ETHAN G HARRIS MD APC has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN
401k plan membership statisitcs for ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN
Measure | Date | Value |
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2014: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2014 401k membership |
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Total participants, beginning-of-year | 2014-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2014-07-01 | 1 |
Number of retired or separated participants receiving benefits | 2014-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2014-07-01 | 0 |
Total of all active and inactive participants | 2014-07-01 | 1 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-07-01 | 0 |
Total participants | 2014-07-01 | 1 |
Number of participants with account balances | 2014-07-01 | 1 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-07-01 | 0 |
2013: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2013 401k membership |
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Total participants, beginning-of-year | 2013-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2013-07-01 | 1 |
Number of retired or separated participants receiving benefits | 2013-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2013-07-01 | 1 |
Total of all active and inactive participants | 2013-07-01 | 2 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-07-01 | 0 |
Total participants | 2013-07-01 | 2 |
Number of participants with account balances | 2013-07-01 | 2 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-07-01 | 0 |
2012: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2012 401k membership |
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Total participants, beginning-of-year | 2012-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2012-07-01 | 2 |
Number of retired or separated participants receiving benefits | 2012-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2012-07-01 | 0 |
Total of all active and inactive participants | 2012-07-01 | 2 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-07-01 | 0 |
Total participants | 2012-07-01 | 2 |
Number of participants with account balances | 2012-07-01 | 2 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-07-01 | 0 |
2011: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2011 401k membership |
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Total participants, beginning-of-year | 2011-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2011-07-01 | 2 |
Number of retired or separated participants receiving benefits | 2011-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2011-07-01 | 0 |
Total of all active and inactive participants | 2011-07-01 | 2 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-07-01 | 0 |
Total participants | 2011-07-01 | 2 |
Number of participants with account balances | 2011-07-01 | 2 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-07-01 | 0 |
2010: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2010 401k membership |
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Total participants, beginning-of-year | 2010-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2010-07-01 | 2 |
Number of retired or separated participants receiving benefits | 2010-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2010-07-01 | 0 |
Total of all active and inactive participants | 2010-07-01 | 2 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-07-01 | 0 |
Total participants | 2010-07-01 | 2 |
Number of participants with account balances | 2010-07-01 | 2 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2010-07-01 | 0 |
2009: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2009 401k membership |
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Total participants, beginning-of-year | 2009-07-01 | 2 |
Total number of active participants reported on line 7a of the Form 5500 | 2009-07-01 | 2 |
Number of retired or separated participants receiving benefits | 2009-07-01 | 0 |
Number of other retired or separated participants entitled to future benefits | 2009-07-01 | 0 |
Total of all active and inactive participants | 2009-07-01 | 2 |
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2009-07-01 | 0 |
Total participants | 2009-07-01 | 2 |
Number of participants with account balances | 2009-07-01 | 2 |
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2009-07-01 | 0 |
Measure | Date | Value |
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2015 : ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2015 401k financial data |
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Transfers to/from the plan | 2015-06-30 | $0 |
Total plan liabilities at end of year | 2015-06-30 | $0 |
Total plan liabilities at beginning of year | 2015-06-30 | $0 |
Total income from all sources | 2015-06-30 | $52,767 |
Expenses. Total of all expenses incurred | 2015-06-30 | $69,871 |
Benefits paid (including direct rollovers) | 2015-06-30 | $68,176 |
Total plan assets at end of year | 2015-06-30 | $627,132 |
Total plan assets at beginning of year | 2015-06-30 | $644,236 |
Value of fidelity bond covering the plan | 2015-06-30 | $100,000 |
Total contributions received or receivable from participants | 2015-06-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2015-06-30 | $0 |
Contributions received from other sources (not participants or employers) | 2015-06-30 | $0 |
Other income received | 2015-06-30 | $52,767 |
Noncash contributions received | 2015-06-30 | $0 |
Net income (gross income less expenses) | 2015-06-30 | $-17,104 |
Net plan assets at end of year (total assets less liabilities) | 2015-06-30 | $627,132 |
Net plan assets at beginning of year (total assets less liabilities) | 2015-06-30 | $644,236 |
Assets. Value of participant loans | 2015-06-30 | $6,137 |
Total contributions received or receivable from employer(s) | 2015-06-30 | $0 |
Value of certain deemed distributions of participant loans | 2015-06-30 | $0 |
Value of corrective distributions | 2015-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2015-06-30 | $1,695 |
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-06-30 | $0 |
2014 : ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2014 401k financial data |
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Transfers to/from the plan | 2014-06-30 | $0 |
Total plan liabilities at end of year | 2014-06-30 | $0 |
Total plan liabilities at beginning of year | 2014-06-30 | $0 |
Total income from all sources | 2014-06-30 | $24,152 |
Expenses. Total of all expenses incurred | 2014-06-30 | $2,935 |
Benefits paid (including direct rollovers) | 2014-06-30 | $0 |
Total plan assets at end of year | 2014-06-30 | $644,236 |
Total plan assets at beginning of year | 2014-06-30 | $623,019 |
Value of fidelity bond covering the plan | 2014-06-30 | $100,000 |
Total contributions received or receivable from participants | 2014-06-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2014-06-30 | $0 |
Contributions received from other sources (not participants or employers) | 2014-06-30 | $0 |
Other income received | 2014-06-30 | $24,152 |
Noncash contributions received | 2014-06-30 | $0 |
Net income (gross income less expenses) | 2014-06-30 | $21,217 |
Net plan assets at end of year (total assets less liabilities) | 2014-06-30 | $644,236 |
Net plan assets at beginning of year (total assets less liabilities) | 2014-06-30 | $623,019 |
Assets. Value of participant loans | 2014-06-30 | $14,022 |
Total contributions received or receivable from employer(s) | 2014-06-30 | $0 |
Value of certain deemed distributions of participant loans | 2014-06-30 | $0 |
Value of corrective distributions | 2014-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2014-06-30 | $2,935 |
2013 : ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2013 401k financial data |
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Transfers to/from the plan | 2013-06-30 | $0 |
Total plan liabilities at end of year | 2013-06-30 | $0 |
Total plan liabilities at beginning of year | 2013-06-30 | $0 |
Total income from all sources | 2013-06-30 | $47,354 |
Expenses. Total of all expenses incurred | 2013-06-30 | $0 |
Benefits paid (including direct rollovers) | 2013-06-30 | $0 |
Total plan assets at end of year | 2013-06-30 | $623,019 |
Total plan assets at beginning of year | 2013-06-30 | $575,665 |
Value of fidelity bond covering the plan | 2013-06-30 | $100,000 |
Total contributions received or receivable from participants | 2013-06-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2013-06-30 | $0 |
Contributions received from other sources (not participants or employers) | 2013-06-30 | $0 |
Other income received | 2013-06-30 | $47,351 |
Noncash contributions received | 2013-06-30 | $0 |
Net income (gross income less expenses) | 2013-06-30 | $47,354 |
Net plan assets at end of year (total assets less liabilities) | 2013-06-30 | $623,019 |
Net plan assets at beginning of year (total assets less liabilities) | 2013-06-30 | $575,665 |
Assets. Value of participant loans | 2013-06-30 | $21,579 |
Total contributions received or receivable from employer(s) | 2013-06-30 | $3 |
Value of certain deemed distributions of participant loans | 2013-06-30 | $0 |
Value of corrective distributions | 2013-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2013-06-30 | $0 |
2012 : ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2012 401k financial data |
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Transfers to/from the plan | 2012-06-30 | $0 |
Total plan liabilities at end of year | 2012-06-30 | $0 |
Total plan liabilities at beginning of year | 2012-06-30 | $0 |
Total income from all sources | 2012-06-30 | $58,294 |
Expenses. Total of all expenses incurred | 2012-06-30 | $0 |
Benefits paid (including direct rollovers) | 2012-06-30 | $0 |
Total plan assets at end of year | 2012-06-30 | $575,665 |
Total plan assets at beginning of year | 2012-06-30 | $517,371 |
Value of fidelity bond covering the plan | 2012-06-30 | $100,000 |
Total contributions received or receivable from participants | 2012-06-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2012-06-30 | $0 |
Contributions received from other sources (not participants or employers) | 2012-06-30 | $0 |
Other income received | 2012-06-30 | $11,279 |
Noncash contributions received | 2012-06-30 | $0 |
Net income (gross income less expenses) | 2012-06-30 | $58,294 |
Net plan assets at end of year (total assets less liabilities) | 2012-06-30 | $575,665 |
Net plan assets at beginning of year (total assets less liabilities) | 2012-06-30 | $517,371 |
Assets. Value of participant loans | 2012-06-30 | $28,822 |
Total contributions received or receivable from employer(s) | 2012-06-30 | $47,015 |
Value of certain deemed distributions of participant loans | 2012-06-30 | $0 |
Value of corrective distributions | 2012-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2012-06-30 | $0 |
2011 : ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2011 401k financial data |
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Transfers to/from the plan | 2011-06-30 | $0 |
Total plan liabilities at end of year | 2011-06-30 | $0 |
Total plan liabilities at beginning of year | 2011-06-30 | $0 |
Total income from all sources | 2011-06-30 | $-75,464 |
Expenses. Total of all expenses incurred | 2011-06-30 | $2,896 |
Benefits paid (including direct rollovers) | 2011-06-30 | $0 |
Total plan assets at end of year | 2011-06-30 | $517,371 |
Total plan assets at beginning of year | 2011-06-30 | $595,731 |
Value of fidelity bond covering the plan | 2011-06-30 | $100,000 |
Total contributions received or receivable from participants | 2011-06-30 | $0 |
Expenses. Other expenses not covered elsewhere | 2011-06-30 | $0 |
Contributions received from other sources (not participants or employers) | 2011-06-30 | $0 |
Other income received | 2011-06-30 | $-118,784 |
Noncash contributions received | 2011-06-30 | $0 |
Net income (gross income less expenses) | 2011-06-30 | $-78,360 |
Net plan assets at end of year (total assets less liabilities) | 2011-06-30 | $517,371 |
Net plan assets at beginning of year (total assets less liabilities) | 2011-06-30 | $595,731 |
Assets. Value of participant loans | 2011-06-30 | $37,415 |
Total contributions received or receivable from employer(s) | 2011-06-30 | $43,320 |
Value of certain deemed distributions of participant loans | 2011-06-30 | $0 |
Value of corrective distributions | 2011-06-30 | $0 |
Expenses. Administrative service providers (salaries,fees and commissions) | 2011-06-30 | $2,896 |
2014: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2014 form 5500 responses |
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2014-07-01 | Type of plan entity | Single employer plan |
2014-07-01 | Submission has been amended | No |
2014-07-01 | This submission is the final filing | No |
2014-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2014-07-01 | Plan is a collectively bargained plan | No |
2014-07-01 | Plan funding arrangement – Insurance | Yes |
2014-07-01 | Plan funding arrangement – Trust | Yes |
2014-07-01 | Plan benefit arrangement – Insurance | Yes |
2014-07-01 | Plan benefit arrangement - Trust | Yes |
2013: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2013 form 5500 responses |
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2013-07-01 | Type of plan entity | Single employer plan |
2013-07-01 | Submission has been amended | No |
2013-07-01 | This submission is the final filing | No |
2013-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2013-07-01 | Plan is a collectively bargained plan | No |
2013-07-01 | Plan funding arrangement – Insurance | Yes |
2013-07-01 | Plan funding arrangement – Trust | Yes |
2013-07-01 | Plan benefit arrangement – Insurance | Yes |
2013-07-01 | Plan benefit arrangement - Trust | Yes |
2012: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2012 form 5500 responses |
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2012-07-01 | Type of plan entity | Single employer plan |
2012-07-01 | Submission has been amended | No |
2012-07-01 | This submission is the final filing | No |
2012-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2012-07-01 | Plan is a collectively bargained plan | No |
2012-07-01 | Plan funding arrangement – Insurance | Yes |
2012-07-01 | Plan funding arrangement – Trust | Yes |
2012-07-01 | Plan benefit arrangement – Insurance | Yes |
2012-07-01 | Plan benefit arrangement - Trust | Yes |
2011: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2011 form 5500 responses |
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2011-07-01 | Type of plan entity | Single employer plan |
2011-07-01 | Submission has been amended | No |
2011-07-01 | This submission is the final filing | No |
2011-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2011-07-01 | Plan is a collectively bargained plan | No |
2011-07-01 | Plan funding arrangement – Insurance | Yes |
2011-07-01 | Plan funding arrangement – Trust | Yes |
2011-07-01 | Plan benefit arrangement – Insurance | Yes |
2011-07-01 | Plan benefit arrangement - Trust | Yes |
2010: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2010 form 5500 responses |
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2010-07-01 | Type of plan entity | Single employer plan |
2010-07-01 | Submission has been amended | No |
2010-07-01 | This submission is the final filing | No |
2010-07-01 | This return/report is a short plan year return/report (less than 12 months) | No |
2010-07-01 | Plan is a collectively bargained plan | No |
2010-07-01 | Plan funding arrangement – Insurance | Yes |
2010-07-01 | Plan funding arrangement – Trust | Yes |
2010-07-01 | Plan benefit arrangement – Insurance | Yes |
2010-07-01 | Plan benefit arrangement - Trust | Yes |
2009: ETHAN G HARRIS MD A PROFESSIONAL CORPORATION PROFIT SHARING PLAN 2009 form 5500 responses |
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2009-07-01 | Type of plan entity | Single employer plan |
2009-07-01 | Plan funding arrangement – Insurance | Yes |
2009-07-01 | Plan funding arrangement – Trust | Yes |
2009-07-01 | Plan benefit arrangement – Insurance | Yes |
2009-07-01 | Plan benefit arrangement - Trust | Yes |
ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | C055083-AV |
Policy instance | 1 |
Insurance contract or identification number | C055083-AV | Number of Individuals Covered | 1 | Insurance policy start date | 2014-07-01 | Insurance policy end date | 2015-06-30 | Total amount of commissions paid to insurance broker | USD $176 | Total amount of fees paid to insurance company | USD $30 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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? | Yes | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ANNUITY CONTRACT | 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 Broker | USD $176 | Amount paid for insurance broker fees | 30 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 4 | Insurance broker name | TIMOTHY MICHAEL WHITE |
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ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | C055083-AV |
Policy instance | 1 |
Insurance contract or identification number | C055083-AV | Number of Individuals Covered | 1 | Insurance policy start date | 2013-07-01 | Insurance policy end date | 2014-06-30 | Total amount of commissions paid to insurance broker | USD $176 | Total amount of fees paid to insurance company | USD $30 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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? | Yes | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | No | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | Other welfare benefits provided | ANNUITY CONTRACT | 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 Broker | USD $176 | Amount paid for insurance broker fees | 30 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 4 | Insurance broker name | TIMOTHY MICHAEL WHITE |
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ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | C055083-AV |
Policy instance | 1 |
Insurance contract or identification number | C055083-AV | Number of Individuals Covered | 2 | Insurance policy start date | 2012-07-01 | Insurance policy end date | 2013-06-30 | Total amount of commissions paid to insurance broker | USD $176 | Total amount of fees paid to insurance company | USD $30 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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? | Yes | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 Broker | USD $176 | Amount paid for insurance broker fees | 30 | Additional information about fees paid to insurance broker | COMMISSIONS | Insurance broker organization code? | 4 | Insurance broker name | TIMOTHY MICHAEL WHITE |
|
ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | C055083-AV |
Policy instance | 1 |
Insurance contract or identification number | C055083-AV | Number of Individuals Covered | 2 | Insurance policy start date | 2011-07-01 | Insurance policy end date | 2012-06-30 | Total amount of commissions paid to insurance broker | USD $176 | Total amount of fees paid to insurance company | USD $30 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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? | Yes | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 |
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ING USA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 ) |
Policy contract number | C055083-AV |
Policy instance | 1 |
Insurance contract or identification number | C055083-AV | Number of Individuals Covered | 2 | Insurance policy start date | 2010-07-01 | Insurance policy end date | 2011-06-30 | Total amount of commissions paid to insurance broker | USD $176 | Total amount of fees paid to insurance company | USD $30 | Are there contracts with allocated funds for individual policies? | No | Are there contracts with allocated funds for group deferred annuity? | No | Are there contracts with allocated funds for types other than group deferred annuity or individual? | No | Contract purchased, in whole or in part, to distribute benefits from a terminating plan | No | Contracts With Unallocated Funds Deposit Administration | 0 | 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? | Yes | Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment? | No | Health Insurance Welfare Benefit | No | Dental Insurance Welfare Benefit | No | Vision Insurance Welfare Benefit | No | Life Insurance Welfare Benefit | Yes | Temporary Disability Insurance Welfare Benefit | No | Long Term Disability Insurance Welfare Benefit | No | Unemployment Insurance Welfare Benefit | No | 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 |
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