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DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 401k Plan overview

Plan NameDIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST
Plan identification number 001

DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.

401k Sponsoring company profile

DIGITAL DIAGNOSTICS, INC. has sponsored the creation of one or more 401k plans.

Company Name:DIGITAL DIAGNOSTICS, INC.
Employer identification number (EIN):050383665
NAIC Classification:541330
NAIC Description:Engineering Services

Additional information about DIGITAL DIAGNOSTICS, INC.

Jurisdiction of Incorporation: Secretary of State Rhode Island
Incorporation Date: 1979-06-18
Company Identification Number: 000007310
Legal Registered Office Address: 100 VALLEY ROAD
P.O. BOX 4267
MIDDLETOWN
United States of America (USA)
02842

More information about DIGITAL DIAGNOSTICS, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-06-01JAMES ETHIER
0012015-06-01JAMES ETHIER
0012014-06-01JAMES ETHIER JAMES ETHIER2015-12-07
0012013-06-01JAMES ETHIER JAMES ETHIER2014-10-28
0012012-06-01JAMES ETHIER JAMES ETHIER2013-11-05
0012011-06-01JAMES ETHIER
0012010-06-01JAMES ETHIER
0012009-06-01JAMES ETHIER

Plan Statistics for DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST

401k plan membership statisitcs for DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST

Measure Date Value
2016: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-06-014
Total number of active participants reported on line 7a of the Form 55002016-06-014
Number of retired or separated participants receiving benefits2016-06-010
Number of other retired or separated participants entitled to future benefits2016-06-010
Total of all active and inactive participants2016-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-06-010
Total participants2016-06-014
2015: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-06-014
Total number of active participants reported on line 7a of the Form 55002015-06-014
Number of retired or separated participants receiving benefits2015-06-010
Number of other retired or separated participants entitled to future benefits2015-06-010
Total of all active and inactive participants2015-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-06-010
Total participants2015-06-014
2014: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-06-014
Total number of active participants reported on line 7a of the Form 55002014-06-014
Number of retired or separated participants receiving benefits2014-06-010
Number of other retired or separated participants entitled to future benefits2014-06-010
Total of all active and inactive participants2014-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-06-010
Total participants2014-06-014
2013: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-06-014
Total number of active participants reported on line 7a of the Form 55002013-06-014
Number of retired or separated participants receiving benefits2013-06-010
Number of other retired or separated participants entitled to future benefits2013-06-010
Total of all active and inactive participants2013-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-06-010
Total participants2013-06-014
2012: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-06-014
Total number of active participants reported on line 7a of the Form 55002012-06-014
Number of retired or separated participants receiving benefits2012-06-010
Number of other retired or separated participants entitled to future benefits2012-06-010
Total of all active and inactive participants2012-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-06-010
Total participants2012-06-014
Number of participants with account balances2012-06-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-06-010
2011: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-06-014
Total number of active participants reported on line 7a of the Form 55002011-06-014
Number of retired or separated participants receiving benefits2011-06-010
Number of other retired or separated participants entitled to future benefits2011-06-010
Total of all active and inactive participants2011-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-06-010
Total participants2011-06-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-06-010
2010: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2010 401k membership
Total participants, beginning-of-year2010-06-014
Total number of active participants reported on line 7a of the Form 55002010-06-014
Number of retired or separated participants receiving benefits2010-06-010
Number of other retired or separated participants entitled to future benefits2010-06-010
Total of all active and inactive participants2010-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-06-010
Total participants2010-06-014
Number of participants with account balances2010-06-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-06-010
2009: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-06-014
Total number of active participants reported on line 7a of the Form 55002009-06-014
Number of retired or separated participants receiving benefits2009-06-010
Number of other retired or separated participants entitled to future benefits2009-06-010
Total of all active and inactive participants2009-06-014
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-06-010
Total participants2009-06-014
Number of participants with account balances2009-06-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-06-010

Financial Data on DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST

Measure Date Value
2017 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2017 401k financial data
Transfers to/from the plan2017-05-31$0
Total plan liabilities at end of year2017-05-31$0
Total plan liabilities at beginning of year2017-05-31$0
Total income from all sources2017-05-31$141,054
Expenses. Total of all expenses incurred2017-05-31$800,043
Benefits paid (including direct rollovers)2017-05-31$800,000
Total plan assets at end of year2017-05-31$1,456,664
Total plan assets at beginning of year2017-05-31$2,115,653
Total contributions received or receivable from participants2017-05-31$33,269
Expenses. Other expenses not covered elsewhere2017-05-31$0
Contributions received from other sources (not participants or employers)2017-05-31$0
Other income received2017-05-31$90,285
Noncash contributions received2017-05-31$0
Net income (gross income less expenses)2017-05-31$-658,989
Net plan assets at end of year (total assets less liabilities)2017-05-31$1,456,664
Net plan assets at beginning of year (total assets less liabilities)2017-05-31$2,115,653
Total contributions received or receivable from employer(s)2017-05-31$17,500
Value of certain deemed distributions of participant loans2017-05-31$0
Value of corrective distributions2017-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-05-31$43
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-05-31$0
2016 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2016 401k financial data
Transfers to/from the plan2016-05-31$0
Total plan liabilities at end of year2016-05-31$0
Total plan liabilities at beginning of year2016-05-31$0
Total income from all sources2016-05-31$21,177
Expenses. Total of all expenses incurred2016-05-31$24
Benefits paid (including direct rollovers)2016-05-31$0
Total plan assets at end of year2016-05-31$2,115,653
Total plan assets at beginning of year2016-05-31$2,094,500
Total contributions received or receivable from participants2016-05-31$38,928
Expenses. Other expenses not covered elsewhere2016-05-31$0
Contributions received from other sources (not participants or employers)2016-05-31$0
Other income received2016-05-31$-38,772
Noncash contributions received2016-05-31$0
Net income (gross income less expenses)2016-05-31$21,153
Net plan assets at end of year (total assets less liabilities)2016-05-31$2,115,653
Net plan assets at beginning of year (total assets less liabilities)2016-05-31$2,094,500
Total contributions received or receivable from employer(s)2016-05-31$21,021
Value of certain deemed distributions of participant loans2016-05-31$0
Value of corrective distributions2016-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-05-31$24
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-05-31$0
2015 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2015 401k financial data
Transfers to/from the plan2015-05-31$0
Total plan liabilities at end of year2015-05-31$0
Total plan liabilities at beginning of year2015-05-31$0
Total income from all sources2015-05-31$147,779
Expenses. Total of all expenses incurred2015-05-31$30
Benefits paid (including direct rollovers)2015-05-31$0
Total plan assets at end of year2015-05-31$2,094,500
Total plan assets at beginning of year2015-05-31$1,946,751
Total contributions received or receivable from participants2015-05-31$32,006
Expenses. Other expenses not covered elsewhere2015-05-31$0
Contributions received from other sources (not participants or employers)2015-05-31$0
Other income received2015-05-31$98,324
Noncash contributions received2015-05-31$0
Net income (gross income less expenses)2015-05-31$147,749
Net plan assets at end of year (total assets less liabilities)2015-05-31$2,094,500
Net plan assets at beginning of year (total assets less liabilities)2015-05-31$1,946,751
Total contributions received or receivable from employer(s)2015-05-31$17,449
Value of certain deemed distributions of participant loans2015-05-31$0
Value of corrective distributions2015-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-05-31$30
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-05-31$0
2014 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2014 401k financial data
Transfers to/from the plan2014-05-31$0
Total plan liabilities at end of year2014-05-31$0
Total plan liabilities at beginning of year2014-05-31$0
Total income from all sources2014-05-31$189,442
Expenses. Total of all expenses incurred2014-05-31$48
Benefits paid (including direct rollovers)2014-05-31$0
Total plan assets at end of year2014-05-31$1,946,751
Total plan assets at beginning of year2014-05-31$1,757,357
Total contributions received or receivable from participants2014-05-31$34,578
Expenses. Other expenses not covered elsewhere2014-05-31$0
Contributions received from other sources (not participants or employers)2014-05-31$0
Other income received2014-05-31$135,434
Noncash contributions received2014-05-31$0
Net income (gross income less expenses)2014-05-31$189,394
Net plan assets at end of year (total assets less liabilities)2014-05-31$1,946,751
Net plan assets at beginning of year (total assets less liabilities)2014-05-31$1,757,357
Total contributions received or receivable from employer(s)2014-05-31$19,430
Value of certain deemed distributions of participant loans2014-05-31$0
Value of corrective distributions2014-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-05-31$48
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-05-31$0
2013 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan2013-05-31$0
Total plan liabilities at end of year2013-05-31$0
Total plan liabilities at beginning of year2013-05-31$0
Total income from all sources2013-05-31$223,004
Expenses. Total of all expenses incurred2013-05-31$48
Benefits paid (including direct rollovers)2013-05-31$0
Total plan assets at end of year2013-05-31$1,757,357
Total plan assets at beginning of year2013-05-31$1,534,401
Total contributions received or receivable from participants2013-05-31$36,070
Expenses. Other expenses not covered elsewhere2013-05-31$0
Contributions received from other sources (not participants or employers)2013-05-31$0
Other income received2013-05-31$166,665
Noncash contributions received2013-05-31$0
Net income (gross income less expenses)2013-05-31$222,956
Net plan assets at end of year (total assets less liabilities)2013-05-31$1,757,357
Net plan assets at beginning of year (total assets less liabilities)2013-05-31$1,534,401
Total contributions received or receivable from employer(s)2013-05-31$20,269
Value of certain deemed distributions of participant loans2013-05-31$0
Value of corrective distributions2013-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-05-31$48
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-05-31$0
2012 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-05-31$0
Total plan liabilities at end of year2012-05-31$0
Total plan liabilities at beginning of year2012-05-31$0
Total income from all sources2012-05-31$54,427
Expenses. Total of all expenses incurred2012-05-31$25,055
Benefits paid (including direct rollovers)2012-05-31$0
Total plan assets at end of year2012-05-31$1,534,401
Total plan assets at beginning of year2012-05-31$1,505,029
Total contributions received or receivable from participants2012-05-31$34,523
Expenses. Other expenses not covered elsewhere2012-05-31$0
Contributions received from other sources (not participants or employers)2012-05-31$0
Other income received2012-05-31$1,273
Noncash contributions received2012-05-31$0
Net income (gross income less expenses)2012-05-31$29,372
Net plan assets at end of year (total assets less liabilities)2012-05-31$1,534,401
Net plan assets at beginning of year (total assets less liabilities)2012-05-31$1,505,029
Total contributions received or receivable from employer(s)2012-05-31$18,631
Value of certain deemed distributions of participant loans2012-05-31$25,000
Value of corrective distributions2012-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-05-31$55
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-05-31$0
2011 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan2011-05-31$0
Total plan liabilities at end of year2011-05-31$0
Total plan liabilities at beginning of year2011-05-31$0
Total income from all sources2011-05-31$215,210
Expenses. Total of all expenses incurred2011-05-31$24
Benefits paid (including direct rollovers)2011-05-31$0
Total plan assets at end of year2011-05-31$1,505,029
Total plan assets at beginning of year2011-05-31$1,289,843
Total contributions received or receivable from participants2011-05-31$32,480
Expenses. Other expenses not covered elsewhere2011-05-31$0
Contributions received from other sources (not participants or employers)2011-05-31$0
Other income received2011-05-31$137,605
Noncash contributions received2011-05-31$0
Net income (gross income less expenses)2011-05-31$215,186
Net plan assets at end of year (total assets less liabilities)2011-05-31$1,505,029
Net plan assets at beginning of year (total assets less liabilities)2011-05-31$1,289,843
Total contributions received or receivable from employer(s)2011-05-31$45,125
Value of certain deemed distributions of participant loans2011-05-31$0
Value of corrective distributions2011-05-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-05-31$24
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-05-31$0
2010 : DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-05-31$0

Form 5500 Responses for DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST

2016: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2016 form 5500 responses
2016-06-01Type of plan entitySingle employer plan
2016-06-01Submission has been amendedNo
2016-06-01This submission is the final filingNo
2016-06-01This return/report is a short plan year return/report (less than 12 months)No
2016-06-01Plan is a collectively bargained planNo
2016-06-01Plan funding arrangement – InsuranceYes
2016-06-01Plan funding arrangement – TrustYes
2016-06-01Plan benefit arrangement – InsuranceYes
2016-06-01Plan benefit arrangement - TrustYes
2015: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2015 form 5500 responses
2015-06-01Type of plan entitySingle employer plan
2015-06-01Submission has been amendedNo
2015-06-01This submission is the final filingNo
2015-06-01This return/report is a short plan year return/report (less than 12 months)No
2015-06-01Plan is a collectively bargained planNo
2015-06-01Plan funding arrangement – InsuranceYes
2015-06-01Plan funding arrangement – TrustYes
2015-06-01Plan benefit arrangement – InsuranceYes
2015-06-01Plan benefit arrangement - TrustYes
2014: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2014 form 5500 responses
2014-06-01Type of plan entitySingle employer plan
2014-06-01Submission has been amendedNo
2014-06-01This submission is the final filingNo
2014-06-01This return/report is a short plan year return/report (less than 12 months)No
2014-06-01Plan is a collectively bargained planNo
2014-06-01Plan funding arrangement – InsuranceYes
2014-06-01Plan funding arrangement – TrustYes
2014-06-01Plan benefit arrangement – InsuranceYes
2014-06-01Plan benefit arrangement - TrustYes
2013: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2013 form 5500 responses
2013-06-01Type of plan entitySingle employer plan
2013-06-01Submission has been amendedNo
2013-06-01This submission is the final filingNo
2013-06-01This return/report is a short plan year return/report (less than 12 months)No
2013-06-01Plan is a collectively bargained planNo
2013-06-01Plan funding arrangement – InsuranceYes
2013-06-01Plan funding arrangement – TrustYes
2013-06-01Plan benefit arrangement – InsuranceYes
2013-06-01Plan benefit arrangement - TrustYes
2012: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2012 form 5500 responses
2012-06-01Type of plan entitySingle employer plan
2012-06-01Submission has been amendedNo
2012-06-01This submission is the final filingNo
2012-06-01This return/report is a short plan year return/report (less than 12 months)No
2012-06-01Plan is a collectively bargained planNo
2012-06-01Plan funding arrangement – InsuranceYes
2012-06-01Plan funding arrangement – TrustYes
2012-06-01Plan benefit arrangement – InsuranceYes
2012-06-01Plan benefit arrangement - TrustYes
2011: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2011 form 5500 responses
2011-06-01Type of plan entitySingle employer plan
2011-06-01Submission has been amendedNo
2011-06-01This submission is the final filingNo
2011-06-01This return/report is a short plan year return/report (less than 12 months)No
2011-06-01Plan is a collectively bargained planNo
2011-06-01Plan funding arrangement – InsuranceYes
2011-06-01Plan funding arrangement – TrustYes
2011-06-01Plan benefit arrangement – InsuranceYes
2011-06-01Plan benefit arrangement - TrustYes
2010: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2010 form 5500 responses
2010-06-01Type of plan entitySingle employer plan
2010-06-01Submission has been amendedNo
2010-06-01This submission is the final filingNo
2010-06-01This return/report is a short plan year return/report (less than 12 months)No
2010-06-01Plan is a collectively bargained planNo
2010-06-01Plan funding arrangement – InsuranceYes
2010-06-01Plan funding arrangement – TrustYes
2010-06-01Plan benefit arrangement – InsuranceYes
2010-06-01Plan benefit arrangement - TrustYes
2009: DIGITAL DIAGNOSTICS, INC. PROFIT SHARING AND SALARY DEFERRAL PLAN AND TRUST 2009 form 5500 responses
2009-06-01Type of plan entitySingle employer plan
2009-06-01Submission has been amendedNo
2009-06-01This submission is the final filingNo
2009-06-01This return/report is a short plan year return/report (less than 12 months)No
2009-06-01Plan is a collectively bargained planNo
2009-06-01Plan funding arrangement – InsuranceYes
2009-06-01Plan funding arrangement – TrustYes
2009-06-01Plan benefit arrangement – InsuranceYes
2009-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number650299
Policy instance 1
Insurance contract or identification number650299
Number of Individuals Covered4
Insurance policy start date2015-06-01
Insurance policy end date2016-05-31
Total amount of commissions paid to insurance brokerUSD $1,342
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 $537
Insurance broker nameVINCENT F. BARBETTA
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number650299
Policy instance 1
Insurance contract or identification number650299
Number of Individuals Covered4
Insurance policy start date2014-06-01
Insurance policy end date2015-05-31
Total amount of commissions paid to insurance brokerUSD $1,091
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 $655
Insurance broker nameJOSEPH V. BARBETTA
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number650299
Policy instance 1
Insurance contract or identification number650299
Number of Individuals Covered4
Insurance policy start date2013-06-01
Insurance policy end date2014-05-31
Total amount of commissions paid to insurance brokerUSD $1,135
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 $454
Insurance broker nameVINCENT F. BARBETTA
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number650299
Policy instance 1
Insurance contract or identification number650299
Number of Individuals Covered4
Insurance policy start date2012-06-01
Insurance policy end date2013-05-31
Total amount of commissions paid to insurance brokerUSD $1,183
Total amount of fees paid to insurance companyUSD $0
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
Commission paid to Insurance BrokerUSD $710
Amount paid for insurance broker fees0
Insurance broker nameJOSEPH V. BARBETTA
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91650299
Policy instance 1
Insurance contract or identification number91650299
Number of Individuals Covered4
Insurance policy start date2011-06-01
Insurance policy end date2012-05-31
Total amount of commissions paid to insurance brokerUSD $1,191
Total amount of fees paid to insurance companyUSD $0
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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number91650299
Policy instance 1
Insurance contract or identification number91650299
Number of Individuals Covered4
Insurance policy start date2010-06-01
Insurance policy end date2011-05-31
Total amount of commissions paid to insurance brokerUSD $1,257
Total amount of fees paid to insurance companyUSD $0
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

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