PINE BLUFF RADIOLOGISTS, LTD has sponsored the creation of one or more 401k plans.
Submission information for form 5500 for 401k plan PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN
| Measure | Date | Value |
|---|
| 2019: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2019 401k membership |
|---|
| Total participants, beginning-of-year | 2019-01-01 | 1 |
| Total number of active participants reported on line 7a of the Form 5500 | 2019-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2019-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2019-01-01 | 0 |
| Total of all active and inactive participants | 2019-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2019-01-01 | 0 |
| Total participants | 2019-01-01 | 1 |
| Number of participants with account balances | 2019-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2019-01-01 | 0 |
| 2018: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2018 401k membership |
|---|
| Total participants, beginning-of-year | 2018-01-01 | 14 |
| Total number of active participants reported on line 7a of the Form 5500 | 2018-01-01 | 0 |
| Number of retired or separated participants receiving benefits | 2018-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2018-01-01 | 1 |
| Total of all active and inactive participants | 2018-01-01 | 1 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2018-01-01 | 0 |
| Total participants | 2018-01-01 | 1 |
| Number of participants with account balances | 2018-01-01 | 1 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2018-01-01 | 0 |
| 2017: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2017 401k membership |
|---|
| Total participants, beginning-of-year | 2017-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2017-01-01 | 7 |
| Number of retired or separated participants receiving benefits | 2017-01-01 | 0 |
| Number of other retired or separated participants entitled to future benefits | 2017-01-01 | 7 |
| Total of all active and inactive participants | 2017-01-01 | 14 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2017-01-01 | 0 |
| Total participants | 2017-01-01 | 14 |
| Number of participants with account balances | 2017-01-01 | 14 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2017-01-01 | 0 |
| 2016: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2016 401k membership |
|---|
| Total participants, beginning-of-year | 2016-01-01 | 17 |
| Total number of active participants reported on line 7a of the Form 5500 | 2016-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2016-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2016-01-01 | 3 |
| Total of all active and inactive participants | 2016-01-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2016-01-01 | 0 |
| Total participants | 2016-01-01 | 15 |
| Number of participants with account balances | 2016-01-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2016-01-01 | 0 |
| 2015: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2015 401k membership |
|---|
| Total participants, beginning-of-year | 2015-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2015-01-01 | 10 |
| Number of retired or separated participants receiving benefits | 2015-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2015-01-01 | 6 |
| Total of all active and inactive participants | 2015-01-01 | 17 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2015-01-01 | 0 |
| Total participants | 2015-01-01 | 17 |
| Number of participants with account balances | 2015-01-01 | 17 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2015-01-01 | 1 |
| 2014: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2014 401k membership |
|---|
| Total participants, beginning-of-year | 2014-01-01 | 15 |
| Total number of active participants reported on line 7a of the Form 5500 | 2014-01-01 | 9 |
| Number of retired or separated participants receiving benefits | 2014-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2014-01-01 | 5 |
| Total of all active and inactive participants | 2014-01-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2014-01-01 | 0 |
| Total participants | 2014-01-01 | 15 |
| Number of participants with account balances | 2014-01-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2014-01-01 | 1 |
| 2013: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2013 401k membership |
|---|
| Total participants, beginning-of-year | 2013-01-01 | 18 |
| Total number of active participants reported on line 7a of the Form 5500 | 2013-01-01 | 11 |
| Number of retired or separated participants receiving benefits | 2013-01-01 | 1 |
| Number of other retired or separated participants entitled to future benefits | 2013-01-01 | 3 |
| Total of all active and inactive participants | 2013-01-01 | 15 |
| Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits | 2013-01-01 | 0 |
| Total participants | 2013-01-01 | 15 |
| Number of participants with account balances | 2013-01-01 | 15 |
| Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested | 2013-01-01 | 0 |
| Measure | Date | Value |
|---|
| 2019 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2019 401k financial data |
|---|
| Total income from all sources | 2019-12-31 | $-3,952 |
| Expenses. Total of all expenses incurred | 2019-12-31 | $0 |
| Total plan assets at end of year | 2019-12-31 | $33,934 |
| Total plan assets at beginning of year | 2019-12-31 | $37,886 |
| Value of fidelity bond covering the plan | 2019-12-31 | $750,000 |
| Other income received | 2019-12-31 | $-3,952 |
| Net income (gross income less expenses) | 2019-12-31 | $-3,952 |
| Net plan assets at end of year (total assets less liabilities) | 2019-12-31 | $33,934 |
| Net plan assets at beginning of year (total assets less liabilities) | 2019-12-31 | $37,886 |
| Assets. Value of real-estate (other than employer real property) | 2019-12-31 | $33,934 |
| 2018 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2018 401k financial data |
|---|
| Total income from all sources | 2018-12-31 | $-67,945 |
| Expenses. Total of all expenses incurred | 2018-12-31 | $6,175,957 |
| Benefits paid (including direct rollovers) | 2018-12-31 | $6,175,957 |
| Total plan assets at end of year | 2018-12-31 | $37,886 |
| Total plan assets at beginning of year | 2018-12-31 | $6,281,788 |
| Value of fidelity bond covering the plan | 2018-12-31 | $750,000 |
| Other income received | 2018-12-31 | $-67,945 |
| Net income (gross income less expenses) | 2018-12-31 | $-6,243,902 |
| Net plan assets at end of year (total assets less liabilities) | 2018-12-31 | $37,886 |
| Net plan assets at beginning of year (total assets less liabilities) | 2018-12-31 | $6,281,788 |
| Assets. Value of real-estate (other than employer real property) | 2018-12-31 | $37,886 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2018-12-31 | $0 |
| 2017 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2017 401k financial data |
|---|
| Total income from all sources | 2017-12-31 | $1,178,717 |
| Expenses. Total of all expenses incurred | 2017-12-31 | $3,427,297 |
| Benefits paid (including direct rollovers) | 2017-12-31 | $3,427,297 |
| Total plan assets at end of year | 2017-12-31 | $6,281,788 |
| Total plan assets at beginning of year | 2017-12-31 | $8,530,368 |
| Value of fidelity bond covering the plan | 2017-12-31 | $750,000 |
| Total contributions received or receivable from participants | 2017-12-31 | $88,411 |
| Expenses. Other expenses not covered elsewhere | 2017-12-31 | $0 |
| Contributions received from other sources (not participants or employers) | 2017-12-31 | $0 |
| Other income received | 2017-12-31 | $1,009,193 |
| Noncash contributions received | 2017-12-31 | $0 |
| Net income (gross income less expenses) | 2017-12-31 | $-2,248,580 |
| Net plan assets at end of year (total assets less liabilities) | 2017-12-31 | $6,281,788 |
| Net plan assets at beginning of year (total assets less liabilities) | 2017-12-31 | $8,530,368 |
| Assets. Value of real-estate (other than employer real property) | 2017-12-31 | $35,742 |
| Total contributions received or receivable from employer(s) | 2017-12-31 | $81,113 |
| Value of certain deemed distributions of participant loans | 2017-12-31 | $0 |
| Value of corrective distributions | 2017-12-31 | $0 |
| Expenses. Administrative service providers (salaries,fees and commissions) | 2017-12-31 | $0 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2017-12-31 | $0 |
| 2016 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2016 401k financial data |
|---|
| Total income from all sources | 2016-12-31 | $616,032 |
| Expenses. Total of all expenses incurred | 2016-12-31 | $333,022 |
| Benefits paid (including direct rollovers) | 2016-12-31 | $311,203 |
| Total plan assets at end of year | 2016-12-31 | $8,530,368 |
| Total plan assets at beginning of year | 2016-12-31 | $8,247,358 |
| Value of fidelity bond covering the plan | 2016-12-31 | $800,000 |
| Total contributions received or receivable from participants | 2016-12-31 | $88,236 |
| Expenses. Other expenses not covered elsewhere | 2016-12-31 | $21,819 |
| Other income received | 2016-12-31 | $449,731 |
| Net income (gross income less expenses) | 2016-12-31 | $283,010 |
| Net plan assets at end of year (total assets less liabilities) | 2016-12-31 | $8,530,368 |
| Net plan assets at beginning of year (total assets less liabilities) | 2016-12-31 | $8,247,358 |
| Assets. Value of real-estate (other than employer real property) | 2016-12-31 | $42,832 |
| Total contributions received or receivable from employer(s) | 2016-12-31 | $78,065 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2016-12-31 | $0 |
| 2015 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2015 401k financial data |
|---|
| Total income from all sources | 2015-12-31 | $-223,208 |
| Expenses. Total of all expenses incurred | 2015-12-31 | $169,758 |
| Benefits paid (including direct rollovers) | 2015-12-31 | $169,758 |
| Total plan assets at end of year | 2015-12-31 | $8,247,358 |
| Total plan assets at beginning of year | 2015-12-31 | $8,640,324 |
| Value of fidelity bond covering the plan | 2015-12-31 | $750,000 |
| Total contributions received or receivable from participants | 2015-12-31 | $88,236 |
| Other income received | 2015-12-31 | $-389,302 |
| Net income (gross income less expenses) | 2015-12-31 | $-392,966 |
| Net plan assets at end of year (total assets less liabilities) | 2015-12-31 | $8,247,358 |
| Net plan assets at beginning of year (total assets less liabilities) | 2015-12-31 | $8,640,324 |
| Assets. Value of real-estate (other than employer real property) | 2015-12-31 | $41,078 |
| Total contributions received or receivable from employer(s) | 2015-12-31 | $77,858 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2015-12-31 | $0 |
| 2014 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2014 401k financial data |
|---|
| Total income from all sources | 2014-12-31 | $623,992 |
| Expenses. Total of all expenses incurred | 2014-12-31 | $129,697 |
| Benefits paid (including direct rollovers) | 2014-12-31 | $129,697 |
| Total plan assets at end of year | 2014-12-31 | $8,640,324 |
| Total plan assets at beginning of year | 2014-12-31 | $8,146,029 |
| Value of fidelity bond covering the plan | 2014-12-31 | $750,000 |
| Total contributions received or receivable from participants | 2014-12-31 | $109,886 |
| Other income received | 2014-12-31 | $424,109 |
| Net income (gross income less expenses) | 2014-12-31 | $494,295 |
| Net plan assets at end of year (total assets less liabilities) | 2014-12-31 | $8,640,324 |
| Net plan assets at beginning of year (total assets less liabilities) | 2014-12-31 | $8,146,029 |
| Assets. Value of participant loans | 2014-12-31 | $5,658 |
| Assets. Value of real-estate (other than employer real property) | 2014-12-31 | $42,832 |
| Total contributions received or receivable from employer(s) | 2014-12-31 | $89,997 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2014-12-31 | $0 |
| 2013 : PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2013 401k financial data |
|---|
| Total income from all sources | 2013-12-31 | $917,506 |
| Expenses. Total of all expenses incurred | 2013-12-31 | $129,992 |
| Benefits paid (including direct rollovers) | 2013-12-31 | $129,992 |
| Total plan assets at end of year | 2013-12-31 | $8,146,029 |
| Total plan assets at beginning of year | 2013-12-31 | $7,358,515 |
| Value of fidelity bond covering the plan | 2013-12-31 | $750,000 |
| Total contributions received or receivable from participants | 2013-12-31 | $109,936 |
| Other income received | 2013-12-31 | $723,671 |
| Net income (gross income less expenses) | 2013-12-31 | $787,514 |
| Net plan assets at end of year (total assets less liabilities) | 2013-12-31 | $8,146,029 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-12-31 | $7,358,515 |
| Assets. Value of participant loans | 2013-12-31 | $7,537 |
| Assets. Value of real-estate (other than employer real property) | 2013-12-31 | $73,178 |
| Total contributions received or receivable from employer(s) | 2013-12-31 | $83,899 |
| Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities | 2013-12-31 | $0 |
| 2019: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2019 form 5500 responses |
|---|
| 2019-01-01 | Type of plan entity | Single employer plan |
| 2019-01-01 | Submission has been amended | No |
| 2019-01-01 | This submission is the final filing | No |
| 2019-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2019-01-01 | Plan is a collectively bargained plan | No |
| 2019-01-01 | Plan funding arrangement – Insurance | Yes |
| 2019-01-01 | Plan funding arrangement – Trust | Yes |
| 2019-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2019-01-01 | Plan benefit arrangement - Trust | Yes |
| 2018: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2018 form 5500 responses |
|---|
| 2018-01-01 | Type of plan entity | Single employer plan |
| 2018-01-01 | Submission has been amended | No |
| 2018-01-01 | This submission is the final filing | No |
| 2018-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2018-01-01 | Plan is a collectively bargained plan | No |
| 2018-01-01 | Plan funding arrangement – Insurance | Yes |
| 2018-01-01 | Plan funding arrangement – Trust | Yes |
| 2018-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2018-01-01 | Plan benefit arrangement - Trust | Yes |
| 2017: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2017 form 5500 responses |
|---|
| 2017-01-01 | Type of plan entity | Single employer plan |
| 2017-01-01 | Submission has been amended | No |
| 2017-01-01 | This submission is the final filing | No |
| 2017-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2017-01-01 | Plan is a collectively bargained plan | No |
| 2017-01-01 | Plan funding arrangement – Insurance | Yes |
| 2017-01-01 | Plan funding arrangement – Trust | Yes |
| 2017-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2017-01-01 | Plan benefit arrangement - Trust | Yes |
| 2016: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2016 form 5500 responses |
|---|
| 2016-01-01 | Type of plan entity | Single employer plan |
| 2016-01-01 | Submission has been amended | No |
| 2016-01-01 | This submission is the final filing | No |
| 2016-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2016-01-01 | Plan is a collectively bargained plan | No |
| 2016-01-01 | Plan funding arrangement – Insurance | Yes |
| 2016-01-01 | Plan funding arrangement – Trust | Yes |
| 2016-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2016-01-01 | Plan benefit arrangement - Trust | Yes |
| 2015: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2015 form 5500 responses |
|---|
| 2015-01-01 | Type of plan entity | Single employer plan |
| 2015-01-01 | Submission has been amended | No |
| 2015-01-01 | This submission is the final filing | No |
| 2015-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2015-01-01 | Plan is a collectively bargained plan | No |
| 2015-01-01 | Plan funding arrangement – Insurance | Yes |
| 2015-01-01 | Plan funding arrangement – Trust | Yes |
| 2015-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2015-01-01 | Plan benefit arrangement - Trust | Yes |
| 2014: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2014 form 5500 responses |
|---|
| 2014-01-01 | Type of plan entity | Single employer plan |
| 2014-01-01 | Submission has been amended | No |
| 2014-01-01 | This submission is the final filing | No |
| 2014-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2014-01-01 | Plan is a collectively bargained plan | No |
| 2014-01-01 | Plan funding arrangement – Insurance | Yes |
| 2014-01-01 | Plan funding arrangement – Trust | Yes |
| 2014-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2014-01-01 | Plan benefit arrangement - Trust | Yes |
| 2013: PINE BLUFF RADIOLOGISTS, LTD 401(K) PLAN 2013 form 5500 responses |
|---|
| 2013-01-01 | Type of plan entity | Single employer plan |
| 2013-01-01 | Submission has been amended | No |
| 2013-01-01 | This submission is the final filing | No |
| 2013-01-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2013-01-01 | Plan is a collectively bargained plan | No |
| 2013-01-01 | Plan funding arrangement – Insurance | Yes |
| 2013-01-01 | Plan funding arrangement – Trust | Yes |
| 2013-01-01 | Plan benefit arrangement – Insurance | Yes |
| 2013-01-01 | Plan benefit arrangement - Trust | Yes |
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 613369 |
| Policy instance | 1 |
| Insurance contract or identification number | 613369 | | Number of Individuals Covered | 10 | | Insurance policy start date | 2017-01-01 | | Insurance policy end date | 2017-12-31 | | Total amount of commissions paid to insurance broker | USD $3,245 | | Total amount of fees paid to insurance company | USD $324 | | 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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $3,245 | | Insurance broker organization code? | 3 | | Amount paid for insurance broker fees | 324 | | Additional information about fees paid to insurance broker | REFERRAL/SERVICE FEE | | Insurance broker name | PENSION PLAN ADMINISTRATION LLC |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 613369 |
| Policy instance | 1 |
| Insurance contract or identification number | 613369 | | Number of Individuals Covered | 8 | | Insurance policy start date | 2015-01-01 | | Insurance policy end date | 2015-12-31 | | Total amount of commissions paid to insurance broker | USD $2,523 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $2,523 | | Insurance broker organization code? | 3 | | Insurance broker name | SECURITIES AMERICA |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 613369 |
| Policy instance | 1 |
| Insurance contract or identification number | 613369 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2014-01-01 | | Insurance policy end date | 2014-12-31 | | Total amount of commissions paid to insurance broker | USD $2,262 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $2,262 | | Insurance broker organization code? | 3 | | Insurance broker name | SECURITIES AMERICA |
|
| PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 ) |
| Policy contract number | 613369 |
| Policy instance | 1 |
| Insurance contract or identification number | 613369 | | Number of Individuals Covered | 9 | | Insurance policy start date | 2013-01-01 | | Insurance policy end date | 2013-12-31 | | Total amount of commissions paid to insurance broker | USD $1,990 | | Total amount of fees paid to insurance company | USD $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 plan | No | | Contracts With Unallocated Funds Deposit Administration | 0 | | 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 Benefit | No | | Dental Insurance Welfare Benefit | No | | Vision Insurance Welfare Benefit | No | | Life Insurance Welfare Benefit | No | | Temporary Disability Insurance Welfare Benefit | No | | Long Term Disability Insurance Welfare Benefit | No | | Unemployment Insurance Welfare Benefit | No | | 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 Broker | USD $1,990 | | Insurance broker organization code? | 3 | | Insurance broker name | SECURITIES AMERICA |
|
