2
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $5,668
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,124
Insurance broker organization code?3
Insurance broker nameJEFFREY A FOSTER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered47
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $15,982
Total amount of fees paid to insurance companyUSD $2,317
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,982
Insurance broker organization code?3
Amount paid for insurance broker fees2317
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameTAX SHELTERED COMPENSATION, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered2
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $19,036
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,124
Insurance broker organization code?3
Insurance broker nameJEFFREY A FOSTER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $18,876
Total amount of fees paid to insurance companyUSD $2,020
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $18,876
Insurance broker organization code?3
Amount paid for insurance broker fees2020
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameTAX SHELTERED COMPENSATION, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered2
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,124
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,124
Insurance broker organization code?3
Insurance broker nameFOSTER K PARTNERS, LLP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered48
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $17,714
Total amount of fees paid to insurance companyUSD $1,794
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $17,714
Insurance broker organization code?3
Amount paid for insurance broker fees1794
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameTAX SHELTERED COMPENSATION, INC.
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered2
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,272
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
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 number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered47
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $15,818
Total amount of fees paid to insurance companyUSD $1,574
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
THE GUARDIAN LIFE INSURANCE COMPANY OF AMERICA (National Association of Insurance Commissioners NAIC id number: 64246 )
Policy contract number5287840
Policy instance 1
Insurance contract or identification number5287840
Number of Individuals Covered2
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $2,272
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Life Insurance Welfare BenefitYes
Commission paid to Insurance BrokerUSD $2,272
Insurance broker organization code?3
Insurance broker nameFOSTER K PARTNERS, LLP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number12711
Policy instance 2
Insurance contract or identification number12711
Number of Individuals Covered48
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $13,387
Total amount of fees paid to insurance companyUSD $1,273
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $13,387
Insurance broker organization code?3
Amount paid for insurance broker fees1273
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameTAX SHELTERED COMPENSATION, INC.

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