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BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 401k Plan overview

Plan NameBYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN
Plan identification number 001

BYERS PRECISION FABRICATORS, INC. 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.
  • 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.

401k Sponsoring company profile

BYERS PRECISION FABRICATORS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BYERS PRECISION FABRICATORS, INC.
Employer identification number (EIN):560884950
NAIC Classification:332900

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-10-01LYNN JOHNSON2024-02-09
0012021-10-01LYNN JOHNSON2023-01-17
0012020-10-01LYNN JOHNSON2022-01-28
0012019-10-01LYNN JOHNSON2021-02-26
0012018-10-01
0012017-10-01
0012016-10-01LYNN JOHNSON LYNN JOHNSON2018-02-16
0012015-10-01LYNN JOHNSON
0012014-10-01LYNN JOHNSON
0012013-10-01LYNN JOHNSON
0012012-10-01LYNN JOHNSON
0012011-10-01LYNN JOHNSON
0012009-10-01LYNN JOHNSON

Plan Statistics for BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN

401k plan membership statisitcs for BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2018: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-0137
Total number of active participants reported on line 7a of the Form 55002018-10-0130
Number of retired or separated participants receiving benefits2018-10-011
Number of other retired or separated participants entitled to future benefits2018-10-014
Total of all active and inactive participants2018-10-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-10-010
Total participants2018-10-0135
Number of participants with account balances2018-10-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-10-011
2017: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-0138
Total number of active participants reported on line 7a of the Form 55002017-10-0130
Number of retired or separated participants receiving benefits2017-10-012
Number of other retired or separated participants entitled to future benefits2017-10-015
Total of all active and inactive participants2017-10-0137
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-10-010
Total participants2017-10-0137
Number of participants with account balances2017-10-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-10-010
2016: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-0131
Total number of active participants reported on line 7a of the Form 55002016-10-0126
Number of retired or separated participants receiving benefits2016-10-010
Number of other retired or separated participants entitled to future benefits2016-10-015
Total of all active and inactive participants2016-10-0131
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-10-010
Total participants2016-10-0131
Number of participants with account balances2016-10-0131
2015: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-0137
Total number of active participants reported on line 7a of the Form 55002015-10-0131
Number of retired or separated participants receiving benefits2015-10-010
Number of other retired or separated participants entitled to future benefits2015-10-015
Total of all active and inactive participants2015-10-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-10-010
Total participants2015-10-0136
Number of participants with account balances2015-10-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-10-010
2014: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-0146
Total number of active participants reported on line 7a of the Form 55002014-10-0133
Number of other retired or separated participants entitled to future benefits2014-10-013
Total of all active and inactive participants2014-10-0136
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-10-011
Total participants2014-10-0137
Number of participants with account balances2014-10-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-10-011
2013: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-0149
Total number of active participants reported on line 7a of the Form 55002013-10-0139
Number of retired or separated participants receiving benefits2013-10-011
Number of other retired or separated participants entitled to future benefits2013-10-014
Total of all active and inactive participants2013-10-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-10-010
Total participants2013-10-0144
Number of participants with account balances2013-10-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-10-011
2012: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-0145
Total number of active participants reported on line 7a of the Form 55002012-10-0144
Number of other retired or separated participants entitled to future benefits2012-10-013
Total of all active and inactive participants2012-10-0147
Total participants2012-10-0147
Number of participants with account balances2012-10-0139
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-10-011
2011: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-0137
Total number of active participants reported on line 7a of the Form 55002011-10-0139
Number of retired or separated participants receiving benefits2011-10-010
Number of other retired or separated participants entitled to future benefits2011-10-011
Total of all active and inactive participants2011-10-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-10-010
Total participants2011-10-0140
Number of participants with account balances2011-10-0135
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-10-010
2009: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-0134
Total number of active participants reported on line 7a of the Form 55002009-10-0131
Number of retired or separated participants receiving benefits2009-10-010
Number of other retired or separated participants entitled to future benefits2009-10-014
Total of all active and inactive participants2009-10-0135
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-10-010
Total participants2009-10-0135
Number of participants with account balances2009-10-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-10-010

Financial Data on BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN

Measure Date Value
2019 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2019 401k financial data
Total plan liabilities at end of year2019-09-30$0
Total plan liabilities at beginning of year2019-09-30$2,000
Total income from all sources2019-09-30$337,971
Expenses. Total of all expenses incurred2019-09-30$703,356
Benefits paid (including direct rollovers)2019-09-30$702,575
Total plan assets at end of year2019-09-30$1,885,898
Total plan assets at beginning of year2019-09-30$2,253,283
Value of fidelity bond covering the plan2019-09-30$250,000
Total contributions received or receivable from participants2019-09-30$92,201
Other income received2019-09-30$120,770
Net income (gross income less expenses)2019-09-30$-365,385
Net plan assets at end of year (total assets less liabilities)2019-09-30$1,885,898
Net plan assets at beginning of year (total assets less liabilities)2019-09-30$2,251,283
Assets. Value of participant loans2019-09-30$14,579
Assets. Value of real-estate (other than employer real property)2019-09-30$0
Total contributions received or receivable from employer(s)2019-09-30$125,000
Expenses. Administrative service providers (salaries,fees and commissions)2019-09-30$781
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-09-30$190,000
2018 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2018 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-09-30$0
2017 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2017 401k financial data
Total income from all sources2017-09-30$319,511
Expenses. Total of all expenses incurred2017-09-30$349,574
Benefits paid (including direct rollovers)2017-09-30$348,007
Total plan assets at end of year2017-09-30$2,276,378
Total plan assets at beginning of year2017-09-30$2,306,441
Value of fidelity bond covering the plan2017-09-30$250,000
Total contributions received or receivable from participants2017-09-30$57,112
Contributions received from other sources (not participants or employers)2017-09-30$15,352
Other income received2017-09-30$247,047
Net income (gross income less expenses)2017-09-30$-30,063
Net plan assets at end of year (total assets less liabilities)2017-09-30$2,276,378
Net plan assets at beginning of year (total assets less liabilities)2017-09-30$2,306,441
Assets. Value of participant loans2017-09-30$37,522
Assets. Value of real-estate (other than employer real property)2017-09-30$120,000
Expenses. Administrative service providers (salaries,fees and commissions)2017-09-30$1,567
2016 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2016 401k financial data
Total income from all sources2016-09-30$245,328
Expenses. Total of all expenses incurred2016-09-30$233,742
Benefits paid (including direct rollovers)2016-09-30$232,161
Total plan assets at end of year2016-09-30$2,306,441
Total plan assets at beginning of year2016-09-30$2,294,855
Value of fidelity bond covering the plan2016-09-30$250,000
Total contributions received or receivable from participants2016-09-30$38,775
Other income received2016-09-30$206,553
Net income (gross income less expenses)2016-09-30$11,586
Net plan assets at end of year (total assets less liabilities)2016-09-30$2,306,441
Net plan assets at beginning of year (total assets less liabilities)2016-09-30$2,294,855
Assets. Value of participant loans2016-09-30$37,522
Assets. Value of real-estate (other than employer real property)2016-09-30$120,000
Expenses. Administrative service providers (salaries,fees and commissions)2016-09-30$1,581
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-09-30$0
2015 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-09-30$26,625
Expenses. Total of all expenses incurred2015-09-30$615,396
Benefits paid (including direct rollovers)2015-09-30$613,692
Total plan assets at end of year2015-09-30$2,294,855
Total plan assets at beginning of year2015-09-30$2,883,626
Value of fidelity bond covering the plan2015-09-30$250,000
Total contributions received or receivable from participants2015-09-30$45,512
Other income received2015-09-30$-18,887
Net income (gross income less expenses)2015-09-30$-588,771
Net plan assets at end of year (total assets less liabilities)2015-09-30$2,294,855
Net plan assets at beginning of year (total assets less liabilities)2015-09-30$2,883,626
Assets. Value of participant loans2015-09-30$52,988
Assets. Value of real-estate (other than employer real property)2015-09-30$120,000
Expenses. Administrative service providers (salaries,fees and commissions)2015-09-30$1,704
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-09-30$0
2014 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-09-30$577,675
Expenses. Total of all expenses incurred2014-09-30$63,008
Benefits paid (including direct rollovers)2014-09-30$61,103
Total plan assets at end of year2014-09-30$2,883,626
Total plan assets at beginning of year2014-09-30$2,368,959
Value of fidelity bond covering the plan2014-09-30$250,000
Total contributions received or receivable from participants2014-09-30$53,988
Contributions received from other sources (not participants or employers)2014-09-30$44,622
Other income received2014-09-30$229,065
Net income (gross income less expenses)2014-09-30$514,667
Net plan assets at end of year (total assets less liabilities)2014-09-30$2,883,626
Net plan assets at beginning of year (total assets less liabilities)2014-09-30$2,368,959
Assets. Value of participant loans2014-09-30$58,126
Assets. Value of real-estate (other than employer real property)2014-09-30$120,000
Total contributions received or receivable from employer(s)2014-09-30$250,000
Expenses. Administrative service providers (salaries,fees and commissions)2014-09-30$1,905
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-09-30$0
2013 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-09-30$507,335
Expenses. Total of all expenses incurred2013-09-30$3,715
Benefits paid (including direct rollovers)2013-09-30$2,367
Total plan assets at end of year2013-09-30$2,368,959
Total plan assets at beginning of year2013-09-30$1,865,339
Value of fidelity bond covering the plan2013-09-30$250,000
Total contributions received or receivable from participants2013-09-30$35,020
Contributions received from other sources (not participants or employers)2013-09-30$47,873
Other income received2013-09-30$249,442
Net income (gross income less expenses)2013-09-30$503,620
Net plan assets at end of year (total assets less liabilities)2013-09-30$2,368,959
Net plan assets at beginning of year (total assets less liabilities)2013-09-30$1,865,339
Assets. Value of participant loans2013-09-30$21,099
Assets. Value of real-estate (other than employer real property)2013-09-30$120,000
Total contributions received or receivable from employer(s)2013-09-30$175,000
Expenses. Administrative service providers (salaries,fees and commissions)2013-09-30$1,348
2012 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2012 401k financial data
Total income from all sources2012-09-30$239,440
Expenses. Total of all expenses incurred2012-09-30$174,477
Benefits paid (including direct rollovers)2012-09-30$169,572
Total plan assets at end of year2012-09-30$1,865,339
Total plan assets at beginning of year2012-09-30$1,800,376
Value of fidelity bond covering the plan2012-09-30$250,000
Total contributions received or receivable from participants2012-09-30$36,140
Other income received2012-09-30$203,300
Net income (gross income less expenses)2012-09-30$64,963
Net plan assets at end of year (total assets less liabilities)2012-09-30$1,865,339
Net plan assets at beginning of year (total assets less liabilities)2012-09-30$1,800,376
Assets. Value of participant loans2012-09-30$6,757
Assets. Value of real-estate (other than employer real property)2012-09-30$101,100
Expenses. Administrative service providers (salaries,fees and commissions)2012-09-30$4,905
2011 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2011 401k financial data
Total income from all sources2011-09-30$85,606
Expenses. Total of all expenses incurred2011-09-30$353,021
Benefits paid (including direct rollovers)2011-09-30$333,485
Total plan assets at end of year2011-09-30$1,800,376
Total plan assets at beginning of year2011-09-30$2,067,791
Value of fidelity bond covering the plan2011-09-30$250,000
Total contributions received or receivable from participants2011-09-30$18,230
Expenses. Other expenses not covered elsewhere2011-09-30$883
Other income received2011-09-30$-32,624
Net income (gross income less expenses)2011-09-30$-267,415
Net plan assets at end of year (total assets less liabilities)2011-09-30$1,800,376
Net plan assets at beginning of year (total assets less liabilities)2011-09-30$2,067,791
Assets. Value of participant loans2011-09-30$9,793
Assets. Value of real-estate (other than employer real property)2011-09-30$138,000
Total contributions received or receivable from employer(s)2011-09-30$100,000
Value of certain deemed distributions of participant loans2011-09-30$10,862
Expenses. Administrative service providers (salaries,fees and commissions)2011-09-30$7,791
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-09-30$0
2010 : BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-09-30$0

Form 5500 Responses for BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN

2018: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement - TrustYes
2017: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement - TrustYes
2016: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement - TrustYes
2015: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedNo
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement - TrustYes
2014: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement - TrustYes
2013: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement - TrustYes
2012: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Submission has been amendedNo
2012-10-01This submission is the final filingNo
2012-10-01This return/report is a short plan year return/report (less than 12 months)No
2012-10-01Plan is a collectively bargained planNo
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement - TrustYes
2011: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Submission has been amendedNo
2011-10-01This submission is the final filingNo
2011-10-01This return/report is a short plan year return/report (less than 12 months)No
2011-10-01Plan is a collectively bargained planNo
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: BYERS PRECISION FABRICATORS, INC. 401(K) PROFIT SHARING PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Submission has been amendedNo
2009-10-01This submission is the final filingNo
2009-10-01This return/report is a short plan year return/report (less than 12 months)No
2009-10-01Plan is a collectively bargained planNo
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered35
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $3,664
Total amount of fees paid to insurance companyUSD $1,013
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,664
Insurance broker organization code?3
Amount paid for insurance broker fees940
Additional information about fees paid to insurance brokerTPA COMPENSATION AND OTHER ALLOWANCES
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered32
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $4,352
Total amount of fees paid to insurance companyUSD $1,268
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered38
Insurance policy start date2015-10-01
Insurance policy end date2016-09-30
Total amount of commissions paid to insurance brokerUSD $4,616
Total amount of fees paid to insurance companyUSD $1,556
Commission paid to Insurance BrokerUSD $4,616
Insurance broker organization code?3
Amount paid for insurance broker fees1556
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameNATIONAL RETIREMENT SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered37
Insurance policy start date2014-10-01
Insurance policy end date2015-09-30
Total amount of commissions paid to insurance brokerUSD $4,694
Total amount of fees paid to insurance companyUSD $1,611
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,694
Insurance broker organization code?3
Amount paid for insurance broker fees1611
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameNATIONAL RETIREMENT SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Insurance policy start date2013-10-01
Insurance policy end date2014-09-30
Total amount of commissions paid to insurance brokerUSD $4,681
Total amount of fees paid to insurance companyUSD $1,534
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $4,681
Insurance broker organization code?3
Amount paid for insurance broker fees1534
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameNATIONAL RETIREMENT SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered45
Insurance policy start date2012-10-01
Insurance policy end date2013-09-30
Total amount of commissions paid to insurance brokerUSD $2,483
Total amount of fees paid to insurance companyUSD $2,604
Commission paid to Insurance BrokerUSD $2,483
Insurance broker organization code?3
Amount paid for insurance broker fees2604
Insurance broker nameNATIONAL RETIREMENT SERVICES, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number105691
Policy instance 1
Insurance contract or identification number105691
Number of Individuals Covered43
Insurance policy start date2012-05-17
Insurance policy end date2012-09-30
Total amount of commissions paid to insurance brokerUSD $7,061
Total amount of fees paid to insurance companyUSD $2,334

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