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ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN
Plan identification number 002

ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. has sponsored the creation of one or more 401k plans.

Company Name:ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A.
Employer identification number (EIN):410988471
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-04-01STEVE ZICKERMANN2023-12-14
0022022-04-01STEVE ZICKERMANN2023-07-25
0022021-04-01STEVE ZICKERMANN2022-07-11
0022020-04-01JOSEPH HUSS DDS2021-06-18 JOSEPH HUSS DDS2021-06-18
0022019-04-01WILLIAM WILKE, DMD2020-10-23 WILLIAM WILKE, DMD2020-10-23
0022018-04-01WILLIAM WILKE, DMD2019-07-29 WILLIAM WILKE, DMD2019-07-29
0022017-04-01WILLIAM WILKE, DMD2018-06-05 WILLIAM WILKE, DMD2018-06-05
0022016-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2017-07-21
0022015-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2016-06-23
0022014-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2015-06-24
0022013-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2014-06-06
0022012-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2013-06-27
0022011-04-01WILLIAM WILKIE, DMD WILLIAM WILKIE, DMD2012-08-08
0022010-04-01WILLIAM WILKIE, DMD2011-05-16 WILLIAM WILKIE, DMD2011-05-16

Plan Statistics for ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2016: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-04-0147
Total number of active participants reported on line 7a of the Form 55002016-04-0133
Number of retired or separated participants receiving benefits2016-04-010
Number of other retired or separated participants entitled to future benefits2016-04-0110
Total of all active and inactive participants2016-04-0143
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-04-010
Total participants2016-04-0143
Number of participants with account balances2016-04-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-04-014
2015: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-04-0147
Total number of active participants reported on line 7a of the Form 55002015-04-0137
Number of retired or separated participants receiving benefits2015-04-016
Number of other retired or separated participants entitled to future benefits2015-04-012
Total of all active and inactive participants2015-04-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-04-010
Total participants2015-04-0145
Number of participants with account balances2015-04-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-04-013
2014: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-04-0145
Total number of active participants reported on line 7a of the Form 55002014-04-0142
Number of retired or separated participants receiving benefits2014-04-010
Number of other retired or separated participants entitled to future benefits2014-04-012
Total of all active and inactive participants2014-04-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-04-010
Total participants2014-04-0144
Number of participants with account balances2014-04-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-04-011
2013: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-04-0145
Total number of active participants reported on line 7a of the Form 55002013-04-0140
Number of retired or separated participants receiving benefits2013-04-010
Number of other retired or separated participants entitled to future benefits2013-04-015
Total of all active and inactive participants2013-04-0145
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-04-010
Total participants2013-04-0145
Number of participants with account balances2013-04-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-04-013
2012: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-04-0145
Total number of active participants reported on line 7a of the Form 55002012-04-0137
Number of retired or separated participants receiving benefits2012-04-010
Number of other retired or separated participants entitled to future benefits2012-04-014
Total of all active and inactive participants2012-04-0141
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-04-010
Total participants2012-04-0141
Number of participants with account balances2012-04-0141
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-04-013
2011: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-04-0142
Total number of active participants reported on line 7a of the Form 55002011-04-0137
Number of retired or separated participants receiving benefits2011-04-010
Number of other retired or separated participants entitled to future benefits2011-04-017
Total of all active and inactive participants2011-04-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-04-010
Total participants2011-04-0144
Number of participants with account balances2011-04-0144
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-04-012

Financial Data on ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN

Measure Date Value
2017 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at end of year2017-03-31$0
Total plan liabilities at beginning of year2017-03-31$0
Total income from all sources2017-03-31$949,204
Expenses. Total of all expenses incurred2017-03-31$772,741
Benefits paid (including direct rollovers)2017-03-31$759,394
Total plan assets at end of year2017-03-31$5,489,677
Total plan assets at beginning of year2017-03-31$5,313,214
Value of fidelity bond covering the plan2017-03-31$500,000
Total contributions received or receivable from participants2017-03-31$173,193
Contributions received from other sources (not participants or employers)2017-03-31$0
Other income received2017-03-31$480,227
Noncash contributions received2017-03-31$0
Net income (gross income less expenses)2017-03-31$176,463
Net plan assets at end of year (total assets less liabilities)2017-03-31$5,489,677
Net plan assets at beginning of year (total assets less liabilities)2017-03-31$5,313,214
Total contributions received or receivable from employer(s)2017-03-31$295,784
Expenses. Administrative service providers (salaries,fees and commissions)2017-03-31$13,347
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-03-31$0
2016 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at beginning of year2016-03-31$0
Total income from all sources2016-03-31$-326,016
Expenses. Total of all expenses incurred2016-03-31$4,621,707
Benefits paid (including direct rollovers)2016-03-31$4,589,345
Total plan assets at end of year2016-03-31$5,313,214
Total plan assets at beginning of year2016-03-31$10,260,937
Value of fidelity bond covering the plan2016-03-31$500,000
Total contributions received or receivable from participants2016-03-31$193,706
Other income received2016-03-31$-804,564
Net income (gross income less expenses)2016-03-31$-4,947,723
Net plan assets at end of year (total assets less liabilities)2016-03-31$5,313,214
Net plan assets at beginning of year (total assets less liabilities)2016-03-31$10,260,937
Total contributions received or receivable from employer(s)2016-03-31$284,842
Expenses. Administrative service providers (salaries,fees and commissions)2016-03-31$32,362
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-03-31$0
2015 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-03-31$0
Total plan liabilities at beginning of year2015-03-31$0
Total income from all sources2015-03-31$1,142,292
Expenses. Total of all expenses incurred2015-03-31$131,783
Benefits paid (including direct rollovers)2015-03-31$75,195
Total plan assets at end of year2015-03-31$10,260,937
Total plan assets at beginning of year2015-03-31$9,250,428
Value of fidelity bond covering the plan2015-03-31$500,000
Total contributions received or receivable from participants2015-03-31$203,999
Assets. Value of loans (other than to participants)2015-03-31$0
Other income received2015-03-31$634,026
Net income (gross income less expenses)2015-03-31$1,010,509
Net plan assets at end of year (total assets less liabilities)2015-03-31$10,260,937
Net plan assets at beginning of year (total assets less liabilities)2015-03-31$9,250,428
Total contributions received or receivable from employer(s)2015-03-31$304,267
Expenses. Administrative service providers (salaries,fees and commissions)2015-03-31$56,588
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-03-31$0
2014 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-03-31$0
Total plan liabilities at beginning of year2014-03-31$0
Total income from all sources2014-03-31$1,341,632
Expenses. Total of all expenses incurred2014-03-31$94,740
Benefits paid (including direct rollovers)2014-03-31$61,007
Total plan assets at end of year2014-03-31$9,250,428
Total plan assets at beginning of year2014-03-31$8,003,536
Value of fidelity bond covering the plan2014-03-31$500,000
Total contributions received or receivable from participants2014-03-31$199,779
Assets. Value of loans (other than to participants)2014-03-31$25,000
Other income received2014-03-31$837,008
Net income (gross income less expenses)2014-03-31$1,246,892
Net plan assets at end of year (total assets less liabilities)2014-03-31$9,250,428
Net plan assets at beginning of year (total assets less liabilities)2014-03-31$8,003,536
Total contributions received or receivable from employer(s)2014-03-31$304,845
Expenses. Administrative service providers (salaries,fees and commissions)2014-03-31$33,733
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-03-31$0
2013 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Transfers to/from the plan2013-03-31$0
Total plan liabilities at end of year2013-03-31$0
Total plan liabilities at beginning of year2013-03-31$0
Total income from all sources2013-03-31$1,206,771
Expenses. Total of all expenses incurred2013-03-31$755,014
Benefits paid (including direct rollovers)2013-03-31$723,250
Total plan assets at end of year2013-03-31$8,003,536
Total plan assets at beginning of year2013-03-31$7,551,779
Value of fidelity bond covering the plan2013-03-31$500,000
Total contributions received or receivable from participants2013-03-31$194,802
Expenses. Other expenses not covered elsewhere2013-03-31$0
Contributions received from other sources (not participants or employers)2013-03-31$0
Other income received2013-03-31$722,987
Noncash contributions received2013-03-31$0
Net income (gross income less expenses)2013-03-31$451,757
Net plan assets at end of year (total assets less liabilities)2013-03-31$8,003,536
Net plan assets at beginning of year (total assets less liabilities)2013-03-31$7,551,779
Total contributions received or receivable from employer(s)2013-03-31$288,982
Value of certain deemed distributions of participant loans2013-03-31$0
Value of corrective distributions2013-03-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-03-31$31,764
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-03-31$0
2012 : ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-03-31$0
Total plan liabilities at beginning of year2012-03-31$0
Total income from all sources2012-03-31$404,622
Expenses. Total of all expenses incurred2012-03-31$224,105
Benefits paid (including direct rollovers)2012-03-31$187,613
Total plan assets at end of year2012-03-31$7,551,779
Total plan assets at beginning of year2012-03-31$7,371,262
Value of fidelity bond covering the plan2012-03-31$500,000
Total contributions received or receivable from participants2012-03-31$174,281
Other income received2012-03-31$-88,658
Net income (gross income less expenses)2012-03-31$180,517
Net plan assets at end of year (total assets less liabilities)2012-03-31$7,551,779
Net plan assets at beginning of year (total assets less liabilities)2012-03-31$7,371,262
Total contributions received or receivable from employer(s)2012-03-31$318,999
Expenses. Administrative service providers (salaries,fees and commissions)2012-03-31$36,492
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-03-31$0

Form 5500 Responses for ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN

2016: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-04-01Type of plan entitySingle employer plan
2016-04-01Submission has been amendedNo
2016-04-01This submission is the final filingNo
2016-04-01This return/report is a short plan year return/report (less than 12 months)No
2016-04-01Plan is a collectively bargained planNo
2016-04-01Plan funding arrangement – InsuranceYes
2016-04-01Plan funding arrangement – TrustYes
2016-04-01Plan benefit arrangement – InsuranceYes
2016-04-01Plan benefit arrangement - TrustYes
2015: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-04-01Type of plan entitySingle employer plan
2015-04-01Submission has been amendedNo
2015-04-01This submission is the final filingNo
2015-04-01This return/report is a short plan year return/report (less than 12 months)No
2015-04-01Plan is a collectively bargained planNo
2015-04-01Plan funding arrangement – InsuranceYes
2015-04-01Plan funding arrangement – TrustYes
2015-04-01Plan benefit arrangement – InsuranceYes
2015-04-01Plan benefit arrangement - TrustYes
2014: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-04-01Type of plan entitySingle employer plan
2014-04-01Submission has been amendedNo
2014-04-01This submission is the final filingNo
2014-04-01This return/report is a short plan year return/report (less than 12 months)No
2014-04-01Plan is a collectively bargained planNo
2014-04-01Plan funding arrangement – InsuranceYes
2014-04-01Plan funding arrangement – TrustYes
2014-04-01Plan benefit arrangement – InsuranceYes
2014-04-01Plan benefit arrangement - TrustYes
2013: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-04-01Type of plan entitySingle employer plan
2013-04-01Submission has been amendedNo
2013-04-01This submission is the final filingNo
2013-04-01This return/report is a short plan year return/report (less than 12 months)No
2013-04-01Plan is a collectively bargained planNo
2013-04-01Plan funding arrangement – InsuranceYes
2013-04-01Plan funding arrangement – TrustYes
2013-04-01Plan benefit arrangement – InsuranceYes
2013-04-01Plan benefit arrangement - TrustYes
2012: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-04-01Type of plan entitySingle employer plan
2012-04-01Submission has been amendedNo
2012-04-01This submission is the final filingNo
2012-04-01This return/report is a short plan year return/report (less than 12 months)No
2012-04-01Plan is a collectively bargained planNo
2012-04-01Plan funding arrangement – InsuranceYes
2012-04-01Plan funding arrangement – TrustYes
2012-04-01Plan benefit arrangement – InsuranceYes
2012-04-01Plan benefit arrangement - TrustYes
2011: ASSOCIATED ORAL & MAXILLOFACIAL SURGEONS, P.A. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-04-01Type of plan entitySingle employer plan
2011-04-01Submission has been amendedNo
2011-04-01This submission is the final filingNo
2011-04-01This return/report is a short plan year return/report (less than 12 months)No
2011-04-01Plan is a collectively bargained planNo
2011-04-01Plan funding arrangement – InsuranceYes
2011-04-01Plan funding arrangement – TrustYes
2011-04-01Plan benefit arrangement – InsuranceYes
2011-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number52497
Policy instance 1
Insurance contract or identification number52497
Number of Individuals Covered1
Insurance policy start date2015-04-01
Insurance policy end date2016-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number52497
Policy instance 1
Insurance contract or identification number52497
Number of Individuals Covered1
Insurance policy start date2014-04-01
Insurance policy end date2015-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number52497
Policy instance 1
Insurance contract or identification number52497
Number of Individuals Covered1
Insurance policy start date2013-04-01
Insurance policy end date2014-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number52497
Policy instance 1
Insurance contract or identification number52497
Number of Individuals Covered1
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number52497
Policy instance 1
Insurance contract or identification number52497
Number of Individuals Covered1
Insurance policy start date2011-04-01
Insurance policy end date2012-03-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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

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