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USPC 401(K) PLAN 401k Plan overview

Plan NameUSPC 401(K) PLAN
Plan identification number 002

USPC 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • 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

US PHARMACEUTICAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:US PHARMACEUTICAL CORPORATION
Employer identification number (EIN):582234419
NAIC Classification:339110

Form 5500 Filing Information

Submission information for form 5500 for 401k plan USPC 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01
0022017-01-01LISA PETTIT
0022016-01-01LISA PETTIT
0022015-01-01LISA PETTIT
0022014-01-01LISA PETTIT2015-07-20
0022013-01-01LISA PETTIT2014-07-16
0022012-01-01ROSE M KREBS2013-05-22 ROSE M KREBS2013-05-22
0022011-01-01ROSE M KREBS2012-06-14
0022010-01-01ROSE M KREBS2011-06-09

Plan Statistics for USPC 401(K) PLAN

401k plan membership statisitcs for USPC 401(K) PLAN

Measure Date Value
2023: USPC 401(K) PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0150
Total number of active participants reported on line 7a of the Form 55002023-01-0138
Number of other retired or separated participants entitled to future benefits2023-01-0110
Total of all active and inactive participants2023-01-0148
Total participants2023-01-0148
Number of participants with account balances2023-01-0139
2022: USPC 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0153
Total number of active participants reported on line 7a of the Form 55002022-01-0139
Number of other retired or separated participants entitled to future benefits2022-01-0111
Total of all active and inactive participants2022-01-0150
Total participants2022-01-0150
Number of participants with account balances2022-01-0140
2021: USPC 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0157
Total number of active participants reported on line 7a of the Form 55002021-01-0142
Number of other retired or separated participants entitled to future benefits2021-01-0111
Total of all active and inactive participants2021-01-0153
Total participants2021-01-0153
Number of participants with account balances2021-01-0142
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: USPC 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0160
Total number of active participants reported on line 7a of the Form 55002020-01-0148
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-019
Total of all active and inactive participants2020-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0157
Number of participants with account balances2020-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: USPC 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0166
Total number of active participants reported on line 7a of the Form 55002019-01-0149
Number of other retired or separated participants entitled to future benefits2019-01-0111
Total of all active and inactive participants2019-01-0160
Total participants2019-01-0160
Number of participants with account balances2019-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-011
2018: USPC 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0170
Total number of active participants reported on line 7a of the Form 55002018-01-0154
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0112
Total of all active and inactive participants2018-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0166
Number of participants with account balances2018-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-011
2017: USPC 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0165
Total number of active participants reported on line 7a of the Form 55002017-01-0160
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0110
Total of all active and inactive participants2017-01-0170
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0170
Number of participants with account balances2017-01-0145
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-011
2016: USPC 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0157
Total number of active participants reported on line 7a of the Form 55002016-01-0154
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0111
Total of all active and inactive participants2016-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0165
Number of participants with account balances2016-01-0146
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-011
2015: USPC 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0167
Total number of active participants reported on line 7a of the Form 55002015-01-0155
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-012
Total of all active and inactive participants2015-01-0157
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0157
Number of participants with account balances2015-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010

Financial Data on USPC 401(K) PLAN

Measure Date Value
2023 : USPC 401(K) PLAN 2023 401k financial data
Transfers to/from the plan2023-12-31$0
Total plan liabilities at end of year2023-12-31$0
Total plan liabilities at beginning of year2023-12-31$0
Total income from all sources2023-12-31$1,432,837
Expenses. Total of all expenses incurred2023-12-31$986,334
Benefits paid (including direct rollovers)2023-12-31$986,003
Total plan assets at end of year2023-12-31$8,410,706
Total plan assets at beginning of year2023-12-31$7,964,203
Value of fidelity bond covering the plan2023-12-31$500,000
Assets. Value of tangible personal property2023-12-31$0
Total contributions received or receivable from participants2023-12-31$222,546
Assets. Value of loans (other than to participants)2023-12-31$0
Expenses. Other expenses not covered elsewhere2023-12-31$0
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$1,170,196
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$446,503
Net plan assets at end of year (total assets less liabilities)2023-12-31$8,410,706
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$7,964,203
Assets. Value of participant loans2023-12-31$66,982
Assets. Value of assets in partnership/joint-venture interests2023-12-31$0
Assets. Value of real-estate (other than employer real property)2023-12-31$0
Assets. Value of employer securities2023-12-31$0
Assets. Value of employer real property2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$40,095
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$331
2022 : USPC 401(K) PLAN 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total plan liabilities at end of year2022-12-31$0
Total plan liabilities at beginning of year2022-12-31$0
Total income from all sources2022-12-31$-1,279,287
Expenses. Total of all expenses incurred2022-12-31$864,513
Benefits paid (including direct rollovers)2022-12-31$864,069
Total plan assets at end of year2022-12-31$7,964,203
Total plan assets at beginning of year2022-12-31$10,108,003
Value of fidelity bond covering the plan2022-12-31$500,000
Assets. Value of tangible personal property2022-12-31$0
Total contributions received or receivable from participants2022-12-31$222,512
Assets. Value of loans (other than to participants)2022-12-31$0
Expenses. Other expenses not covered elsewhere2022-12-31$0
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-1,532,172
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-2,143,800
Net plan assets at end of year (total assets less liabilities)2022-12-31$7,964,203
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$10,108,003
Assets. Value of participant loans2022-12-31$80,543
Assets. Value of assets in partnership/joint-venture interests2022-12-31$0
Assets. Value of real-estate (other than employer real property)2022-12-31$0
Assets. Value of employer securities2022-12-31$0
Assets. Value of employer real property2022-12-31$0
Total contributions received or receivable from employer(s)2022-12-31$30,373
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$444
2021 : USPC 401(K) PLAN 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at end of year2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$1,265,921
Expenses. Total of all expenses incurred2021-12-31$80,022
Benefits paid (including direct rollovers)2021-12-31$79,228
Total plan assets at end of year2021-12-31$10,108,003
Total plan assets at beginning of year2021-12-31$8,922,104
Value of fidelity bond covering the plan2021-12-31$500,000
Assets. Value of tangible personal property2021-12-31$0
Total contributions received or receivable from participants2021-12-31$221,371
Assets. Value of loans (other than to participants)2021-12-31$0
Expenses. Other expenses not covered elsewhere2021-12-31$0
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$1,021,879
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$1,185,899
Net plan assets at end of year (total assets less liabilities)2021-12-31$10,108,003
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$8,922,104
Assets. Value of participant loans2021-12-31$32,108
Assets. Value of assets in partnership/joint-venture interests2021-12-31$0
Assets. Value of real-estate (other than employer real property)2021-12-31$0
Assets. Value of employer securities2021-12-31$0
Assets. Value of employer real property2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$22,671
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$794
2020 : USPC 401(K) PLAN 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$1,401,616
Expenses. Total of all expenses incurred2020-12-31$110,881
Benefits paid (including direct rollovers)2020-12-31$107,439
Total plan assets at end of year2020-12-31$8,922,104
Total plan assets at beginning of year2020-12-31$7,631,369
Value of fidelity bond covering the plan2020-12-31$500,000
Assets. Value of tangible personal property2020-12-31$0
Total contributions received or receivable from participants2020-12-31$228,865
Assets. Value of loans (other than to participants)2020-12-31$0
Expenses. Other expenses not covered elsewhere2020-12-31$0
Contributions received from other sources (not participants or employers)2020-12-31$0
Other income received2020-12-31$1,128,814
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$1,290,735
Net plan assets at end of year (total assets less liabilities)2020-12-31$8,922,104
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$7,631,369
Assets. Value of participant loans2020-12-31$25,438
Assets. Value of assets in partnership/joint-venture interests2020-12-31$0
Assets. Value of real-estate (other than employer real property)2020-12-31$0
Assets. Value of employer securities2020-12-31$0
Assets. Value of employer real property2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$43,937
Value of certain deemed distributions of participant loans2020-12-31$0
Value of corrective distributions2020-12-31$3,254
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$188
2019 : USPC 401(K) PLAN 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$1,630,483
Expenses. Total of all expenses incurred2019-12-31$102,003
Benefits paid (including direct rollovers)2019-12-31$101,628
Total plan assets at end of year2019-12-31$7,631,369
Total plan assets at beginning of year2019-12-31$6,102,889
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$241,770
Expenses. Other expenses not covered elsewhere2019-12-31$0
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$1,340,172
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,528,480
Net plan assets at end of year (total assets less liabilities)2019-12-31$7,631,369
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$6,102,889
Assets. Value of participant loans2019-12-31$42,125
Total contributions received or receivable from employer(s)2019-12-31$48,541
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$375
2018 : USPC 401(K) PLAN 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-137,471
Expenses. Total of all expenses incurred2018-12-31$356,865
Benefits paid (including direct rollovers)2018-12-31$331,222
Total plan assets at end of year2018-12-31$6,102,889
Total plan assets at beginning of year2018-12-31$6,597,225
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$256,400
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-443,420
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-494,336
Net plan assets at end of year (total assets less liabilities)2018-12-31$6,102,889
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$6,597,225
Assets. Value of participant loans2018-12-31$42,822
Total contributions received or receivable from employer(s)2018-12-31$49,549
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$25,537
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$106
2017 : USPC 401(K) PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$1,261,108
Expenses. Total of all expenses incurred2017-12-31$358,483
Benefits paid (including direct rollovers)2017-12-31$339,724
Total plan assets at end of year2017-12-31$6,597,225
Total plan assets at beginning of year2017-12-31$5,694,600
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$279,410
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$926,380
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$902,625
Net plan assets at end of year (total assets less liabilities)2017-12-31$6,597,225
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$5,694,600
Assets. Value of participant loans2017-12-31$65,004
Value of participant contributions where there was a failure to transmit these to the plan within the time period described in 29 CFR 2510.3-1022017-12-31$0
Total contributions received or receivable from employer(s)2017-12-31$55,318
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$18,540
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$219
2016 : USPC 401(K) PLAN 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$1,209,210
Expenses. Total of all expenses incurred2016-12-31$743,431
Benefits paid (including direct rollovers)2016-12-31$729,283
Total plan assets at end of year2016-12-31$5,694,600
Total plan assets at beginning of year2016-12-31$5,228,821
Value of fidelity bond covering the plan2016-12-31$100,000
Total contributions received or receivable from participants2016-12-31$312,161
Expenses. Other expenses not covered elsewhere2016-12-31$0
Contributions received from other sources (not participants or employers)2016-12-31$43,211
Other income received2016-12-31$787,319
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$465,779
Net plan assets at end of year (total assets less liabilities)2016-12-31$5,694,600
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$5,228,821
Assets. Value of participant loans2016-12-31$81,948
Total contributions received or receivable from employer(s)2016-12-31$66,519
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$13,860
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$288
2015 : USPC 401(K) PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$2,784
Total plan liabilities at end of year2015-12-31$0
Total income from all sources2015-12-31$250,118
Expenses. Total of all expenses incurred2015-12-31$170,914
Benefits paid (including direct rollovers)2015-12-31$151,687
Total plan assets at end of year2015-12-31$5,228,821
Total plan assets at beginning of year2015-12-31$5,146,833
Value of fidelity bond covering the plan2015-12-31$100,000
Total contributions received or receivable from participants2015-12-31$253,754
Expenses. Other expenses not covered elsewhere2015-12-31$0
Contributions received from other sources (not participants or employers)2015-12-31$39,439
Other income received2015-12-31$-99,702
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$79,204
Net plan assets at end of year (total assets less liabilities)2015-12-31$5,228,821
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$5,146,833
Assets. Value of participant loans2015-12-31$93,994
Total contributions received or receivable from employer(s)2015-12-31$56,627
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$19,227

Form 5500 Responses for USPC 401(K) PLAN

2023: USPC 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01This submission is the final filingNo
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: USPC 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingNo
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: USPC 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingNo
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: USPC 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01This submission is the final filingNo
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: USPC 401(K) PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: USPC 401(K) PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement - TrustYes
2017: USPC 401(K) 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 filingNo
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 – TrustYes
2017-01-01Plan benefit arrangement - TrustYes
2016: USPC 401(K) 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 – TrustYes
2016-01-01Plan benefit arrangement - TrustYes
2015: USPC 401(K) 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

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number996233-000
Policy instance 1
Insurance contract or identification number996233-000
Number of Individuals Covered0
Insurance policy start date2015-01-01
Insurance policy end date2015-12-14
Total amount of commissions paid to insurance brokerUSD $12,035
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?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $10,930
Amount paid for insurance broker fees0
Insurance broker organization code?3
Insurance broker nameAMERIPRISE FINANCIAL SERVICES INC

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