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PEDIATRIC SPECIALISTS 401(K) PLAN 401k Plan overview

Plan NamePEDIATRIC SPECIALISTS 401(K) PLAN
Plan identification number 001

PEDIATRIC SPECIALISTS 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • 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 SPECIALISTS OF FOXBOROUGH AND WRENTHAM has sponsored the creation of one or more 401k plans.

Company Name:PEDIATRIC SPECIALISTS OF FOXBOROUGH AND WRENTHAM
Employer identification number (EIN):042663142
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PEDIATRIC SPECIALISTS 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01ROBERTA GIULIANO
0012017-01-01ROBERTA GIULIANO2018-06-11
0012016-01-01ROBERTA GIULIANO2017-06-12
0012015-01-01ROBERTA GIULIANO2016-06-13
0012014-01-01ROBERTA GIULIANO ROBERTA GIULIANO2015-06-15
0012013-01-01ROBERTA GIULIANO ROBERTA GIULIANO2014-07-21
0012012-01-01ROBERTA GIULIANO
0012011-01-01ROBERTA GIULIANO
0012010-01-01ROBERTA GIULIANO2011-07-18 ROBERTA GIULIANO2011-07-18

Plan Statistics for PEDIATRIC SPECIALISTS 401(K) PLAN

401k plan membership statisitcs for PEDIATRIC SPECIALISTS 401(K) PLAN

Measure Date Value
2022: PEDIATRIC SPECIALISTS 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0163
Total number of active participants reported on line 7a of the Form 55002022-01-0161
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0166
Number of participants with account balances2022-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: PEDIATRIC SPECIALISTS 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0158
Total number of active participants reported on line 7a of the Form 55002021-01-0156
Number of retired or separated participants receiving benefits2021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-015
Total of all active and inactive participants2021-01-0163
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0163
Number of participants with account balances2021-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: PEDIATRIC SPECIALISTS 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0161
Total number of active participants reported on line 7a of the Form 55002020-01-0153
Number of retired or separated participants receiving benefits2020-01-012
Number of other retired or separated participants entitled to future benefits2020-01-013
Total of all active and inactive participants2020-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0158
Number of participants with account balances2020-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: PEDIATRIC SPECIALISTS 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0158
Total number of active participants reported on line 7a of the Form 55002019-01-0157
Number of retired or separated participants receiving benefits2019-01-011
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-0161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0161
Number of participants with account balances2019-01-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PEDIATRIC SPECIALISTS 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0157
Total number of active participants reported on line 7a of the Form 55002018-01-0156
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-011
Total of all active and inactive participants2018-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0158
Number of participants with account balances2018-01-0138
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2014: PEDIATRIC SPECIALISTS 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0147
Total number of active participants reported on line 7a of the Form 55002014-01-0150
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-012
Total of all active and inactive participants2014-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-0153
Number of participants with account balances2014-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PEDIATRIC SPECIALISTS 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0147
Total number of active participants reported on line 7a of the Form 55002013-01-0144
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-015
Total of all active and inactive participants2013-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0150
Number of participants with account balances2013-01-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: PEDIATRIC SPECIALISTS 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0139
Total number of active participants reported on line 7a of the Form 55002012-01-0143
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-012
Total of all active and inactive participants2012-01-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0145
Number of participants with account balances2012-01-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: PEDIATRIC SPECIALISTS 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0141
Total number of active participants reported on line 7a of the Form 55002011-01-0142
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0142
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0142
Number of participants with account balances2011-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on PEDIATRIC SPECIALISTS 401(K) PLAN

Measure Date Value
2022 : PEDIATRIC SPECIALISTS 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,090,167
Expenses. Total of all expenses incurred2022-12-31$288,534
Benefits paid (including direct rollovers)2022-12-31$260,918
Total plan assets at end of year2022-12-31$6,660,724
Total plan assets at beginning of year2022-12-31$8,039,425
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$334,591
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,424,758
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-1,378,701
Net plan assets at end of year (total assets less liabilities)2022-12-31$6,660,724
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$8,039,425
Assets. Value of participant loans2022-12-31$11,379
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$0
Value of certain deemed distributions of participant loans2022-12-31$1,382
Value of corrective distributions2022-12-31$18,264
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$7,970
2021 : PEDIATRIC SPECIALISTS 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,297,357
Expenses. Total of all expenses incurred2021-12-31$105,988
Benefits paid (including direct rollovers)2021-12-31$49,808
Total plan assets at end of year2021-12-31$8,039,425
Total plan assets at beginning of year2021-12-31$6,848,056
Value of fidelity bond covering the plan2021-12-31$500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$342,324
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$955,033
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$1,191,369
Net plan assets at end of year (total assets less liabilities)2021-12-31$8,039,425
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$6,848,056
Assets. Value of participant loans2021-12-31$28,078
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$0
Value of certain deemed distributions of participant loans2021-12-31$1,009
Value of corrective distributions2021-12-31$48,158
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$7,013
2020 : PEDIATRIC SPECIALISTS 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,286,850
Expenses. Total of all expenses incurred2020-12-31$111,239
Benefits paid (including direct rollovers)2020-12-31$87,758
Total plan assets at end of year2020-12-31$6,848,056
Total plan assets at beginning of year2020-12-31$5,672,445
Value of fidelity bond covering the plan2020-12-31$500,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$337,830
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$1,172
Other income received2020-12-31$947,848
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,175,611
Net plan assets at end of year (total assets less liabilities)2020-12-31$6,848,056
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$5,672,445
Assets. Value of participant loans2020-12-31$31,012
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$0
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$18,285
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$5,196
2019 : PEDIATRIC SPECIALISTS 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,301,585
Expenses. Total of all expenses incurred2019-12-31$240,962
Benefits paid (including direct rollovers)2019-12-31$213,382
Total plan assets at end of year2019-12-31$5,672,445
Total plan assets at beginning of year2019-12-31$4,611,822
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$322,148
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$979,437
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,060,623
Net plan assets at end of year (total assets less liabilities)2019-12-31$5,672,445
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$4,611,822
Assets. Value of participant loans2019-12-31$49,471
Total contributions received or receivable from employer(s)2019-12-31$0
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$16,103
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$11,477
2018 : PEDIATRIC SPECIALISTS 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-61,008
Expenses. Total of all expenses incurred2018-12-31$322,264
Benefits paid (including direct rollovers)2018-12-31$319,086
Total plan assets at end of year2018-12-31$4,611,822
Total plan assets at beginning of year2018-12-31$4,995,094
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$302,862
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-363,870
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-383,272
Net plan assets at end of year (total assets less liabilities)2018-12-31$4,611,822
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,995,094
Assets. Value of participant loans2018-12-31$68,202
Total contributions received or receivable from employer(s)2018-12-31$0
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$3,178
2014 : PEDIATRIC SPECIALISTS 401(K) PLAN 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total income from all sources2014-12-31$471,263
Expenses. Total of all expenses incurred2014-12-31$17,413
Benefits paid (including direct rollovers)2014-12-31$17,265
Total plan assets at end of year2014-12-31$3,636,111
Total plan assets at beginning of year2014-12-31$3,182,261
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$279,061
Expenses. Other expenses not covered elsewhere2014-12-31$148
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$192,202
Net income (gross income less expenses)2014-12-31$453,850
Net plan assets at end of year (total assets less liabilities)2014-12-31$3,636,111
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$3,182,261
Assets. Value of participant loans2014-12-31$21,352
Total contributions received or receivable from employer(s)2014-12-31$0
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : PEDIATRIC SPECIALISTS 401(K) PLAN 2013 401k financial data
Transfers to/from the plan2013-12-31$3,450
Total income from all sources2013-12-31$629,037
Expenses. Total of all expenses incurred2013-12-31$30,247
Benefits paid (including direct rollovers)2013-12-31$3,521
Total plan assets at end of year2013-12-31$3,182,261
Total plan assets at beginning of year2013-12-31$2,580,021
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$225,094
Expenses. Other expenses not covered elsewhere2013-12-31$49
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$403,943
Net income (gross income less expenses)2013-12-31$598,790
Net plan assets at end of year (total assets less liabilities)2013-12-31$3,182,261
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,580,021
Assets. Value of participant loans2013-12-31$10,788
Total contributions received or receivable from employer(s)2013-12-31$0
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$26,677
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : PEDIATRIC SPECIALISTS 401(K) PLAN 2012 401k financial data
Total income from all sources2012-12-31$500,303
Expenses. Total of all expenses incurred2012-12-31$6,387
Benefits paid (including direct rollovers)2012-12-31$0
Total plan assets at end of year2012-12-31$2,580,021
Total plan assets at beginning of year2012-12-31$2,086,105
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$255,547
Expenses. Other expenses not covered elsewhere2012-12-31$56
Contributions received from other sources (not participants or employers)2012-12-31$7,819
Other income received2012-12-31$236,937
Net income (gross income less expenses)2012-12-31$493,916
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,580,021
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$2,086,105
Assets. Value of participant loans2012-12-31$30,160
Total contributions received or receivable from employer(s)2012-12-31$0
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$6,331
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$0
Amount contributed by the employer to the plan for this plan year2012-12-31$0
2011 : PEDIATRIC SPECIALISTS 401(K) PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total income from all sources2011-12-31$214,397
Expenses. Total of all expenses incurred2011-12-31$15,239
Benefits paid (including direct rollovers)2011-12-31$0
Total plan assets at end of year2011-12-31$2,086,105
Total plan assets at beginning of year2011-12-31$1,886,947
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$231,608
Expenses. Other expenses not covered elsewhere2011-12-31$15,239
Contributions received from other sources (not participants or employers)2011-12-31$17,390
Other income received2011-12-31$-34,601
Net income (gross income less expenses)2011-12-31$199,158
Net plan assets at end of year (total assets less liabilities)2011-12-31$2,086,105
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,886,947
Assets. Value of participant loans2011-12-31$49,313
Total contributions received or receivable from employer(s)2011-12-31$0
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0

Form 5500 Responses for PEDIATRIC SPECIALISTS 401(K) PLAN

2022: PEDIATRIC SPECIALISTS 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: PEDIATRIC SPECIALISTS 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: PEDIATRIC SPECIALISTS 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: PEDIATRIC SPECIALISTS 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PEDIATRIC SPECIALISTS 401(K) PLAN 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
2014: PEDIATRIC SPECIALISTS 401(K) PLAN 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
2013: PEDIATRIC SPECIALISTS 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: PEDIATRIC SPECIALISTS 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: PEDIATRIC SPECIALISTS 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-828074
Policy instance 1
Insurance contract or identification numberGA-828074
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-07-14
Total amount of commissions paid to insurance brokerUSD $6,846
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,846
Amount paid for insurance broker fees0
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-828074
Policy instance 1
Insurance contract or identification numberGA-828074
Number of Individuals Covered34
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,690
Total amount of fees paid to insurance companyUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $8,690
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGENCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-828074
Policy instance 1
Insurance contract or identification numberGA-828074
Number of Individuals Covered35
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,663
Total amount of fees paid to insurance companyUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,663
Insurance broker organization code?3
Insurance broker nameSBHU LIFE AGCY INC
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-828074
Policy instance 1
Insurance contract or identification numberGA-828074
Number of Individuals Covered32
Insurance policy start date2011-12-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $20,201
Total amount of fees paid to insurance companyUSD $0
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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