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ENM, P.C. 401(K) PROFIT-SHARING PLAN 401k Plan overview

Plan NameENM, P.C. 401(K) PROFIT-SHARING PLAN
Plan identification number 001

ENM, P.C. 401(K) PROFIT-SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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

ENM, P.C. has sponsored the creation of one or more 401k plans.

Company Name:ENM, P.C.
Employer identification number (EIN):631212583
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ENM, P.C. 401(K) PROFIT-SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-10-01
0012021-10-01
0012020-10-01
0012019-10-01
0012018-10-01
0012017-10-01
0012016-10-01DOMINIC F. HOMAN
0012015-10-01DOMINIC F. HOMAN
0012014-10-01DOMINIC F. HOMAN
0012013-10-01DOMINIC F. HOMAN
0012012-10-01DOMINIC F. HOMAN
0012012-05-21DOMINIC F. HOMAN

Plan Statistics for ENM, P.C. 401(K) PROFIT-SHARING PLAN

401k plan membership statisitcs for ENM, P.C. 401(K) PROFIT-SHARING PLAN

Measure Date Value
2022: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2022 401k membership
Total participants, beginning-of-year2022-10-018
Total number of active participants reported on line 7a of the Form 55002022-10-014
Number of retired or separated participants receiving benefits2022-10-010
Number of other retired or separated participants entitled to future benefits2022-10-014
Total of all active and inactive participants2022-10-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-10-010
Total participants2022-10-018
Number of participants with account balances2022-10-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-10-010
2021: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-018
Total number of active participants reported on line 7a of the Form 55002021-10-014
Number of other retired or separated participants entitled to future benefits2021-10-014
Total of all active and inactive participants2021-10-018
Total participants2021-10-018
Number of participants with account balances2021-10-018
2020: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-018
Total number of active participants reported on line 7a of the Form 55002020-10-014
Number of other retired or separated participants entitled to future benefits2020-10-014
Total of all active and inactive participants2020-10-018
Total participants2020-10-018
Number of participants with account balances2020-10-018
2019: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-018
Total number of active participants reported on line 7a of the Form 55002019-10-014
Number of other retired or separated participants entitled to future benefits2019-10-014
Total of all active and inactive participants2019-10-018
Total participants2019-10-018
Number of participants with account balances2019-10-018
2018: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-018
Total number of active participants reported on line 7a of the Form 55002018-10-014
Number of other retired or separated participants entitled to future benefits2018-10-014
Total of all active and inactive participants2018-10-018
Total participants2018-10-018
Number of participants with account balances2018-10-018
2017: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-018
Total number of active participants reported on line 7a of the Form 55002017-10-014
Number of retired or separated participants receiving benefits2017-10-010
Number of other retired or separated participants entitled to future benefits2017-10-014
Total of all active and inactive participants2017-10-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-018
Number of participants with account balances2017-10-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2016: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-017
Total number of active participants reported on line 7a of the Form 55002016-10-014
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-014
Total of all active and inactive participants2016-10-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-018
Number of participants with account balances2016-10-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-10-010
2015: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-019
Total number of active participants reported on line 7a of the Form 55002015-10-016
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-011
Total of all active and inactive participants2015-10-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-017
Number of participants with account balances2015-10-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-019
Total number of active participants reported on line 7a of the Form 55002014-10-019
Number of retired or separated participants receiving benefits2014-10-010
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-010
Total participants2014-10-019
Number of participants with account balances2014-10-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-010
2013: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0111
Total number of active participants reported on line 7a of the Form 55002013-10-019
Number of retired or separated participants receiving benefits2013-10-010
Number of other retired or separated participants entitled to future benefits2013-10-011
Total of all active and inactive participants2013-10-0110
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-0110
Number of participants with account balances2013-10-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-016
Total number of active participants reported on line 7a of the Form 55002012-10-0111
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-010
Total of all active and inactive participants2012-10-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-0111
Number of participants with account balances2012-10-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
Total participants, beginning-of-year2012-05-217
Total number of active participants reported on line 7a of the Form 55002012-05-216
Number of retired or separated participants receiving benefits2012-05-210
Number of other retired or separated participants entitled to future benefits2012-05-210
Total of all active and inactive participants2012-05-216
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-05-210
Total participants2012-05-216
Number of participants with account balances2012-05-216
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-05-210

Financial Data on ENM, P.C. 401(K) PROFIT-SHARING PLAN

Measure Date Value
2023 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2023 401k financial data
Total income from all sources2023-09-30$190,243
Expenses. Total of all expenses incurred2023-09-30$10,000
Benefits paid (including direct rollovers)2023-09-30$10,000
Total plan assets at end of year2023-09-30$1,202,869
Total plan assets at beginning of year2023-09-30$1,022,626
Total contributions received or receivable from participants2023-09-30$34,555
Other income received2023-09-30$143,387
Net income (gross income less expenses)2023-09-30$180,243
Net plan assets at end of year (total assets less liabilities)2023-09-30$1,202,869
Net plan assets at beginning of year (total assets less liabilities)2023-09-30$1,022,626
Total contributions received or receivable from employer(s)2023-09-30$12,301
2022 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2022 401k financial data
Total income from all sources2022-09-30$-157,506
Expenses. Total of all expenses incurred2022-09-30$0
Total plan assets at end of year2022-09-30$1,022,626
Total plan assets at beginning of year2022-09-30$1,180,132
Total contributions received or receivable from participants2022-09-30$52,950
Other income received2022-09-30$-228,153
Net income (gross income less expenses)2022-09-30$-157,506
Net plan assets at end of year (total assets less liabilities)2022-09-30$1,022,626
Net plan assets at beginning of year (total assets less liabilities)2022-09-30$1,180,132
Total contributions received or receivable from employer(s)2022-09-30$17,697
2021 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2021 401k financial data
Total income from all sources2021-09-30$269,798
Expenses. Total of all expenses incurred2021-09-30$0
Total plan assets at end of year2021-09-30$1,180,132
Total plan assets at beginning of year2021-09-30$910,334
Total contributions received or receivable from participants2021-09-30$31,046
Other income received2021-09-30$226,590
Net income (gross income less expenses)2021-09-30$269,798
Net plan assets at end of year (total assets less liabilities)2021-09-30$1,180,132
Net plan assets at beginning of year (total assets less liabilities)2021-09-30$910,334
Total contributions received or receivable from employer(s)2021-09-30$12,162
2020 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2020 401k financial data
Total income from all sources2020-09-30$109,831
Expenses. Total of all expenses incurred2020-09-30$0
Total plan assets at end of year2020-09-30$910,334
Total plan assets at beginning of year2020-09-30$800,503
Total contributions received or receivable from participants2020-09-30$28,375
Other income received2020-09-30$72,058
Net income (gross income less expenses)2020-09-30$109,831
Net plan assets at end of year (total assets less liabilities)2020-09-30$910,334
Net plan assets at beginning of year (total assets less liabilities)2020-09-30$800,503
Total contributions received or receivable from employer(s)2020-09-30$9,398
2019 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2019 401k financial data
Total income from all sources2019-09-30$67,235
Expenses. Total of all expenses incurred2019-09-30$0
Total plan assets at end of year2019-09-30$800,503
Total plan assets at beginning of year2019-09-30$733,268
Total contributions received or receivable from participants2019-09-30$27,166
Other income received2019-09-30$29,717
Net income (gross income less expenses)2019-09-30$67,235
Net plan assets at end of year (total assets less liabilities)2019-09-30$800,503
Net plan assets at beginning of year (total assets less liabilities)2019-09-30$733,268
Total contributions received or receivable from employer(s)2019-09-30$10,352
2017 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2017 401k financial data
Total income from all sources2017-09-30$105,635
Total plan assets at end of year2017-09-30$644,599
Total plan assets at beginning of year2017-09-30$538,964
Total contributions received or receivable from participants2017-09-30$26,512
Other income received2017-09-30$69,390
Net income (gross income less expenses)2017-09-30$105,635
Net plan assets at end of year (total assets less liabilities)2017-09-30$644,599
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$538,964
Total contributions received or receivable from employer(s)2017-09-30$9,733
2016 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2016 401k financial data
Total income from all sources2016-09-30$75,961
Expenses. Total of all expenses incurred2016-09-30$8,604
Benefits paid (including direct rollovers)2016-09-30$8,542
Total plan assets at end of year2016-09-30$538,964
Total plan assets at beginning of year2016-09-30$471,607
Total contributions received or receivable from participants2016-09-30$18,843
Other income received2016-09-30$50,294
Net income (gross income less expenses)2016-09-30$67,357
Net plan assets at end of year (total assets less liabilities)2016-09-30$538,964
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$471,607
Total contributions received or receivable from employer(s)2016-09-30$6,824
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$62
2015 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2015 401k financial data
Total income from all sources2015-09-30$18,459
Total plan assets at end of year2015-09-30$471,607
Total plan assets at beginning of year2015-09-30$453,148
Total contributions received or receivable from participants2015-09-30$24,159
Other income received2015-09-30$-14,616
Net income (gross income less expenses)2015-09-30$18,459
Net plan assets at end of year (total assets less liabilities)2015-09-30$471,607
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$453,148
Total contributions received or receivable from employer(s)2015-09-30$8,916
2014 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2014 401k financial data
Total income from all sources2014-09-30$78,672
Expenses. Total of all expenses incurred2014-09-30$13,850
Benefits paid (including direct rollovers)2014-09-30$13,776
Total plan assets at end of year2014-09-30$453,148
Total plan assets at beginning of year2014-09-30$388,326
Total contributions received or receivable from participants2014-09-30$26,408
Other income received2014-09-30$41,880
Net income (gross income less expenses)2014-09-30$64,822
Net plan assets at end of year (total assets less liabilities)2014-09-30$453,148
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$388,326
Total contributions received or receivable from employer(s)2014-09-30$10,384
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$74
2013 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2013 401k financial data
Total income from all sources2013-09-30$99,565
Expenses. Total of all expenses incurred2013-09-30$24
Benefits paid (including direct rollovers)2013-09-30$24
Total plan assets at end of year2013-09-30$388,326
Total plan assets at beginning of year2013-09-30$288,785
Total contributions received or receivable from participants2013-09-30$40,514
Other income received2013-09-30$47,026
Net income (gross income less expenses)2013-09-30$99,541
Net plan assets at end of year (total assets less liabilities)2013-09-30$388,326
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$288,785
Total contributions received or receivable from employer(s)2013-09-30$12,025
2012 : ENM, P.C. 401(K) PROFIT-SHARING PLAN 2012 401k financial data
Transfers to/from the plan2012-09-30$275,671
Total income from all sources2012-09-30$19,657
Expenses. Total of all expenses incurred2012-09-30$6,543
Benefits paid (including direct rollovers)2012-09-30$6,462
Total plan assets at end of year2012-09-30$288,785
Total plan assets at beginning of year2012-09-30$0
Expenses. Other expenses not covered elsewhere2012-09-30$81
Other income received2012-09-30$19,657
Net income (gross income less expenses)2012-09-30$13,114
Net plan assets at end of year (total assets less liabilities)2012-09-30$288,785
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$0

Form 5500 Responses for ENM, P.C. 401(K) PROFIT-SHARING PLAN

2022: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2022 form 5500 responses
2022-10-01Type of plan entitySingle employer plan
2022-10-01Plan funding arrangement – InsuranceYes
2022-10-01Plan funding arrangement – TrustYes
2022-10-01Plan benefit arrangement – InsuranceYes
2022-10-01Plan benefit arrangement - TrustYes
2021: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: ENM, P.C. 401(K) PROFIT-SHARING PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2012-05-21Type of plan entitySingle employer plan
2012-05-21First time form 5500 has been submittedYes
2012-05-21This return/report is a short plan year return/report (less than 12 months)Yes
2012-05-21Plan funding arrangement – TrustYes
2012-05-21Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-829276
Policy instance 1
Insurance contract or identification numberGA-829276
Number of Individuals Covered8
Insurance policy start date2022-10-01
Insurance policy end date2023-09-30
Total amount of commissions paid to insurance brokerUSD $4,526
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 $4,526
Insurance broker organization code?3
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract number754035-01
Policy instance 1
Insurance contract or identification number754035-01
Number of Individuals Covered8
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $992
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $496
Insurance broker organization code?3
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-829276
Policy instance 1
Insurance contract or identification numberGA-829276
Number of Individuals Covered8
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,050
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-829276
Policy instance 1
Insurance contract or identification numberGA-829276
Number of Individuals Covered8
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,209
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-829276
Policy instance 1
Insurance contract or identification numberGA-829276
Number of Individuals Covered8
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,671
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-829276
Policy instance 1
Insurance contract or identification numberGA-829276
Number of Individuals Covered8
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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