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EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameEMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN
Plan identification number 003

EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING 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.

401k Sponsoring company profile

EMERGENCY ROOM ASSOCIATES, LTD. has sponsored the creation of one or more 401k plans.

Company Name:EMERGENCY ROOM ASSOCIATES, LTD.
Employer identification number (EIN):860227607
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032018-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2019-03-22
0032017-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2018-06-25
0032016-01-01DOUGLAS S CAMPBELL DOUGLAS S CAMPBELL2017-09-28
0032015-01-01DOUGLAS CAMBELL DOUGLAS CAMBELL2016-06-17
0032014-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2015-07-23
0032013-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2014-08-20
0032012-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2013-09-24
0032011-01-01DOUGLAS CAMPBELL DOUGLAS CAMPBELL2012-10-01
0032010-01-01DOUGLAS CAMPBELL2011-06-27 DOUGLAS CAMPBELL2011-06-27

Plan Statistics for EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0160
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
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0166
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0138
Total of all active and inactive participants2017-01-0160
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0160
Number of participants with account balances2017-01-0160
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0169
Total number of active participants reported on line 7a of the Form 55002016-01-0147
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0118
Total of all active and inactive participants2016-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0165
Number of participants with account balances2016-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0174
Total number of active participants reported on line 7a of the Form 55002015-01-0145
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0122
Total of all active and inactive participants2015-01-0167
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0167
Number of participants with account balances2015-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0176
Total number of active participants reported on line 7a of the Form 55002014-01-0152
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0121
Total of all active and inactive participants2014-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0173
Number of participants with account balances2014-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0176
Total number of active participants reported on line 7a of the Form 55002013-01-0152
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0122
Total of all active and inactive participants2013-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0174
Number of participants with account balances2013-01-0174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0178
Total number of active participants reported on line 7a of the Form 55002012-01-0154
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0119
Total of all active and inactive participants2012-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0173
Number of participants with account balances2012-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-011
2011: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0179
Total number of active participants reported on line 7a of the Form 55002011-01-0158
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0117
Total of all active and inactive participants2011-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0175
Number of participants with account balances2011-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-011

Financial Data on EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total plan liabilities at end of year2018-12-21$0
Total plan liabilities at beginning of year2018-12-21$0
Total income from all sources2018-12-21$-1,596,007
Expenses. Total of all expenses incurred2018-12-21$21,608,924
Benefits paid (including direct rollovers)2018-12-21$21,542,800
Total plan assets at end of year2018-12-21$0
Total plan assets at beginning of year2018-12-21$23,204,931
Value of fidelity bond covering the plan2018-12-21$500,000
Total contributions received or receivable from participants2018-12-21$0
Contributions received from other sources (not participants or employers)2018-12-21$0
Other income received2018-12-21$-1,604,507
Net income (gross income less expenses)2018-12-21$-23,204,931
Net plan assets at end of year (total assets less liabilities)2018-12-21$0
Net plan assets at beginning of year (total assets less liabilities)2018-12-21$23,204,931
Total contributions received or receivable from employer(s)2018-12-21$8,500
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-21$66,124
2017 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-12-31$4,054,425
Expenses. Total of all expenses incurred2017-12-31$2,835,023
Benefits paid (including direct rollovers)2017-12-31$2,766,131
Total plan assets at end of year2017-12-31$23,204,931
Total plan assets at beginning of year2017-12-31$21,985,529
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$299,846
Contributions received from other sources (not participants or employers)2017-12-31$8,930
Other income received2017-12-31$3,730,196
Net income (gross income less expenses)2017-12-31$1,219,402
Net plan assets at end of year (total assets less liabilities)2017-12-31$23,204,931
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$21,985,529
Total contributions received or receivable from employer(s)2017-12-31$15,453
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$68,892
2016 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-12-31$2,811,693
Expenses. Total of all expenses incurred2016-12-31$2,599,585
Benefits paid (including direct rollovers)2016-12-31$2,588,129
Total plan assets at end of year2016-12-31$21,985,529
Total plan assets at beginning of year2016-12-31$21,773,421
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$530,435
Other income received2016-12-31$1,625,218
Net income (gross income less expenses)2016-12-31$212,108
Net plan assets at end of year (total assets less liabilities)2016-12-31$21,985,529
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$21,773,421
Total contributions received or receivable from employer(s)2016-12-31$656,040
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$11,456
2015 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,154,900
Expenses. Total of all expenses incurred2015-12-31$569,502
Benefits paid (including direct rollovers)2015-12-31$568,498
Total plan assets at end of year2015-12-31$21,773,421
Total plan assets at beginning of year2015-12-31$21,188,023
Value of fidelity bond covering the plan2015-12-31$700,000
Total contributions received or receivable from participants2015-12-31$565,588
Other income received2015-12-31$-208,275
Net income (gross income less expenses)2015-12-31$585,398
Net plan assets at end of year (total assets less liabilities)2015-12-31$21,773,421
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$21,188,023
Total contributions received or receivable from employer(s)2015-12-31$797,587
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$1,004
2014 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$3,037,009
Expenses. Total of all expenses incurred2014-12-31$1,286,200
Benefits paid (including direct rollovers)2014-12-31$1,285,321
Total plan assets at end of year2014-12-31$21,188,023
Total plan assets at beginning of year2014-12-31$19,437,214
Value of fidelity bond covering the plan2014-12-31$700,000
Total contributions received or receivable from participants2014-12-31$603,292
Contributions received from other sources (not participants or employers)2014-12-31$565,078
Other income received2014-12-31$1,072,907
Net income (gross income less expenses)2014-12-31$1,750,809
Net plan assets at end of year (total assets less liabilities)2014-12-31$21,188,023
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$19,437,214
Total contributions received or receivable from employer(s)2014-12-31$795,732
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$879
2013 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$4,549,221
Expenses. Total of all expenses incurred2013-12-31$629,831
Benefits paid (including direct rollovers)2013-12-31$627,717
Total plan assets at end of year2013-12-31$19,437,214
Total plan assets at beginning of year2013-12-31$15,517,824
Value of fidelity bond covering the plan2013-12-31$700,000
Total contributions received or receivable from participants2013-12-31$566,137
Other income received2013-12-31$3,433,885
Net income (gross income less expenses)2013-12-31$3,919,390
Net plan assets at end of year (total assets less liabilities)2013-12-31$19,437,214
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$15,517,824
Total contributions received or receivable from employer(s)2013-12-31$549,199
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$2,114
2012 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-12-31$2,670,506
Expenses. Total of all expenses incurred2012-12-31$291,263
Benefits paid (including direct rollovers)2012-12-31$290,851
Total plan assets at end of year2012-12-31$15,517,824
Total plan assets at beginning of year2012-12-31$13,138,581
Value of fidelity bond covering the plan2012-12-31$700,000
Total contributions received or receivable from participants2012-12-31$554,374
Other income received2012-12-31$1,583,552
Net income (gross income less expenses)2012-12-31$2,379,243
Net plan assets at end of year (total assets less liabilities)2012-12-31$15,517,824
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$13,138,581
Total contributions received or receivable from employer(s)2012-12-31$532,580
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$412
2011 : EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-12-31$1,092,681
Expenses. Total of all expenses incurred2011-12-31$1,209,673
Benefits paid (including direct rollovers)2011-12-31$1,208,697
Total plan assets at end of year2011-12-31$13,138,581
Total plan assets at beginning of year2011-12-31$13,255,573
Value of fidelity bond covering the plan2011-12-31$550,000
Total contributions received or receivable from participants2011-12-31$610,886
Expenses. Other expenses not covered elsewhere2011-12-31$0
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-562,879
Net income (gross income less expenses)2011-12-31$-116,992
Net plan assets at end of year (total assets less liabilities)2011-12-31$13,138,581
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$13,255,573
Total contributions received or receivable from employer(s)2011-12-31$1,044,674
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$976

Form 5500 Responses for EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN

2018: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING 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: EMERGENCY ROOM ASSOCIATES, LTD. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: EMERGENCY ROOM ASSOCIATES, LTD. 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: EMERGENCY ROOM ASSOCIATES, LTD. 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: EMERGENCY ROOM ASSOCIATES, LTD. 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: EMERGENCY ROOM ASSOCIATES, LTD. 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: EMERGENCY ROOM ASSOCIATES, LTD. 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: EMERGENCY ROOM ASSOCIATES, LTD. 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

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-21
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,109
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees6109
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered51
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $67,013
Total amount of fees paid to insurance companyUSD $881
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees881
Insurance broker organization code?5
Commission paid to Insurance BrokerUSD $67,013
Insurance broker nameRBC CAPITAL MARKETS CORP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered65
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $61,059
Total amount of fees paid to insurance companyUSD $10,399
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $61,059
Insurance broker organization code?7
Amount paid for insurance broker fees10399
Insurance broker namePINNACLE PLAN DESIGN, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered74
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $56,115
Total amount of fees paid to insurance companyUSD $875
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $56,115
Insurance broker organization code?7
Amount paid for insurance broker fees875
Insurance broker namePINNACLE PLAN DESIGN, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered77
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $48,732
Total amount of fees paid to insurance companyUSD $1,800
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $48,732
Insurance broker organization code?7
Amount paid for insurance broker fees1800
Insurance broker namePINNACLE PLAN DESIGN, LLC
(National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered72
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $39,238
Total amount of fees paid to insurance companyUSD $408
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $39,238
Insurance broker organization code?7
Amount paid for insurance broker fees375
Additional information about fees paid to insurance brokerREDEMPTION FEES
Insurance broker nameVANGUARD GROUP, INC.
(National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number10158
Policy instance 1
Insurance contract or identification number10158
Number of Individuals Covered72
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $41,392
Total amount of fees paid to insurance companyUSD $972
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes

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