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MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 401k Plan overview

Plan NameMICHAEL J. CHANDLER M.D. PLLC PENSION PLAN
Plan identification number 001

MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • 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.
  • 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

MICHAEL J. CHANDLER MD PLLC PENSION PLAN has sponsored the creation of one or more 401k plans.

Company Name:MICHAEL J. CHANDLER MD PLLC PENSION PLAN
Employer identification number (EIN):200521396
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Additional information about MICHAEL J. CHANDLER MD PLLC PENSION PLAN

Jurisdiction of Incorporation: New York Department of State
Incorporation Date: 2003-11-12
Company Identification Number: 2975907
Legal Registered Office Address: 115 EAST 61ST STREET
New York
NEW YORK
United States of America (USA)
10021

More information about MICHAEL J. CHANDLER MD PLLC PENSION PLAN

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01MICHAEL J CHANDLER2023-09-11
0012021-01-01MICHAEL J CHANDLER2022-10-10
0012020-01-01MICHAEL J CHANDLER2021-10-01
0012019-01-01MICHAEL J CHANDLER2020-10-02
0012018-01-01MICHAEL J CHANDLER2019-10-09
0012017-01-01
0012016-01-01
0012015-01-01
0012014-01-01
0012013-01-01
0012012-01-01MICHAEL J CHANDLER
0012011-01-01MICHAEL J CHANDLER

Plan Statistics for MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN

401k plan membership statisitcs for MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN

Measure Date Value
2022: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0112
Total number of active participants reported on line 7a of the Form 55002022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0110
Total of all active and inactive participants2022-01-0112
Total participants2022-01-0112
Number of participants with account balances2022-01-0112
2021: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0116
Total number of active participants reported on line 7a of the Form 55002021-01-012
Number of other retired or separated participants entitled to future benefits2021-01-0110
Total of all active and inactive participants2021-01-0112
Total participants2021-01-0112
Number of participants with account balances2021-01-0112
2020: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0116
Total number of active participants reported on line 7a of the Form 55002020-01-016
Number of other retired or separated participants entitled to future benefits2020-01-0110
Total of all active and inactive participants2020-01-0116
Total participants2020-01-0116
Number of participants with account balances2020-01-0116
2019: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0116
Total number of active participants reported on line 7a of the Form 55002019-01-017
Number of other retired or separated participants entitled to future benefits2019-01-019
Total of all active and inactive participants2019-01-0116
Total participants2019-01-0116
Number of participants with account balances2019-01-0116
2018: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0117
Total number of active participants reported on line 7a of the Form 55002018-01-017
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-0116
Total participants2018-01-0116
Number of participants with account balances2018-01-0116
2017: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0116
Total number of active participants reported on line 7a of the Form 55002017-01-017
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0117
Total participants2017-01-0117
Number of participants with account balances2017-01-0117
2016: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0117
Total number of active participants reported on line 7a of the Form 55002016-01-016
Number of other retired or separated participants entitled to future benefits2016-01-0110
Total of all active and inactive participants2016-01-0116
Total participants2016-01-0116
Number of participants with account balances2016-01-0116
2015: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0117
Total number of active participants reported on line 7a of the Form 55002015-01-017
Number of other retired or separated participants entitled to future benefits2015-01-0110
Total of all active and inactive participants2015-01-0117
Total participants2015-01-0117
Number of participants with account balances2015-01-0117
2014: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0117
Total number of active participants reported on line 7a of the Form 55002014-01-018
Number of other retired or separated participants entitled to future benefits2014-01-019
Total of all active and inactive participants2014-01-0117
Total participants2014-01-0117
Number of participants with account balances2014-01-0117
2013: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0118
Total number of active participants reported on line 7a of the Form 55002013-01-018
Number of other retired or separated participants entitled to future benefits2013-01-019
Total of all active and inactive participants2013-01-0117
Total participants2013-01-0117
Number of participants with account balances2013-01-0117
2012: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0118
Total number of active participants reported on line 7a of the Form 55002012-01-019
Number of other retired or separated participants entitled to future benefits2012-01-019
Total of all active and inactive participants2012-01-0118
Total participants2012-01-0118
Number of participants with account balances2012-01-0118
2011: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0118
Total number of active participants reported on line 7a of the Form 55002011-01-019
Number of other retired or separated participants entitled to future benefits2011-01-019
Total of all active and inactive participants2011-01-0118
Total participants2011-01-0118
Number of participants with account balances2011-01-0118

Financial Data on MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN

Measure Date Value
2022 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2022 401k financial data
Total income from all sources2022-12-31$-315,430
Total plan assets at end of year2022-12-31$1,405,883
Total plan assets at beginning of year2022-12-31$1,721,313
Value of fidelity bond covering the plan2022-12-31$230,000
Other income received2022-12-31$-315,430
Net income (gross income less expenses)2022-12-31$-315,430
Net plan assets at end of year (total assets less liabilities)2022-12-31$1,405,883
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$1,721,313
2021 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2021 401k financial data
Total income from all sources2021-12-31$190,210
Expenses. Total of all expenses incurred2021-12-31$696,292
Benefits paid (including direct rollovers)2021-12-31$696,292
Total plan assets at end of year2021-12-31$1,721,313
Total plan assets at beginning of year2021-12-31$2,227,395
Value of fidelity bond covering the plan2021-12-31$230,000
Total contributions received or receivable from participants2021-12-31$7,500
Other income received2021-12-31$179,873
Net income (gross income less expenses)2021-12-31$-506,082
Net plan assets at end of year (total assets less liabilities)2021-12-31$1,721,313
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$2,227,395
Total contributions received or receivable from employer(s)2021-12-31$2,837
2020 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2020 401k financial data
Total income from all sources2020-12-31$314,003
Expenses. Total of all expenses incurred2020-12-31$84,956
Benefits paid (including direct rollovers)2020-12-31$84,956
Total plan assets at end of year2020-12-31$2,227,395
Total plan assets at beginning of year2020-12-31$1,998,348
Value of fidelity bond covering the plan2020-12-31$230,000
Total contributions received or receivable from participants2020-12-31$19,100
Other income received2020-12-31$290,935
Net income (gross income less expenses)2020-12-31$229,047
Net plan assets at end of year (total assets less liabilities)2020-12-31$2,227,395
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$1,998,348
Assets. Value of participant loans2020-12-31$3,262
Total contributions received or receivable from employer(s)2020-12-31$3,968
2019 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2019 401k financial data
Total income from all sources2019-12-31$319,047
Expenses. Total of all expenses incurred2019-12-31$17,685
Benefits paid (including direct rollovers)2019-12-31$17,685
Total plan assets at end of year2019-12-31$1,998,348
Total plan assets at beginning of year2019-12-31$1,696,986
Value of fidelity bond covering the plan2019-12-31$200,000
Total contributions received or receivable from participants2019-12-31$40,550
Other income received2019-12-31$262,251
Net income (gross income less expenses)2019-12-31$301,362
Net plan assets at end of year (total assets less liabilities)2019-12-31$1,998,348
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,696,986
Assets. Value of participant loans2019-12-31$3,262
Total contributions received or receivable from employer(s)2019-12-31$16,246
2018 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2018 401k financial data
Total income from all sources2018-12-31$-80,533
Expenses. Total of all expenses incurred2018-12-31$119,789
Benefits paid (including direct rollovers)2018-12-31$119,789
Total plan assets at end of year2018-12-31$1,696,986
Total plan assets at beginning of year2018-12-31$1,897,308
Value of fidelity bond covering the plan2018-12-31$190,000
Total contributions received or receivable from participants2018-12-31$40,100
Other income received2018-12-31$-131,681
Net income (gross income less expenses)2018-12-31$-200,322
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,696,986
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,897,308
Assets. Value of participant loans2018-12-31$4,804
Total contributions received or receivable from employer(s)2018-12-31$11,048
2017 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2017 401k financial data
Total income from all sources2017-12-31$287,121
Expenses. Total of all expenses incurred2017-12-31$7,500
Benefits paid (including direct rollovers)2017-12-31$7,500
Total plan assets at end of year2017-12-31$1,897,308
Total plan assets at beginning of year2017-12-31$1,617,687
Value of fidelity bond covering the plan2017-12-31$190,000
Total contributions received or receivable from participants2017-12-31$38,840
Other income received2017-12-31$229,547
Net income (gross income less expenses)2017-12-31$279,621
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,897,308
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,617,687
Assets. Value of participant loans2017-12-31$6,479
Total contributions received or receivable from employer(s)2017-12-31$18,734
2016 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2016 401k financial data
Total income from all sources2016-12-31$63,234
Expenses. Total of all expenses incurred2016-12-31$109,072
Benefits paid (including direct rollovers)2016-12-31$109,072
Total plan assets at end of year2016-12-31$1,617,687
Total plan assets at beginning of year2016-12-31$1,663,525
Value of fidelity bond covering the plan2016-12-31$170,000
Total contributions received or receivable from participants2016-12-31$13,293
Other income received2016-12-31$40,695
Net income (gross income less expenses)2016-12-31$-45,838
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,617,687
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,663,525
Assets. Value of participant loans2016-12-31$8,084
Total contributions received or receivable from employer(s)2016-12-31$9,246
2015 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2015 401k financial data
Total income from all sources2015-12-31$34,585
Expenses. Total of all expenses incurred2015-12-31$7,500
Benefits paid (including direct rollovers)2015-12-31$7,500
Total plan assets at end of year2015-12-31$1,663,525
Total plan assets at beginning of year2015-12-31$1,636,440
Value of fidelity bond covering the plan2015-12-31$170,000
Total contributions received or receivable from participants2015-12-31$26,243
Other income received2015-12-31$-2,367
Net income (gross income less expenses)2015-12-31$27,085
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,663,525
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,636,440
Assets. Value of participant loans2015-12-31$9,622
Total contributions received or receivable from employer(s)2015-12-31$10,709
2014 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2014 401k financial data
Total income from all sources2014-12-31$116,164
Expenses. Total of all expenses incurred2014-12-31$7,500
Benefits paid (including direct rollovers)2014-12-31$7,500
Total plan assets at end of year2014-12-31$1,636,440
Total plan assets at beginning of year2014-12-31$1,527,776
Value of fidelity bond covering the plan2014-12-31$170,000
Total contributions received or receivable from participants2014-12-31$44,093
Other income received2014-12-31$61,064
Net income (gross income less expenses)2014-12-31$108,664
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,636,440
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,527,776
Assets. Value of participant loans2014-12-31$14,065
Total contributions received or receivable from employer(s)2014-12-31$11,007
2013 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2013 401k financial data
Total income from all sources2013-12-31$249,271
Expenses. Total of all expenses incurred2013-12-31$24,399
Benefits paid (including direct rollovers)2013-12-31$24,399
Total plan assets at end of year2013-12-31$1,527,776
Total plan assets at beginning of year2013-12-31$1,302,904
Value of fidelity bond covering the plan2013-12-31$150,000
Total contributions received or receivable from participants2013-12-31$43,593
Other income received2013-12-31$154,556
Net income (gross income less expenses)2013-12-31$224,872
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,527,776
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,302,904
Assets. Value of participant loans2013-12-31$9,621
Total contributions received or receivable from employer(s)2013-12-31$51,122
2012 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2012 401k financial data
Total income from all sources2012-12-31$203,561
Expenses. Total of all expenses incurred2012-12-31$7,500
Benefits paid (including direct rollovers)2012-12-31$7,500
Total plan assets at end of year2012-12-31$1,302,904
Total plan assets at beginning of year2012-12-31$1,106,843
Value of fidelity bond covering the plan2012-12-31$150,000
Total contributions received or receivable from participants2012-12-31$42,793
Other income received2012-12-31$108,835
Net income (gross income less expenses)2012-12-31$196,061
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,302,904
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,106,843
Total contributions received or receivable from employer(s)2012-12-31$51,933
2011 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2011 401k financial data
Total income from all sources2011-12-31$48,326
Expenses. Total of all expenses incurred2011-12-31$34,573
Benefits paid (including direct rollovers)2011-12-31$34,573
Total plan assets at end of year2011-12-31$1,106,843
Total plan assets at beginning of year2011-12-31$1,093,090
Value of fidelity bond covering the plan2011-12-31$110,000
Total contributions received or receivable from participants2011-12-31$42,443
Other income received2011-12-31$-46,321
Net income (gross income less expenses)2011-12-31$13,753
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,106,843
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,093,090
Total contributions received or receivable from employer(s)2011-12-31$52,204
2010 : MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2010 401k financial data
Total income from all sources2010-12-31$209,664
Expenses. Total of all expenses incurred2010-12-31$12,952
Benefits paid (including direct rollovers)2010-12-31$12,952
Total plan assets at end of year2010-12-31$1,093,090
Total plan assets at beginning of year2010-12-31$896,378
Value of fidelity bond covering the plan2010-12-31$110,000
Total contributions received or receivable from participants2010-12-31$40,443
Other income received2010-12-31$125,805
Net income (gross income less expenses)2010-12-31$196,712
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,093,090
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$896,378
Total contributions received or receivable from employer(s)2010-12-31$43,416

Form 5500 Responses for MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN

2022: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
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: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MICHAEL J. CHANDLER M.D. PLLC PENSION PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $120
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
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 $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Insurance broker organization code?3
Insurance broker nameGEORGE KOROGHLIAN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
Insurance broker nameGEORGE KOROGHLIAN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
Insurance broker nameRICHARD NOLAN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
Insurance broker nameRICHARD NOLAN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $120
Insurance broker organization code?3
Insurance broker nameRICHARD NOLAN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract number6266928
Policy instance 1
Insurance contract or identification number6266928
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $180
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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