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SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 401k Plan overview

Plan NameSPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING
Plan identification number 001

SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • 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.
  • 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

SPECIAL CARE ORTHOPEDIC & HAND SURGERY has sponsored the creation of one or more 401k plans.

Company Name:SPECIAL CARE ORTHOPEDIC & HAND SURGERY
Employer identification number (EIN):364340337
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012018-01-01DONNA L YELNICK DONNA L YELNICK2018-11-12
0012017-01-01PAUL PRINZ PAUL PRINZ2018-09-20
0012016-01-01PAUL PRINZ, M.D. PAUL PRINZ, M.D.2017-07-12
0012015-01-01PAUL PRINZ PAUL PRINZ2016-06-10
0012014-01-01PAUL PRINZ, MD PAUL PRINZ, MD2015-09-24
0012013-01-01PAUL PRINZ2014-10-10 PAUL PRINZ2014-10-10
0012012-01-01PAUL PRINZ PAUL PRINZ2013-09-09
0012011-01-01PAUL PRINZ PAUL PRINZ2012-08-22
0012010-01-01PAUL PRINZ PAUL PRINZ2011-08-16
0012009-01-01PAUL PRINZ PAUL PRINZ2010-07-30

Plan Statistics for SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING

401k plan membership statisitcs for SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING

Measure Date Value
2018: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2018 401k membership
Total participants, beginning-of-year2018-01-0112
Total number of active participants reported on line 7a of the Form 55002018-01-010
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-010
Number of participants with account balances2018-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2017 401k membership
Total participants, beginning-of-year2017-01-0112
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-0110
Number of other retired or separated participants entitled to future benefits2017-01-012
Total of all active and inactive participants2017-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0112
Number of participants with account balances2017-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2016 401k membership
Total participants, beginning-of-year2016-01-0112
Total number of active participants reported on line 7a of the Form 55002016-01-0110
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0112
Number of participants with account balances2016-01-0110
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2015 401k membership
Total participants, beginning-of-year2015-01-0112
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of retired or separated participants receiving benefits2015-01-012
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0111
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0111
Number of participants with account balances2015-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2014 401k membership
Total participants, beginning-of-year2014-01-0112
Total number of active participants reported on line 7a of the Form 55002014-01-0110
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0112
Number of participants with account balances2014-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2012: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2012 401k membership
Total participants, beginning-of-year2012-01-0112
Total number of active participants reported on line 7a of the Form 55002012-01-0110
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-011
Total of all active and inactive participants2012-01-0111
Total participants2012-01-0111
Number of participants with account balances2012-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2011 401k membership
Total participants, beginning-of-year2011-01-0111
Total number of active participants reported on line 7a of the Form 55002011-01-0111
Total of all active and inactive participants2011-01-0111
Total participants2011-01-0111
Number of participants with account balances2011-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2010 401k membership
Total participants, beginning-of-year2010-01-0110
Total number of active participants reported on line 7a of the Form 55002010-01-019
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-019
Number of participants with account balances2010-01-019
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2009 401k membership
Total participants, beginning-of-year2009-01-017
Total number of active participants reported on line 7a of the Form 55002009-01-015
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-017
Number of participants with account balances2009-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-011

Financial Data on SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING

Measure Date Value
2018 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2018 401k financial data
Total income from all sources2018-04-30$1,699
Expenses. Total of all expenses incurred2018-04-30$1,771,371
Benefits paid (including direct rollovers)2018-04-30$1,768,937
Total plan assets at end of year2018-04-30$0
Total plan assets at beginning of year2018-04-30$1,769,672
Value of fidelity bond covering the plan2018-04-30$200,000
Total contributions received or receivable from participants2018-04-30$0
Other income received2018-04-30$1,699
Net income (gross income less expenses)2018-04-30$-1,769,672
Net plan assets at end of year (total assets less liabilities)2018-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$1,769,672
Total contributions received or receivable from employer(s)2018-04-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-04-30$2,434
2017 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2017 401k financial data
Total income from all sources2017-12-31$309,202
Expenses. Total of all expenses incurred2017-12-31$73,651
Benefits paid (including direct rollovers)2017-12-31$65,338
Total plan assets at end of year2017-12-31$1,769,672
Total plan assets at beginning of year2017-12-31$1,534,121
Value of fidelity bond covering the plan2017-12-31$200,000
Total contributions received or receivable from participants2017-12-31$25,542
Other income received2017-12-31$269,838
Net income (gross income less expenses)2017-12-31$235,551
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,769,672
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,534,121
Total contributions received or receivable from employer(s)2017-12-31$13,822
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$8,313
2016 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2016 401k financial data
Total income from all sources2016-12-31$173,221
Expenses. Total of all expenses incurred2016-12-31$91,143
Benefits paid (including direct rollovers)2016-12-31$83,887
Total plan assets at end of year2016-12-31$1,534,121
Total plan assets at beginning of year2016-12-31$1,452,043
Value of fidelity bond covering the plan2016-12-31$200,000
Total contributions received or receivable from participants2016-12-31$27,695
Other income received2016-12-31$97,272
Net income (gross income less expenses)2016-12-31$82,078
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,534,121
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,452,043
Total contributions received or receivable from employer(s)2016-12-31$48,254
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$7,256
2015 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2015 401k financial data
Total income from all sources2015-12-31$60,018
Expenses. Total of all expenses incurred2015-12-31$6,968
Total plan assets at end of year2015-12-31$1,452,043
Total plan assets at beginning of year2015-12-31$1,398,993
Value of fidelity bond covering the plan2015-12-31$200,000
Total contributions received or receivable from participants2015-12-31$28,346
Other income received2015-12-31$-15,380
Net income (gross income less expenses)2015-12-31$53,050
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,452,043
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,398,993
Total contributions received or receivable from employer(s)2015-12-31$47,052
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$6,968
2014 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2014 401k financial data
Total income from all sources2014-12-31$141,855
Expenses. Total of all expenses incurred2014-12-31$6,454
Benefits paid (including direct rollovers)2014-12-31$0
Total plan assets at end of year2014-12-31$1,398,993
Total plan assets at beginning of year2014-12-31$1,263,592
Value of fidelity bond covering the plan2014-12-31$125,000
Total contributions received or receivable from participants2014-12-31$31,426
Contributions received from other sources (not participants or employers)2014-12-31$50
Other income received2014-12-31$55,110
Net income (gross income less expenses)2014-12-31$135,401
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,398,993
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,263,592
Total contributions received or receivable from employer(s)2014-12-31$55,269
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$6,454
2012 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2012 401k financial data
Total income from all sources2012-12-31$188,409
Expenses. Total of all expenses incurred2012-12-31$7,903
Benefits paid (including direct rollovers)2012-12-31$149
Total plan assets at end of year2012-12-31$997,086
Total plan assets at beginning of year2012-12-31$816,580
Value of fidelity bond covering the plan2012-12-31$70,000
Total contributions received or receivable from participants2012-12-31$30,365
Other income received2012-12-31$109,449
Net income (gross income less expenses)2012-12-31$180,506
Net plan assets at end of year (total assets less liabilities)2012-12-31$997,086
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$816,580
Total contributions received or receivable from employer(s)2012-12-31$48,595
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$7,754
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2011 401k financial data
Total income from all sources2011-12-31$29,254
Expenses. Total of all expenses incurred2011-12-31$938
Benefits paid (including direct rollovers)2011-12-31$45
Total plan assets at end of year2011-12-31$816,580
Total plan assets at beginning of year2011-12-31$788,264
Value of fidelity bond covering the plan2011-12-31$70,000
Total contributions received or receivable from participants2011-12-31$23,633
Other income received2011-12-31$-38,546
Net income (gross income less expenses)2011-12-31$28,316
Net plan assets at end of year (total assets less liabilities)2011-12-31$816,580
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$788,264
Total contributions received or receivable from employer(s)2011-12-31$44,167
Value of corrective distributions2011-12-31$893
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2010 401k financial data
Total income from all sources2010-12-31$153,383
Expenses. Total of all expenses incurred2010-12-31$7,520
Benefits paid (including direct rollovers)2010-12-31$7,520
Total plan assets at end of year2010-12-31$788,264
Total plan assets at beginning of year2010-12-31$642,401
Value of fidelity bond covering the plan2010-12-31$70,000
Total contributions received or receivable from participants2010-12-31$27,397
Other income received2010-12-31$78,543
Net income (gross income less expenses)2010-12-31$145,863
Net plan assets at end of year (total assets less liabilities)2010-12-31$788,264
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$642,401
Total contributions received or receivable from employer(s)2010-12-31$47,443

Form 5500 Responses for SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING

2018: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingYes
2018-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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 - TrustYes
2015: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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 - TrustYes
2014: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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 - TrustYes
2012: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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 - TrustYes
2011: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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
2010: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: SPECIAL CARE ORTHOPEDICS & HAND SURGERY 401(K) PROFIT SHARING 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

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-04-30
Total amount of commissions paid to insurance brokerUSD $2,763
Total amount of fees paid to insurance companyUSD $699
Commission paid to Insurance BrokerUSD $2,763
Amount paid for insurance broker fees22
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameMORGAN STANLEY INSURANCE SERVICES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered12
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $8,142
Total amount of fees paid to insurance companyUSD $958
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $8,142
Amount paid for insurance broker fees92
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameERISA, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $6,935
Total amount of fees paid to insurance companyUSD $805
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $6,935
Amount paid for insurance broker fees108
Additional information about fees paid to insurance brokerBROKERAGE ALLOWANCES
Insurance broker organization code?3
Insurance broker nameERISA, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered11
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $6,393
Total amount of fees paid to insurance companyUSD $1,236
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $6,393
Amount paid for insurance broker fees108
Additional information about fees paid to insurance brokerOTHER FEES
Insurance broker organization code?3
Insurance broker nameERISA, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered9
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $4,848
Total amount of fees paid to insurance companyUSD $25
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $4,457
Insurance broker organization code?4
Amount paid for insurance broker fees25
Insurance broker nameERISA, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered9
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $4,700
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11212
Policy instance 1
Insurance contract or identification number11212
Number of Individuals Covered7
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $3,989
Total amount of fees paid to insurance companyUSD $90
Are there contracts with allocated funds for group deferred annuity?Yes
Commission paid to Insurance BrokerUSD $3,607
Insurance broker organization code?4
Amount paid for insurance broker fees90
Insurance broker nameMORGAN STANLEY SMITH BARNEY

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