SUMMIT DERMATOLOGY, P.C. has sponsored the creation of one or more 401k plans.
Additional information about SUMMIT DERMATOLOGY, P.C.
Submission information for form 5500 for 401k plan SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN
| Measure | Date | Value |
|---|
| 2019: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 29 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 16 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 17 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 17 |
| Number of participants with account balances | 2019-01-01 | 12 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 3 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 7 |
| Total of all active and inactive participants | 2018-01-01 | 21 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 21 |
| Number of participants with account balances | 2018-01-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 21 |
| 2017: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 19 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 12 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 6 |
| Total of all active and inactive participants | 2017-01-01 | 18 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 18 |
| Number of participants with account balances | 2017-01-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 21 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 13 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 6 |
| Total of all active and inactive participants | 2016-01-01 | 19 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 19 |
| Number of participants with account balances | 2016-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 23 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 18 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 3 |
| Total of all active and inactive participants | 2015-01-01 | 21 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 21 |
| Number of participants with account balances | 2015-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 0 |
| 2014: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 20 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 16 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 3 |
| Total of all active and inactive participants | 2014-01-01 | 19 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 19 |
| Number of participants with account balances | 2014-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 2 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 5 |
| Total of all active and inactive participants | 2013-01-01 | 18 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 18 |
| Number of participants with account balances | 2013-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 15 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 3 |
| Total of all active and inactive participants | 2012-01-01 | 18 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 18 |
| Number of participants with account balances | 2012-01-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 15 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 3 |
| Total of all active and inactive participants | 2011-01-01 | 18 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 18 |
| Number of participants with account balances | 2011-01-01 | 16 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2009: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 16 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 10 |
| Number of retired or separated participants receiving benefits | 2009-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2009-01-01 | 2 |
| Total of all active and inactive participants | 2009-01-01 | 12 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-01-01 | 0 |
| Total participants | 2009-01-01 | 12 |
| Number of participants with account balances | 2009-01-01 | 12 |
| Measure | Date | Value |
|---|
| 2019 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $249,773 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $63,384 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $63,384 |
| Total plan assets at end of year | 2019-12-31 | $712,363 |
| Total plan assets at beginning of year | 2019-12-31 | $525,974 |
| Value of fidelity bond covering the plan | 2019-12-31 | $75,000 |
| Total contributions received or receivable from participants | 2019-12-31 | $106,388 |
| Other income received | 2019-12-31 | $120,445 |
| Net income (gross income less expenses) | 2019-12-31 | $186,389 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $712,363 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $525,974 |
| Total contributions received or receivable from employer(s) | 2019-12-31 | $22,940 |
| 2018 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $75,442 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $150,453 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $150,453 |
| Total plan assets at end of year | 2018-12-31 | $525,974 |
| Total plan assets at beginning of year | 2018-12-31 | $600,985 |
| Value of fidelity bond covering the plan | 2018-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2018-12-31 | $69,522 |
| Other income received | 2018-12-31 | $-13,152 |
| Net income (gross income less expenses) | 2018-12-31 | $-75,011 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $525,974 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $600,985 |
| Total contributions received or receivable from employer(s) | 2018-12-31 | $19,072 |
| 2017 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $191,510 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $38,144 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $38,144 |
| Total plan assets at end of year | 2017-12-31 | $600,985 |
| Total plan assets at beginning of year | 2017-12-31 | $447,619 |
| Value of fidelity bond covering the plan | 2017-12-31 | $65,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $72,430 |
| Other income received | 2017-12-31 | $94,054 |
| Net income (gross income less expenses) | 2017-12-31 | $153,366 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $600,985 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $447,619 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $25,026 |
| 2016 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $128,119 |
| Total plan assets at end of year | 2016-12-31 | $447,619 |
| Total plan assets at beginning of year | 2016-12-31 | $319,500 |
| Value of fidelity bond covering the plan | 2016-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $70,666 |
| Other income received | 2016-12-31 | $35,548 |
| Net income (gross income less expenses) | 2016-12-31 | $128,119 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $447,619 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $319,500 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $21,905 |
| 2015 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $64,585 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $2,797 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $2,797 |
| Total plan assets at end of year | 2015-12-31 | $319,500 |
| Total plan assets at beginning of year | 2015-12-31 | $257,712 |
| Value of fidelity bond covering the plan | 2015-12-31 | $50,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $79,739 |
| Other income received | 2015-12-31 | $-38,310 |
| Net income (gross income less expenses) | 2015-12-31 | $61,788 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $319,500 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $257,712 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $23,156 |
| 2014 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $10,411 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $38,487 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $38,487 |
| Total plan assets at end of year | 2014-12-31 | $257,712 |
| Total plan assets at beginning of year | 2014-12-31 | $285,788 |
| Value of fidelity bond covering the plan | 2014-12-31 | $35,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $65,163 |
| Other income received | 2014-12-31 | $-72,979 |
| Net income (gross income less expenses) | 2014-12-31 | $-28,076 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $257,712 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $285,788 |
| Assets. Value of participant loans | 2014-12-31 | $0 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $18,227 |
| 2013 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $68,229 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $8,361 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $8,361 |
| Total plan assets at end of year | 2013-12-31 | $285,788 |
| Total plan assets at beginning of year | 2013-12-31 | $225,920 |
| Value of fidelity bond covering the plan | 2013-12-31 | $35,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $59,496 |
| Other income received | 2013-12-31 | $-9,400 |
| Net income (gross income less expenses) | 2013-12-31 | $59,868 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $285,788 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $225,920 |
| Assets. Value of participant loans | 2013-12-31 | $955 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $18,133 |
| 2012 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $72,349 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $8,259 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $8,259 |
| Total plan assets at end of year | 2012-12-31 | $225,920 |
| Total plan assets at beginning of year | 2012-12-31 | $161,830 |
| Value of fidelity bond covering the plan | 2012-12-31 | $35,000 |
| Total contributions received or receivable from participants | 2012-12-31 | $43,376 |
| Other income received | 2012-12-31 | $8,762 |
| Net income (gross income less expenses) | 2012-12-31 | $64,090 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $225,920 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $161,830 |
| Assets. Value of participant loans | 2012-12-31 | $4,365 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $20,211 |
| 2011 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $-33,405 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $37,834 |
| Benefits paid (including direct rollovers) | 2011-12-31 | $37,834 |
| Total plan assets at end of year | 2011-12-31 | $161,830 |
| Total plan assets at beginning of year | 2011-12-31 | $233,069 |
| Value of fidelity bond covering the plan | 2011-12-31 | $35,000 |
| Total contributions received or receivable from participants | 2011-12-31 | $18,391 |
| Other income received | 2011-12-31 | $-66,179 |
| Net income (gross income less expenses) | 2011-12-31 | $-71,239 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $161,830 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $233,069 |
| Assets. Value of participant loans | 2011-12-31 | $11,161 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $14,383 |
| 2010 : SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $-38,685 |
| Total plan assets at end of year | 2010-12-31 | $233,069 |
| Total plan assets at beginning of year | 2010-12-31 | $271,754 |
| Value of fidelity bond covering the plan | 2010-12-31 | $35,000 |
| Total contributions received or receivable from participants | 2010-12-31 | $15,916 |
| Other income received | 2010-12-31 | $-70,974 |
| Net income (gross income less expenses) | 2010-12-31 | $-38,685 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $233,069 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $271,754 |
| Assets. Value of participant loans | 2010-12-31 | $17,691 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $16,373 |
| 2019: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| 2012: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan funding arrangement – Trust | Yes |
| 2012-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement - Trust | Yes |
| 2011: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan funding arrangement – Trust | Yes |
| 2011-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement - Trust | Yes |
| 2009: SUMMIT DERMATOLOGY RETIREMENT SAVINGS PLAN 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Plan funding arrangement – Insurance | Yes |
| 2009-01-01 | Plan funding arrangement – Trust | Yes |
| 2009-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2009-01-01 | Plan benefit arrangement - Trust | Yes |
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 2 |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | 1 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2016-01-01 | | Insurance policy end date | 2016-12-31 | | Total amount of commissions paid to insurance broker | USD $262 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $262 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171598-0X |
| Policy instance | 6 |
| Insurance contract or identification number | C171598-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 5 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $30 | | Insurance broker organization code? | 6 | | Insurance broker name | VOYA INSURANCE AND ANNUITY COMPANY |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C185034-0X |
| Policy instance | 4 |
| Insurance contract or identification number | C185034-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 6 | | Insurance broker name | VOYA INSURANCE AND ANNUITY COMPANY |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 6 | | Insurance broker name | VOYA INSURANCE AND ANNUITY COMPANY |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148614-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148614-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C185034-0X |
| Policy instance | 4 |
| Insurance contract or identification number | C185034-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $132 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $132 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 5 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $187 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $187 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171598-0X |
| Policy instance | 6 |
| Insurance contract or identification number | C171598-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Insurance broker organization code? | 3 | | Insurance broker name | DOUGLAS BARTON |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148614-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148614-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $52 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $52 | | Insurance broker organization code? | 3 | | Insurance broker name | LOUIS M. JIMENEZ |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148614-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148614-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $190 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $190 | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES C/O DOUG BARTON |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 5 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $174 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $174 | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171598-0X |
| Policy instance | 6 |
| Insurance contract or identification number | C171598-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C185034-0X |
| Policy instance | 4 |
| Insurance contract or identification number | C185034-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $266 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $266 | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Are there contracts with allocated funds for individual policies? | Yes | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Amount paid for insurance broker fees | 30 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148614-0X |
| Policy instance | 1 |
| Insurance contract or identification number | C148614-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148359-0X |
| Policy instance | 3 |
| Insurance contract or identification number | C148359-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171598-0X |
| Policy instance | 6 |
| Insurance contract or identification number | C171598-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C148352-0X |
| Policy instance | 2 |
| Insurance contract or identification number | C148352-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C185034-0X |
| Policy instance | 4 |
| Insurance contract or identification number | C185034-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | C171556-0X |
| Policy instance | 5 |
| Insurance contract or identification number | C171556-0X | | Number of Individuals Covered | 1 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of fees paid to insurance company | USD $30 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No |
|
| ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
| Policy contract number | |
| Policy instance | 1 |
| Number of Individuals Covered | 8 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $1,049 | | Total amount of fees paid to insurance company | USD $300 | | Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500? | No | | Commission paid to Insurance Broker | USD $1,049 | | Amount paid for insurance broker fees | 300 | | Insurance broker organization code? | 3 | | Insurance broker name | SAMMONS SECURITIES C/O DOUG BARTON |
|
