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PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 401k Plan overview

Plan NamePERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN
Plan identification number 001

PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT 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
  • 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.
  • 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

PERFORMANCE IMAGING TECHNOLOGIES has sponsored the creation of one or more 401k plans.

Company Name:PERFORMANCE IMAGING TECHNOLOGIES
Employer identification number (EIN):273884714
NAIC Classification:423400

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01JEREMY BEHRENDT2023-05-22
0012021-01-01JEREMY BEHRENDT2022-10-06
0012020-01-01JEREMY BEHRENDT2021-10-12
0012019-01-01
0012018-01-01
0012018-01-01
0012017-01-01JEREMY BEHRENDT
0012017-01-01
0012016-01-01JEREMY BEHRENDT
0012016-01-01
0012015-01-01JEREMY BEHRENDT
0012014-01-01JEREMY BEHRENDT
0012013-01-01JEREMY BEHRENDT
0012012-01-01JEREMY BEHRENDT

Plan Statistics for PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN

401k plan membership statisitcs for PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN

Measure Date Value
2019: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-016
Total number of active participants reported on line 7a of the Form 55002019-01-016
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-016
Number of participants with account balances2019-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-016
Total number of active participants reported on line 7a of the Form 55002018-01-015
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-015
Number of participants with account balances2018-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-015
Total number of active participants reported on line 7a of the Form 55002017-01-015
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-015
Number of participants with account balances2017-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-016
Total number of active participants reported on line 7a of the Form 55002016-01-015
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-015
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-015
Number of participants with account balances2016-01-015
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-016
Total number of active participants reported on line 7a of the Form 55002015-01-015
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-011
Total of all active and inactive participants2015-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-016
Number of participants with account balances2015-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017
Total number of active participants reported on line 7a of the Form 55002014-01-015
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-016
Number of participants with account balances2014-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-016
Total number of active participants reported on line 7a of the Form 55002013-01-016
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017
Number of participants with account balances2013-01-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-010
Total number of active participants reported on line 7a of the Form 55002012-01-016
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-016
Number of participants with account balances2012-01-014
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010

Financial Data on PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN

Measure Date Value
2019 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2019 401k financial data
Total income from all sources2019-12-31$569,272
Expenses. Total of all expenses incurred2019-12-31$11,273
Total plan assets at end of year2019-12-31$2,012,365
Total plan assets at beginning of year2019-12-31$1,454,366
Value of fidelity bond covering the plan2019-12-31$145,437
Total contributions received or receivable from participants2019-12-31$86,274
Other income received2019-12-31$352,396
Net income (gross income less expenses)2019-12-31$557,999
Net plan assets at end of year (total assets less liabilities)2019-12-31$2,012,365
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$1,454,366
Total contributions received or receivable from employer(s)2019-12-31$130,602
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$11,273
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$301,741
Expenses. Total of all expenses incurred2018-12-31$157,726
Benefits paid (including direct rollovers)2018-12-31$151,044
Total plan assets at end of year2018-12-31$1,431,530
Total plan assets at beginning of year2018-12-31$1,287,515
Value of fidelity bond covering the plan2018-12-31$125,000
Total contributions received or receivable from participants2018-12-31$73,921
Contributions received from other sources (not participants or employers)2018-12-31$196,653
Other income received2018-12-31$-79,153
Net income (gross income less expenses)2018-12-31$144,015
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,431,530
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$1,287,515
Total contributions received or receivable from employer(s)2018-12-31$110,320
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$6,682
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$383,911
Expenses. Total of all expenses incurred2017-12-31$4,988
Total plan assets at end of year2017-12-31$1,287,515
Total plan assets at beginning of year2017-12-31$908,592
Value of fidelity bond covering the plan2017-12-31$125,000
Total contributions received or receivable from participants2017-12-31$88,797
Other income received2017-12-31$162,187
Net income (gross income less expenses)2017-12-31$378,923
Net plan assets at end of year (total assets less liabilities)2017-12-31$1,287,515
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$908,592
Total contributions received or receivable from employer(s)2017-12-31$132,927
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$4,988
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$268,528
Expenses. Total of all expenses incurred2016-12-31$16,448
Benefits paid (including direct rollovers)2016-12-31$10,910
Total plan assets at end of year2016-12-31$908,592
Total plan assets at beginning of year2016-12-31$656,512
Value of fidelity bond covering the plan2016-12-31$65,700
Total contributions received or receivable from participants2016-12-31$77,219
Other income received2016-12-31$61,466
Net income (gross income less expenses)2016-12-31$252,080
Net plan assets at end of year (total assets less liabilities)2016-12-31$908,592
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$656,512
Total contributions received or receivable from employer(s)2016-12-31$129,843
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$5,538
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2015 401k financial data
Total income from all sources2015-12-31$188,697
Expenses. Total of all expenses incurred2015-12-31$4,358
Total plan assets at end of year2015-12-31$656,512
Total plan assets at beginning of year2015-12-31$472,173
Value of fidelity bond covering the plan2015-12-31$47,500
Total contributions received or receivable from participants2015-12-31$78,146
Other income received2015-12-31$-16,189
Net income (gross income less expenses)2015-12-31$184,339
Net plan assets at end of year (total assets less liabilities)2015-12-31$656,512
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$472,173
Total contributions received or receivable from employer(s)2015-12-31$126,740
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$4,358
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$204,840
Expenses. Total of all expenses incurred2014-12-31$10,227
Benefits paid (including direct rollovers)2014-12-31$7,078
Total plan assets at end of year2014-12-31$472,173
Total plan assets at beginning of year2014-12-31$277,560
Value of fidelity bond covering the plan2014-12-31$47,500
Total contributions received or receivable from participants2014-12-31$65,047
Other income received2014-12-31$10,621
Net income (gross income less expenses)2014-12-31$194,613
Net plan assets at end of year (total assets less liabilities)2014-12-31$472,173
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$277,560
Total contributions received or receivable from employer(s)2014-12-31$129,172
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$3,149
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$234,778
Expenses. Total of all expenses incurred2013-12-31$1,119
Total plan assets at end of year2013-12-31$277,560
Total plan assets at beginning of year2013-12-31$43,901
Value of fidelity bond covering the plan2013-12-31$30,000
Total contributions received or receivable from participants2013-12-31$55,117
Contributions received from other sources (not participants or employers)2013-12-31$55,069
Other income received2013-12-31$14,135
Net income (gross income less expenses)2013-12-31$233,659
Net plan assets at end of year (total assets less liabilities)2013-12-31$277,560
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$43,901
Total contributions received or receivable from employer(s)2013-12-31$110,457
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$1,119
2012 : PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$43,915
Expenses. Total of all expenses incurred2012-12-31$14
Total plan assets at end of year2012-12-31$43,901
Total plan assets at beginning of year2012-12-31$0
Value of fidelity bond covering the plan2012-12-31$44,000
Total contributions received or receivable from participants2012-12-31$25,041
Other income received2012-12-31$111
Net income (gross income less expenses)2012-12-31$43,901
Net plan assets at end of year (total assets less liabilities)2012-12-31$43,901
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$18,763
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$14

Form 5500 Responses for PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN

2019: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedYes
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
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: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
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: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT 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 filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
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: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT 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: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT 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: PERFORMANCE IMAGING TECHNOLOGIES 401(K) RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01First time form 5500 has been submittedYes
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

Insurance Providers Used on plan

THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 19173
Policy instance 1
Insurance contract or identification numberGP 19173
Number of Individuals Covered6
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $4,152
Total amount of fees paid to insurance companyUSD $848
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $4,152
Insurance broker organization code?7
Amount paid for insurance broker fees848
Additional information about fees paid to insurance brokerTPA FEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 19173
Policy instance 1
Insurance contract or identification numberGP 19173
Number of Individuals Covered6
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $3,087
Total amount of fees paid to insurance companyUSD $571
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $3,087
Insurance broker organization code?7
Amount paid for insurance broker fees571
Additional information about fees paid to insurance brokerTPA FEES
THE LINCOLN NATIONAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65676 )
Policy contract numberGP 19173
Policy instance 1
Insurance contract or identification numberGP 19173
Number of Individuals Covered5
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $2,476
Total amount of fees paid to insurance companyUSD $580
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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 $2,476
Insurance broker organization code?7
Amount paid for insurance broker fees580
Additional information about fees paid to insurance brokerTPA AWARDS
Insurance broker namePPG RETIREMENT PLAN SERVICES, LTD.

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