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MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 401k Plan overview

Plan NameMID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN
Plan identification number 001

MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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

MID-LOUISIANA ANESTHESIA CONSULTANTS, APMC has sponsored the creation of one or more 401k plans.

Company Name:MID-LOUISIANA ANESTHESIA CONSULTANTS, APMC
Employer identification number (EIN):721221362
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01LISA NEELY2024-08-12
0012022-01-01LISA NEELY2023-09-11
0012021-01-01LISA NEELY2022-08-30
0012020-01-01LISA NEELY2021-09-07
0012019-01-01LISA NEELY2020-07-17
0012018-01-01LISA NEELY2019-09-16
0012017-01-01LISA NEELY
0012016-01-01LISA NEELY
0012015-01-01LISA NEELY
0012014-01-01LISA NEELY
0012013-01-01LISA NEELY
0012012-01-01LISA NEELY
0012011-01-01LISA NEELY
0012009-01-01LISA W NEELY FRANCIS X. ROBICHAUX2010-10-11

Plan Statistics for MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN

401k plan membership statisitcs for MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN

Measure Date Value
2017: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0158
Total number of active participants reported on line 7a of the Form 55002017-01-0140
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0114
Total of all active and inactive participants2017-01-0154
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0154
Number of participants with account balances2017-01-0154
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0151
Total number of active participants reported on line 7a of the Form 55002016-01-0140
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0118
Total of all active and inactive participants2016-01-0158
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0158
Number of participants with account balances2016-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0147
Total number of active participants reported on line 7a of the Form 55002015-01-0137
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0114
Total of all active and inactive participants2015-01-0151
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0151
Number of participants with account balances2015-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0139
Total number of active participants reported on line 7a of the Form 55002014-01-0135
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0114
Total of all active and inactive participants2014-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0149
Number of participants with account balances2014-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0127
Total number of active participants reported on line 7a of the Form 55002013-01-0127
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0113
Total of all active and inactive participants2013-01-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0140
Number of participants with account balances2013-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0129
Total number of active participants reported on line 7a of the Form 55002012-01-0116
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0111
Total of all active and inactive participants2012-01-0127
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0127
Number of participants with account balances2012-01-0127
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0132
Total number of active participants reported on line 7a of the Form 55002011-01-0116
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0113
Total of all active and inactive participants2011-01-0129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0129
Number of participants with account balances2011-01-0129
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-0133
Total number of active participants reported on line 7a of the Form 55002009-01-0121
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0111
Total of all active and inactive participants2009-01-0132
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0132
Number of participants with account balances2009-01-0132
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN

Measure Date Value
2017 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2017 401k financial data
Transfers to/from the plan2017-12-31$0
Total income from all sources2017-12-31$2,710,516
Expenses. Total of all expenses incurred2017-12-31$628,886
Benefits paid (including direct rollovers)2017-12-31$567,147
Total plan assets at end of year2017-12-31$8,857,601
Total plan assets at beginning of year2017-12-31$6,775,971
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$544,768
Contributions received from other sources (not participants or employers)2017-12-31$2,830
Other income received2017-12-31$1,372,525
Net income (gross income less expenses)2017-12-31$2,081,630
Net plan assets at end of year (total assets less liabilities)2017-12-31$8,857,601
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$6,775,971
Assets. Value of participant loans2017-12-31$15,321
Total contributions received or receivable from employer(s)2017-12-31$790,393
Value of certain deemed distributions of participant loans2017-12-31$23,022
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$38,717
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,532,521
Expenses. Total of all expenses incurred2016-12-31$730,779
Benefits paid (including direct rollovers)2016-12-31$722,187
Total plan assets at end of year2016-12-31$6,775,971
Total plan assets at beginning of year2016-12-31$5,974,229
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$549,353
Other income received2016-12-31$297,160
Net income (gross income less expenses)2016-12-31$801,742
Net plan assets at end of year (total assets less liabilities)2016-12-31$6,775,971
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$5,974,229
Assets. Value of participant loans2016-12-31$50,569
Total contributions received or receivable from employer(s)2016-12-31$686,008
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$8,592
2015 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2015 401k financial data
Total income from all sources2015-12-31$1,116,304
Expenses. Total of all expenses incurred2015-12-31$1,421,135
Benefits paid (including direct rollovers)2015-12-31$1,420,647
Total plan assets at end of year2015-12-31$5,974,229
Total plan assets at beginning of year2015-12-31$6,279,060
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$512,156
Contributions received from other sources (not participants or employers)2015-12-31$1,165
Other income received2015-12-31$-100,809
Net income (gross income less expenses)2015-12-31$-304,831
Net plan assets at end of year (total assets less liabilities)2015-12-31$5,974,229
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$6,279,060
Assets. Value of participant loans2015-12-31$33,285
Total contributions received or receivable from employer(s)2015-12-31$703,792
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$488
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,546,222
Expenses. Total of all expenses incurred2014-12-31$2,001,539
Benefits paid (including direct rollovers)2014-12-31$2,000,696
Total plan assets at end of year2014-12-31$6,279,060
Total plan assets at beginning of year2014-12-31$6,734,377
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$524,051
Other income received2014-12-31$228,099
Net income (gross income less expenses)2014-12-31$-455,317
Net plan assets at end of year (total assets less liabilities)2014-12-31$6,279,060
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$6,734,377
Assets. Value of participant loans2014-12-31$31,463
Total contributions received or receivable from employer(s)2014-12-31$794,072
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$843
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,160,103
Expenses. Total of all expenses incurred2013-12-31$414,762
Benefits paid (including direct rollovers)2013-12-31$414,177
Total plan assets at end of year2013-12-31$6,734,377
Total plan assets at beginning of year2013-12-31$5,989,036
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$213,006
Contributions received from other sources (not participants or employers)2013-12-31$22,252
Other income received2013-12-31$689,823
Net income (gross income less expenses)2013-12-31$745,341
Net plan assets at end of year (total assets less liabilities)2013-12-31$6,734,377
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$5,989,036
Assets. Value of participant loans2013-12-31$78,469
Total contributions received or receivable from employer(s)2013-12-31$235,022
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$585
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,006,165
Expenses. Total of all expenses incurred2012-12-31$213,616
Benefits paid (including direct rollovers)2012-12-31$213,476
Total plan assets at end of year2012-12-31$5,989,036
Total plan assets at beginning of year2012-12-31$5,196,487
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$196,536
Other income received2012-12-31$505,975
Net income (gross income less expenses)2012-12-31$792,549
Net plan assets at end of year (total assets less liabilities)2012-12-31$5,989,036
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$5,196,487
Assets. Value of participant loans2012-12-31$38,601
Total contributions received or receivable from employer(s)2012-12-31$303,654
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$140
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2011 401k financial data
Transfers to/from the plan2011-12-31$2,399
Total income from all sources2011-12-31$39,282
Expenses. Total of all expenses incurred2011-12-31$903,219
Benefits paid (including direct rollovers)2011-12-31$902,732
Total plan assets at end of year2011-12-31$5,196,487
Total plan assets at beginning of year2011-12-31$6,058,025
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$237,557
Expenses. Other expenses not covered elsewhere2011-12-31$487
Contributions received from other sources (not participants or employers)2011-12-31$9,739
Other income received2011-12-31$-576,426
Net income (gross income less expenses)2011-12-31$-863,937
Net plan assets at end of year (total assets less liabilities)2011-12-31$5,196,487
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$6,058,025
Assets. Value of participant loans2011-12-31$78,427
Total contributions received or receivable from employer(s)2011-12-31$368,412
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$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$0
Amount contributed by the employer to the plan for this plan year2011-12-31$0
2010 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total income from all sources2010-12-31$1,381,840
Expenses. Total of all expenses incurred2010-12-31$155,554
Benefits paid (including direct rollovers)2010-12-31$155,315
Total plan assets at end of year2010-12-31$6,058,025
Total plan assets at beginning of year2010-12-31$4,831,739
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$237,563
Expenses. Other expenses not covered elsewhere2010-12-31$239
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$741,059
Net income (gross income less expenses)2010-12-31$1,226,286
Net plan assets at end of year (total assets less liabilities)2010-12-31$6,058,025
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$4,831,739
Assets. Value of participant loans2010-12-31$103,026
Total contributions received or receivable from employer(s)2010-12-31$403,218
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$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$0
Amount contributed by the employer to the plan for this plan year2010-12-31$0
2009 : MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN

2017: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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 – TrustYes
2015-01-01Plan benefit arrangement - TrustYes
2014: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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 – TrustYes
2014-01-01Plan benefit arrangement - TrustYes
2013: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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 – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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 – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S 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
2009: MID-LOUISIANA ANESTHESIA CONSULTANTS P/S PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711224
Policy instance 1
Insurance contract or identification numberGA-711224
Number of Individuals Covered29
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $16,249
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
HARTFORD LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88072 )
Policy contract numberGA-711224
Policy instance 1
Insurance contract or identification numberGA-711224
Number of Individuals Covered33
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $12,472
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 $12,472
Insurance broker organization code?3
Insurance broker namePLANNING CORP OF AMERICA

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