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ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 401k Plan overview

Plan NameROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN
Plan identification number 001

ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. 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.
  • 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

ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. has sponsored the creation of one or more 401k plans.

Company Name:ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A.
Employer identification number (EIN):480910189
NAIC Classification:621210
NAIC Description:Offices of Dentists

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01MARK TROILO MARK TROILO2018-02-14
0012016-01-01MARK TROILO MARK TROILO2017-06-14
0012015-01-01MARK TROILO MARK TROILO2016-10-05
0012014-01-01MARK TROILO MARK TROILO2015-08-24
0012013-01-01MARK TROILO MARK TROILO2014-08-14
0012012-01-01MARK TROILO MARK TROILO2013-09-18
0012011-01-01MARK TROILO MARK TROILO2012-07-18
0012010-01-01MARK TROILO MARK TROILO2011-09-12
0012009-01-01MARK P. TROILO MARK P. TROILO2010-10-10

Plan Statistics for ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN

401k plan membership statisitcs for ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN

Measure Date Value
2017: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-010
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-010
Number of participants with account balances2017-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0114
Total number of active participants reported on line 7a of the Form 55002016-01-0113
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-011
Total of all active and inactive participants2016-01-0114
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0114
Number of participants with account balances2016-01-0114
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0113
Total number of active participants reported on line 7a of the Form 55002015-01-0112
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0112
Number of participants with account balances2015-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0112
Total number of active participants reported on line 7a of the Form 55002014-01-0112
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-011
Total of all active and inactive participants2014-01-0113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0113
Number of participants with account balances2014-01-0113
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0111
Total number of active participants reported on line 7a of the Form 55002013-01-0112
Total of all active and inactive participants2013-01-0112
Total participants2013-01-0112
Number of participants with account balances2013-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0111
Total number of active participants reported on line 7a of the Form 55002012-01-0111
Total of all active and inactive participants2012-01-0111
Total participants2012-01-0111
Number of participants with account balances2012-01-0111
2011: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0111
Total number of active participants reported on line 7a of the Form 55002011-01-0111
Total of all active and inactive participants2011-01-0111
Total participants2011-01-0111
Number of participants with account balances2011-01-0111
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0112
Total number of active participants reported on line 7a of the Form 55002010-01-0112
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-010
Total of all active and inactive participants2010-01-0112
Total participants2010-01-0112
Number of participants with account balances2010-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0113
Total number of active participants reported on line 7a of the Form 55002009-01-0112
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0112
Number of participants with account balances2009-01-0112
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN

Measure Date Value
2017 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2017 401k financial data
Total plan liabilities at beginning of year2017-12-31$64
Total income from all sources2017-12-31$38,687
Expenses. Total of all expenses incurred2017-12-31$1,683,876
Benefits paid (including direct rollovers)2017-12-31$1,676,691
Total plan assets at end of year2017-12-31$0
Total plan assets at beginning of year2017-12-31$1,645,253
Value of fidelity bond covering the plan2017-12-31$300,000
Other income received2017-12-31$38,687
Net income (gross income less expenses)2017-12-31$-1,645,189
Net plan assets at end of year (total assets less liabilities)2017-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$1,645,189
Assets. Value of assets in partnership/joint-venture interests2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$7,185
2016 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2016 401k financial data
Total plan liabilities at end of year2016-12-31$64
Total plan liabilities at beginning of year2016-12-31$64
Total income from all sources2016-12-31$193,239
Expenses. Total of all expenses incurred2016-12-31$6,118
Total plan assets at end of year2016-12-31$1,645,253
Total plan assets at beginning of year2016-12-31$1,458,132
Value of fidelity bond covering the plan2016-12-31$300,000
Total contributions received or receivable from participants2016-12-31$67,263
Expenses. Other expenses not covered elsewhere2016-12-31$2,504
Other income received2016-12-31$103,413
Net income (gross income less expenses)2016-12-31$187,121
Net plan assets at end of year (total assets less liabilities)2016-12-31$1,645,189
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$1,458,068
Assets. Value of assets in partnership/joint-venture interests2016-12-31$146,395
Total contributions received or receivable from employer(s)2016-12-31$22,563
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$3,614
2015 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2015 401k financial data
Total plan liabilities at end of year2015-12-31$64
Total plan liabilities at beginning of year2015-12-31$50
Total income from all sources2015-12-31$-23,547
Expenses. Total of all expenses incurred2015-12-31$17,830
Benefits paid (including direct rollovers)2015-12-31$3,569
Total plan assets at end of year2015-12-31$1,458,132
Total plan assets at beginning of year2015-12-31$1,499,495
Value of fidelity bond covering the plan2015-12-31$300,000
Total contributions received or receivable from participants2015-12-31$65,157
Expenses. Other expenses not covered elsewhere2015-12-31$6,889
Other income received2015-12-31$-110,176
Net income (gross income less expenses)2015-12-31$-41,377
Net plan assets at end of year (total assets less liabilities)2015-12-31$1,458,068
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$1,499,445
Assets. Value of assets in partnership/joint-venture interests2015-12-31$106,395
Total contributions received or receivable from employer(s)2015-12-31$21,472
Value of certain deemed distributions of participant loans2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$7,372
2014 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2014 401k financial data
Total plan liabilities at end of year2014-12-31$50
Total plan liabilities at beginning of year2014-12-31$50
Total income from all sources2014-12-31$15,106
Expenses. Total of all expenses incurred2014-12-31$3,801
Total plan assets at end of year2014-12-31$1,499,495
Total plan assets at beginning of year2014-12-31$1,488,190
Value of fidelity bond covering the plan2014-12-31$190,000
Total contributions received or receivable from participants2014-12-31$64,057
Other income received2014-12-31$-70,356
Net income (gross income less expenses)2014-12-31$11,305
Net plan assets at end of year (total assets less liabilities)2014-12-31$1,499,445
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$1,488,140
Assets. Value of assets in partnership/joint-venture interests2014-12-31$106,395
Total contributions received or receivable from employer(s)2014-12-31$21,405
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$3,801
2013 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2013 401k financial data
Total plan liabilities at end of year2013-12-31$50
Total plan liabilities at beginning of year2013-12-31$50
Total income from all sources2013-12-31$39,648
Expenses. Total of all expenses incurred2013-12-31$5,865
Total plan assets at end of year2013-12-31$1,488,190
Total plan assets at beginning of year2013-12-31$1,454,407
Value of fidelity bond covering the plan2013-12-31$190,000
Total contributions received or receivable from participants2013-12-31$61,304
Other income received2013-12-31$-42,217
Net income (gross income less expenses)2013-12-31$33,783
Net plan assets at end of year (total assets less liabilities)2013-12-31$1,488,140
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$1,454,357
Assets. Value of assets in partnership/joint-venture interests2013-12-31$106,395
Total contributions received or receivable from employer(s)2013-12-31$20,561
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$5,865
2012 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at end of year2012-12-31$50
Total plan liabilities at beginning of year2012-12-31$50
Total income from all sources2012-12-31$107,537
Expenses. Total of all expenses incurred2012-12-31$4,443
Total plan assets at end of year2012-12-31$1,454,407
Total plan assets at beginning of year2012-12-31$1,351,313
Value of fidelity bond covering the plan2012-12-31$190,000
Total contributions received or receivable from participants2012-12-31$61,174
Other income received2012-12-31$26,064
Net income (gross income less expenses)2012-12-31$103,094
Net plan assets at end of year (total assets less liabilities)2012-12-31$1,454,357
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$1,351,263
Assets. Value of assets in partnership/joint-venture interests2012-12-31$106,395
Total contributions received or receivable from employer(s)2012-12-31$20,299
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$4,443
2011 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$50
Total plan liabilities at beginning of year2011-12-31$0
Total income from all sources2011-12-31$-241,114
Expenses. Total of all expenses incurred2011-12-31$2,171
Total plan assets at end of year2011-12-31$1,351,313
Total plan assets at beginning of year2011-12-31$1,594,548
Value of fidelity bond covering the plan2011-12-31$190,000
Total contributions received or receivable from participants2011-12-31$61,207
Other income received2011-12-31$-322,157
Net income (gross income less expenses)2011-12-31$-243,285
Net plan assets at end of year (total assets less liabilities)2011-12-31$1,351,263
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$1,594,548
Assets. Value of participant loans2011-12-31$1,034
Assets. Value of assets in partnership/joint-venture interests2011-12-31$106,395
Total contributions received or receivable from employer(s)2011-12-31$19,836
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$2,171
2010 : ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2010 401k financial data
Total income from all sources2010-12-31$224,751
Expenses. Total of all expenses incurred2010-12-31$3,452
Total plan assets at end of year2010-12-31$1,594,548
Total plan assets at beginning of year2010-12-31$1,373,249
Value of fidelity bond covering the plan2010-12-31$190,000
Total contributions received or receivable from participants2010-12-31$57,203
Other income received2010-12-31$147,953
Net income (gross income less expenses)2010-12-31$221,299
Net plan assets at end of year (total assets less liabilities)2010-12-31$1,594,548
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$1,373,249
Assets. Value of participant loans2010-12-31$5,132
Assets. Value of assets in partnership/joint-venture interests2010-12-31$106,395
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022010-12-31$197
Total contributions received or receivable from employer(s)2010-12-31$19,595
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$3,452

Form 5500 Responses for ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN

2017: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingYes
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: ROSE HILL GENERAL & COSMETIC DENTISTRY, P.A. PROFIT SHARING PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 3
Insurance contract or identification numberA39A5506902
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-11-28
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 number95064
Policy instance 2
Insurance contract or identification number95064
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-08-28
Total amount of commissions paid to insurance brokerUSD $3,175
Total amount of fees paid to insurance companyUSD $2,094
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $780
Insurance broker organization code?7
Amount paid for insurance broker fees2094
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
GENWORTH LIFE AND ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65536 )
Policy contract numberFA0002970
Policy instance 1
Insurance contract or identification numberFA0002970
Number of Individuals Covered0
Insurance policy start date2017-01-01
Insurance policy end date2017-11-02
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 4
Insurance contract or identification numberA39A5506902
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameTHOMAS HOOVER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 3
Insurance contract or identification number95064
Number of Individuals Covered11
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $4,174
Total amount of fees paid to insurance companyUSD $518
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,174
Insurance broker organization code?1
Amount paid for insurance broker fees518
Additional information about fees paid to insurance brokerTPA COMPENSATION AND FEES
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
GENWORTH LIFE AND ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65536 )
Policy contract numberFA0002970
Policy instance 2
Insurance contract or identification numberFA0002970
Number of Individuals Covered1
Insurance policy start date2015-08-07
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,156
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,566
Insurance broker organization code?3
Insurance broker nameSTRATEGIC PARTNERS INC.
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDAV02031
Policy instance 1
Insurance contract or identification numberDAV02031
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-07-31
Total amount of commissions paid to insurance brokerUSD $313
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $313
Insurance broker organization code?3
Insurance broker nameNATIONAL PLANNING COMPANY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 2
Insurance contract or identification number95064
Number of Individuals Covered12
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $3,915
Total amount of fees paid to insurance companyUSD $445
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,915
Insurance broker organization code?1
Amount paid for insurance broker fees445
Additional information about fees paid to insurance brokerTPA COMPENSATION AND OTHER ALLOWANCES
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 3
Insurance contract or identification numberA39A5506902
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker organization code?3
Insurance broker nameTHOMAS HOOVER
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDAV02031
Policy instance 1
Insurance contract or identification numberDAV02031
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Insurance broker organization code?3
Insurance broker nameNATIONAL PLANNING COMPANY
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 3
Insurance contract or identification numberA39A5506902
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes
Insurance broker organization code?3
Insurance broker nameTHOMAS HOOVER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 2
Insurance contract or identification number95064
Number of Individuals Covered11
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,666
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,294
Insurance broker organization code?5
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDAV02031
Policy instance 1
Insurance contract or identification numberDAV02031
Number of Individuals Covered1
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $410
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $410
Insurance broker organization code?3
Insurance broker nameNATIONAL PLANNING COMPANY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 2
Insurance contract or identification number95064
Number of Individuals Covered10
Insurance policy start date2012-01-20
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $2,764
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,512
Insurance broker organization code?5
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 3
Insurance contract or identification numberA39A5506902
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Insurance broker organization code?3
Insurance broker nameTHOMAS HOOVER
ALLIANZ LIFE INSURANCE COMPANY OF NORTH AMERICA (National Association of Insurance Commissioners NAIC id number: 90611 )
Policy contract numberDAV02031
Policy instance 1
Insurance contract or identification numberDAV02031
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $395
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $395
Insurance broker organization code?3
Insurance broker nameNATIONAL PLANNING COMPANY
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 1
Insurance contract or identification number95064
Number of Individuals Covered10
Insurance policy start date2011-01-20
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $2,243
Total amount of fees paid to insurance companyUSD $315
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 2
Insurance contract or identification numberA39A5506902
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $35
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SUNAMERICA ANNUITY AND LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60941 )
Policy contract numberA39A5506902
Policy instance 2
Insurance contract or identification numberA39A5506902
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $25
Total amount of fees paid to insurance companyUSD $42
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $25
Amount paid for insurance broker fees42
Additional information about fees paid to insurance brokerADMIN FEE
Insurance broker organization code?3
Insurance broker nameTHOMAS HOOVER
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number95064
Policy instance 1
Insurance contract or identification number95064
Number of Individuals Covered12
Insurance policy start date2010-01-20
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $1,292
Total amount of fees paid to insurance companyUSD $956
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,292
Insurance broker organization code?5
Amount paid for insurance broker fees956
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameQUALIFIED PLAN SOLUTIONS LC

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