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COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 401k Plan overview

Plan NameCOMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN
Plan identification number 001

COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Money purchase (other than target benefit)
  • 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Plan covering Self-Employed individuals.

401k Sponsoring company profile

COMMUNITY EMERGENCY MEDICAL ASSOCIATES has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY EMERGENCY MEDICAL ASSOCIATES
Employer identification number (EIN):581912036
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012015-01-01
0012014-01-01ROBERT K. GRAZIER, M.D.
0012013-01-01ROBERT K. GRAZIER, M.D.
0012012-01-01ROBERT K. GRAZIER, M.D.
0012011-01-01ROBERT K. GRAZIER, M.D.
0012010-01-01KEIKO YOKOMIZO

Plan Statistics for COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN

401k plan membership statisitcs for COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN

Measure Date Value
2015: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011
Total number of active participants reported on line 7a of the Form 55002015-01-010
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 participants2015-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-010
Number of participants with account balances2015-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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 55002014-01-010
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 participants2014-01-011
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011
Number of participants with account balances2014-01-011
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0125
Total number of active participants reported on line 7a of the Form 55002013-01-010
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0112
Total of all active and inactive participants2013-01-0112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0130
Total number of active participants reported on line 7a of the Form 55002012-01-010
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0125
Total of all active and inactive participants2012-01-0125
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0125
Number of participants with account balances2012-01-0125
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0133
Total number of active participants reported on line 7a of the Form 55002011-01-0120
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0110
Total of all active and inactive participants2011-01-0130
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0130
Number of participants with account balances2011-01-0130
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-0131
Total number of active participants reported on line 7a of the Form 55002010-01-0123
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-0110
Total of all active and inactive participants2010-01-0133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-0133
Number of participants with account balances2010-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010

Financial Data on COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN

Measure Date Value
2015 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2015 401k financial data
Total income from all sources2015-12-31$6,552
Expenses. Total of all expenses incurred2015-12-31$94,257
Benefits paid (including direct rollovers)2015-12-31$94,257
Total plan assets at end of year2015-12-31$0
Total plan assets at beginning of year2015-12-31$87,705
Value of fidelity bond covering the plan2015-12-31$1,000,000
Other income received2015-12-31$6,552
Net income (gross income less expenses)2015-12-31$-87,705
Net plan assets at end of year (total assets less liabilities)2015-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$87,705
Assets. Value of real-estate (other than employer real property)2015-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Minimum employer required contribution for this plan year2015-12-31$0
2014 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2014 401k financial data
Total income from all sources2014-12-31$11,514
Expenses. Total of all expenses incurred2014-12-31$188,881
Benefits paid (including direct rollovers)2014-12-31$188,881
Total plan assets at end of year2014-12-31$87,705
Total plan assets at beginning of year2014-12-31$265,072
Value of fidelity bond covering the plan2014-12-31$1,000,000
Other income received2014-12-31$11,514
Net income (gross income less expenses)2014-12-31$-177,367
Net plan assets at end of year (total assets less liabilities)2014-12-31$87,705
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$265,072
Assets. Value of real-estate (other than employer real property)2014-12-31$32,035
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Funding deficiency by the employer to the plan for this plan year2014-12-31$0
Minimum employer required contribution for this plan year2014-12-31$0
Amount contributed by the employer to the plan for this plan year2014-12-31$0
2013 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2013 401k financial data
Total income from all sources2013-12-31$173,459
Expenses. Total of all expenses incurred2013-12-31$2,494,822
Benefits paid (including direct rollovers)2013-12-31$2,490,647
Total plan assets at end of year2013-12-31$265,072
Total plan assets at beginning of year2013-12-31$2,586,435
Value of fidelity bond covering the plan2013-12-31$1,000,000
Other income received2013-12-31$173,459
Net income (gross income less expenses)2013-12-31$-2,321,363
Net plan assets at end of year (total assets less liabilities)2013-12-31$265,072
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$2,586,435
Assets. Value of real-estate (other than employer real property)2013-12-31$32,035
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$4,175
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Funding deficiency by the employer to the plan for this plan year2013-12-31$0
Minimum employer required contribution for this plan year2013-12-31$0
Amount contributed by the employer to the plan for this plan year2013-12-31$0
2012 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2012 401k financial data
Total plan liabilities at beginning of year2012-12-31$1,870
Total income from all sources2012-12-31$1,630,473
Expenses. Total of all expenses incurred2012-12-31$8,780,711
Benefits paid (including direct rollovers)2012-12-31$8,761,051
Total plan assets at end of year2012-12-31$2,586,435
Total plan assets at beginning of year2012-12-31$9,738,543
Value of fidelity bond covering the plan2012-12-31$1,000,000
Other income received2012-12-31$1,569,137
Net income (gross income less expenses)2012-12-31$-7,150,238
Net plan assets at end of year (total assets less liabilities)2012-12-31$2,586,435
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$9,736,673
Assets. Value of real-estate (other than employer real property)2012-12-31$32,035
Total contributions received or receivable from employer(s)2012-12-31$61,336
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$19,660
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Funding deficiency by the employer to the plan for this plan year2012-12-31$0
Minimum employer required contribution for this plan year2012-12-31$61,336
Amount contributed by the employer to the plan for this plan year2012-12-31$61,336
2011 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2011 401k financial data
Total plan liabilities at end of year2011-12-31$1,870
Total plan liabilities at beginning of year2011-12-31$51,387
Total income from all sources2011-12-31$251,441
Expenses. Total of all expenses incurred2011-12-31$420,922
Benefits paid (including direct rollovers)2011-12-31$392,992
Total plan assets at end of year2011-12-31$9,738,543
Total plan assets at beginning of year2011-12-31$9,957,541
Value of fidelity bond covering the plan2011-12-31$1,000,000
Assets. Value of loans (other than to participants)2011-12-31$156,797
Other income received2011-12-31$-123,740
Net income (gross income less expenses)2011-12-31$-169,481
Net plan assets at end of year (total assets less liabilities)2011-12-31$9,736,673
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$9,906,154
Assets. Value of participant loans2011-12-31$95,047
Assets. Value of real-estate (other than employer real property)2011-12-31$18,297
Total contributions received or receivable from employer(s)2011-12-31$375,181
Value of corrective distributions2011-12-31$1,581
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$26,349
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Funding deficiency by the employer to the plan for this plan year2011-12-31$0
Minimum employer required contribution for this plan year2011-12-31$375,181
Amount contributed by the employer to the plan for this plan year2011-12-31$375,181
2010 : COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN 2010 401k financial data
Total plan liabilities at end of year2010-12-31$51,387
Total plan liabilities at beginning of year2010-12-31$7,757
Total income from all sources2010-12-31$915,698
Expenses. Total of all expenses incurred2010-12-31$260,798
Benefits paid (including direct rollovers)2010-12-31$244,172
Total plan assets at end of year2010-12-31$9,957,541
Total plan assets at beginning of year2010-12-31$9,259,011
Value of fidelity bond covering the plan2010-12-31$1,000,000
Assets. Value of loans (other than to participants)2010-12-31$202,259
Other income received2010-12-31$508,983
Net income (gross income less expenses)2010-12-31$654,900
Net plan assets at end of year (total assets less liabilities)2010-12-31$9,906,154
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$9,251,254
Assets. Value of participant loans2010-12-31$151,207
Assets. Value of real-estate (other than employer real property)2010-12-31$29,029
Total contributions received or receivable from employer(s)2010-12-31$406,715
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$16,626
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Funding deficiency by the employer to the plan for this plan year2010-12-31$0
Minimum employer required contribution for this plan year2010-12-31$406,715
Amount contributed by the employer to the plan for this plan year2010-12-31$406,715

Form 5500 Responses for COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND PROFIT SHARING PLAN

2015: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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 filingYes
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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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: COMMUNITY EMERGENCY MEDICAL GROUP PENSION AND 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

Insurance Providers Used on plan

C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract number70890470
Policy instance 1
Insurance contract or identification number70890470
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $91
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $91
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameBRUCE W. HUBBARD
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number98654519
Policy instance 2
Insurance contract or identification number98654519
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract number70890470
Policy instance 1
Insurance contract or identification number70890470
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $95
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number98654519
Policy instance 2
Insurance contract or identification number98654519
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 $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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
C.M. LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93432 )
Policy contract number70890470
Policy instance 1
Insurance contract or identification number70890470
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $96
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare 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
Welfare Benefit Premiums Paid to CarrierUSD $0
AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number98654519
Policy instance 2
Insurance contract or identification number98654519
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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

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