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ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 401k Plan overview

Plan NameABSOLUTE DENTAL GROUP, LLC 401(K) PLAN
Plan identification number 001

ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 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.
  • 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

ABSOLUTE DENTAL GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:ABSOLUTE DENTAL GROUP, LLC
Employer identification number (EIN):852073499
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01KYLE GRIMMER2024-10-04
0012022-01-01
0012021-01-01
0012020-01-01

Plan Statistics for ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN

401k plan membership statisitcs for ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN

Measure Date Value
2023: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01722
Total number of active participants reported on line 7a of the Form 55002023-01-01577
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-01125
Total of all active and inactive participants2023-01-01702
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01702
Number of participants with account balances2023-01-01544
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01544
Total number of active participants reported on line 7a of the Form 55002022-01-01547
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01156
Total of all active and inactive participants2022-01-01703
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01703
Number of participants with account balances2022-01-01507
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01436
Total number of active participants reported on line 7a of the Form 55002021-01-01448
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0168
Total of all active and inactive participants2021-01-01516
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01516
Number of participants with account balances2021-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-01485
Total number of active participants reported on line 7a of the Form 55002020-01-01379
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0156
Total of all active and inactive participants2020-01-01435
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-01435
Number of participants with account balances2020-01-01150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010

Financial Data on ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN

Measure Date Value
2023 : ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$2,449,665
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$606,396
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$564,927
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,387,871
Value of total assets at end of year2023-12-31$6,928,499
Value of total assets at beginning of year2023-12-31$5,085,230
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$41,469
Total interest from all sources2023-12-31$8,649
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$94,412
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2023-12-31$94,412
Was this plan covered by a fidelity bond2023-12-31No
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$1,360,982
Participant contributions at end of year2023-12-31$149,292
Participant contributions at beginning of year2023-12-31$157,869
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$16,574
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,843,269
Value of net assets at end of year (total assets less liabilities)2023-12-31$6,928,499
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$5,085,230
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$4,975,793
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$3,388,099
Interest on participant loans2023-12-31$8,649
Value of interest in common/collective trusts at end of year2023-12-31$1,796,970
Value of interest in common/collective trusts at beginning of year2023-12-31$1,533,850
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$6,444
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$5,412
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$958,733
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$10,315
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$564,927
Contract administrator fees2023-12-31$41,469
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31METZ & ASSOCIATES
Accountancy firm EIN2023-12-31464558541
2022 : ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$321,144
Total of all expenses incurred2022-12-31$598,081
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$546,322
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,215,284
Value of total assets at end of year2022-12-31$5,085,230
Value of total assets at beginning of year2022-12-31$5,362,167
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$51,759
Total interest from all sources2022-12-31$23,456
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$71,080
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$35,213
Was this plan covered by a fidelity bond2022-12-31No
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$1,186,216
Participant contributions at end of year2022-12-31$157,869
Participant contributions at beginning of year2022-12-31$140,231
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$33
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$10,309
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-276,937
Value of net assets at end of year (total assets less liabilities)2022-12-31$5,085,230
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$5,362,167
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Investment advisory and management fees2022-12-31$16,546
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$3,388,099
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$3,421,959
Interest on participant loans2022-12-31$6,910
Interest earned on other investments2022-12-31$16,546
Value of interest in common/collective trusts at end of year2022-12-31$1,533,850
Value of interest in common/collective trusts at beginning of year2022-12-31$1,794,581
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$5,412
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$5,363
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-770,703
Net investment gain or loss from common/collective trusts2022-12-31$-217,973
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$18,759
Income. Dividends from common stock2022-12-31$71,080
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$546,322
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31METZ & ASSOCIATES
Accountancy firm EIN2022-12-31464558541
2021 : ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,475,251
Total of all expenses incurred2021-12-31$387,365
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$162,186
Value of total corrective distributions2021-12-31$170,535
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$824,752
Value of total assets at end of year2021-12-31$5,362,167
Value of total assets at beginning of year2021-12-31$4,274,281
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$54,644
Total interest from all sources2021-12-31$24,003
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$78,044
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$38,732
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$200,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$730,368
Participant contributions at end of year2021-12-31$140,231
Participant contributions at beginning of year2021-12-31$184,444
Participant contributions at end of year2021-12-31$33
Participant contributions at beginning of year2021-12-31$33
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$94,384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,087,886
Value of net assets at end of year (total assets less liabilities)2021-12-31$5,362,167
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$4,274,281
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Investment advisory and management fees2021-12-31$15,912
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$3,421,959
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$2,825,574
Interest on participant loans2021-12-31$8,090
Interest earned on other investments2021-12-31$15,913
Value of interest in common/collective trusts at end of year2021-12-31$1,794,581
Value of interest in common/collective trusts at beginning of year2021-12-31$1,258,915
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$5,363
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$5,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$403,616
Net investment gain or loss from common/collective trusts2021-12-31$144,836
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Income. Dividends from common stock2021-12-31$78,044
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$162,186
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31METZ & ASSOCIATES
Accountancy firm EIN2021-12-31464558541
2020 : ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,108,557
Total of all expenses incurred2020-12-31$777,329
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$626,706
Value of total corrective distributions2020-12-31$121,580
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$493,018
Value of total assets at end of year2020-12-31$4,274,281
Value of total assets at beginning of year2020-12-31$3,943,053
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$29,043
Total interest from all sources2020-12-31$15,101
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$42,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$18,267
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$200,000
If this is an individual account plan, was there a blackout period2020-12-31Yes
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$481,155
Participant contributions at end of year2020-12-31$184,444
Participant contributions at beginning of year2020-12-31$254,694
Participant contributions at end of year2020-12-31$33
Participant contributions at beginning of year2020-12-31$10,104
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$11,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$331,228
Value of net assets at end of year (total assets less liabilities)2020-12-31$4,274,281
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$3,943,053
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Investment advisory and management fees2020-12-31$10,776
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$2,825,574
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$3,678,255
Interest on participant loans2020-12-31$9,748
Interest earned on other investments2020-12-31$5,353
Value of interest in common/collective trusts at end of year2020-12-31$1,258,915
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$5,315
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$350,254
Net investment gain/loss from pooled separate accounts2020-12-31$92,358
Net investment gain or loss from common/collective trusts2020-12-31$115,793
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Income. Dividends from common stock2020-12-31$42,033
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$626,706
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32020-12-31Yes
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31METZ & ASSOCIATES
Accountancy firm EIN2020-12-31464558541

Form 5500 Responses for ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN

2023: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ABSOLUTE DENTAL GROUP, LLC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number509894-01
Policy instance 1
Insurance contract or identification number509894-01
Number of Individuals Covered2
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number509894-01
Policy instance 1
Insurance contract or identification number509894-01
Number of Individuals Covered5
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number509894-01
Policy instance 1
Insurance contract or identification number509894-01
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number108546
Policy instance 1
Insurance contract or identification number108546
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-08-03
Total amount of fees paid to insurance companyUSD $1,225
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 fees1225
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number509894-01
Policy instance 2
Insurance contract or identification number509894-01
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes

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