DR DANIEL L BOWMAN DVM has sponsored the creation of one or more 401k plans.
| Measure | Date | Value |
|---|
| 2019: DANIEL L BOWMAN KEOUGH HR10 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 1 |
| Total of all active and inactive participants | 2019-01-01 | 2 |
| Total participants | 2019-01-01 | 2 |
| Number of participants with account balances | 2019-01-01 | 2 |
| 2018: DANIEL L BOWMAN KEOUGH HR10 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 1 |
| Total of all active and inactive participants | 2018-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 2 |
| Number of participants with account balances | 2018-01-01 | 2 |
| 2017: DANIEL L BOWMAN KEOUGH HR10 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 1 |
| Total of all active and inactive participants | 2017-01-01 | 2 |
| Total participants | 2017-01-01 | 2 |
| Number of participants with account balances | 2017-01-01 | 2 |
| 2016: DANIEL L BOWMAN KEOUGH HR10 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 1 |
| Total of all active and inactive participants | 2016-01-01 | 2 |
| Total participants | 2016-01-01 | 2 |
| Number of participants with account balances | 2016-01-01 | 2 |
| 2015: DANIEL L BOWMAN KEOUGH HR10 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 1 |
| Total of all active and inactive participants | 2015-01-01 | 2 |
| Total participants | 2015-01-01 | 2 |
| Number of participants with account balances | 2015-01-01 | 2 |
| 2014: DANIEL L BOWMAN KEOUGH HR10 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 1 |
| Total of all active and inactive participants | 2014-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 2 |
| Number of participants with account balances | 2014-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 0 |
| 2013: DANIEL L BOWMAN KEOUGH HR10 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 0 |
| Total of all active and inactive participants | 2013-01-01 | 3 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 3 |
| Number of participants with account balances | 2013-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| 2012: DANIEL L BOWMAN KEOUGH HR10 2012 401k membership |
|---|
| Total participants, beginning-of-year | 2012-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2012-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2012-01-01 | 0 |
| Total of all active and inactive participants | 2012-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2012-01-01 | 0 |
| Total participants | 2012-01-01 | 2 |
| Number of participants with account balances | 2012-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2012-01-01 | 0 |
| 2011: DANIEL L BOWMAN KEOUGH HR10 2011 401k membership |
|---|
| Total participants, beginning-of-year | 2011-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2011-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2011-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2011-01-01 | 0 |
| Total of all active and inactive participants | 2011-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2011-01-01 | 0 |
| Total participants | 2011-01-01 | 2 |
| Number of participants with account balances | 2011-01-01 | 2 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2011-01-01 | 0 |
| 2010: DANIEL L BOWMAN KEOUGH HR10 2010 401k membership |
|---|
| Total participants, beginning-of-year | 2010-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2010-01-01 | 2 |
| Number of retired or separated participants receiving benefits | 2010-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2010-01-01 | 0 |
| Total of all active and inactive participants | 2010-01-01 | 2 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2010-01-01 | 0 |
| Total participants | 2010-01-01 | 2 |
| Number of participants with account balances | 2010-01-01 | 2 |
| 2009: DANIEL L BOWMAN KEOUGH HR10 2009 401k membership |
|---|
| Total participants, beginning-of-year | 2009-01-01 | 2 |
| Total number of active participants reported on line 7a of the Form 5500 | 2009-01-01 | 2 |
| Total of all active and inactive participants | 2009-01-01 | 2 |
| Total participants | 2009-01-01 | 2 |
| Measure | Date | Value |
|---|
| 2019 : DANIEL L BOWMAN KEOUGH HR10 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $12,321 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $20,329 |
| Benefits paid (including direct rollovers) | 2019-12-31 | $20,329 |
| Total plan assets at end of year | 2019-12-31 | $404,672 |
| Total plan assets at beginning of year | 2019-12-31 | $412,680 |
| Other income received | 2019-12-31 | $12,321 |
| Net income (gross income less expenses) | 2019-12-31 | $-8,008 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $404,672 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $412,680 |
| 2018 : DANIEL L BOWMAN KEOUGH HR10 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $12,531 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $19,809 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $19,809 |
| Total plan assets at end of year | 2018-12-31 | $412,680 |
| Total plan assets at beginning of year | 2018-12-31 | $419,958 |
| Other income received | 2018-12-31 | $12,531 |
| Net income (gross income less expenses) | 2018-12-31 | $-7,278 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $412,680 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $419,958 |
| 2017 : DANIEL L BOWMAN KEOUGH HR10 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $12,705 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $19,393 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $19,393 |
| Total plan assets at end of year | 2017-12-31 | $419,958 |
| Total plan assets at beginning of year | 2017-12-31 | $426,646 |
| Other income received | 2017-12-31 | $12,705 |
| Net income (gross income less expenses) | 2017-12-31 | $-6,688 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $419,958 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $426,646 |
| 2016 : DANIEL L BOWMAN KEOUGH HR10 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $12,953 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $18,890 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $18,890 |
| Total plan assets at end of year | 2016-12-31 | $426,646 |
| Total plan assets at beginning of year | 2016-12-31 | $432,583 |
| Other income received | 2016-12-31 | $12,953 |
| Net income (gross income less expenses) | 2016-12-31 | $-5,937 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $426,646 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $432,583 |
| 2015 : DANIEL L BOWMAN KEOUGH HR10 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $12,976 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $18,596 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $18,596 |
| Total plan assets at end of year | 2015-12-31 | $432,583 |
| Total plan assets at beginning of year | 2015-12-31 | $438,203 |
| Other income received | 2015-12-31 | $12,976 |
| Net income (gross income less expenses) | 2015-12-31 | $-5,620 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $432,583 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $438,203 |
| 2014 : DANIEL L BOWMAN KEOUGH HR10 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $29,325 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $17,432 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $17,432 |
| Total plan assets at end of year | 2014-12-31 | $438,203 |
| Total plan assets at beginning of year | 2014-12-31 | $426,310 |
| Other income received | 2014-12-31 | $13,166 |
| Net income (gross income less expenses) | 2014-12-31 | $11,893 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $438,203 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $426,310 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $16,159 |
| 2013 : DANIEL L BOWMAN KEOUGH HR10 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $34,524 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $16,092 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $16,092 |
| Total plan assets at end of year | 2013-12-31 | $426,310 |
| Total plan assets at beginning of year | 2013-12-31 | $407,878 |
| Other income received | 2013-12-31 | $12,524 |
| Net income (gross income less expenses) | 2013-12-31 | $18,432 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $426,310 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $407,878 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $22,000 |
| 2012 : DANIEL L BOWMAN KEOUGH HR10 2012 401k financial data |
|---|
| Total income from all sources | 2012-12-31 | $48,759 |
| Expenses. Total of all expenses incurred | 2012-12-31 | $15,000 |
| Benefits paid (including direct rollovers) | 2012-12-31 | $15,000 |
| Total plan assets at end of year | 2012-12-31 | $407,878 |
| Total plan assets at beginning of year | 2012-12-31 | $374,119 |
| Other income received | 2012-12-31 | $11,943 |
| Net income (gross income less expenses) | 2012-12-31 | $33,759 |
| Net plan assets at end of year (total assets less liabilities) | 2012-12-31 | $407,878 |
| Net plan assets at beginning of year (total assets less liabilities) | 2012-12-31 | $374,119 |
| Total contributions received or receivable from employer(s) | 2012-12-31 | $36,816 |
| 2011 : DANIEL L BOWMAN KEOUGH HR10 2011 401k financial data |
|---|
| Total income from all sources | 2011-12-31 | $-8,225 |
| Expenses. Total of all expenses incurred | 2011-12-31 | $1,561 |
| Total plan assets at end of year | 2011-12-31 | $374,119 |
| Total plan assets at beginning of year | 2011-12-31 | $383,905 |
| Other income received | 2011-12-31 | $-34,631 |
| Net income (gross income less expenses) | 2011-12-31 | $-9,786 |
| Net plan assets at end of year (total assets less liabilities) | 2011-12-31 | $374,119 |
| Net plan assets at beginning of year (total assets less liabilities) | 2011-12-31 | $383,905 |
| Total contributions received or receivable from employer(s) | 2011-12-31 | $26,406 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2011-12-31 | $1,561 |
| 2010 : DANIEL L BOWMAN KEOUGH HR10 2010 401k financial data |
|---|
| Total income from all sources | 2010-12-31 | $47,975 |
| Expenses. Total of all expenses incurred | 2010-12-31 | $8,867 |
| Total plan assets at end of year | 2010-12-31 | $383,905 |
| Total plan assets at beginning of year | 2010-12-31 | $344,797 |
| Other income received | 2010-12-31 | $29,875 |
| Net income (gross income less expenses) | 2010-12-31 | $39,108 |
| Net plan assets at end of year (total assets less liabilities) | 2010-12-31 | $383,905 |
| Net plan assets at beginning of year (total assets less liabilities) | 2010-12-31 | $344,797 |
| Total contributions received or receivable from employer(s) | 2010-12-31 | $18,100 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2010-12-31 | $8,867 |
| 2019: DANIEL L BOWMAN KEOUGH HR10 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2018: DANIEL L BOWMAN KEOUGH HR10 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2017: DANIEL L BOWMAN KEOUGH HR10 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2016: DANIEL L BOWMAN KEOUGH HR10 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2015: DANIEL L BOWMAN KEOUGH HR10 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2014: DANIEL L BOWMAN KEOUGH HR10 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2013: DANIEL L BOWMAN KEOUGH HR10 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2012: DANIEL L BOWMAN KEOUGH HR10 2012 form 5500 responses |
|---|
| 2012-01-01 | Type of plan entity | Single employer plan |
| 2012-01-01 | Plan funding arrangement – Insurance | Yes |
| 2012-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2011: DANIEL L BOWMAN KEOUGH HR10 2011 form 5500 responses |
|---|
| 2011-01-01 | Type of plan entity | Single employer plan |
| 2011-01-01 | Plan funding arrangement – Insurance | Yes |
| 2011-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2010: DANIEL L BOWMAN KEOUGH HR10 2010 form 5500 responses |
|---|
| 2010-01-01 | Type of plan entity | Single employer plan |
| 2010-01-01 | Plan funding arrangement – Insurance | Yes |
| 2010-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| 2009: DANIEL L BOWMAN KEOUGH HR10 2009 form 5500 responses |
|---|
| 2009-01-01 | Type of plan entity | Single employer plan |
| 2009-01-01 | Submission has been amended | Yes |
| 2009-01-01 | Plan funding arrangement – General assets of the sponsor | Yes |
| 2009-01-01 | Plan benefit arrangement – General assets of the sponsor | Yes |
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2019-01-01 | | Insurance policy end date | 2019-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2018-01-01 | | Insurance policy end date | 2018-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $0 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $0 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943 070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943 070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $531 | | Are there contracts with allocated funds for group deferred annuity? | Yes | | 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 Broker | USD $531 | | Insurance broker organization code? | 3 | | Insurance broker name | D COWIE |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943 070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943 070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $752 | | Are there contracts with allocated funds for group deferred annuity? | Yes | | 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 Broker | USD $752 | | Insurance broker organization code? | 3 | | Insurance broker name | D COWIE |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943 070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943 070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2012-01-01 | | Insurance policy end date | 2012-12-31 | | Total amount of commissions paid to insurance broker | USD $1,282 | | Are there contracts with allocated funds for group deferred annuity? | Yes | | 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 Broker | USD $1,282 | | Insurance broker organization code? | 3 | | Insurance broker name | D COWIE |
|
| AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 ) |
| Policy contract number | 710943 070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943 070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2011-01-01 | | Insurance policy end date | 2011-12-31 | | Total amount of commissions paid to insurance broker | USD $757 | | Are there contracts with allocated funds for group deferred annuity? | Yes | | 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 number | 710943 070 |
| Policy instance | 1 |
| Insurance contract or identification number | 710943 070 | | Number of Individuals Covered | 2 | | Insurance policy start date | 2010-01-01 | | Insurance policy end date | 2010-12-31 | | Total amount of commissions paid to insurance broker | USD $519 | | Are there contracts with allocated funds for group deferred annuity? | Yes | | 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 Broker | USD $519 | | Insurance broker organization code? | 3 | | Insurance broker name | D COWIE |
|
