401k Plan data: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN plan

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 401k Plan overview

Plan Name	ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN
Plan identification number	002

ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN Benefits

401k Plan Type

Defined 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.
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.
Participant-directed brokerage accounts provided as an investment option under the plan.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
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 PHYSICIAN ENTER has sponsored the creation of one or more 401k plans.

Company Name: ROBERT WOOD JOHNSON PHYSICIAN ENTER

Employer identification number (EIN): 453967414

NAIC Classification: 622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2017-01-01 MICHELLE HARVEY MICHELLE HARVEY 2018-10-11
002 2016-01-01 MICHELLE HARVEY
002 2015-01-01 MARIE BARIE MARIE BARIE 2016-10-14
002 2014-01-01 MARIE BARIE 2015-10-13 MARIE BARIE 2015-10-13
002 2013-01-01 MARIE BARIE 2014-07-31 MARIE BARIE 2014-07-31
002 2012-03-01 MARIE BARIE 2013-09-19

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2017-01-01	MICHELLE HARVEY		MICHELLE HARVEY	2018-10-11
002	2016-01-01	MICHELLE HARVEY
002	2015-01-01	MARIE BARIE		MARIE BARIE	2016-10-14
002	2014-01-01	MARIE BARIE	2015-10-13	MARIE BARIE	2015-10-13
002	2013-01-01	MARIE BARIE	2014-07-31	MARIE BARIE	2014-07-31
002	2012-03-01	MARIE BARIE	2013-09-19

Plan Statistics for ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN

401k plan membership statisitcs for ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN

Measure Date Value
2017: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 298
Total of all active and inactive participants 2017-01-01 0
Total participants 2017-01-01 0
2016: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 254
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 275
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 23
Total of all active and inactive participants 2016-01-01 298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 298
Number of participants with account balances 2016-01-01 298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 180
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 244
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 10
Total of all active and inactive participants 2015-01-01 254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 254
Number of participants with account balances 2015-01-01 254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0

Measure	Date	Value
2017: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	298
Total of all active and inactive participants	2017-01-01	0
Total participants	2017-01-01	0
2016: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	254
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	275
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	23
Total of all active and inactive participants	2016-01-01	298
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	298
Number of participants with account balances	2016-01-01	298
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	180
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	244
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	10
Total of all active and inactive participants	2015-01-01	254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	254
Number of participants with account balances	2015-01-01	254
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0

Financial Data on ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN

Measure	Date	Value
2017 : ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2017 401k financial data
Total transfer of assets from this plan	2017-12-31	$13,284,541
Total income from all sources (including contributions)	2017-12-31	$4,970,872
Total of all expenses incurred	2017-12-31	$818,333
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$817,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,122,017
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$9,132,002
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$1,171
Total interest from all sources	2017-12-31	$29,298
Total dividends received (eg from common stock, registered investment company shares)	2017-12-31	$97,313
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2017-12-31	$97,313
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2017-12-31	0
Minimum employer required contribution for this plan year	2017-12-31	$0
Amount contributed by the employer to the plan for this plan year	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	$1,812,376
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$26,280
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$40,767
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$209,693
Administrative expenses (other) incurred	2017-12-31	$1,171
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	$4,152,539
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	$9,132,002
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	$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2017-12-31	$7,564,636
Interest on participant loans	2017-12-31	$1,669
Interest earned on other investments	2017-12-31	$27,629
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,473,550
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2017-12-31	$1,722,244
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	No
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	$1,099,948
Employer contributions (assets) at end of year	2017-12-31	$0
Employer contributions (assets) at beginning of year	2017-12-31	$26,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$817,162
Did the plan have assets held for investment	2017-12-31	No
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	Yes
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	WITHUMSMITH+BROWN, PC
Accountancy firm EIN	2017-12-31	222027092
2016 : ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets	2016-12-31	$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	$3,840,445
Total loss/gain on sale of assets	2016-12-31	$0
Total of all expenses incurred	2016-12-31	$425,853
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$425,326
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$3,458,653
Value of total assets at end of year	2016-12-31	$9,132,002
Value of total assets at beginning of year	2016-12-31	$5,717,410
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$527
Total interest from all sources	2016-12-31	$20,968
Total dividends received (eg from common stock, registered investment company shares)	2016-12-31	$73,041
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-12-31	$73,041
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$10,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Contributions received from participants	2016-12-31	$1,962,006
Participant contributions at end of year	2016-12-31	$26,280
Participant contributions at beginning of year	2016-12-31	$2,559
Participant contributions at end of year	2016-12-31	$40,767
Participant contributions at beginning of year	2016-12-31	$58,942
Income. Received or receivable in cash from other sources (including rollovers)	2016-12-31	$379,720
Administrative expenses (other) incurred	2016-12-31	$527
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$3,414,592
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$9,132,002
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$5,717,410
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2016-12-31	$7,564,636
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2016-12-31	$4,669,417
Interest on participant loans	2016-12-31	$332
Interest earned on other investments	2016-12-31	$20,636
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$1,473,550
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$966,060
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2016-12-31	$287,783
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$1,116,927
Employer contributions (assets) at end of year	2016-12-31	$26,769
Employer contributions (assets) at beginning of year	2016-12-31	$20,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$425,326
Did the plan have assets held for investment	2016-12-31	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	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	WITHUMSMITH AND BROWN, PC
Accountancy firm EIN	2016-12-31	222027092
2015 : ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets	2015-12-31	$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	$3,358,590
Total loss/gain on sale of assets	2015-12-31	$0
Total of all expenses incurred	2015-12-31	$97,640
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$84,147
Value of total corrective distributions	2015-12-31	$13,443
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$3,391,692
Value of total assets at end of year	2015-12-31	$5,717,410
Value of total assets at beginning of year	2015-12-31	$2,456,460
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$50
Total interest from all sources	2015-12-31	$13,293
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$45,369
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$45,369
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$1,689,086
Participant contributions at end of year	2015-12-31	$2,559
Participant contributions at beginning of year	2015-12-31	$3,793
Participant contributions at end of year	2015-12-31	$58,942
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$810,984
Other income not declared elsewhere	2015-12-31	$2,692
Administrative expenses (other) incurred	2015-12-31	$50
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$3,260,950
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,717,410
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$2,456,460
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2015-12-31	$4,669,417
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2015-12-31	$2,024,828
Interest on participant loans	2015-12-31	$137
Interest earned on other investments	2015-12-31	$13,156
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$966,060
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$427,839
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2015-12-31	$-94,456
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$891,622
Employer contributions (assets) at end of year	2015-12-31	$20,432
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$84,147
Did the plan have assets held for investment	2015-12-31	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	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	BAKER TILLY VIRCHOW KRAUSE, LLP
Accountancy firm EIN	2015-12-31	390859910

Form 5500 Responses for ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN

2017: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes
2016: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Submission has been amended	No
2016-01-01	This submission is the final filing	No
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2016-01-01	Plan is a collectively bargained plan	No
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: ROBERT WOOD JOHNSON PHYSICIAN ENTERPRISE RETIREMENT 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Submission has been amended	No
2015-01-01	This submission is the final filing	No
2015-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2015-01-01	Plan is a collectively bargained plan	No
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041837

Policy instance

Insurance contract or identification number	041837
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of fees paid to insurance company	USD $247
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or 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 fees	247
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY INSURANCE SERVICES

PRUDENTIAL RETIREMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 93629 )

Policy contract number

041837

Policy instance

Insurance contract or identification number	041837
Number of Individuals Covered	254
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $215
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?	No
Are there contracts with unallocated funds for contracts of type guaranteed investment?	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
Amount paid for insurance broker fees	169
Additional information about fees paid to insurance broker	SERVICES TO INSURER OR PLAN
Insurance broker organization code?	4
Insurance broker name	MORGAN STANLEY INSURANCE SERVICES

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Company Name:	ROBERT WOOD JOHNSON PHYSICIAN ENTER
Employer identification number (EIN):	453967414
NAIC Classification:	622000
NAIC Description:	Hospitals