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PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 401k Plan overview

Plan NamePEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP
Plan identification number 002

PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 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.
  • 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

PEDIATRIC & ADOLESCENT MEDICAL ASSOC. OF THE PACIFIC COAST, INC. has sponsored the creation of one or more 401k plans.

Company Name:PEDIATRIC & ADOLESCENT MEDICAL ASSOC. OF THE PACIFIC COAST, INC.
Employer identification number (EIN):942735278
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01
0022016-01-01W. REID GIEDT JR., M.D.
0022015-01-01JAMES M. BRENNAN, M.D.
0022014-01-01JAMES M. BRENNAN, M.D.
0022013-10-01JAMES M. BRENNAN, M.D.
0022012-10-01JAMES M. BRENNAN, M.D.
0022011-10-01JAMES M. BRENNAN, M.D.
0022009-10-01JAMES BRENNAN, M.D.
0022008-10-01

Plan Statistics for PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP

401k plan membership statisitcs for PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP

Measure Date Value
2018: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2018 401k membership
Total participants, beginning-of-year2018-01-0129
Total number of active participants reported on line 7a of the Form 55002018-01-0122
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-015
Total of all active and inactive participants2018-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0127
Number of participants with account balances2018-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2017 401k membership
Total participants, beginning-of-year2017-01-0130
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-012
Number of other retired or separated participants entitled to future benefits2017-01-014
Total of all active and inactive participants2017-01-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0128
Number of participants with account balances2017-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2016 401k membership
Total participants, beginning-of-year2016-01-0128
Total number of active participants reported on line 7a of the Form 55002016-01-0125
Number of retired or separated participants receiving benefits2016-01-011
Number of other retired or separated participants entitled to future benefits2016-01-013
Total of all active and inactive participants2016-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0129
Number of participants with account balances2016-01-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2015 401k membership
Total participants, beginning-of-year2015-01-0130
Total number of active participants reported on line 7a of the Form 55002015-01-0121
Number of retired or separated participants receiving benefits2015-01-011
Number of other retired or separated participants entitled to future benefits2015-01-013
Total of all active and inactive participants2015-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0125
Number of participants with account balances2015-01-0124
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-012
2014: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2014 401k membership
Total participants, beginning-of-year2014-01-0128
Total number of active participants reported on line 7a of the Form 55002014-01-0122
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-014
Total of all active and inactive participants2014-01-0126
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0126
Number of participants with account balances2014-01-0126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2013 401k membership
Total participants, beginning-of-year2013-10-0130
Total number of active participants reported on line 7a of the Form 55002013-10-0123
Number of retired or separated participants receiving benefits2013-10-012
Number of other retired or separated participants entitled to future benefits2013-10-014
Total of all active and inactive participants2013-10-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-0129
Number of participants with account balances2013-10-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-010
2012: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2012 401k membership
Total participants, beginning-of-year2012-10-0129
Total number of active participants reported on line 7a of the Form 55002012-10-0124
Number of retired or separated participants receiving benefits2012-10-010
Number of other retired or separated participants entitled to future benefits2012-10-014
Total of all active and inactive participants2012-10-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-10-010
Total participants2012-10-0128
Number of participants with account balances2012-10-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-010
2011: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2011 401k membership
Total participants, beginning-of-year2011-10-0130
Total number of active participants reported on line 7a of the Form 55002011-10-0126
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-012
Total of all active and inactive participants2011-10-0128
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-0128
Number of participants with account balances2011-10-0128
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-011
2009: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2009 401k membership
Total participants, beginning-of-year2009-10-0127
Total number of active participants reported on line 7a of the Form 55002009-10-0127
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-013
Total of all active and inactive participants2009-10-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-0130
Number of participants with account balances2009-10-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP

Measure Date Value
2018 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2018 401k financial data
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$23,825
Expenses. Total of all expenses incurred2018-12-31$660,654
Benefits paid (including direct rollovers)2018-12-31$656,679
Total plan assets at end of year2018-12-31$4,841,594
Total plan assets at beginning of year2018-12-31$5,478,423
Value of fidelity bond covering the plan2018-12-31$1,000,000
Total contributions received or receivable from participants2018-12-31$142,273
Other income received2018-12-31$-222,757
Net income (gross income less expenses)2018-12-31$-636,829
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,841,594
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$5,478,423
Assets. Value of participant loans2018-12-31$14,405
Assets. Value of assets in partnership/joint-venture interests2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$104,309
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$3,975
2017 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$1,323
Total income from all sources2017-12-31$1,206,376
Expenses. Total of all expenses incurred2017-12-31$2,571,058
Benefits paid (including direct rollovers)2017-12-31$2,566,783
Total plan assets at end of year2017-12-31$5,478,423
Total plan assets at beginning of year2017-12-31$6,844,428
Value of fidelity bond covering the plan2017-12-31$1,000,000
Total contributions received or receivable from participants2017-12-31$140,853
Other income received2017-12-31$947,347
Net income (gross income less expenses)2017-12-31$-1,364,682
Net plan assets at end of year (total assets less liabilities)2017-12-31$5,478,423
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$6,843,105
Assets. Value of participant loans2017-12-31$20,060
Assets. Value of assets in partnership/joint-venture interests2017-12-31$264,514
Total contributions received or receivable from employer(s)2017-12-31$118,176
Value of certain deemed distributions of participant loans2017-12-31$66
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$4,209
2016 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2016 401k financial data
Total plan liabilities at end of year2016-12-31$1,323
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$674,565
Expenses. Total of all expenses incurred2016-12-31$266,039
Benefits paid (including direct rollovers)2016-12-31$260,936
Total plan assets at end of year2016-12-31$6,844,428
Total plan assets at beginning of year2016-12-31$6,434,579
Value of fidelity bond covering the plan2016-12-31$1,000,000
Total contributions received or receivable from participants2016-12-31$128,918
Contributions received from other sources (not participants or employers)2016-12-31$8,782
Other income received2016-12-31$412,504
Net income (gross income less expenses)2016-12-31$408,526
Net plan assets at end of year (total assets less liabilities)2016-12-31$6,843,105
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$6,434,579
Assets. Value of participant loans2016-12-31$18,459
Assets. Value of assets in partnership/joint-venture interests2016-12-31$270,323
Total contributions received or receivable from employer(s)2016-12-31$124,361
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,103
2015 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2015 401k financial data
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$254,015
Expenses. Total of all expenses incurred2015-12-31$37,160
Benefits paid (including direct rollovers)2015-12-31$30,056
Total plan assets at end of year2015-12-31$6,434,579
Total plan assets at beginning of year2015-12-31$6,217,724
Value of fidelity bond covering the plan2015-12-31$1,000,000
Total contributions received or receivable from participants2015-12-31$162,936
Contributions received from other sources (not participants or employers)2015-12-31$3,519
Other income received2015-12-31$-43,644
Net income (gross income less expenses)2015-12-31$216,855
Net plan assets at end of year (total assets less liabilities)2015-12-31$6,434,579
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$6,217,724
Assets. Value of participant loans2015-12-31$53,126
Assets. Value of assets in partnership/joint-venture interests2015-12-31$262,239
Total contributions received or receivable from employer(s)2015-12-31$131,204
Value of certain deemed distributions of participant loans2015-12-31$2,222
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$4,882
2014 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2014 401k financial data
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$68,135
Total income from all sources2014-12-31$712,836
Expenses. Total of all expenses incurred2014-12-31$169,897
Benefits paid (including direct rollovers)2014-12-31$137,842
Total plan assets at end of year2014-12-31$6,217,724
Total plan assets at beginning of year2014-12-31$5,742,920
Total contributions received or receivable from participants2014-12-31$156,110
Contributions received from other sources (not participants or employers)2014-12-31$60,861
Other income received2014-12-31$341,073
Net income (gross income less expenses)2014-12-31$542,939
Net plan assets at end of year (total assets less liabilities)2014-12-31$6,217,724
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$5,674,785
Assets. Value of participant loans2014-12-31$29,683
Assets. Value of assets in partnership/joint-venture interests2014-12-31$248,605
Total contributions received or receivable from employer(s)2014-12-31$154,792
Value of certain deemed distributions of participant loans2014-12-31$28,737
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$3,318
2013 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2013 401k financial data
Total plan liabilities at end of year2013-12-31$68,135
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$277,454
Expenses. Total of all expenses incurred2013-12-31$99,802
Benefits paid (including direct rollovers)2013-12-31$99,802
Total plan assets at end of year2013-12-31$5,742,920
Total plan assets at beginning of year2013-12-31$5,497,133
Value of fidelity bond covering the plan2013-12-31$1,000,000
Total contributions received or receivable from participants2013-12-31$24,017
Other income received2013-12-31$236,907
Net income (gross income less expenses)2013-12-31$177,652
Net plan assets at end of year (total assets less liabilities)2013-12-31$5,674,785
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,497,133
Assets. Value of participant loans2013-12-31$67,521
Assets. Value of assets in partnership/joint-venture interests2013-12-31$245,325
Total contributions received or receivable from employer(s)2013-12-31$16,530
Total plan liabilities at end of year2013-09-30$0
Total plan liabilities at beginning of year2013-09-30$0
Total income from all sources2013-09-30$586,394
Expenses. Total of all expenses incurred2013-09-30$23,499
Benefits paid (including direct rollovers)2013-09-30$23,379
Total plan assets at end of year2013-09-30$5,493,442
Total plan assets at beginning of year2013-09-30$4,930,547
Value of fidelity bond covering the plan2013-09-30$1,000,000
Total contributions received or receivable from participants2013-09-30$139,122
Other income received2013-09-30$388,733
Net income (gross income less expenses)2013-09-30$562,895
Net plan assets at end of year (total assets less liabilities)2013-09-30$5,493,442
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$4,930,547
Assets. Value of participant loans2013-09-30$103,839
Assets. Value of assets in partnership/joint-venture interests2013-09-30$244,843
Total contributions received or receivable from employer(s)2013-09-30$58,539
Value of certain deemed distributions of participant loans2013-09-30$120
2012 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2012 401k financial data
Total plan liabilities at end of year2012-09-30$0
Total plan liabilities at beginning of year2012-09-30$0
Total income from all sources2012-09-30$904,240
Expenses. Total of all expenses incurred2012-09-30$395,575
Benefits paid (including direct rollovers)2012-09-30$385,310
Total plan assets at end of year2012-09-30$4,930,547
Total plan assets at beginning of year2012-09-30$4,421,882
Value of fidelity bond covering the plan2012-09-30$1,000,000
Total contributions received or receivable from participants2012-09-30$144,311
Contributions received from other sources (not participants or employers)2012-09-30$130,637
Other income received2012-09-30$569,603
Net income (gross income less expenses)2012-09-30$508,665
Net plan assets at end of year (total assets less liabilities)2012-09-30$4,930,547
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$4,421,882
Assets. Value of participant loans2012-09-30$75,244
Assets. Value of assets in partnership/joint-venture interests2012-09-30$246,932
Total contributions received or receivable from employer(s)2012-09-30$59,689
Value of certain deemed distributions of participant loans2012-09-30$10,265
2011 : PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2011 401k financial data
Total plan liabilities at end of year2011-09-30$0
Total plan liabilities at beginning of year2011-09-30$1,783
Total income from all sources2011-09-30$118,491
Expenses. Total of all expenses incurred2011-09-30$13,435
Benefits paid (including direct rollovers)2011-09-30$13,435
Total plan assets at end of year2011-09-30$4,421,532
Total plan assets at beginning of year2011-09-30$4,318,259
Value of fidelity bond covering the plan2011-09-30$1,000,000
Total contributions received or receivable from participants2011-09-30$154,431
Contributions received from other sources (not participants or employers)2011-09-30$10,748
Other income received2011-09-30$-109,552
Net income (gross income less expenses)2011-09-30$105,056
Net plan assets at end of year (total assets less liabilities)2011-09-30$4,421,532
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$4,316,476
Assets. Value of participant loans2011-09-30$99,722
Assets. Value of assets in partnership/joint-venture interests2011-09-30$282,830
Total contributions received or receivable from employer(s)2011-09-30$62,864

Form 5500 Responses for PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP

2018: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 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 filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
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 – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 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 – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedYes
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement - TrustYes
2009: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes
2008: PEDIATRIC & ADOLESCENT MEDICAL ASSOC. 401(K) PSP 2008 form 5500 responses
2008-10-01Type of plan entitySingle employer plan
2008-10-01Submission has been amendedNo
2008-10-01This submission is the final filingNo
2008-10-01This return/report is a short plan year return/report (less than 12 months)No
2008-10-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818159
Policy instance 1
Insurance contract or identification number818159
Number of Individuals Covered23
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $990
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
Amount paid for insurance broker fees990
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number818159
Policy instance 1
Insurance contract or identification number818159
Number of Individuals Covered24
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $17,950
Total amount of fees paid to insurance companyUSD $227
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $17,950
Amount paid for insurance broker fees227
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811035
Policy instance 2
Insurance contract or identification number811035
Number of Individuals Covered26
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $3,013
Total amount of fees paid to insurance companyUSD $634
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
Commission paid to Insurance BrokerUSD $3,013
Amount paid for insurance broker fees634
Additional information about fees paid to insurance brokerTPA PARTNERSHIP PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811035
Policy instance 1
Insurance contract or identification number811035
Number of Individuals Covered20
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $9,493
Total amount of fees paid to insurance companyUSD $3,168
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $9,493
Amount paid for insurance broker fees3168
Additional information about fees paid to insurance brokerTPA PARTNERSHIP AND ALLIANCE PROGRAM
Insurance broker organization code?3
Insurance broker nameQUINTES ADMINISTRATIVE AND
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number811035
Policy instance 1
Insurance contract or identification number811035
Number of Individuals Covered20
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $10,167
Total amount of fees paid to insurance companyUSD $5,255
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $10,167
Amount paid for insurance broker fees5255
Additional information about fees paid to insurance brokerTPA PARTNERSHIP AND ALLIANCE PROGRA
Insurance broker organization code?3
Insurance broker nameHAYASHI & WAYLAND ADMINISTRATIVE

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