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THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 401k Plan overview

Plan NameTHE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN
Plan identification number 001

THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • 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.
  • Plan covering Self-Employed individuals.
  • 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) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

THE PLASTIC SURGERY CENTER OF NASHVILLE, PLLC has sponsored the creation of one or more 401k plans.

Company Name:THE PLASTIC SURGERY CENTER OF NASHVILLE, PLLC
Employer identification number (EIN):721515894
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012025-01-01KAYLA STURDIVANT
0012024-01-01KAYLA STURDIVANT
0012023-01-01
0012023-01-01KAYLA STURDIVANT
0012022-01-01
0012022-01-01KAYLA STURDIVANT
0012021-01-01
0012021-01-01KAYLA STURDIVANT
0012020-01-01
0012019-01-01
0012018-01-01WHITNEY TERRY
0012017-01-01WHITNEY TERRY
0012016-01-01MARY K. GINGRASS, M.D.
0012015-01-01MARY K. GINGRASS, M.D.
0012014-01-01MARY K. GINGRASS, M.D.
0012013-01-01MARY K. GINGRASS, M.D.
0012012-01-01MARY K. GINGRASS, M.D.2013-03-12
0012011-01-01MARY K. GINGRASS, M.D.2012-06-20
0012010-01-01MARY K. GINGRASS, M.D.2011-02-17

Financial Data on THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN

Measure Date Value
2025 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2025 401k financial data
Total income from all sources2025-01-01$0
Expenses. Total of all expenses incurred2025-01-01$4,918,133
Benefits paid (including direct rollovers)2025-01-01$4,889,208
Total plan assets at end of year2025-01-01$0
Total plan assets at beginning of year2025-01-01$4,918,133
Value of fidelity bond covering the plan2025-01-01$500,000
Net income (gross income less expenses)2025-01-01$-4,918,133
Net plan assets at end of year (total assets less liabilities)2025-01-01$0
Net plan assets at beginning of year (total assets less liabilities)2025-01-01$4,918,133
Expenses. Administrative service providers (salaries,fees and commissions)2025-01-01$28,925
2024 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2024 401k financial data
Total income from all sources2024-01-01$789,125
Expenses. Total of all expenses incurred2024-01-01$53,700
Benefits paid (including direct rollovers)2024-01-01$2,479
Total plan assets at end of year2024-01-01$4,918,133
Total plan assets at beginning of year2024-01-01$4,182,708
Value of fidelity bond covering the plan2024-01-01$500,000
Total contributions received or receivable from participants2024-01-01$70,797
Other income received2024-01-01$688,604
Net income (gross income less expenses)2024-01-01$735,425
Net plan assets at end of year (total assets less liabilities)2024-01-01$4,918,133
Net plan assets at beginning of year (total assets less liabilities)2024-01-01$4,182,708
Total contributions received or receivable from employer(s)2024-01-01$29,724
Expenses. Administrative service providers (salaries,fees and commissions)2024-01-01$51,221
2023 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2023 401k financial data
Total income from all sources2023-12-31$682,359
Expenses. Total of all expenses incurred2023-12-31$44,993
Benefits paid (including direct rollovers)2023-12-31$3,815
Total plan assets at end of year2023-12-31$4,182,708
Total plan assets at beginning of year2023-12-31$3,545,342
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$89,260
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$484,606
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$637,366
Net plan assets at end of year (total assets less liabilities)2023-12-31$4,182,708
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$3,545,342
Total contributions received or receivable from employer(s)2023-12-31$108,493
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$41,178
2022 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2022 401k financial data
Total income from all sources2022-12-31$-455,096
Expenses. Total of all expenses incurred2022-12-31$58,236
Benefits paid (including direct rollovers)2022-12-31$23,763
Total plan assets at end of year2022-12-31$3,545,342
Total plan assets at beginning of year2022-12-31$4,058,674
Value of fidelity bond covering the plan2022-12-31$250,000
Total contributions received or receivable from participants2022-12-31$89,711
Other income received2022-12-31$-642,970
Net income (gross income less expenses)2022-12-31$-513,332
Net plan assets at end of year (total assets less liabilities)2022-12-31$3,545,342
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$4,058,674
Total contributions received or receivable from employer(s)2022-12-31$98,163
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$34,473
2021 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2021 401k financial data
Total income from all sources2021-12-31$628,996
Expenses. Total of all expenses incurred2021-12-31$67,938
Benefits paid (including direct rollovers)2021-12-31$44,635
Total plan assets at end of year2021-12-31$4,058,674
Total plan assets at beginning of year2021-12-31$3,497,616
Value of fidelity bond covering the plan2021-12-31$250,000
Total contributions received or receivable from participants2021-12-31$72,747
Contributions received from other sources (not participants or employers)2021-12-31$17,264
Other income received2021-12-31$446,457
Net income (gross income less expenses)2021-12-31$561,058
Net plan assets at end of year (total assets less liabilities)2021-12-31$4,058,674
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$3,497,616
Total contributions received or receivable from employer(s)2021-12-31$92,528
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$23,303
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2020 401k financial data
Total income from all sources2020-12-31$573,225
Expenses. Total of all expenses incurred2020-12-31$220,178
Benefits paid (including direct rollovers)2020-12-31$201,107
Total plan assets at end of year2020-12-31$3,497,616
Total plan assets at beginning of year2020-12-31$3,144,569
Value of fidelity bond covering the plan2020-12-31$250,000
Total contributions received or receivable from participants2020-12-31$67,843
Other income received2020-12-31$396,357
Net income (gross income less expenses)2020-12-31$353,047
Net plan assets at end of year (total assets less liabilities)2020-12-31$3,497,616
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$3,144,569
Total contributions received or receivable from employer(s)2020-12-31$109,025
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$19,071
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2019 401k financial data
Total income from all sources2019-12-31$686,452
Expenses. Total of all expenses incurred2019-12-31$185,037
Benefits paid (including direct rollovers)2019-12-31$165,900
Total plan assets at end of year2019-12-31$3,144,569
Total plan assets at beginning of year2019-12-31$2,643,154
Value of fidelity bond covering the plan2019-12-31$250,000
Total contributions received or receivable from participants2019-12-31$75,818
Other income received2019-12-31$490,886
Net income (gross income less expenses)2019-12-31$501,415
Net plan assets at end of year (total assets less liabilities)2019-12-31$3,144,569
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$2,643,154
Total contributions received or receivable from employer(s)2019-12-31$119,748
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$19,137
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2018 401k financial data
Total income from all sources2018-12-31$-7,712
Expenses. Total of all expenses incurred2018-12-31$17,703
Total plan assets at end of year2018-12-31$2,643,154
Total plan assets at beginning of year2018-12-31$2,668,569
Value of fidelity bond covering the plan2018-12-31$250,000
Total contributions received or receivable from participants2018-12-31$79,071
Contributions received from other sources (not participants or employers)2018-12-31$20,517
Other income received2018-12-31$-230,450
Net income (gross income less expenses)2018-12-31$-25,415
Net plan assets at end of year (total assets less liabilities)2018-12-31$2,643,154
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$2,668,569
Total contributions received or receivable from employer(s)2018-12-31$123,150
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$17,703
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2017 401k financial data
Total income from all sources2017-12-31$542,002
Expenses. Total of all expenses incurred2017-12-31$88,451
Benefits paid (including direct rollovers)2017-12-31$72,020
Total plan assets at end of year2017-12-31$2,668,569
Total plan assets at beginning of year2017-12-31$2,215,018
Value of fidelity bond covering the plan2017-12-31$250,000
Total contributions received or receivable from participants2017-12-31$75,341
Contributions received from other sources (not participants or employers)2017-12-31$1,501
Other income received2017-12-31$355,872
Net income (gross income less expenses)2017-12-31$453,551
Net plan assets at end of year (total assets less liabilities)2017-12-31$2,668,569
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$2,215,018
Total contributions received or receivable from employer(s)2017-12-31$109,288
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$16,431
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2016 401k financial data
Total income from all sources2016-12-31$293,753
Expenses. Total of all expenses incurred2016-12-31$13,989
Total plan assets at end of year2016-12-31$2,215,018
Total plan assets at beginning of year2016-12-31$1,935,254
Value of fidelity bond covering the plan2016-12-31$250,000
Total contributions received or receivable from participants2016-12-31$69,659
Other income received2016-12-31$124,593
Net income (gross income less expenses)2016-12-31$279,764
Net plan assets at end of year (total assets less liabilities)2016-12-31$2,215,018
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,935,254
Total contributions received or receivable from employer(s)2016-12-31$99,501
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$13,989
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2015 401k financial data
Total income from all sources2015-12-31$78,155
Expenses. Total of all expenses incurred2015-12-31$59,859
Benefits paid (including direct rollovers)2015-12-31$46,439
Total plan assets at end of year2015-12-31$1,935,254
Total plan assets at beginning of year2015-12-31$1,916,958
Value of fidelity bond covering the plan2015-12-31$200,000
Total contributions received or receivable from participants2015-12-31$69,731
Other income received2015-12-31$-91,204
Net income (gross income less expenses)2015-12-31$18,296
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,935,254
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,916,958
Total contributions received or receivable from employer(s)2015-12-31$99,628
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$13,420
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2014 401k financial data
Total income from all sources2014-12-31$179,542
Expenses. Total of all expenses incurred2014-12-31$38,702
Benefits paid (including direct rollovers)2014-12-31$25,634
Total plan assets at end of year2014-12-31$1,916,958
Total plan assets at beginning of year2014-12-31$1,776,118
Value of fidelity bond covering the plan2014-12-31$200,000
Total contributions received or receivable from participants2014-12-31$63,174
Other income received2014-12-31$15,151
Net income (gross income less expenses)2014-12-31$140,840
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,916,958
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,776,118
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022014-12-31$3,422
Total contributions received or receivable from employer(s)2014-12-31$101,217
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$13,068
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2013 401k financial data
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$334,041
Expenses. Total of all expenses incurred2013-12-31$43,214
Benefits paid (including direct rollovers)2013-12-31$31,217
Total plan assets at end of year2013-12-31$1,776,118
Total plan assets at beginning of year2013-12-31$1,485,291
Value of fidelity bond covering the plan2013-12-31$200,000
Total contributions received or receivable from participants2013-12-31$62,104
Other income received2013-12-31$175,773
Net income (gross income less expenses)2013-12-31$290,827
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,776,118
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,485,291
Total contributions received or receivable from employer(s)2013-12-31$96,164
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$11,997
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0

Form 5500 Responses for THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN

2023: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K 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 filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K 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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K 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: THE PLASTIC SURGERY CENTER OF NASHVILLE 401K 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
Insurance contract or identification number24289
Number of Individuals Covered16
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,918
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
Insurance contract or identification number24289
Number of Individuals Covered14
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,708
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number24289
Policy instance 1

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