401k Plan data: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) plan

OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 401k Plan overview

Plan Name	OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)
Plan identification number	002

OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
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

OUTER CAPE HEALTH SERVICES has sponsored the creation of one or more 401k plans.

Company Name: OUTER CAPE HEALTH SERVICES

Employer identification number (EIN): 042509828

NAIC Classification: 621399
NAIC Description: Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-01-01
002 2019-01-01
002 2018-01-01 PAT NADLE 2019-10-07
002 2017-01-01
002 2016-01-01
002 2015-01-01
002 2014-01-01 SALLY DEANE 2015-09-16
002 2013-01-01 SALLY DEANE 2014-09-02

Plan Statistics for OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)

401k plan membership statisitcs for OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)

Measure Date Value
2019: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2019 401k membership
Total participants, beginning-of-year 2019-01-01 153
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 0
Number of retired or separated participants receiving benefits 2019-01-01 0
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 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 0
Number of participants with account balances 2019-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2018 401k membership
Total participants, beginning-of-year 2018-01-01 108
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 120
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 33
Total of all active and inactive participants 2018-01-01 153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 153
Number of participants with account balances 2018-01-01 83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 3
2017: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2017 401k membership
Total participants, beginning-of-year 2017-01-01 124
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 84
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 24
Total of all active and inactive participants 2017-01-01 108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 108
Number of participants with account balances 2017-01-01 80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 7

Measure	Date	Value
2019: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2019 401k membership
Total participants, beginning-of-year	2019-01-01	153
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	0
Number of retired or separated participants receiving benefits	2019-01-01	0
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	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	0
Number of participants with account balances	2019-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2018 401k membership
Total participants, beginning-of-year	2018-01-01	108
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	120
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	33
Total of all active and inactive participants	2018-01-01	153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	153
Number of participants with account balances	2018-01-01	83
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	3
2017: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2017 401k membership
Total participants, beginning-of-year	2017-01-01	124
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	84
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	24
Total of all active and inactive participants	2017-01-01	108
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	108
Number of participants with account balances	2017-01-01	80
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	7

Financial Data on OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)

Measure	Date	Value
2019 : OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-01-31	$0
Total transfer of assets from this plan	2019-01-31	$1,547,139
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-01-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-01-31	$0
Total income from all sources (including contributions)	2019-01-31	$61,977
Total loss/gain on sale of assets	2019-01-31	$0
Total of all expenses incurred	2019-01-31	$4,000
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-01-31	$4,000
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-01-31	$14,731
Value of total assets at end of year	2019-01-31	$0
Value of total assets at beginning of year	2019-01-31	$1,489,162
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-01-31	$0
Total interest from all sources	2019-01-31	$92
Total dividends received (eg from common stock, registered investment company shares)	2019-01-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-01-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2019-01-31	$0
Was this plan covered by a fidelity bond	2019-01-31	Yes
Value of fidelity bond cover	2019-01-31	$500,000
If this is an individual account plan, was there a blackout period	2019-01-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2019-01-31	$0
Were there any nonexempt tranactions with any party-in-interest	2019-01-31	No
Contributions received from participants	2019-01-31	$12,909
Participant contributions at end of year	2019-01-31	$0
Participant contributions at beginning of year	2019-01-31	$5,216
Other income not declared elsewhere	2019-01-31	$-10,574
Administrative expenses (other) incurred	2019-01-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-01-31	No
Value of net income/loss	2019-01-31	$57,977
Value of net assets at end of year (total assets less liabilities)	2019-01-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2019-01-31	$1,489,162
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-01-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-01-31	No
Were any leases to which the plan was party in default or uncollectible	2019-01-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-01-31	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-01-31	$1,330,863
Value of interest in pooled separate accounts at beginning of year	2019-01-31	$55,114
Interest on participant loans	2019-01-31	$14
Interest earned on other investments	2019-01-31	$78
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-01-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-01-31	$97,969
Net investment gain/loss from pooled separate accounts	2019-01-31	$57,728
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-01-31	No
Was there a failure to transmit to the plan any participant contributions	2019-01-31	No
Has the plan failed to provide any benefit when due under the plan	2019-01-31	No
Contributions received in cash from employer	2019-01-31	$1,822
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-01-31	$4,000
Did the plan have assets held for investment	2019-01-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-01-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-01-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-01-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-01-31	Disclaimer
Accountancy firm name	2019-01-31	BDO USA, LLP
Accountancy firm EIN	2019-01-31	135381590
2018 : OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2018-12-31	$0
Total income from all sources (including contributions)	2018-12-31	$326,316
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$124,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$124,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$415,718
Value of total assets at end of year	2018-12-31	$1,489,162
Value of total assets at beginning of year	2018-12-31	$1,287,267
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$88
Total interest from all sources	2018-12-31	$3,434
Total dividends received (eg from common stock, registered investment company shares)	2018-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$500,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2018-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$324,396
Participant contributions at end of year	2018-12-31	$5,216
Participant contributions at beginning of year	2018-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$40,213
Administrative expenses (other) incurred	2018-12-31	$88
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$201,895
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$1,489,162
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$1,287,267
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$1,330,863
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$1,200,893
Value of interest in pooled separate accounts at end of year	2018-12-31	$55,114
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$0
Interest on participant loans	2018-12-31	$215
Interest earned on other investments	2018-12-31	$3,219
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$97,969
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$86,374
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2018-12-31	$-92,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Contributions received in cash from employer	2018-12-31	$51,109
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$124,333
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2018-12-31	No
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	BDO USA, LLP
Accountancy firm EIN	2018-12-31	135381590
2017 : OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2017 401k financial data
Total unrealized appreciation/depreciation of assets	2017-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2017-12-31	$0
Total income from all sources (including contributions)	2017-12-31	$557,771
Total loss/gain on sale of assets	2017-12-31	$0
Total of all expenses incurred	2017-12-31	$127,457
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$127,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$399,596
Value of total assets at end of year	2017-12-31	$1,287,267
Value of total assets at beginning of year	2017-12-31	$856,953
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$0
Total interest from all sources	2017-12-31	$2,666
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$500,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$342,013
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$8,022
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$430,314
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$1,287,267
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$856,953
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2017-12-31	$1,200,893
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$779,584
Interest earned on other investments	2017-12-31	$2,666
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$86,374
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$77,369
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$155,509
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$49,561
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$127,457
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2017-12-31	No
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	BDO USA, LLP
Accountancy firm EIN	2017-12-31	135381590

Form 5500 Responses for OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002)

2019: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	Yes
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2018: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2017: OUTER CAPE HEALTH SERVICES, INC. 403(B) PLAN (PLAN 002) 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

GA753293

Policy instance

Insurance contract or identification number	GA753293
Number of Individuals Covered	163
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $1,500
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Commission paid to Insurance Broker	USD $1,500
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

753294

Policy instance

Insurance contract or identification number	753294
Number of Individuals Covered	88
Insurance policy start date	2018-01-01
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $4,207
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
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 $4,207
Insurance broker organization code?	3

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )

Policy contract number

753294

Policy instance

Insurance contract or identification number	753294
Number of Individuals Covered	80
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $4,193
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	0
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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?	No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
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
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 $4,193
Insurance broker organization code?	3
Insurance broker name	MML INSURANCE AGENCY LLC

Potentially related plans

OUTER CAPE FINISHERS, INC. PROFIT SHARING PLAN [EIN = 042829558]

Was this data useful?

If you found the data here useful, PLEASE HELP US. We are a start-up and believe in making information freely available. By linking to us, posting on twitter, facebook and linkedin about us and generally spreading the word, you'll help us to grow. Our vision is to provide high quality data about the activities of all the companies in the world and where possible make it free to use and view. Finding and integrating data from thousands of data sources is time consuming and needs lots of effort. By simply spreading the word about us, you will help us. Please use the share buttons. It will only take a few seconds of your time. Thanks for helping

Information Disclaimer

The information provided on this website is not advice, endorsement or recommendation
The information published is supplied by third parties so we make no warranty on the accuracy, completeness etc. This information is provided "as-is". The information is subject to change as we obtain updates and corrections from the primary information sources.
You are free to use the information for your own personal research on the understanding to do so is at your own risk.

See full terms and conditions

Company Name:	OUTER CAPE HEALTH SERVICES
Employer identification number (EIN):	042509828
NAIC Classification:	621399
NAIC Description:	Offices of All Other Miscellaneous Health Practitioners