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MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameMILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN
Plan identification number 002

MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • 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.
  • Life insurance

401k Sponsoring company profile

MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED has sponsored the creation of one or more 401k plans.

Company Name:MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED
Employer identification number (EIN):391023054
NAIC Classification:621112
NAIC Description:Offices of Physicians, Mental Health Specialists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022022-07-01ERIC KANTER2024-04-15
0022021-07-01ERIC KANTER2022-10-17
0022020-07-01ERIC KANTER2022-01-17
0022019-07-01
0022018-07-01
0022017-07-01ERIC KANTER
0022016-07-01MELVIN SOO HOO
0022015-07-01MELVIN SOO HOO
0022014-07-01MELVIN SOO HOO
0022013-07-01MELVIN SOO HOO
0022012-07-01MELVIN J SOO HOO MD MELVIN J SOO HOO MD2013-09-24
0022011-07-01MELVIN J SOO HOO MD MELVIN J SOO HOO MD2013-01-22
0022010-07-01MELVIN J SOO HOO MD MELVIN J SOO HOO MD2012-01-19
0022009-07-01MELVIN J SOO HOO MD MELVIN J SOO HOO MD2011-01-27

Plan Statistics for MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN

Measure Date Value
2019: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-0114
Total number of active participants reported on line 7a of the Form 55002019-07-0112
Number of retired or separated participants receiving benefits2019-07-010
Number of other retired or separated participants entitled to future benefits2019-07-010
Total of all active and inactive participants2019-07-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-0112
Number of participants with account balances2019-07-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-010
2018: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-0115
Total number of active participants reported on line 7a of the Form 55002018-07-0112
Number of retired or separated participants receiving benefits2018-07-010
Number of other retired or separated participants entitled to future benefits2018-07-012
Total of all active and inactive participants2018-07-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-0114
Number of participants with account balances2018-07-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-010
2017: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-0116
Total number of active participants reported on line 7a of the Form 55002017-07-0114
Number of retired or separated participants receiving benefits2017-07-010
Number of other retired or separated participants entitled to future benefits2017-07-011
Total of all active and inactive participants2017-07-0115
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-0115
Number of participants with account balances2017-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-010
2016: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-0116
Total number of active participants reported on line 7a of the Form 55002016-07-0115
Number of retired or separated participants receiving benefits2016-07-010
Number of other retired or separated participants entitled to future benefits2016-07-011
Total of all active and inactive participants2016-07-0116
Total participants2016-07-0116
Number of participants with account balances2016-07-0115
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-010
2015: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-0117
Total number of active participants reported on line 7a of the Form 55002015-07-0116
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-010
Total of all active and inactive participants2015-07-0116
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-0116
Number of participants with account balances2015-07-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-010
2014: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-0117
Total number of active participants reported on line 7a of the Form 55002014-07-0114
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-013
Total of all active and inactive participants2014-07-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-0117
Number of participants with account balances2014-07-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-010
2013: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-0117
Total number of active participants reported on line 7a of the Form 55002013-07-0115
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-012
Total of all active and inactive participants2013-07-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-0117
Number of participants with account balances2013-07-0116
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-0120
Total number of active participants reported on line 7a of the Form 55002012-07-0114
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-013
Total of all active and inactive participants2012-07-0117
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-0117
Number of participants with account balances2012-07-0117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-0120
Total number of active participants reported on line 7a of the Form 55002011-07-0113
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-017
Total of all active and inactive participants2011-07-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-0120
Number of participants with account balances2011-07-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-0119
Total number of active participants reported on line 7a of the Form 55002010-07-0112
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-017
Total of all active and inactive participants2010-07-0119
Total participants2010-07-0119
Number of participants with account balances2010-07-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-0118
Total number of active participants reported on line 7a of the Form 55002009-07-0116
Number of other retired or separated participants entitled to future benefits2009-07-012
Total of all active and inactive participants2009-07-0118
Total participants2009-07-0118
Number of participants with account balances2009-07-0118
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN

Measure Date Value
2020 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2020 401k financial data
Total income from all sources2020-06-30$1,094,114
Expenses. Total of all expenses incurred2020-06-30$2,123,842
Benefits paid (including direct rollovers)2020-06-30$2,100,259
Total plan assets at end of year2020-06-30$4,395,022
Total plan assets at beginning of year2020-06-30$5,424,750
Value of fidelity bond covering the plan2020-06-30$500,000
Total contributions received or receivable from participants2020-06-30$81,121
Expenses. Other expenses not covered elsewhere2020-06-30$0
Contributions received from other sources (not participants or employers)2020-06-30$717,436
Other income received2020-06-30$176,543
Noncash contributions received2020-06-30$0
Net income (gross income less expenses)2020-06-30$-1,029,728
Net plan assets at end of year (total assets less liabilities)2020-06-30$4,395,022
Net plan assets at beginning of year (total assets less liabilities)2020-06-30$5,424,750
Total contributions received or receivable from employer(s)2020-06-30$119,014
Value of certain deemed distributions of participant loans2020-06-30$0
Value of corrective distributions2020-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2020-06-30$23,583
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-06-30$0
2019 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total income from all sources2019-06-30$308,581
Expenses. Total of all expenses incurred2019-06-30$33,117
Benefits paid (including direct rollovers)2019-06-30$452
Total plan assets at end of year2019-06-30$5,424,750
Total plan assets at beginning of year2019-06-30$5,149,286
Value of fidelity bond covering the plan2019-06-30$500,000
Assets. Value of tangible personal property2019-06-30$1,656
Total contributions received or receivable from participants2019-06-30$73,136
Expenses. Other expenses not covered elsewhere2019-06-30$0
Contributions received from other sources (not participants or employers)2019-06-30$0
Other income received2019-06-30$120,510
Noncash contributions received2019-06-30$0
Net income (gross income less expenses)2019-06-30$275,464
Net plan assets at end of year (total assets less liabilities)2019-06-30$5,424,750
Net plan assets at beginning of year (total assets less liabilities)2019-06-30$5,149,286
Total contributions received or receivable from employer(s)2019-06-30$114,935
Value of certain deemed distributions of participant loans2019-06-30$0
Value of corrective distributions2019-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-06-30$32,665
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
2018 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total income from all sources2018-06-30$479,515
Expenses. Total of all expenses incurred2018-06-30$123,604
Benefits paid (including direct rollovers)2018-06-30$95,174
Total plan assets at end of year2018-06-30$5,149,286
Total plan assets at beginning of year2018-06-30$4,793,375
Value of fidelity bond covering the plan2018-06-30$500,000
Assets. Value of tangible personal property2018-06-30$1,729
Total contributions received or receivable from participants2018-06-30$55,378
Expenses. Other expenses not covered elsewhere2018-06-30$0
Contributions received from other sources (not participants or employers)2018-06-30$0
Other income received2018-06-30$308,347
Noncash contributions received2018-06-30$0
Net income (gross income less expenses)2018-06-30$355,911
Net plan assets at end of year (total assets less liabilities)2018-06-30$5,149,286
Net plan assets at beginning of year (total assets less liabilities)2018-06-30$4,793,375
Assets. Value of participant loans2018-06-30$49,412
Total contributions received or receivable from employer(s)2018-06-30$115,790
Value of certain deemed distributions of participant loans2018-06-30$0
Value of corrective distributions2018-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-06-30$28,430
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
2017 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-06-30$541,046
Expenses. Total of all expenses incurred2017-06-30$30,279
Benefits paid (including direct rollovers)2017-06-30$6,725
Total plan assets at end of year2017-06-30$4,793,375
Total plan assets at beginning of year2017-06-30$4,282,608
Value of fidelity bond covering the plan2017-06-30$500,000
Assets. Value of tangible personal property2017-06-30$1,934
Total contributions received or receivable from participants2017-06-30$62,805
Expenses. Other expenses not covered elsewhere2017-06-30$0
Contributions received from other sources (not participants or employers)2017-06-30$0
Other income received2017-06-30$356,390
Noncash contributions received2017-06-30$0
Net income (gross income less expenses)2017-06-30$510,767
Net plan assets at end of year (total assets less liabilities)2017-06-30$4,793,375
Net plan assets at beginning of year (total assets less liabilities)2017-06-30$4,282,608
Total contributions received or receivable from employer(s)2017-06-30$121,851
Value of certain deemed distributions of participant loans2017-06-30$0
Value of corrective distributions2017-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-06-30$23,554
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-06-30$0
2016 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-06-30$165,620
Expenses. Total of all expenses incurred2016-06-30$1,694,736
Benefits paid (including direct rollovers)2016-06-30$1,669,977
Total plan assets at end of year2016-06-30$4,282,608
Total plan assets at beginning of year2016-06-30$5,811,724
Value of fidelity bond covering the plan2016-06-30$500,000
Assets. Value of tangible personal property2016-06-30$3,522
Total contributions received or receivable from participants2016-06-30$67,327
Expenses. Other expenses not covered elsewhere2016-06-30$0
Contributions received from other sources (not participants or employers)2016-06-30$0
Other income received2016-06-30$-12,400
Noncash contributions received2016-06-30$0
Net income (gross income less expenses)2016-06-30$-1,529,116
Net plan assets at end of year (total assets less liabilities)2016-06-30$4,282,608
Net plan assets at beginning of year (total assets less liabilities)2016-06-30$5,811,724
Total contributions received or receivable from employer(s)2016-06-30$110,693
Value of certain deemed distributions of participant loans2016-06-30$0
Value of corrective distributions2016-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-06-30$24,759
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
2015 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-06-30$105,070
Expenses. Total of all expenses incurred2015-06-30$29,958
Benefits paid (including direct rollovers)2015-06-30$4,574
Total plan assets at end of year2015-06-30$5,811,724
Total plan assets at beginning of year2015-06-30$5,736,612
Value of fidelity bond covering the plan2015-06-30$500,000
Assets. Value of tangible personal property2015-06-30$11,646
Total contributions received or receivable from participants2015-06-30$70,272
Expenses. Other expenses not covered elsewhere2015-06-30$0
Contributions received from other sources (not participants or employers)2015-06-30$0
Other income received2015-06-30$-73,881
Noncash contributions received2015-06-30$0
Net income (gross income less expenses)2015-06-30$75,112
Net plan assets at end of year (total assets less liabilities)2015-06-30$5,811,724
Net plan assets at beginning of year (total assets less liabilities)2015-06-30$5,736,612
Assets. Value of participant loans2015-06-30$10,051
Assets. Value of assets in partnership/joint-venture interests2015-06-30$43,000
Total contributions received or receivable from employer(s)2015-06-30$108,679
Value of certain deemed distributions of participant loans2015-06-30$0
Value of corrective distributions2015-06-30$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-06-30$25,384
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
2014 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-06-30$1,014,491
Expenses. Total of all expenses incurred2014-06-30$64,618
Benefits paid (including direct rollovers)2014-06-30$40,164
Total plan assets at end of year2014-06-30$5,736,612
Total plan assets at beginning of year2014-06-30$4,786,739
Value of fidelity bond covering the plan2014-06-30$500,000
Assets. Value of tangible personal property2014-06-30$7,066
Total contributions received or receivable from participants2014-06-30$92,500
Other income received2014-06-30$825,908
Net income (gross income less expenses)2014-06-30$949,873
Net plan assets at end of year (total assets less liabilities)2014-06-30$5,736,612
Net plan assets at beginning of year (total assets less liabilities)2014-06-30$4,786,739
Assets. Value of participant loans2014-06-30$26,220
Assets. Value of assets in partnership/joint-venture interests2014-06-30$43,000
Total contributions received or receivable from employer(s)2014-06-30$96,083
Expenses. Administrative service providers (salaries,fees and commissions)2014-06-30$24,454
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
2013 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-06-30$706,727
Expenses. Total of all expenses incurred2013-06-30$2,427,138
Benefits paid (including direct rollovers)2013-06-30$2,399,650
Total plan assets at end of year2013-06-30$4,786,739
Total plan assets at beginning of year2013-06-30$6,507,150
Value of fidelity bond covering the plan2013-06-30$500,000
Assets. Value of tangible personal property2013-06-30$1,925
Total contributions received or receivable from participants2013-06-30$69,210
Expenses. Other expenses not covered elsewhere2013-06-30$5,358
Contributions received from other sources (not participants or employers)2013-06-30$0
Other income received2013-06-30$559,131
Net income (gross income less expenses)2013-06-30$-1,720,411
Net plan assets at end of year (total assets less liabilities)2013-06-30$4,786,739
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$6,507,150
Assets. Value of participant loans2013-06-30$25,244
Assets. Value of assets in partnership/joint-venture interests2013-06-30$43,000
Total contributions received or receivable from employer(s)2013-06-30$78,386
Expenses. Administrative service providers (salaries,fees and commissions)2013-06-30$22,130
2012 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-06-30$114,150
Expenses. Total of all expenses incurred2012-06-30$463,016
Benefits paid (including direct rollovers)2012-06-30$424,951
Total plan assets at end of year2012-06-30$6,507,150
Total plan assets at beginning of year2012-06-30$6,856,016
Value of fidelity bond covering the plan2012-06-30$500,000
Assets. Value of tangible personal property2012-06-30$2,704
Total contributions received or receivable from participants2012-06-30$70,783
Expenses. Other expenses not covered elsewhere2012-06-30$0
Contributions received from other sources (not participants or employers)2012-06-30$0
Other income received2012-06-30$-78,515
Net income (gross income less expenses)2012-06-30$-348,866
Net plan assets at end of year (total assets less liabilities)2012-06-30$6,507,150
Net plan assets at beginning of year (total assets less liabilities)2012-06-30$6,856,016
Assets. Value of participant loans2012-06-30$41,893
Assets. Value of assets in partnership/joint-venture interests2012-06-30$43,000
Total contributions received or receivable from employer(s)2012-06-30$121,882
Expenses. Administrative service providers (salaries,fees and commissions)2012-06-30$38,065
2011 : MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-06-30$1,580,998
Expenses. Total of all expenses incurred2011-06-30$147,041
Benefits paid (including direct rollovers)2011-06-30$109,984
Total plan assets at end of year2011-06-30$6,856,016
Total plan assets at beginning of year2011-06-30$5,422,059
Value of fidelity bond covering the plan2011-06-30$500,000
Assets. Value of tangible personal property2011-06-30$2,922
Total contributions received or receivable from participants2011-06-30$57,749
Other income received2011-06-30$1,435,201
Net income (gross income less expenses)2011-06-30$1,433,957
Net plan assets at end of year (total assets less liabilities)2011-06-30$6,856,016
Net plan assets at beginning of year (total assets less liabilities)2011-06-30$5,422,059
Assets. Value of participant loans2011-06-30$23,938
Assets. Value of assets in partnership/joint-venture interests2011-06-30$60,535
Total contributions received or receivable from employer(s)2011-06-30$88,048
Expenses. Administrative service providers (salaries,fees and commissions)2011-06-30$37,057

Form 5500 Responses for MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN

2019: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planNo
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planNo
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planNo
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planNo
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planNo
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planNo
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planNo
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planNo
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: MILWAUKEE PSYCHIATRIC PHYSICIANS CHARTERED 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31974
Policy instance 2
Insurance contract or identification number31974
Number of Individuals Covered1
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
Total amount of commissions paid to insurance brokerUSD $4,044
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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?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
Other information about contractVARIABLE ANNUITY
Commission paid to Insurance BrokerUSD $4,044
Insurance broker organization code?7
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $3,884
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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?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
Other information about contractVARIABLE ANNUITY
Commission paid to Insurance BrokerUSD $3,884
Insurance broker organization code?7
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31974
Policy instance 2
Insurance contract or identification number31974
Number of Individuals Covered1
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31974
Policy instance 2
Insurance contract or identification number31974
Number of Individuals Covered1
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?1
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameMICHAEL SLUTZKY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
Total amount of commissions paid to insurance brokerUSD $3,846
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
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?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
Other information about contractVARIABLE ANNUITY
Commission paid to Insurance BrokerUSD $3,846
Insurance broker organization code?7
Insurance broker nameJAMES FISCHER
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $4,065
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?Yes
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?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
Other information about contractVARIABLE ANNUITY
Commission paid to Insurance BrokerUSD $4,065
Insurance broker organization code?7
Insurance broker nameJAMES FISCHER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number31974
Policy instance 2
Insurance contract or identification number31974
Number of Individuals Covered1
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $134
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees134
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameMICHAEL SLUTZKY
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number11498902
Policy instance 2
Insurance contract or identification number11498902
Number of Individuals Covered1
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $134
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
Amount paid for insurance broker fees134
Additional information about fees paid to insurance brokerFEES PAID
Insurance broker organization code?3
Insurance broker nameMICHAEL SLUTZKY
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $4,395
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?Yes
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?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
Other information about contractALTERITY
Commission paid to Insurance BrokerUSD $4,395
Insurance broker organization code?7
Insurance broker nameJAMES FISCHER
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3203353113
Policy instance 3
Insurance contract or identification number3203353113
Number of Individuals Covered1
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
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
METLIFE INVESTORS USA INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 00000 )
Policy contract number3203353113
Policy instance 3
Insurance contract or identification number3203353113
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
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
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number11498902
Policy instance 2
Insurance contract or identification number11498902
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Are there contracts with allocated funds for individual policies?Yes
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitYes
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
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $3,271
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?Yes
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?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
Other information about contractALTERITY
Commission paid to Insurance BrokerUSD $3,271
Insurance broker organization code?7
Insurance broker nameJAMES FISCHER
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $4,570
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractALTERITY
Commission paid to Insurance BrokerUSD $4,570
Insurance broker organization code?3
Insurance broker nameJAMES FISCHER
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number11498902
Policy instance 2
Insurance contract or identification number11498902
Number of Individuals Covered1
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
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?Yes
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number11498902
Policy instance 2
Insurance contract or identification number11498902
Number of Individuals Covered1
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
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?Yes
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $2,804
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for types other than group deferred annuity or individual?Yes
Other information about contractALTERITY
NORTHWESTERN MUTUAL (National Association of Insurance Commissioners NAIC id number: 67091 )
Policy contract number11498902
Policy instance 2
Insurance contract or identification number11498902
Number of Individuals Covered1
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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?Yes
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDA370102
Policy instance 1
Insurance contract or identification numberDA370102
Number of Individuals Covered1
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
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 types other than group deferred annuity or individual?Yes
Other information about contractALTERITY

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