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ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 401k Plan overview

Plan NameROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403
Plan identification number 004

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY has sponsored the creation of one or more 401k plans.

Company Name:ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY
Employer identification number (EIN):221487305
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0042017-01-01MICHELLE HARVEY MICHELLE HARVEY2018-10-12
0042016-01-01MICHELLE HARVEY
0042015-01-01PETER P BIHUNIAK
0042014-01-01PETER P BIHUNIAK
0042013-01-01PETER P BIHUNIAK
0042012-01-01PETER P BIHUNIAK
0042011-01-01PETER P BIHUNIAK
0042009-01-01PETER P. BIHUNIAK PETER P. BIHUNIAK2010-10-14

Plan Statistics for ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403

401k plan membership statisitcs for ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403

Measure Date Value
2017: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2017 401k membership
Total participants, beginning-of-year2017-01-011,109
Total of all active and inactive participants2017-01-010
Total participants2017-01-010
2016: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2016 401k membership
Total participants, beginning-of-year2016-01-011,165
Total number of active participants reported on line 7a of the Form 55002016-01-01892
Number of retired or separated participants receiving benefits2016-01-015
Number of other retired or separated participants entitled to future benefits2016-01-01212
Total of all active and inactive participants2016-01-011,109
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-011,109
Number of participants with account balances2016-01-011,109
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-016
2015: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2015 401k membership
Total participants, beginning-of-year2015-01-011,174
Total number of active participants reported on line 7a of the Form 55002015-01-01961
Number of retired or separated participants receiving benefits2015-01-015
Number of other retired or separated participants entitled to future benefits2015-01-01199
Total of all active and inactive participants2015-01-011,165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,165
Number of participants with account balances2015-01-01801
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2014 401k membership
Total participants, beginning-of-year2014-01-011,087
Total number of active participants reported on line 7a of the Form 55002014-01-01930
Number of retired or separated participants receiving benefits2014-01-015
Number of other retired or separated participants entitled to future benefits2014-01-01239
Total of all active and inactive participants2014-01-011,174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,174
Number of participants with account balances2014-01-01850
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2013 401k membership
Total participants, beginning-of-year2013-01-01999
Total number of active participants reported on line 7a of the Form 55002013-01-01826
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-01257
Total of all active and inactive participants2013-01-011,087
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,087
Number of participants with account balances2013-01-01870
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2012 401k membership
Total participants, beginning-of-year2012-01-011,199
Total number of active participants reported on line 7a of the Form 55002012-01-01689
Number of retired or separated participants receiving benefits2012-01-013
Number of other retired or separated participants entitled to future benefits2012-01-01307
Total of all active and inactive participants2012-01-01999
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01999
Number of participants with account balances2012-01-01934
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-018
2011: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2011 401k membership
Total participants, beginning-of-year2011-01-01939
Total number of active participants reported on line 7a of the Form 55002011-01-01975
Number of retired or separated participants receiving benefits2011-01-011
Number of other retired or separated participants entitled to future benefits2011-01-01223
Total of all active and inactive participants2011-01-011,199
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-011,199
Number of participants with account balances2011-01-01903
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0127
2009: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2009 401k membership
Total participants, beginning-of-year2009-01-01868
Total number of active participants reported on line 7a of the Form 55002009-01-01781
Number of retired or separated participants receiving benefits2009-01-013
Number of other retired or separated participants entitled to future benefits2009-01-01135
Total of all active and inactive participants2009-01-01919
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01919
Number of participants with account balances2009-01-01919
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0123

Financial Data on ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403

Measure Date Value
2017 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2017 401k financial data
Total transfer of assets from this plan2017-12-31$52,007,452
Total income from all sources (including contributions)2017-12-31$9,882,962
Total of all expenses incurred2017-12-31$2,899,544
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$2,892,654
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$3,507,834
Value of total assets at end of year2017-12-31$0
Value of total assets at beginning of year2017-12-31$45,024,034
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$6,890
Total interest from all sources2017-12-31$472,143
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$364,683
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$364,683
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers2017-12-310
Minimum employer required contribution for this plan year2017-12-31$0
Amount contributed by the employer to the plan for this plan year2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$2,707,562
Participant contributions at end of year2017-12-31$0
Participant contributions at beginning of year2017-12-31$550,526
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$219,313
Administrative expenses (other) incurred2017-12-31$6,890
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$6,983,418
Value of net assets at end of year (total assets less liabilities)2017-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$45,024,034
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$29,668,640
Value of interest in pooled separate accounts at end of year2017-12-31$0
Value of interest in pooled separate accounts at beginning of year2017-12-31$330,266
Interest on participant loans2017-12-31$22,400
Interest earned on other investments2017-12-31$449,743
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$14,474,602
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,798,210
Net investment gain/loss from pooled separate accounts2017-12-31$3,740,092
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$580,959
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$2,892,654
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31WITHUMSMITH+BROWN, PC
Accountancy firm EIN2017-12-31222027092
2016 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$5,970,428
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$2,777,492
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$2,714,726
Expenses. Certain deemed distributions of participant loans2016-12-31$52,609
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$3,206,467
Value of total assets at end of year2016-12-31$45,024,034
Value of total assets at beginning of year2016-12-31$41,831,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$10,157
Total interest from all sources2016-12-31$436,847
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$385,900
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$385,900
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$2,469,745
Participant contributions at end of year2016-12-31$550,526
Participant contributions at beginning of year2016-12-31$535,288
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$190,730
Administrative expenses (other) incurred2016-12-31$10,157
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$3,192,936
Value of net assets at end of year (total assets less liabilities)2016-12-31$45,024,034
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$41,831,098
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$29,668,640
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$27,714,217
Value of interest in pooled separate accounts at end of year2016-12-31$330,266
Value of interest in pooled separate accounts at beginning of year2016-12-31$323,287
Interest on participant loans2016-12-31$25,875
Interest earned on other investments2016-12-31$410,972
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$14,474,602
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$13,258,306
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$663,238
Net investment gain/loss from pooled separate accounts2016-12-31$1,277,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$545,992
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$2,714,726
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WITHUMSMITH AND BROWN, PC
Accountancy firm EIN2016-12-31222027092
2015 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$3,379,708
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,396,259
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,317,000
Expenses. Certain deemed distributions of participant loans2015-12-31$43,111
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$3,250,936
Value of total assets at end of year2015-12-31$41,831,098
Value of total assets at beginning of year2015-12-31$40,847,649
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$36,148
Total interest from all sources2015-12-31$421,190
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$372,982
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$372,982
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$2,321,511
Participant contributions at end of year2015-12-31$535,288
Participant contributions at beginning of year2015-12-31$491,651
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$450,234
Administrative expenses (other) incurred2015-12-31$36,148
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$983,449
Value of net assets at end of year (total assets less liabilities)2015-12-31$41,831,098
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$40,847,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$27,714,217
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$27,125,642
Value of interest in pooled separate accounts at end of year2015-12-31$323,287
Value of interest in pooled separate accounts at beginning of year2015-12-31$133,646
Interest on participant loans2015-12-31$21,397
Interest earned on other investments2015-12-31$399,793
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$13,258,306
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$13,096,710
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-659,838
Net investment gain/loss from pooled separate accounts2015-12-31$-5,562
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$479,191
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,317,000
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2015-12-31390859910
2014 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$4,841,403
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,129,268
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,092,789
Expenses. Certain deemed distributions of participant loans2014-12-31$25,000
Value of total corrective distributions2014-12-31$8,019
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$2,939,361
Value of total assets at end of year2014-12-31$40,847,649
Value of total assets at beginning of year2014-12-31$38,135,514
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$3,460
Total interest from all sources2014-12-31$392,285
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$302,637
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$302,637
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$2,219,545
Participant contributions at end of year2014-12-31$491,651
Participant contributions at beginning of year2014-12-31$464,642
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$225,018
Other income not declared elsewhere2014-12-31$31,821
Administrative expenses (other) incurred2014-12-31$3,460
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$2,712,135
Value of net assets at end of year (total assets less liabilities)2014-12-31$40,847,649
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$38,135,514
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$27,125,642
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$25,387,471
Value of interest in pooled separate accounts at end of year2014-12-31$133,646
Value of interest in pooled separate accounts at beginning of year2014-12-31$0
Interest on participant loans2014-12-31$19,571
Interest earned on other investments2014-12-31$372,714
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$13,096,710
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$12,283,401
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,168,770
Net investment gain/loss from pooled separate accounts2014-12-31$6,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$494,798
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,092,789
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2014-12-31390859910
2013 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$7,739,745
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,802,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,725,623
Expenses. Certain deemed distributions of participant loans2013-12-31$74,044
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$2,631,926
Value of total assets at end of year2013-12-31$38,135,514
Value of total assets at beginning of year2013-12-31$32,198,455
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$3,019
Total interest from all sources2013-12-31$370,211
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$202,486
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$202,486
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$2,109,091
Participant contributions at end of year2013-12-31$464,642
Participant contributions at beginning of year2013-12-31$517,946
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$32,916
Other income not declared elsewhere2013-12-31$35,788
Administrative expenses (other) incurred2013-12-31$3,019
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$5,937,059
Value of net assets at end of year (total assets less liabilities)2013-12-31$38,135,514
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$32,198,455
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$25,387,471
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$20,412,128
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$166
Interest on participant loans2013-12-31$20,558
Interest earned on other investments2013-12-31$349,653
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$12,283,401
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$11,268,215
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$4,499,315
Net investment gain/loss from pooled separate accounts2013-12-31$19
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$489,919
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,725,623
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN2013-12-31390859910
2012 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$5,703,527
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,482,406
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,388,780
Expenses. Certain deemed distributions of participant loans2012-12-31$89,411
Value of total corrective distributions2012-12-31$686
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,740,304
Value of total assets at end of year2012-12-31$32,198,455
Value of total assets at beginning of year2012-12-31$27,977,334
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$3,529
Total interest from all sources2012-12-31$339,109
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$268,800
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$268,800
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$2,082,442
Participant contributions at end of year2012-12-31$517,946
Participant contributions at beginning of year2012-12-31$520,695
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$140,076
Administrative expenses (other) incurred2012-12-31$3,529
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$4,221,121
Value of net assets at end of year (total assets less liabilities)2012-12-31$32,198,455
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$27,977,334
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$20,412,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$17,542,580
Value of interest in pooled separate accounts at end of year2012-12-31$166
Interest on participant loans2012-12-31$20,059
Interest earned on other investments2012-12-31$319,050
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$11,268,215
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$9,914,059
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$2,355,313
Net investment gain/loss from pooled separate accounts2012-12-31$1
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$517,786
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,388,780
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31PARENTEBEARD LLC
Accountancy firm EIN2012-12-31222932964
2011 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$2,638,349
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,427,037
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,292,159
Expenses. Certain deemed distributions of participant loans2011-12-31$129,978
Value of total corrective distributions2011-12-31$1,314
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,969,105
Value of total assets at end of year2011-12-31$27,977,334
Value of total assets at beginning of year2011-12-31$27,766,022
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$3,586
Total interest from all sources2011-12-31$320,341
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$240,133
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$240,133
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,209,754
Participant contributions at end of year2011-12-31$520,695
Participant contributions at beginning of year2011-12-31$390,978
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$211,106
Administrative expenses (other) incurred2011-12-31$3,586
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$211,312
Value of net assets at end of year (total assets less liabilities)2011-12-31$27,977,334
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$27,766,022
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$17,542,580
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$17,716,776
Interest on participant loans2011-12-31$19,907
Interest earned on other investments2011-12-31$300,434
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$9,914,059
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$9,658,268
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-891,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$548,245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,292,159
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31PARENTEBEARD LLC
Accountancy firm EIN2011-12-31222932984
2010 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$6,098,240
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$1,710,960
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$1,608,479
Expenses. Certain deemed distributions of participant loans2010-12-31$94,323
Value of total corrective distributions2010-12-31$406
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$3,585,488
Value of total assets at end of year2010-12-31$27,766,022
Value of total assets at beginning of year2010-12-31$23,378,742
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$7,752
Total interest from all sources2010-12-31$303,165
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$182,581
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$182,581
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,631,576
Participant contributions at end of year2010-12-31$390,978
Participant contributions at beginning of year2010-12-31$274,549
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$74,159
Administrative expenses (other) incurred2010-12-31$7,752
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$4,387,280
Value of net assets at end of year (total assets less liabilities)2010-12-31$27,766,022
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$23,378,742
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$17,716,776
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$14,279,184
Interest on participant loans2010-12-31$13,445
Interest earned on other investments2010-12-31$289,720
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$9,658,268
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$8,825,009
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,027,006
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$879,753
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$1,608,479
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31PARENTEBEARD LLC
Accountancy firm EIN2010-12-31222932984
2009 : ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403

2017: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01This submission is the final filingYes
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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 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
2009: ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL RAHWAY 403 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007725
Policy instance 1
Insurance contract or identification number007725
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $14,173
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 fees14173
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameMORGAN STANLEY INSURANCE SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007725
Policy instance 1
Insurance contract or identification number007725
Number of Individuals Covered1165
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $13,424
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees12276
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameMORGAN STANLEY INSURANCE SERVICES
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007725
Policy instance 1
Insurance contract or identification number007725
Number of Individuals Covered1174
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,507
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15507
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007725
Policy instance 1
Insurance contract or identification number007725
Number of Individuals Covered870
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $15,367
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees15367
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number007725
Policy instance 1
Insurance contract or identification number007725
Number of Individuals Covered934
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $16,949
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees16949
Additional information about fees paid to insurance brokerSERVICES TO INSURER OR PLAN
Insurance broker organization code?4
Insurance broker nameWELLS FARGO WEALTH BROKGE INS AGCY
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number006120
Policy instance 1
Insurance contract or identification number006120
Number of Individuals Covered903
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $24,216
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRUDENTIAL ANNUITIES SERVICE (National Association of Insurance Commissioners NAIC id number: 68241 )
Policy contract number006120
Policy instance 1
Insurance contract or identification number006120
Number of Individuals Covered939
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $22,960
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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