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BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameBRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN
Plan identification number 001

BRIN & BRIN, P.C. 401(K) PROFIT SHARING 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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

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

Company Name:BRIN & BRIN, P.C.
Employer identification number (EIN):742139036
NAIC Classification:541110
NAIC Description:Offices of Lawyers

Additional information about BRIN & BRIN, P.C.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1980-12-02
Company Identification Number: 0090564902
Legal Registered Office Address: 615 N UPPER BROADWAY ST STE 1820

CORPUS CHRISTI
United States of America (USA)
78401

More information about BRIN & BRIN, P.C.

Form 5500 Filing Information

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

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01SHANNON BROADNAX2018-10-10
0012016-01-01SHANNON BROADNAX
0012015-01-01SHANNON BROADNAX
0012014-01-01SHANNON BROADNAX
0012013-01-01SHANNON BROADNAX SHANNON BROADNAX2014-10-15
0012012-01-01SHANNON LEE SHANNON LEE2013-10-15
0012011-01-01SHANNON BROADNAX SHANNON BROADNAX2012-10-15
0012010-01-01SHANNON BROADNAX SHANNON BROADNAX2011-10-17
0012009-01-01CATHERINE TWYFORD, COMPTROLLER CATHERINE TWYFORD, COMPTROLLER2010-07-28

Plan Statistics for BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN

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

Measure Date Value
2016: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0141
Total number of active participants reported on line 7a of the Form 55002016-01-0128
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-017
Total of all active and inactive participants2016-01-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0135
Number of participants with account balances2016-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0140
Total number of active participants reported on line 7a of the Form 55002015-01-0131
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-016
Total of all active and inactive participants2015-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0137
Number of participants with account balances2015-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0141
Total number of active participants reported on line 7a of the Form 55002014-01-0131
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-016
Total of all active and inactive participants2014-01-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0137
Number of participants with account balances2014-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0139
Total number of active participants reported on line 7a of the Form 55002013-01-0131
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-017
Total of all active and inactive participants2013-01-0138
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0138
Number of participants with account balances2013-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0145
Total number of active participants reported on line 7a of the Form 55002012-01-0128
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0112
Total of all active and inactive participants2012-01-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0140
Number of participants with account balances2012-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0147
Total number of active participants reported on line 7a of the Form 55002011-01-0129
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0121
Total of all active and inactive participants2011-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0150
Number of participants with account balances2011-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011
2010: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0156
Total number of active participants reported on line 7a of the Form 55002010-01-0128
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0118
Total of all active and inactive participants2010-01-0146
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0146
Number of participants with account balances2010-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-012
2009: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0133
Total number of active participants reported on line 7a of the Form 55002009-01-0131
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0126
Total of all active and inactive participants2009-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0157
Number of participants with account balances2009-01-0162
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-015

Financial Data on BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$573,133
Expenses. Total of all expenses incurred2016-12-31$130,588
Benefits paid (including direct rollovers)2016-12-31$112,084
Total plan assets at end of year2016-12-31$4,921,427
Total plan assets at beginning of year2016-12-31$4,478,882
Value of fidelity bond covering the plan2016-12-31$450,000
Total contributions received or receivable from participants2016-12-31$196,334
Other income received2016-12-31$297,297
Net income (gross income less expenses)2016-12-31$442,545
Net plan assets at end of year (total assets less liabilities)2016-12-31$4,921,427
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$4,478,882
Assets. Value of participant loans2016-12-31$46,966
Total contributions received or receivable from employer(s)2016-12-31$79,502
Value of certain deemed distributions of participant loans2016-12-31$3,116
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$15,388
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$271,272
Expenses. Total of all expenses incurred2015-12-31$126,524
Benefits paid (including direct rollovers)2015-12-31$110,954
Total plan assets at end of year2015-12-31$4,478,882
Total plan assets at beginning of year2015-12-31$4,334,134
Value of fidelity bond covering the plan2015-12-31$450,000
Total contributions received or receivable from participants2015-12-31$225,998
Other income received2015-12-31$-60,886
Net income (gross income less expenses)2015-12-31$144,748
Net plan assets at end of year (total assets less liabilities)2015-12-31$4,478,882
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$4,334,134
Assets. Value of participant loans2015-12-31$52,857
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022015-12-31$5
Total contributions received or receivable from employer(s)2015-12-31$106,160
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$15,570
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$577,591
Expenses. Total of all expenses incurred2014-12-31$152,021
Benefits paid (including direct rollovers)2014-12-31$151,253
Total plan assets at end of year2014-12-31$4,334,134
Total plan assets at beginning of year2014-12-31$3,908,564
Value of fidelity bond covering the plan2014-12-31$450,000
Total contributions received or receivable from participants2014-12-31$208,768
Contributions received from other sources (not participants or employers)2014-12-31$72,603
Other income received2014-12-31$204,837
Net income (gross income less expenses)2014-12-31$425,570
Net plan assets at end of year (total assets less liabilities)2014-12-31$4,334,134
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,908,564
Assets. Value of participant loans2014-12-31$35,277
Total contributions received or receivable from employer(s)2014-12-31$91,383
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$768
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$657,389
Expenses. Total of all expenses incurred2013-12-31$177,127
Benefits paid (including direct rollovers)2013-12-31$164,721
Total plan assets at end of year2013-12-31$3,908,564
Total plan assets at beginning of year2013-12-31$3,428,302
Value of fidelity bond covering the plan2013-12-31$450,000
Total contributions received or receivable from participants2013-12-31$206,956
Other income received2013-12-31$368,095
Net income (gross income less expenses)2013-12-31$480,262
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,908,564
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$3,428,302
Assets. Value of participant loans2013-12-31$33,388
Total contributions received or receivable from employer(s)2013-12-31$82,338
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$12,406
2012 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$538,777
Expenses. Total of all expenses incurred2012-12-31$423,400
Total plan assets at end of year2012-12-31$3,428,302
Total plan assets at beginning of year2012-12-31$3,312,925
Value of fidelity bond covering the plan2012-12-31$450,000
Total contributions received or receivable from participants2012-12-31$189,931
Other income received2012-12-31$285,206
Net income (gross income less expenses)2012-12-31$115,377
Net plan assets at end of year (total assets less liabilities)2012-12-31$3,428,302
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$3,312,925
Assets. Value of participant loans2012-12-31$59,284
Total contributions received or receivable from employer(s)2012-12-31$63,640
Value of corrective distributions2012-12-31$412,085
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$11,315
2011 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$179,155
Expenses. Total of all expenses incurred2011-12-31$333,434
Benefits paid (including direct rollovers)2011-12-31$321,383
Total plan assets at end of year2011-12-31$3,312,925
Total plan assets at beginning of year2011-12-31$3,467,204
Value of fidelity bond covering the plan2011-12-31$450,000
Total contributions received or receivable from participants2011-12-31$165,375
Other income received2011-12-31$-66,994
Net income (gross income less expenses)2011-12-31$-154,279
Net plan assets at end of year (total assets less liabilities)2011-12-31$3,312,925
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$3,467,204
Assets. Value of participant loans2011-12-31$63,891
Total contributions received or receivable from employer(s)2011-12-31$80,774
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$12,051
2010 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$720,939
Expenses. Total of all expenses incurred2010-12-31$77,555
Benefits paid (including direct rollovers)2010-12-31$62,642
Total plan assets at end of year2010-12-31$3,467,204
Total plan assets at beginning of year2010-12-31$2,823,820
Value of fidelity bond covering the plan2010-12-31$450,000
Total contributions received or receivable from participants2010-12-31$161,108
Contributions received from other sources (not participants or employers)2010-12-31$54,864
Other income received2010-12-31$306,243
Net income (gross income less expenses)2010-12-31$643,384
Net plan assets at end of year (total assets less liabilities)2010-12-31$3,467,204
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$2,823,820
Assets. Value of participant loans2010-12-31$65,762
Total contributions received or receivable from employer(s)2010-12-31$198,724
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$14,913
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN

2016: BRIN & BRIN, P.C. 401(K) PROFIT SHARING 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: BRIN & BRIN, P.C. 401(K) PROFIT SHARING 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: BRIN & BRIN, P.C. 401(K) PROFIT SHARING 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: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BRIN & BRIN, P.C. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number106421
Policy instance 1
Insurance contract or identification number106421
Number of Individuals Covered29
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $12,861
Total amount of fees paid to insurance companyUSD $708
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $12,861
Insurance broker organization code?3
Amount paid for insurance broker fees600
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameMORGAN STANLEY SMITH BARNEY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number106421
Policy instance 1
Insurance contract or identification number106421
Number of Individuals Covered29
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $12,135
Total amount of fees paid to insurance companyUSD $600
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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 $12,027
Insurance broker organization code?3
Amount paid for insurance broker fees600
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker nameMORGAN STANLEY SMITH BARNEY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number106421
Policy instance 1
Insurance contract or identification number106421
Number of Individuals Covered31
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,661
Total amount of fees paid to insurance companyUSD $1,842
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $3,551
Insurance broker organization code?3
Additional information about fees paid to insurance brokerOTHER ALLOWANCES
Amount paid for insurance broker fees1842
Insurance broker nameDAVID K. YOUNG CONSULTING, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number106421
Policy instance 1
Insurance contract or identification number106421
Number of Individuals Covered29
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $24,600
Total amount of fees paid to insurance companyUSD $5,082
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $12,300
Additional information about fees paid to insurance brokerBROKER COMMISSION.
Insurance broker organization code?3
Amount paid for insurance broker fees500
Insurance broker nameMORGAN STANLEY SMITH BARNE
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710802
Policy instance 2
Insurance contract or identification numberGA-710802
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $5,754
Total amount of fees paid to insurance companyUSD $340
Amount paid for insurance broker fees290
Additional information about fees paid to insurance brokerADMINISTRATIVE ALLOWANCE.
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $5,754
Insurance broker nameSBHU LIFE AGENCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710802
Policy instance 1
Insurance contract or identification numberGA-710802
Number of Individuals Covered35
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $7,647
Total amount of fees paid to insurance companyUSD $1,297
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-710802
Policy instance 1
Insurance contract or identification numberGA-710802
Number of Individuals Covered39
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $6,046
Total amount of fees paid to insurance companyUSD $1,074

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