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RADIOLOGY ALLIANCE, P.C. 401(K) PLAN 401k Plan overview

Plan NameRADIOLOGY ALLIANCE, P.C. 401(K) PLAN
Plan identification number 001

RADIOLOGY ALLIANCE, P.C. 401(K) 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).
  • Life insurance

401k Sponsoring company profile

RA SPINCO, LLC has sponsored the creation of one or more 401k plans.

Company Name:RA SPINCO, LLC
Employer identification number (EIN):814989657
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan RADIOLOGY ALLIANCE, P.C. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01GINA BOWLES
0012017-01-01GINA BOWLES

Plan Statistics for RADIOLOGY ALLIANCE, P.C. 401(K) PLAN

401k plan membership statisitcs for RADIOLOGY ALLIANCE, P.C. 401(K) PLAN

Measure Date Value
2018: RADIOLOGY ALLIANCE, P.C. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-01144
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
2017: RADIOLOGY ALLIANCE, P.C. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01125
Number of retired or separated participants receiving benefits2017-01-011
Number of other retired or separated participants entitled to future benefits2017-01-01142
Total of all active and inactive participants2017-01-01143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01144
Number of participants with account balances2017-01-01144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010

Financial Data on RADIOLOGY ALLIANCE, P.C. 401(K) PLAN

Measure Date Value
2018 : RADIOLOGY ALLIANCE, P.C. 401(K) PLAN 2018 401k financial data
Unrealized appreciation/depreciation of real estate assets2018-05-17$0
Unrealized appreciation/depreciation of other (non real estate) assets2018-05-17$0
Total unrealized appreciation/depreciation of assets2018-05-17$0
Total transfer of assets to this plan2018-05-17$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-17$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-05-17$0
Expenses. Interest paid2018-05-17$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022018-05-17$0
Total income from all sources (including contributions)2018-05-17$1,372,749
Total loss/gain on sale of assets2018-05-17$48,726
Total of all expenses incurred2018-05-17$66,714,017
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-05-17$66,673,003
Expenses. Certain deemed distributions of participant loans2018-05-17$0
Value of total corrective distributions2018-05-17$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-05-17$0
Value of total assets at end of year2018-05-17$0
Value of total assets at beginning of year2018-05-17$65,341,268
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-05-17$41,014
Total income from rents2018-05-17$0
Total interest from all sources2018-05-17$9,561
Total dividends received (eg from common stock, registered investment company shares)2018-05-17$59,566
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-05-17Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2018-05-17$0
Total dividends received from registered investment company shares (eg mutual funds)2018-05-17$58,204
Assets. Real estate other than employer real property at end of year2018-05-17$0
Assets. Real estate other than employer real property at beginning of year2018-05-17$0
Administrative expenses professional fees incurred2018-05-17$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2018-05-17$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2018-05-17$0
Was this plan covered by a fidelity bond2018-05-17Yes
Value of fidelity bond cover2018-05-17$1,000,000
If this is an individual account plan, was there a blackout period2018-05-17No
Were there any nonexempt tranactions with any party-in-interest2018-05-17No
Contributions received from participants2018-05-17$0
Participant contributions at end of year2018-05-17$0
Participant contributions at beginning of year2018-05-17$0
Participant contributions at end of year2018-05-17$0
Participant contributions at beginning of year2018-05-17$0
Assets. Other investments not covered elsewhere at end of year2018-05-17$0
Assets. Other investments not covered elsewhere at beginning of year2018-05-17$393,679
Income. Received or receivable in cash from other sources (including rollovers)2018-05-17$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-05-17$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-05-17$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-05-17$0
Assets. Loans (other than to participants) at end of year2018-05-17$0
Assets. Loans (other than to participants) at beginning of year2018-05-17$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-05-17$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-05-17$0
Other income not declared elsewhere2018-05-17$122
Administrative expenses (other) incurred2018-05-17$41,014
Liabilities. Value of operating payables at end of year2018-05-17$0
Liabilities. Value of operating payables at beginning of year2018-05-17$0
Total non interest bearing cash at end of year2018-05-17$0
Total non interest bearing cash at beginning of year2018-05-17$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-17No
Income. Non cash contributions2018-05-17$0
Value of net income/loss2018-05-17$-65,341,268
Value of net assets at end of year (total assets less liabilities)2018-05-17$0
Value of net assets at beginning of year (total assets less liabilities)2018-05-17$65,341,268
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-05-17No
Were any loans by the plan or fixed income obligations due to the plan in default2018-05-17No
Were any leases to which the plan was party in default or uncollectible2018-05-17No
Assets. partnership/joint venture interests at end of year2018-05-17$0
Assets. partnership/joint venture interests at beginning of year2018-05-17$0
Investment advisory and management fees2018-05-17$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-05-17$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-05-17$58,979,339
Value of interest in pooled separate accounts at end of year2018-05-17$0
Value of interest in pooled separate accounts at beginning of year2018-05-17$0
Interest on participant loans2018-05-17$0
Income. Interest from loans (other than to participants)2018-05-17$0
Interest earned on other investments2018-05-17$0
Income. Interest from US Government securities2018-05-17$0
Income. Interest from corporate debt instruments2018-05-17$0
Value of interest in master investment trust accounts at end of year2018-05-17$0
Value of interest in master investment trust accounts at beginning of year2018-05-17$0
Value of interest in common/collective trusts at end of year2018-05-17$0
Value of interest in common/collective trusts at beginning of year2018-05-17$3,273,179
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-05-17$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-05-17$2,078,714
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-05-17$2,078,714
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-05-17$9,561
Assets. Value of investments in 103.12 investment entities at end of year2018-05-17$0
Assets. Value of investments in 103.12 investment entities at beginning of year2018-05-17$0
Expenses. Payments to insurance carriers foe the provision of benefits2018-05-17$0
Asset value of US Government securities at end of year2018-05-17$0
Asset value of US Government securities at beginning of year2018-05-17$109,464
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-05-17$1,238,742
Net investment gain/loss from pooled separate accounts2018-05-17$0
Net investment gain or loss from common/collective trusts2018-05-17$16,032
Net gain/loss from 103.12 investment entities2018-05-17$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-05-17No
Was there a failure to transmit to the plan any participant contributions2018-05-17No
Has the plan failed to provide any benefit when due under the plan2018-05-17No
Assets. Invements in employer securities at end of year2018-05-17$0
Assets. Invements in employer securities at beginning of year2018-05-17$0
Assets. Value of employer real property at end of year2018-05-17$0
Assets. Value of employer real property at beginning of year2018-05-17$0
Contributions received in cash from employer2018-05-17$0
Employer contributions (assets) at end of year2018-05-17$0
Employer contributions (assets) at beginning of year2018-05-17$0
Income. Dividends from preferred stock2018-05-17$0
Income. Dividends from common stock2018-05-17$1,362
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-05-17$66,673,003
Asset. Corporate debt instrument preferred debt at end of year2018-05-17$0
Asset. Corporate debt instrument preferred debt at beginning of year2018-05-17$0
Asset. Corporate debt instrument debt (other) at end of year2018-05-17$0
Asset. Corporate debt instrument debt (other) at beginning of year2018-05-17$0
Contract administrator fees2018-05-17$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32018-05-17No
Assets. Corporate common stocks other than exployer securities at end of year2018-05-17$0
Assets. Corporate common stocks other than exployer securities at beginning of year2018-05-17$506,893
Liabilities. Value of benefit claims payable at end of year2018-05-17$0
Liabilities. Value of benefit claims payable at beginning of year2018-05-17$0
Assets. Value of buildings and other operty used in plan operation at end of year2018-05-17$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2018-05-17$0
Did the plan have assets held for investment2018-05-17No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-05-17No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-05-17Yes
Aggregate proceeds on sale of assets2018-05-17$1,092,170
Aggregate carrying amount (costs) on sale of assets2018-05-17$1,043,444
Liabilities. Value of acquisition indebtedness at end of year2018-05-17$0
Liabilities. Value of acquisition indebtedness at beginning of year2018-05-17$0
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-05-17Yes
Opinion of an independent qualified public accountant for this plan2018-05-17Disclaimer
Accountancy firm name2018-05-17LBMC, PC
Accountancy firm EIN2018-05-17621199757
2017 : RADIOLOGY ALLIANCE, P.C. 401(K) PLAN 2017 401k financial data
Unrealized appreciation/depreciation of real estate assets2017-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$-291,608
Total unrealized appreciation/depreciation of assets2017-12-31$-291,608
Total transfer of assets to this plan2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Expenses. Interest paid2017-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022017-12-31$0
Total income from all sources (including contributions)2017-12-31$9,019,560
Total loss/gain on sale of assets2017-12-31$58,263
Total of all expenses incurred2017-12-31$2,497,919
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,369,109
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Value of total corrective distributions2017-12-31$33,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$359,548
Value of total assets at end of year2017-12-31$65,341,268
Value of total assets at beginning of year2017-12-31$58,819,627
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$95,112
Total income from rents2017-12-31$0
Total interest from all sources2017-12-31$19,741
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,951,221
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$2,918,598
Assets. Real estate other than employer real property at end of year2017-12-31$0
Assets. Real estate other than employer real property at beginning of year2017-12-31$0
Administrative expenses professional fees incurred2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at end of year2017-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2017-12-31$0
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$153,071
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$0
Assets. Other investments not covered elsewhere at end of year2017-12-31$393,679
Assets. Other investments not covered elsewhere at beginning of year2017-12-31$371,287
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$0
Assets. Loans (other than to participants) at end of year2017-12-31$0
Assets. Loans (other than to participants) at beginning of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$0
Other income not declared elsewhere2017-12-31$13,516
Administrative expenses (other) incurred2017-12-31$95,112
Liabilities. Value of operating payables at end of year2017-12-31$0
Liabilities. Value of operating payables at beginning of year2017-12-31$0
Total non interest bearing cash at end of year2017-12-31$0
Total non interest bearing cash at beginning of year2017-12-31$10,423
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
Income. Non cash contributions2017-12-31$0
Value of net income/loss2017-12-31$6,521,641
Value of net assets at end of year (total assets less liabilities)2017-12-31$65,341,268
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$58,819,627
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
Assets. partnership/joint venture interests at end of year2017-12-31$0
Assets. partnership/joint venture interests at beginning of year2017-12-31$0
Investment advisory and management fees2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$58,979,339
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$48,512,940
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$0
Interest on participant loans2017-12-31$0
Income. Interest from loans (other than to participants)2017-12-31$0
Interest earned on other investments2017-12-31$0
Income. Interest from US Government securities2017-12-31$3,120
Income. Interest from corporate debt instruments2017-12-31$0
Value of interest in master investment trust accounts at end of year2017-12-31$0
Value of interest in master investment trust accounts at beginning of year2017-12-31$0
Value of interest in common/collective trusts at end of year2017-12-31$3,273,179
Value of interest in common/collective trusts at beginning of year2017-12-31$2,869,768
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$2,078,714
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$3,348,048
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$3,348,048
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$16,621
Assets. Value of investments in 103.12 investment entities at end of year2017-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2017-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Asset value of US Government securities at end of year2017-12-31$109,464
Asset value of US Government securities at beginning of year2017-12-31$103,131
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$5,883,033
Net investment gain/loss from pooled separate accounts2017-12-31$0
Net investment gain or loss from common/collective trusts2017-12-31$25,846
Net gain/loss from 103.12 investment entities2017-12-31$0
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 contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Assets. Invements in employer securities at end of year2017-12-31$0
Assets. Invements in employer securities at beginning of year2017-12-31$0
Assets. Value of employer real property at end of year2017-12-31$0
Assets. Value of employer real property at beginning of year2017-12-31$0
Contributions received in cash from employer2017-12-31$206,477
Employer contributions (assets) at end of year2017-12-31$0
Employer contributions (assets) at beginning of year2017-12-31$0
Income. Dividends from preferred stock2017-12-31$0
Income. Dividends from common stock2017-12-31$32,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,369,109
Asset. Corporate debt instrument preferred debt at end of year2017-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2017-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2017-12-31$0
Contract administrator fees2017-12-31$0
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32017-12-31No
Assets. Corporate common stocks other than exployer securities at end of year2017-12-31$506,893
Assets. Corporate common stocks other than exployer securities at beginning of year2017-12-31$3,604,030
Liabilities. Value of benefit claims payable at end of year2017-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2017-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2017-12-31$0
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
Aggregate proceeds on sale of assets2017-12-31$2,066,800
Aggregate carrying amount (costs) on sale of assets2017-12-31$2,008,537
Liabilities. Value of acquisition indebtedness at end of year2017-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2017-12-31$0
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 name2017-12-31LBMC, PC
Accountancy firm EIN2017-12-31621199757

Form 5500 Responses for RADIOLOGY ALLIANCE, P.C. 401(K) PLAN

2018: RADIOLOGY ALLIANCE, P.C. 401(K) 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 filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
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: RADIOLOGY ALLIANCE, P.C. 401(K) 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

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-05-17
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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 BenefitYes
Temporary 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 $0
Amount paid for insurance broker fees0
Insurance broker name
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFS2682
Policy instance 2
Insurance contract or identification numberPFS2682
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-05-17
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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
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 $0
Amount paid for insurance broker fees0
Insurance broker name
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberVARIOUS
Policy instance 1
Insurance contract or identification numberVARIOUS
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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 BenefitYes
Temporary 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 $0
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameSINKS ROBERT TIMOTHY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract numberPFS2682
Policy instance 2
Insurance contract or identification numberPFS2682
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $554
Total amount of fees paid to insurance companyUSD $0
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
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 $554
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker namePRUDENTIAL ANNUITES SERVICE

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