401k Plan data: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN plan

PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 401k Plan overview

Plan Name	PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN
Plan identification number	003

PAUL M. DEUTSCH & ASSOCIATES, P.A. 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.
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.
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.

401k Sponsoring company profile

PAUL M. DEUTSCH & ASSOCIATES, P.A. has sponsored the creation of one or more 401k plans.

Company Name: PAUL M. DEUTSCH & ASSOCIATES, P.A.

Employer identification number (EIN): 591940496

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
003 2016-01-01
003 2015-01-01
003 2014-01-01
003 2013-01-01
003 2012-01-01 TATIANA POMBO TATIANA POMBO 2013-10-07
003 2011-01-01 TATIANA POMBO TATIANA POMBO 2012-10-12
003 2010-01-01 TATIANA POMBO 2011-10-13 TATIANA POMBO 2011-10-13

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
003	2016-01-01
003	2015-01-01
003	2014-01-01
003	2013-01-01
003	2012-01-01	TATIANA POMBO		TATIANA POMBO	2013-10-07
003	2011-01-01	TATIANA POMBO		TATIANA POMBO	2012-10-12
003	2010-01-01	TATIANA POMBO	2011-10-13	TATIANA POMBO	2011-10-13

Plan Statistics for PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN

401k plan membership statisitcs for PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN

Measure Date Value
2015: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 10
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 1
Total of all active and inactive participants 2015-01-01 11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 11
Number of participants with account balances 2015-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 0
2014: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 11
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 12
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 1
Total of all active and inactive participants 2014-01-01 13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 13
Number of participants with account balances 2014-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 9
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 1
Total of all active and inactive participants 2013-01-01 10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 10
Number of participants with account balances 2013-01-01 10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 9
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 3
Total of all active and inactive participants 2012-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 12
Number of participants with account balances 2012-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 1
2011: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 12
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 9
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 3
Total of all active and inactive participants 2011-01-01 12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 12
Number of participants with account balances 2011-01-01 12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 2

Measure	Date	Value
2015: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	10
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	1
Total of all active and inactive participants	2015-01-01	11
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	11
Number of participants with account balances	2015-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	0
2014: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	11
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	12
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	1
Total of all active and inactive participants	2014-01-01	13
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	13
Number of participants with account balances	2014-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	9
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	1
Total of all active and inactive participants	2013-01-01	10
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	10
Number of participants with account balances	2013-01-01	10
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	9
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	3
Total of all active and inactive participants	2012-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	12
Number of participants with account balances	2012-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	1
2011: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	12
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	9
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	3
Total of all active and inactive participants	2011-01-01	12
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	12
Number of participants with account balances	2011-01-01	12
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	2

Financial Data on PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN

Measure	Date	Value
2015 : PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2015 401k financial data
Transfers to/from the plan	2015-12-31	$0
Total plan liabilities at end of year	2015-12-31	$0
Total plan liabilities at beginning of year	2015-12-31	$0
Total income from all sources	2015-12-31	$53,656
Expenses. Total of all expenses incurred	2015-12-31	$50,204
Benefits paid (including direct rollovers)	2015-12-31	$50,000
Total plan assets at end of year	2015-12-31	$917,367
Total plan assets at beginning of year	2015-12-31	$913,915
Value of fidelity bond covering the plan	2015-12-31	$200,000
Total contributions received or receivable from participants	2015-12-31	$109,233
Expenses. Other expenses not covered elsewhere	2015-12-31	$204
Contributions received from other sources (not participants or employers)	2015-12-31	$0
Other income received	2015-12-31	$-55,577
Noncash contributions received	2015-12-31	$0
Net income (gross income less expenses)	2015-12-31	$3,452
Net plan assets at end of year (total assets less liabilities)	2015-12-31	$917,367
Net plan assets at beginning of year (total assets less liabilities)	2015-12-31	$913,915
Assets. Value of participant loans	2015-12-31	$30,917
Assets. Value of assets in partnership/joint-venture interests	2015-12-31	$0
Total contributions received or receivable from employer(s)	2015-12-31	$0
Value of certain deemed distributions of participant loans	2015-12-31	$0
Value of corrective distributions	2015-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2015-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2015-12-31	$0
2014 : PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2014 401k financial data
Transfers to/from the plan	2014-12-31	$0
Total plan liabilities at end of year	2014-12-31	$0
Total plan liabilities at beginning of year	2014-12-31	$0
Total income from all sources	2014-12-31	$-60,702
Expenses. Total of all expenses incurred	2014-12-31	$528,821
Benefits paid (including direct rollovers)	2014-12-31	$525,000
Total plan assets at end of year	2014-12-31	$913,915
Total plan assets at beginning of year	2014-12-31	$1,503,438
Value of fidelity bond covering the plan	2014-12-31	$200,000
Total contributions received or receivable from participants	2014-12-31	$106,420
Expenses. Other expenses not covered elsewhere	2014-12-31	$3,821
Contributions received from other sources (not participants or employers)	2014-12-31	$0
Other income received	2014-12-31	$-167,122
Noncash contributions received	2014-12-31	$0
Net income (gross income less expenses)	2014-12-31	$-589,523
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$913,915
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$1,503,438
Assets. Value of participant loans	2014-12-31	$39,159
Value of loans by the plan or fixed income obligations due to the plan which were in default or classified as uncollectible at the close of the plan year	2014-12-31	$220,395
Assets. Value of assets in partnership/joint-venture interests	2014-12-31	$28,648
Total contributions received or receivable from employer(s)	2014-12-31	$0
Value of certain deemed distributions of participant loans	2014-12-31	$0
Value of corrective distributions	2014-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2014-12-31	$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$288,957
Expenses. Total of all expenses incurred	2013-12-31	$39,771
Benefits paid (including direct rollovers)	2013-12-31	$35,385
Total plan assets at end of year	2013-12-31	$1,503,438
Total plan assets at beginning of year	2013-12-31	$1,254,252
Value of fidelity bond covering the plan	2013-12-31	$200,000
Total contributions received or receivable from participants	2013-12-31	$72,925
Assets. Value of loans (other than to participants)	2013-12-31	$220,395
Expenses. Other expenses not covered elsewhere	2013-12-31	$0
Contributions received from other sources (not participants or employers)	2013-12-31	$0
Other income received	2013-12-31	$188,643
Net income (gross income less expenses)	2013-12-31	$249,186
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$1,503,438
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$1,254,252
Assets. Value of participant loans	2013-12-31	$48,014
Total contributions received or receivable from employer(s)	2013-12-31	$27,389
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$4,386
2012 : PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2012 401k financial data
Total income from all sources	2012-12-31	$226,289
Expenses. Total of all expenses incurred	2012-12-31	$17,324
Benefits paid (including direct rollovers)	2012-12-31	$12,395
Total plan assets at end of year	2012-12-31	$1,254,252
Total plan assets at beginning of year	2012-12-31	$1,045,287
Value of fidelity bond covering the plan	2012-12-31	$200,000
Total contributions received or receivable from participants	2012-12-31	$65,289
Assets. Value of loans (other than to participants)	2012-12-31	$199,888
Expenses. Other expenses not covered elsewhere	2012-12-31	$0
Contributions received from other sources (not participants or employers)	2012-12-31	$0
Other income received	2012-12-31	$132,137
Net income (gross income less expenses)	2012-12-31	$208,965
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$1,254,252
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$1,045,287
Assets. Value of participant loans	2012-12-31	$12,997
Total contributions received or receivable from employer(s)	2012-12-31	$28,863
Expenses. Administrative service providers (salaries,fees and commissions)	2012-12-31	$4,929
2011 : PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$130,301
Expenses. Total of all expenses incurred	2011-12-31	$42,932
Benefits paid (including direct rollovers)	2011-12-31	$34,487
Total plan assets at end of year	2011-12-31	$1,045,287
Total plan assets at beginning of year	2011-12-31	$957,918
Value of fidelity bond covering the plan	2011-12-31	$200,000
Total contributions received or receivable from participants	2011-12-31	$65,676
Assets. Value of loans (other than to participants)	2011-12-31	$180,941
Expenses. Other expenses not covered elsewhere	2011-12-31	$0
Contributions received from other sources (not participants or employers)	2011-12-31	$41,187
Other income received	2011-12-31	$-4,293
Net income (gross income less expenses)	2011-12-31	$87,369
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$1,045,287
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$957,918
Assets. Value of participant loans	2011-12-31	$19,165
Total contributions received or receivable from employer(s)	2011-12-31	$27,731
Expenses. Administrative service providers (salaries,fees and commissions)	2011-12-31	$8,445

Form 5500 Responses for PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN

2015: PAUL M. DEUTSCH & ASSOCIATES, P.A. 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
2014: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PAUL M. DEUTSCH & ASSOCIATES, P.A. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22139

Policy instance

Insurance contract or identification number	22139
Number of Individuals Covered	11
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $2,988
Total amount of fees paid to insurance company	USD $662
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Insurance broker organization code?	3
Commission paid to Insurance Broker	USD $2,988
Amount paid for insurance broker fees	662
Additional information about fees paid to insurance broker	TPA FEES
Insurance broker name	PENSION INVESTORS CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22139

Policy instance

Insurance contract or identification number	22139
Number of Individuals Covered	10
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $4,658
Total amount of fees paid to insurance company	USD $559
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,165
Insurance broker organization code?	3
Amount paid for insurance broker fees	559
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENSION INVESTORS CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22139

Policy instance

Insurance contract or identification number	22139
Number of Individuals Covered	10
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $4,829
Total amount of fees paid to insurance company	USD $542
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,207
Insurance broker organization code?	3
Amount paid for insurance broker fees	542
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENSION INVESTORS CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22139

Policy instance

Insurance contract or identification number	22139
Number of Individuals Covered	11
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $4,168
Total amount of fees paid to insurance company	USD $521
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $1,042
Insurance broker organization code?	3
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	PENSION INVESTORS CORP.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

22139

Policy instance

Insurance contract or identification number	22139
Number of Individuals Covered	12
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $4,083
Total amount of fees paid to insurance company	USD $417
Are there contracts with unallocated funds for contracts of type guaranteed investment?	Yes

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Company Name:	PAUL M. DEUTSCH & ASSOCIATES, P.A.
Employer identification number (EIN):	591940496
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)