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MEDICAL STAFFING NETWORK 401(K) PLAN 401k Plan overview

Plan NameMEDICAL STAFFING NETWORK 401(K) PLAN
Plan identification number 001

MEDICAL STAFFING NETWORK 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Plan covering Self-Employed individuals.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MEDICAL STAFFING NETWORK HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name:MEDICAL STAFFING NETWORK HEALTHCARE
Employer identification number (EIN):273085068
NAIC Classification:561300

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL STAFFING NETWORK 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01MICHAEL EPSTEIN
0012014-01-01MICHAEL EPSTEIN MICHAEL EPSTEIN2015-10-14
0012013-01-01MICHAEL EPSTEIN
0012012-01-01KIM JONES KIM JONES2013-10-10
0012011-01-01KIM JONES
0012010-01-01KIM JONES

Plan Statistics for MEDICAL STAFFING NETWORK 401(K) PLAN

401k plan membership statisitcs for MEDICAL STAFFING NETWORK 401(K) PLAN

Measure Date Value
2015: MEDICAL STAFFING NETWORK 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-015,418
Total number of active participants reported on line 7a of the Form 55002015-01-010
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-010
Number of participants with account balances2015-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: MEDICAL STAFFING NETWORK 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017,713
Total number of active participants reported on line 7a of the Form 55002014-01-014,861
Number of retired or separated participants receiving benefits2014-01-018
Number of other retired or separated participants entitled to future benefits2014-01-01544
Total of all active and inactive participants2014-01-015,413
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-015,413
Number of participants with account balances2014-01-01903
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-018
2013: MEDICAL STAFFING NETWORK 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0111,336
Total number of active participants reported on line 7a of the Form 55002013-01-017,137
Number of retired or separated participants receiving benefits2013-01-016
Number of other retired or separated participants entitled to future benefits2013-01-01570
Total of all active and inactive participants2013-01-017,713
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017,713
Number of participants with account balances2013-01-01968
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0119
2012: MEDICAL STAFFING NETWORK 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111,533
Total number of active participants reported on line 7a of the Form 55002012-01-0110,700
Number of retired or separated participants receiving benefits2012-01-015
Number of other retired or separated participants entitled to future benefits2012-01-01631
Total of all active and inactive participants2012-01-0111,336
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0111,336
Number of participants with account balances2012-01-011,103
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0198
2011: MEDICAL STAFFING NETWORK 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0113,718
Total number of active participants reported on line 7a of the Form 55002011-01-0110,902
Number of retired or separated participants receiving benefits2011-01-014
Number of other retired or separated participants entitled to future benefits2011-01-01627
Total of all active and inactive participants2011-01-0111,533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0111,533
Number of participants with account balances2011-01-011,270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-01112
2010: MEDICAL STAFFING NETWORK 401(K) PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0114,861
Total number of active participants reported on line 7a of the Form 55002010-01-0113,019
Number of retired or separated participants receiving benefits2010-01-016
Number of other retired or separated participants entitled to future benefits2010-01-01693
Total of all active and inactive participants2010-01-0113,718
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0113,718
Number of participants with account balances2010-01-011,415
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-01224

Financial Data on MEDICAL STAFFING NETWORK 401(K) PLAN

Measure Date Value
2015 : MEDICAL STAFFING NETWORK 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-18$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-18$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-18$45,904
Total income from all sources (including contributions)2015-12-18$1,687,414
Total loss/gain on sale of assets2015-12-18$0
Total of all expenses incurred2015-12-18$32,465,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-18$32,390,500
Expenses. Certain deemed distributions of participant loans2015-12-18$-351
Value of total corrective distributions2015-12-18$7,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-18$0
Value of total assets at end of year2015-12-18$0
Value of total assets at beginning of year2015-12-18$30,824,102
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-18$67,478
Total interest from all sources2015-12-18$437,603
Total dividends received (eg from common stock, registered investment company shares)2015-12-18$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-18Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2015-12-18$0
Total dividends received from registered investment company shares (eg mutual funds)2015-12-18$0
Administrative expenses professional fees incurred2015-12-18$16,858
Was this plan covered by a fidelity bond2015-12-18Yes
Value of fidelity bond cover2015-12-18$500,000
If this is an individual account plan, was there a blackout period2015-12-18No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-18$0
Were there any nonexempt tranactions with any party-in-interest2015-12-18No
Contributions received from participants2015-12-18$0
Participant contributions at end of year2015-12-18$0
Participant contributions at beginning of year2015-12-18$86,465
Assets. Other investments not covered elsewhere at end of year2015-12-18$0
Assets. Other investments not covered elsewhere at beginning of year2015-12-18$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-18$0
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-18$31,788,269
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-18$45,904
Other income not declared elsewhere2015-12-18$0
Administrative expenses (other) incurred2015-12-18$2,720
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-18No
Value of net income/loss2015-12-18$-30,778,198
Value of net assets at end of year (total assets less liabilities)2015-12-18$0
Value of net assets at beginning of year (total assets less liabilities)2015-12-18$30,778,198
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-18No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-18No
Were any leases to which the plan was party in default or uncollectible2015-12-18No
Investment advisory and management fees2015-12-18$10,000
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-18$0
Value of interest in pooled separate accounts at end of year2015-12-18$0
Value of interest in pooled separate accounts at beginning of year2015-12-18$25,634,751
Interest on participant loans2015-12-18$99
Interest earned on other investments2015-12-18$437,504
Value of interest in common/collective trusts at end of year2015-12-18$0
Value of interest in common/collective trusts at beginning of year2015-12-18$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-18$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-18$5,102,886
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-18$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-18$0
Net investment gain/loss from pooled separate accounts2015-12-18$1,249,811
Net investment gain or loss from common/collective trusts2015-12-18$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-18Yes
Was there a failure to transmit to the plan any participant contributions2015-12-18No
Has the plan failed to provide any benefit when due under the plan2015-12-18No
Assets. Invements in employer securities at end of year2015-12-18$0
Assets. Invements in employer securities at beginning of year2015-12-18$0
Contributions received in cash from employer2015-12-18$0
Income. Dividends from common stock2015-12-18$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-18$602,231
Contract administrator fees2015-12-18$37,900
Did the plan have assets held for investment2015-12-18No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-18No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-18Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-18Yes
Opinion of an independent qualified public accountant for this plan2015-12-18Disclaimer
Accountancy firm name2015-12-18DASZKAL BOLTON LLP
Accountancy firm EIN2015-12-18650406502
2014 : MEDICAL STAFFING NETWORK 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$45,904
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$70,210
Total income from all sources (including contributions)2014-12-31$2,553,310
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$2,797,026
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$2,549,309
Expenses. Certain deemed distributions of participant loans2014-12-31$199,167
Value of total corrective distributions2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$589,467
Value of total assets at end of year2014-12-31$30,824,082
Value of total assets at beginning of year2014-12-31$31,092,104
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$48,550
Total interest from all sources2014-12-31$187,975
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$0
Administrative expenses professional fees incurred2014-12-31$26,500
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$566,761
Participant contributions at end of year2014-12-31$86,464
Participant contributions at beginning of year2014-12-31$498,342
Participant contributions at beginning of year2014-12-31$27,258
Assets. Other investments not covered elsewhere at end of year2014-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$22,706
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$45,904
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$70,210
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$1,120
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$-243,716
Value of net assets at end of year (total assets less liabilities)2014-12-31$30,778,178
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$31,021,894
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Investment advisory and management fees2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$0
Value of interest in pooled separate accounts at end of year2014-12-31$25,634,751
Value of interest in pooled separate accounts at beginning of year2014-12-31$25,079,669
Interest on participant loans2014-12-31$19,058
Interest earned on other investments2014-12-31$168,917
Value of interest in common/collective trusts at end of year2014-12-31$0
Value of interest in common/collective trusts at beginning of year2014-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$5,102,867
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$5,486,835
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$1,775,868
Net investment gain or loss from common/collective trusts2014-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Assets. Invements in employer securities at end of year2014-12-31$0
Assets. Invements in employer securities at beginning of year2014-12-31$0
Contributions received in cash from employer2014-12-31$0
Income. Dividends from common stock2014-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$2,549,309
Contract administrator fees2014-12-31$20,930
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31DASZKAL BOLTON LLP
Accountancy firm EIN2014-12-31650406502
2013 : MEDICAL STAFFING NETWORK 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$70,210
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$46,397
Total income from all sources (including contributions)2013-12-31$6,795,993
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,364,846
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,240,802
Expenses. Certain deemed distributions of participant loans2013-12-31$75,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,281,065
Value of total assets at end of year2013-12-31$31,092,104
Value of total assets at beginning of year2013-12-31$28,637,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$48,313
Total interest from all sources2013-12-31$212,023
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$0
Administrative expenses professional fees incurred2013-12-31$16,000
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$1,152,554
Participant contributions at end of year2013-12-31$498,342
Participant contributions at beginning of year2013-12-31$437,761
Participant contributions at end of year2013-12-31$27,258
Participant contributions at beginning of year2013-12-31$65,218
Assets. Other investments not covered elsewhere at end of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$128,511
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$70,210
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$46,397
Other income not declared elsewhere2013-12-31$0
Administrative expenses (other) incurred2013-12-31$9,853
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$2,431,147
Value of net assets at end of year (total assets less liabilities)2013-12-31$31,021,894
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$28,590,747
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$25,079,669
Value of interest in pooled separate accounts at beginning of year2013-12-31$22,363,795
Interest on participant loans2013-12-31$19,528
Interest earned on other investments2013-12-31$192,495
Value of interest in common/collective trusts at end of year2013-12-31$0
Value of interest in common/collective trusts at beginning of year2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$5,486,835
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$5,770,370
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$0
Net investment gain/loss from pooled separate accounts2013-12-31$5,302,905
Net investment gain or loss from common/collective trusts2013-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Assets. Invements in employer securities at end of year2013-12-31$0
Assets. Invements in employer securities at beginning of year2013-12-31$0
Income. Dividends from common stock2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$4,240,802
Contract administrator fees2013-12-31$22,460
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31DASZKAL BOLTON LLP
Accountancy firm EIN2013-12-31650406502
2012 : MEDICAL STAFFING NETWORK 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$46,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$26,559
Total income from all sources (including contributions)2012-12-31$4,569,985
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$5,163,215
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$5,035,855
Expenses. Certain deemed distributions of participant loans2012-12-31$63,024
Value of total corrective distributions2012-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,295,808
Value of total assets at end of year2012-12-31$28,637,144
Value of total assets at beginning of year2012-12-31$29,210,536
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$64,336
Total interest from all sources2012-12-31$244,892
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$0
Administrative expenses professional fees incurred2012-12-31$24,424
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,284,161
Participant contributions at end of year2012-12-31$437,761
Participant contributions at beginning of year2012-12-31$628,116
Participant contributions at end of year2012-12-31$65,218
Participant contributions at beginning of year2012-12-31$70,020
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$11,647
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$46,397
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$26,559
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$2,384
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-593,230
Value of net assets at end of year (total assets less liabilities)2012-12-31$28,590,747
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$29,183,977
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$0
Value of interest in pooled separate accounts at end of year2012-12-31$22,363,795
Value of interest in pooled separate accounts at beginning of year2012-12-31$22,293,120
Interest on participant loans2012-12-31$19,838
Interest earned on other investments2012-12-31$225,054
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$5,770,370
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$6,062,857
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$3,029,285
Net investment gain or loss from common/collective trusts2012-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$156,423
Income. Dividends from common stock2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$5,035,855
Contract administrator fees2012-12-31$37,528
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31DASKAL BOLTON, LLP
Accountancy firm EIN2012-12-31065040650
2011 : MEDICAL STAFFING NETWORK 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$26,559
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$19,836
Total income from all sources (including contributions)2011-12-31$1,858,551
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,543,424
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,473,418
Expenses. Certain deemed distributions of participant loans2011-12-31$24,029
Value of total corrective distributions2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,848,352
Value of total assets at end of year2011-12-31$29,210,536
Value of total assets at beginning of year2011-12-31$31,888,686
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$45,977
Total interest from all sources2011-12-31$277,009
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2011-12-31$0
Administrative expenses professional fees incurred2011-12-31$22,000
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,555,958
Participant contributions at end of year2011-12-31$628,116
Participant contributions at beginning of year2011-12-31$584,273
Participant contributions at end of year2011-12-31$70,020
Participant contributions at beginning of year2011-12-31$66,146
Assets. Other investments not covered elsewhere at end of year2011-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$135,971
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$26,559
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$19,836
Other income not declared elsewhere2011-12-31$0
Administrative expenses (other) incurred2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-2,684,873
Value of net assets at end of year (total assets less liabilities)2011-12-31$29,183,977
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$31,868,850
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$0
Value of interest in pooled separate accounts at end of year2011-12-31$22,293,120
Value of interest in pooled separate accounts at beginning of year2011-12-31$25,845,781
Interest on participant loans2011-12-31$26,580
Interest earned on other investments2011-12-31$250,429
Value of interest in common/collective trusts at end of year2011-12-31$0
Value of interest in common/collective trusts at beginning of year2011-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$6,062,857
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$5,392,486
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-266,810
Net investment gain or loss from common/collective trusts2011-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Assets. Invements in employer securities at end of year2011-12-31$0
Assets. Invements in employer securities at beginning of year2011-12-31$0
Contributions received in cash from employer2011-12-31$156,423
Employer contributions (assets) at end of year2011-12-31$156,423
Income. Dividends from common stock2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,473,418
Contract administrator fees2011-12-31$23,977
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31DASZKAL BOLTON LLP
Accountancy firm EIN2011-12-31650406502
2010 : MEDICAL STAFFING NETWORK 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$19,836
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$168,017
Total income from all sources (including contributions)2010-12-31$5,276,419
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$5,516,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,336,490
Expenses. Certain deemed distributions of participant loans2010-12-31$123,277
Value of total corrective distributions2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,492,505
Value of total assets at end of year2010-12-31$31,888,686
Value of total assets at beginning of year2010-12-31$32,276,675
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$56,460
Total interest from all sources2010-12-31$269,221
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2010-12-31$0
Administrative expenses professional fees incurred2010-12-31$24,000
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$1,428,854
Participant contributions at end of year2010-12-31$584,273
Participant contributions at beginning of year2010-12-31$765,618
Participant contributions at end of year2010-12-31$66,146
Participant contributions at beginning of year2010-12-31$56,563
Assets. Other investments not covered elsewhere at end of year2010-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$63,651
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$19,836
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$168,017
Other income not declared elsewhere2010-12-31$0
Administrative expenses (other) incurred2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-239,808
Value of net assets at end of year (total assets less liabilities)2010-12-31$31,868,850
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$32,108,658
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$0
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$0
Value of interest in pooled separate accounts at end of year2010-12-31$25,845,781
Value of interest in pooled separate accounts at beginning of year2010-12-31$25,950,451
Interest on participant loans2010-12-31$31,404
Interest earned on other investments2010-12-31$237,817
Value of interest in common/collective trusts at end of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$5,392,486
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$5,504,043
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$0
Net investment gain/loss from pooled separate accounts2010-12-31$3,514,693
Net investment gain or loss from common/collective trusts2010-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Assets. Invements in employer securities at end of year2010-12-31$0
Assets. Invements in employer securities at beginning of year2010-12-31$0
Income. Dividends from common stock2010-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$5,336,490
Contract administrator fees2010-12-31$32,460
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31DASZKAL BOLTON LLP
Accountancy firm EIN2010-12-31650406502

Form 5500 Responses for MEDICAL STAFFING NETWORK 401(K) PLAN

2015: MEDICAL STAFFING NETWORK 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingYes
2015-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MEDICAL STAFFING NETWORK 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MEDICAL STAFFING NETWORK 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MEDICAL STAFFING NETWORK 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MEDICAL STAFFING NETWORK 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: MEDICAL STAFFING NETWORK 401(K) PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-18
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?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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered5413
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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?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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered7713
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $122
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 $0
Amount paid for insurance broker fees122
Insurance broker organization code?0
Insurance broker nameSAM BRANDWEIN
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered11336
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $46,864
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 $30,648
Insurance broker organization code?1
Insurance broker nameGWN SECURITIES INC
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered11533
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $45,422
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
MASSACHUSETTS MUTUAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65935 )
Policy contract numberFL 51849
Policy instance 1
Insurance contract or identification numberFL 51849
Number of Individuals Covered1476
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $45,337
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 $22,571
Insurance broker organization code?1
Insurance broker nameMORGAN STANLEY INS SERVICES INC

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