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MDLIVE INC. RETIREMENT PLAN 401k Plan overview

Plan NameMDLIVE INC. RETIREMENT PLAN
Plan identification number 001

MDLIVE INC. RETIREMENT 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

MDLIVE INC. has sponsored the creation of one or more 401k plans.

Company Name:MDLIVE INC.
Employer identification number (EIN):454937055
NAIC Classification:621491
NAIC Description:HMO Medical Centers

Additional information about MDLIVE INC.

Jurisdiction of Incorporation: State of Delaware Division of Corporations
Incorporation Date:
Company Identification Number: 5133305

More information about MDLIVE INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MDLIVE INC. RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01ABBY KAUFMAN2022-05-13
0012020-01-01EMILY LOPEZ2021-10-06
0012019-01-01EMILY LOPEZ2020-10-15
0012018-01-01ABBY KAUFMAN2019-10-15
0012017-01-01
0012016-01-01AILEEN JIMENEZ
0012015-01-01GINGER CARTER
0012014-10-15MELISA JAWAHIR

Plan Statistics for MDLIVE INC. RETIREMENT PLAN

401k plan membership statisitcs for MDLIVE INC. RETIREMENT PLAN

Measure Date Value
2021: MDLIVE INC. RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01330
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-010
Number of participants with account balances2021-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: MDLIVE INC. RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01317
Total number of active participants reported on line 7a of the Form 55002020-01-01223
Number of retired or separated participants receiving benefits2020-01-014
Number of other retired or separated participants entitled to future benefits2020-01-0189
Total of all active and inactive participants2020-01-01316
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01316
Number of participants with account balances2020-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: MDLIVE INC. RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-01372
Total number of active participants reported on line 7a of the Form 55002019-01-01234
Number of retired or separated participants receiving benefits2019-01-012
Number of other retired or separated participants entitled to future benefits2019-01-0178
Total of all active and inactive participants2019-01-01314
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01314
Number of participants with account balances2019-01-01241
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: MDLIVE INC. RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01332
Total number of active participants reported on line 7a of the Form 55002018-01-01280
Number of retired or separated participants receiving benefits2018-01-0114
Number of other retired or separated participants entitled to future benefits2018-01-0172
Total of all active and inactive participants2018-01-01366
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-01366
Number of participants with account balances2018-01-01266
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MDLIVE INC. RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01244
Total number of active participants reported on line 7a of the Form 55002017-01-01258
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-0173
Total of all active and inactive participants2017-01-01332
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01332
Number of participants with account balances2017-01-01226
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MDLIVE INC. RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01220
Total number of active participants reported on line 7a of the Form 55002016-01-01217
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0127
Total of all active and inactive participants2016-01-01244
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01244
Number of participants with account balances2016-01-01135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-012
2015: MDLIVE INC. RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01143
Total number of active participants reported on line 7a of the Form 55002015-01-01214
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-01220
Total participants2015-01-01220
Number of participants with account balances2015-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-013
2014: MDLIVE INC. RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-15148
Total number of active participants reported on line 7a of the Form 55002014-10-15146
Number of retired or separated participants receiving benefits2014-10-150
Number of other retired or separated participants entitled to future benefits2014-10-150
Total of all active and inactive participants2014-10-15146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-150
Total participants2014-10-15146
Number of participants with account balances2014-10-1522

Financial Data on MDLIVE INC. RETIREMENT PLAN

Measure Date Value
2021 : MDLIVE INC. RETIREMENT PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-20$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-08-20$594
Total income from all sources (including contributions)2021-08-20$2,709,502
Total of all expenses incurred2021-08-20$10,159,306
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-08-20$10,107,679
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-08-20$1,714,049
Value of total assets at end of year2021-08-20$0
Value of total assets at beginning of year2021-08-20$7,450,398
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-08-20$51,627
Total interest from all sources2021-08-20$5,285
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-08-20Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-08-20$0
Was this plan covered by a fidelity bond2021-08-20Yes
Value of fidelity bond cover2021-08-20$5,000,000
If this is an individual account plan, was there a blackout period2021-08-20No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-08-20$0
Were there any nonexempt tranactions with any party-in-interest2021-08-20No
Contributions received from participants2021-08-20$711,695
Participant contributions at end of year2021-08-20$0
Participant contributions at beginning of year2021-08-20$175,717
Income. Received or receivable in cash from other sources (including rollovers)2021-08-20$673,411
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-08-20$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-08-20$594
Total non interest bearing cash at end of year2021-08-20$0
Total non interest bearing cash at beginning of year2021-08-20$5,981
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-20No
Value of net income/loss2021-08-20$-7,449,804
Value of net assets at end of year (total assets less liabilities)2021-08-20$0
Value of net assets at beginning of year (total assets less liabilities)2021-08-20$7,449,804
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-08-20No
Were any loans by the plan or fixed income obligations due to the plan in default2021-08-20No
Were any leases to which the plan was party in default or uncollectible2021-08-20No
Investment advisory and management fees2021-08-20$8,750
Value of interest in pooled separate accounts at end of year2021-08-20$0
Value of interest in pooled separate accounts at beginning of year2021-08-20$7,156,426
Interest on participant loans2021-08-20$5,285
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-08-20$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-08-20$112,274
Net investment gain/loss from pooled separate accounts2021-08-20$990,168
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-08-20No
Was there a failure to transmit to the plan any participant contributions2021-08-20Yes
Has the plan failed to provide any benefit when due under the plan2021-08-20No
Contributions received in cash from employer2021-08-20$328,943
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-08-20$10,107,679
Contract administrator fees2021-08-20$42,877
Did the plan have assets held for investment2021-08-20Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-08-20No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-08-20Yes
Opinion of an independent qualified public accountant for this plan2021-08-20Unqualified
Accountancy firm name2021-08-20BDO USA, LLP
Accountancy firm EIN2021-08-20135381590
2020 : MDLIVE INC. RETIREMENT PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$594
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$594
Total income from all sources (including contributions)2020-12-31$2,971,050
Total of all expenses incurred2020-12-31$1,660,124
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$1,616,677
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,946,458
Value of total assets at end of year2020-12-31$7,450,398
Value of total assets at beginning of year2020-12-31$6,139,472
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$43,447
Total interest from all sources2020-12-31$10,274
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$5,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,228,447
Participant contributions at end of year2020-12-31$175,717
Participant contributions at beginning of year2020-12-31$157,302
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$107,795
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$594
Total non interest bearing cash at end of year2020-12-31$5,981
Total non interest bearing cash at beginning of year2020-12-31$7,927
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,310,926
Value of net assets at end of year (total assets less liabilities)2020-12-31$7,449,804
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,138,878
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$15,000
Value of interest in pooled separate accounts at end of year2020-12-31$7,156,426
Value of interest in pooled separate accounts at beginning of year2020-12-31$5,958,813
Interest on participant loans2020-12-31$10,274
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$112,274
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$15,430
Net investment gain/loss from pooled separate accounts2020-12-31$1,014,318
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31Yes
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$610,216
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$1,616,677
Contract administrator fees2020-12-31$28,447
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31BDO USA, LLP
Accountancy firm EIN2020-12-31135381590
2019 : MDLIVE INC. RETIREMENT PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$594
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$594
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$12,752
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$12,752
Total income from all sources (including contributions)2019-12-31$3,598,463
Total income from all sources (including contributions)2019-12-31$3,598,463
Total of all expenses incurred2019-12-31$1,954,424
Total of all expenses incurred2019-12-31$1,954,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,913,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,913,081
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,419,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,419,438
Value of total assets at end of year2019-12-31$6,139,472
Value of total assets at end of year2019-12-31$6,139,472
Value of total assets at beginning of year2019-12-31$4,507,591
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$41,343
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$41,343
Total interest from all sources2019-12-31$8,995
Total interest from all sources2019-12-31$8,995
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$450,000
Value of fidelity bond cover2019-12-31$450,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,342,584
Contributions received from participants2019-12-31$1,342,584
Participant contributions at end of year2019-12-31$157,302
Participant contributions at end of year2019-12-31$157,302
Participant contributions at beginning of year2019-12-31$111,174
Participant contributions at beginning of year2019-12-31$111,174
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$364,525
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$364,525
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$12,752
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$12,752
Total non interest bearing cash at end of year2019-12-31$7,927
Total non interest bearing cash at end of year2019-12-31$7,927
Total non interest bearing cash at beginning of year2019-12-31$5,590
Total non interest bearing cash at beginning of year2019-12-31$5,590
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,644,039
Value of net income/loss2019-12-31$1,644,039
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,138,878
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,138,878
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,494,839
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$4,494,839
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Investment advisory and management fees2019-12-31$15,000
Investment advisory and management fees2019-12-31$15,000
Value of interest in pooled separate accounts at end of year2019-12-31$5,958,813
Value of interest in pooled separate accounts at end of year2019-12-31$5,958,813
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,386,814
Value of interest in pooled separate accounts at beginning of year2019-12-31$4,386,814
Interest on participant loans2019-12-31$8,995
Interest on participant loans2019-12-31$8,995
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$15,430
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$15,430
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$4,013
Net investment gain/loss from pooled separate accounts2019-12-31$1,170,030
Net investment gain/loss from pooled separate accounts2019-12-31$1,170,030
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Was there a failure to transmit to the plan any participant contributions2019-12-31Yes
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$712,329
Contributions received in cash from employer2019-12-31$712,329
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,913,081
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,913,081
Contract administrator fees2019-12-31$26,343
Contract administrator fees2019-12-31$26,343
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31MORRISON, BROWN, ARGIZ & FARRA
Accountancy firm name2019-12-31MORRISON, BROWN, ARGIZ & FARRA
Accountancy firm EIN2019-12-31010720052
Accountancy firm EIN2019-12-31010720052
2018 : MDLIVE INC. RETIREMENT PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$12,752
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,637,409
Total of all expenses incurred2018-12-31$1,127,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,083,727
Value of total corrective distributions2018-12-31$8,354
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$1,907,916
Value of total assets at end of year2018-12-31$4,507,591
Value of total assets at beginning of year2018-12-31$3,984,955
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$35,444
Total interest from all sources2018-12-31$5,038
Was this plan covered by a fidelity bond2018-12-31No
If this is an individual account plan, was there a blackout period2018-12-31Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,204,638
Participant contributions at end of year2018-12-31$111,174
Participant contributions at beginning of year2018-12-31$93,612
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$86,352
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$12,752
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$0
Other income not declared elsewhere2018-12-31$40
Total non interest bearing cash at end of year2018-12-31$5,590
Total non interest bearing cash at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$509,884
Value of net assets at end of year (total assets less liabilities)2018-12-31$4,494,839
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$3,984,955
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Investment advisory and management fees2018-12-31$13,750
Value of interest in pooled separate accounts at end of year2018-12-31$4,386,814
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,847,057
Interest on participant loans2018-12-31$5,038
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$4,013
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$44,286
Net investment gain/loss from pooled separate accounts2018-12-31$-275,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31Yes
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$616,926
Employer contributions (assets) at end of year2018-12-31$0
Employer contributions (assets) at beginning of year2018-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,083,727
Contract administrator fees2018-12-31$21,694
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-12-31Yes
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31MORRISON, BROWN, ARGIZ & FARRA
Accountancy firm EIN2018-12-31010720052
2017 : MDLIVE INC. RETIREMENT PLAN 2017 401k financial data
Total transfer of assets to this plan2017-12-31$750,860
Total income from all sources (including contributions)2017-12-31$2,575,304
Total of all expenses incurred2017-12-31$900,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$894,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,017,952
Value of total assets at end of year2017-12-31$3,984,955
Value of total assets at beginning of year2017-12-31$1,559,031
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$5,873
Total interest from all sources2017-12-31$3,090
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31No
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,203,761
Participant contributions at end of year2017-12-31$93,612
Participant contributions at beginning of year2017-12-31$9,417
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$226,939
Administrative expenses (other) incurred2017-12-31$4,170
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$5,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,675,064
Value of net assets at end of year (total assets less liabilities)2017-12-31$3,984,955
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$1,559,031
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Investment advisory and management fees2017-12-31$1,703
Value of interest in pooled separate accounts at end of year2017-12-31$3,847,057
Value of interest in pooled separate accounts at beginning of year2017-12-31$1,516,049
Interest on participant loans2017-12-31$2,608
Interest earned on other investments2017-12-31$482
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$44,286
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$27,702
Net investment gain/loss from pooled separate accounts2017-12-31$554,262
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31Yes
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$587,252
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$894,367
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31MORRISON, BROWN, ARGIZ & FARRA
Accountancy firm EIN2017-12-31010720052
2016 : MDLIVE INC. RETIREMENT PLAN 2016 401k financial data
Total income from all sources (including contributions)2016-12-31$872,587
Total of all expenses incurred2016-12-31$19,569
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$13,952
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$781,041
Value of total assets at end of year2016-12-31$1,559,031
Value of total assets at beginning of year2016-12-31$706,013
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$5,617
Total interest from all sources2016-12-31$356
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31No
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$557,477
Participant contributions at end of year2016-12-31$9,417
Participant contributions at beginning of year2016-12-31$5,383
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$11,769
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$96,697
Administrative expenses (other) incurred2016-12-31$5,617
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$853,018
Value of net assets at end of year (total assets less liabilities)2016-12-31$1,559,031
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$706,013
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in pooled separate accounts at end of year2016-12-31$1,516,049
Value of interest in pooled separate accounts at beginning of year2016-12-31$592,447
Interest on participant loans2016-12-31$173
Interest earned on other investments2016-12-31$183
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$27,702
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$19,608
Net investment gain/loss from pooled separate accounts2016-12-31$91,190
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31Yes
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$126,867
Employer contributions (assets) at end of year2016-12-31$5,863
Employer contributions (assets) at beginning of year2016-12-31$76,806
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$13,952
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32016-12-31No
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31MORRISON BROWN ARGIZ FARA LLC
Accountancy firm EIN2016-12-31010720052
2015 : MDLIVE INC. RETIREMENT PLAN 2015 401k financial data
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$1,223
Total income from all sources (including contributions)2015-12-31$699,741
Total of all expenses incurred2015-12-31$72,038
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$68,465
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$720,519
Value of total assets at end of year2015-12-31$706,013
Value of total assets at beginning of year2015-12-31$79,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,573
Total interest from all sources2015-12-31$26
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$550
Was this plan covered by a fidelity bond2015-12-31No
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$323,247
Participant contributions at end of year2015-12-31$5,383
Participant contributions at end of year2015-12-31$11,769
Participant contributions at beginning of year2015-12-31$10,416
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$320,466
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$1,223
Other income not declared elsewhere2015-12-31$306
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$627,703
Value of net assets at end of year (total assets less liabilities)2015-12-31$706,013
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$78,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Investment advisory and management fees2015-12-31$3,023
Value of interest in pooled separate accounts at end of year2015-12-31$592,447
Value of interest in pooled separate accounts at beginning of year2015-12-31$60,806
Interest on participant loans2015-12-31$26
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$19,608
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$310
Net investment gain/loss from pooled separate accounts2015-12-31$-21,110
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31Yes
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$76,806
Employer contributions (assets) at end of year2015-12-31$76,806
Employer contributions (assets) at beginning of year2015-12-31$8,001
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$68,465
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31MORRISON BROWN ARGIZ FARA LLC
Accountancy firm EIN2015-12-31010720052
2014 : MDLIVE INC. RETIREMENT PLAN 2014 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$1,223
Total income from all sources (including contributions)2014-12-31$79,552
Total of all expenses incurred2014-12-31$1,242
Value of total corrective distributions2014-12-31$1,223
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$79,622
Value of total assets at end of year2014-12-31$79,533
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$19
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31No
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$71,621
Participant contributions at end of year2014-12-31$10,416
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$1,223
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$78,310
Value of net assets at end of year (total assets less liabilities)2014-12-31$78,310
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$19
Value of interest in pooled separate accounts at end of year2014-12-31$60,806
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$310
Net investment gain/loss from pooled separate accounts2014-12-31$-70
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$8,001
Employer contributions (assets) at end of year2014-12-31$8,001
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31MORRISON, BROWN, ARGIZ, FARRA, LLC
Accountancy firm EIN2014-12-31010720052

Form 5500 Responses for MDLIVE INC. RETIREMENT PLAN

2021: MDLIVE INC. RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MDLIVE INC. RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MDLIVE INC. RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MDLIVE INC. RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: MDLIVE INC. RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: MDLIVE INC. RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: MDLIVE INC. RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: MDLIVE INC. RETIREMENT PLAN 2014 form 5500 responses
2014-10-15Type of plan entitySingle employer plan
2014-10-15First time form 5500 has been submittedYes
2014-10-15This return/report is a short plan year return/report (less than 12 months)Yes
2014-10-15Plan funding arrangement – InsuranceYes
2014-10-15Plan funding arrangement – TrustYes
2014-10-15Plan benefit arrangement – InsuranceYes
2014-10-15Plan 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 number131101
Policy instance 1
Insurance contract or identification number131101
Number of Individuals Covered0
Insurance policy start date2021-01-01
Insurance policy end date2021-08-20
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,916
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2916
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131101
Policy instance 1
Insurance contract or identification number131101
Number of Individuals Covered277
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $3,161
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2584
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number131101
Policy instance 1
Insurance contract or identification number131101
Number of Individuals Covered261
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees6181
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker organization code?5
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number342682
Policy instance 1
Insurance contract or identification number342682
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-02-16
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 number131101
Policy instance 2
Insurance contract or identification number131101
Number of Individuals Covered274
Total amount of commissions paid to insurance brokerUSD $16
Total amount of fees paid to insurance companyUSD $24,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16
Amount paid for insurance broker fees24641
Additional information about fees paid to insurance brokerTPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker organization code?5
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number342682
Policy instance 1
Insurance contract or identification number342682
Number of Individuals Covered226
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,256
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 $1,128
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerCOMMISSIONS
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGENCY INC
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number342682-000
Policy instance 1
Insurance contract or identification number342682-000
Number of Individuals Covered52
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,418
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 $730
Insurance broker organization code?3
Insurance broker nameJARED E STRASSER
TRANSAMERICA FINANCIAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70688 )
Policy contract number342682-000
Policy instance 1
Insurance contract or identification number342682-000
Number of Individuals Covered22
Total amount of commissions paid to insurance brokerUSD $10
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 $10
Insurance broker organization code?3
Insurance broker nameLARRY R GOLDSTOCK

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