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D'ARCY 401(K) PLAN 401k Plan overview

Plan NameD'ARCY 401(K) PLAN
Plan identification number 002

D'ARCY 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.
  • 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.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

D ARCY BUICK, PONTIAC, GMC INC. has sponsored the creation of one or more 401k plans.

Company Name:D ARCY BUICK, PONTIAC, GMC INC.
Employer identification number (EIN):363781265
NAIC Classification:441110
NAIC Description:New Car Dealers

Form 5500 Filing Information

Submission information for form 5500 for 401k plan D'ARCY 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01CAROLE REH2021-09-14 CAROLE REH2021-09-14
0022019-01-01DEBRA WOLFE2020-09-24 DEBRA WOLFE2020-09-24
0022018-01-01DEBBIE WOLFE2019-10-14 DEBBIE WOLFE2019-10-14
0022017-01-01DEBRA WOLFE2018-09-28 DEBRA WOLFE2018-09-28
0022016-01-01JEFFREY THEOBALD2017-06-30 JEFFREY THEOBALD2017-06-30
0022015-01-01ELLEN CRUM2016-10-07 ELLEN CRUM2016-10-07
0022014-01-01ELLEN CRUM2015-10-13
0022013-01-01ELLEN CRUM
0022012-01-01ELLEN CRUM2013-10-11
0022011-01-01ELLEN CRUM2012-10-15
0022009-01-01ELLEN CRUM
0022009-01-01ELLEN CRUM

Plan Statistics for D'ARCY 401(K) PLAN

401k plan membership statisitcs for D'ARCY 401(K) PLAN

Measure Date Value
2023: D'ARCY 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-01243
Total number of active participants reported on line 7a of the Form 55002023-01-01211
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-0139
Total of all active and inactive participants2023-01-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-01250
Number of participants with account balances2023-01-01157
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-013
2022: D'ARCY 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01221
Total number of active participants reported on line 7a of the Form 55002022-01-01179
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0135
Total of all active and inactive participants2022-01-01214
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01214
Number of participants with account balances2022-01-01149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-012
2021: D'ARCY 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01211
Total number of active participants reported on line 7a of the Form 55002021-01-01174
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0134
Total of all active and inactive participants2021-01-01208
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01208
Number of participants with account balances2021-01-01137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-016
2013: D'ARCY 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0173
Total number of active participants reported on line 7a of the Form 55002013-01-0163
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0112
Total of all active and inactive participants2013-01-0175
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0175
Number of participants with account balances2013-01-0148
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2009: D'ARCY 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0176
Total number of active participants reported on line 7a of the Form 55002009-01-0150
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0114
Total of all active and inactive participants2009-01-0164
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0164
Number of participants with account balances2009-01-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-012

Financial Data on D'ARCY 401(K) PLAN

Measure Date Value
2023 : D'ARCY 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$9,831
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$8,911
Total income from all sources (including contributions)2023-12-31$2,345,993
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$398,436
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$358,289
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$1,252,329
Value of total assets at end of year2023-12-31$8,089,222
Value of total assets at beginning of year2023-12-31$6,140,745
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$40,147
Total interest from all sources2023-12-31$5,853
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$719,888
Participant contributions at end of year2023-12-31$68,050
Participant contributions at beginning of year2023-12-31$152,494
Assets. Other investments not covered elsewhere at beginning of year2023-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$106,303
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2023-12-31$9,831
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2023-12-31$8,911
Administrative expenses (other) incurred2023-12-31$920
Total non interest bearing cash at end of year2023-12-31$7,451
Total non interest bearing cash at beginning of year2023-12-31$6,324
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$1,947,557
Value of net assets at end of year (total assets less liabilities)2023-12-31$8,079,391
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$6,131,834
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Investment advisory and management fees2023-12-31$16,700
Value of interest in pooled separate accounts at end of year2023-12-31$7,535,170
Value of interest in pooled separate accounts at beginning of year2023-12-31$5,509,082
Interest on participant loans2023-12-31$5,215
Interest earned on other investments2023-12-31$638
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$52,413
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$52,169
Net investment gain/loss from pooled separate accounts2023-12-31$1,087,811
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$426,138
Employer contributions (assets) at end of year2023-12-31$426,138
Employer contributions (assets) at beginning of year2023-12-31$420,676
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$358,289
Contract administrator fees2023-12-31$22,527
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31WERMER, ROGERS, DORAN & RUZON, LLC
Accountancy firm EIN2023-12-31362416552
2022 : D'ARCY 401(K) PLAN 2022 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$8,911
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$6,853
Total income from all sources (including contributions)2022-12-31$104,881
Total of all expenses incurred2022-12-31$426,294
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$367,388
Value of total corrective distributions2022-12-31$23,490
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$1,144,843
Value of total assets at end of year2022-12-31$6,140,745
Value of total assets at beginning of year2022-12-31$6,460,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$35,416
Total interest from all sources2022-12-31$8,097
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$724,167
Participant contributions at end of year2022-12-31$152,494
Participant contributions at beginning of year2022-12-31$197,057
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$8,911
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$6,853
Administrative expenses (other) incurred2022-12-31$2,502
Total non interest bearing cash at end of year2022-12-31$6,324
Total non interest bearing cash at beginning of year2022-12-31$2,868
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-321,413
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,131,834
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$6,453,247
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$5,509,082
Value of interest in pooled separate accounts at beginning of year2022-12-31$6,061,850
Interest on participant loans2022-12-31$7,633
Interest earned on other investments2022-12-31$464
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$52,169
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$45,841
Net investment gain/loss from pooled separate accounts2022-12-31$-1,048,059
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$420,676
Employer contributions (assets) at end of year2022-12-31$420,676
Employer contributions (assets) at beginning of year2022-12-31$152,484
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$367,388
Contract administrator fees2022-12-31$32,914
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31WERMER, ROGERS, DORAN & RUZON, LLC
Accountancy firm EIN2022-12-31362416552
2021 : D'ARCY 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total transfer of assets to this plan2021-12-31$1,935,479
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$6,853
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,739
Total income from all sources (including contributions)2021-12-31$1,577,526
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$640,545
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$488,823
Expenses. Certain deemed distributions of participant loans2021-12-31$71,822
Value of total corrective distributions2021-12-31$36,891
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$869,003
Value of total assets at end of year2021-12-31$6,460,100
Value of total assets at beginning of year2021-12-31$3,586,526
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$43,009
Total interest from all sources2021-12-31$8,938
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$450,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$587,178
Participant contributions at end of year2021-12-31$197,057
Participant contributions at beginning of year2021-12-31$180,799
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$129,341
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$6,853
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$5,739
Administrative expenses (other) incurred2021-12-31$8,601
Total non interest bearing cash at end of year2021-12-31$2,868
Total non interest bearing cash at beginning of year2021-12-31$2,746
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$936,981
Value of net assets at end of year (total assets less liabilities)2021-12-31$6,453,247
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$3,580,787
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$6,061,850
Value of interest in pooled separate accounts at beginning of year2021-12-31$3,225,766
Interest on participant loans2021-12-31$8,300
Interest earned on other investments2021-12-31$638
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$45,841
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$117,326
Net investment gain/loss from pooled separate accounts2021-12-31$699,585
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$152,484
Employer contributions (assets) at end of year2021-12-31$152,484
Employer contributions (assets) at beginning of year2021-12-31$59,889
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$488,823
Contract administrator fees2021-12-31$34,408
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31WERMER, ROGERS, DORAN & RUZON, LLC
Accountancy firm EIN2021-12-31362416552
2013 : D'ARCY 401(K) PLAN 2013 401k financial data
Total income from all sources2013-12-31$484,461
Expenses. Total of all expenses incurred2013-12-31$194,735
Benefits paid (including direct rollovers)2013-12-31$194,735
Total plan assets at end of year2013-12-31$1,906,885
Total plan assets at beginning of year2013-12-31$1,617,159
Value of fidelity bond covering the plan2013-12-31$200,000
Total contributions received or receivable from participants2013-12-31$219,822
Contributions received from other sources (not participants or employers)2013-12-31$3,914
Other income received2013-12-31$234,419
Net income (gross income less expenses)2013-12-31$289,726
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,906,885
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,617,159
Assets. Value of participant loans2013-12-31$68,048
Total contributions received or receivable from employer(s)2013-12-31$26,306
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2010 : D'ARCY 401(K) PLAN 2010 401k financial data
Total income from all sources2010-12-31$242,906
Expenses. Total of all expenses incurred2010-12-31$73,581
Benefits paid (including direct rollovers)2010-12-31$65,126
Total plan assets at end of year2010-12-31$1,103,525
Total plan assets at beginning of year2010-12-31$934,200
Value of fidelity bond covering the plan2010-12-31$200,000
Total contributions received or receivable from participants2010-12-31$119,934
Other income received2010-12-31$107,341
Net income (gross income less expenses)2010-12-31$169,325
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,103,525
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$934,200
Assets. Value of participant loans2010-12-31$66,044
Total contributions received or receivable from employer(s)2010-12-31$15,631
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$8,455
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : D'ARCY 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for D'ARCY 401(K) PLAN

2023: D'ARCY 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entityMulitple employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: D'ARCY 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: D'ARCY 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entityMulitple employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2013: D'ARCY 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 - TrustYes
2009: D'ARCY 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22085
Policy instance 1
Insurance contract or identification number22085
Number of Individuals Covered168
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $5,041
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22085
Policy instance 1
Insurance contract or identification number22085
Number of Individuals Covered164
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $4,148
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees4148
Additional information about fees paid to insurance brokerTPA FEES TPA COMPENSATION
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22085
Policy instance 1
Insurance contract or identification number22085
Number of Individuals Covered149
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $7,262
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
Amount paid for insurance broker fees7262
Additional information about fees paid to insurance brokerTPA FEES
Insurance broker organization code?5
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22085
Policy instance 1
Insurance contract or identification number22085
Number of Individuals Covered48
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $7,766
Total amount of fees paid to insurance companyUSD $854
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 $7,766
Insurance broker organization code?3
Amount paid for insurance broker fees854
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number22085
Policy instance 1
Insurance contract or identification number22085
Number of Individuals Covered39
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $4,862
Total amount of fees paid to insurance companyUSD $474
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?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
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 $4,862
Insurance broker organization code?3
Amount paid for insurance broker fees474
Additional information about fees paid to insurance brokerTHIRD PARTY ADMINISTRATION FEES
Insurance broker nameHUNTER BENEFITS CONSULTING GROUP

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