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ALPINE MEDICAL GROUP RETIREMENT PLAN 401k Plan overview

Plan NameALPINE MEDICAL GROUP RETIREMENT PLAN
Plan identification number 001

ALPINE MEDICAL GROUP RETIREMENT 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.
  • Plan covering Self-Employed individuals.
  • 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

ALPINE MEDICAL GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name:ALPINE MEDICAL GROUP, LLC
Employer identification number (EIN):841401924
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan ALPINE MEDICAL GROUP RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012023-01-01NICHOLAS G. HANSON2024-03-14
0012022-01-01YONG HUI AHN2023-06-07
0012021-01-01YONG HUI AHN2022-05-05
0012020-01-01YONG HUI AHN2021-05-16
0012019-01-01YONG HUI AHN2020-08-05
0012018-01-01YONG HUI AHN2019-10-02
0012017-01-01
0012017-01-01YONG HUI AHN2019-10-02
0012016-01-01YONG HUI AHN YONG HUI AHN2017-04-20
0012016-01-01
0012015-01-01YONG HUI AHN YONG HUI AHN2016-08-19
0012014-01-01YONG HUI AHN YONG HUI AHN2015-10-01
0012013-01-01YONG HUI AHN YONG HUI AHN2014-07-11
0012012-01-01YONG HUI AHN YONG HUI AHN2013-10-02
0012011-01-01YONG HUI AHN YONG HUI AHN2012-10-09

Plan Statistics for ALPINE MEDICAL GROUP RETIREMENT PLAN

401k plan membership statisitcs for ALPINE MEDICAL GROUP RETIREMENT PLAN

Measure Date Value
2023: ALPINE MEDICAL GROUP RETIREMENT PLAN 2023 401k membership
Total participants, beginning-of-year2023-01-0145
Total number of active participants reported on line 7a of the Form 55002023-01-0117
Number of retired or separated participants receiving benefits2023-01-011
Number of other retired or separated participants entitled to future benefits2023-01-0122
Total of all active and inactive participants2023-01-0140
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-0140
Number of participants with account balances2023-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: ALPINE MEDICAL GROUP RETIREMENT PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-0148
Total number of active participants reported on line 7a of the Form 55002022-01-0117
Number of retired or separated participants receiving benefits2022-01-012
Number of other retired or separated participants entitled to future benefits2022-01-0125
Total of all active and inactive participants2022-01-0144
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0144
Number of participants with account balances2022-01-0143
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: ALPINE MEDICAL GROUP RETIREMENT PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-0149
Total number of active participants reported on line 7a of the Form 55002021-01-0116
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0131
Total of all active and inactive participants2021-01-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0147
Number of participants with account balances2021-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-011
2020: ALPINE MEDICAL GROUP RETIREMENT PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-0150
Total number of active participants reported on line 7a of the Form 55002020-01-0129
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-0120
Total of all active and inactive participants2020-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0149
Number of participants with account balances2020-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: ALPINE MEDICAL GROUP RETIREMENT PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-0148
Total number of active participants reported on line 7a of the Form 55002019-01-0129
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-0121
Total of all active and inactive participants2019-01-0150
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0150
Number of participants with account balances2019-01-0150
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: ALPINE MEDICAL GROUP RETIREMENT PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-0149
Total number of active participants reported on line 7a of the Form 55002018-01-0128
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0119
Total of all active and inactive participants2018-01-0147
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0147
Number of participants with account balances2018-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: ALPINE MEDICAL GROUP RETIREMENT PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-0154
Total number of active participants reported on line 7a of the Form 55002017-01-0127
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0122
Total of all active and inactive participants2017-01-0149
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0149
Number of participants with account balances2017-01-0149
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: ALPINE MEDICAL GROUP RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0155
Total number of active participants reported on line 7a of the Form 55002016-01-0124
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0128
Total of all active and inactive participants2016-01-0152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0152
Number of participants with account balances2016-01-0152
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: ALPINE MEDICAL GROUP RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0165
Total number of active participants reported on line 7a of the Form 55002015-01-0130
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0123
Total of all active and inactive participants2015-01-0153
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0153
Number of participants with account balances2015-01-0153
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: ALPINE MEDICAL GROUP RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-0173
Total number of active participants reported on line 7a of the Form 55002014-01-0130
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0135
Total of all active and inactive participants2014-01-0165
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0165
Number of participants with account balances2014-01-0165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-011
2013: ALPINE MEDICAL GROUP RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-0177
Total number of active participants reported on line 7a of the Form 55002013-01-0141
Number of retired or separated participants receiving benefits2013-01-011
Number of other retired or separated participants entitled to future benefits2013-01-0124
Total of all active and inactive participants2013-01-0166
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-011
Total participants2013-01-0167
Number of participants with account balances2013-01-0167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-011
2012: ALPINE MEDICAL GROUP RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-0177
Total number of active participants reported on line 7a of the Form 55002012-01-0142
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0131
Total of all active and inactive participants2012-01-0173
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0173
Number of participants with account balances2012-01-0173
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: ALPINE MEDICAL GROUP RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-0181
Total number of active participants reported on line 7a of the Form 55002011-01-0149
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0125
Total of all active and inactive participants2011-01-0174
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-0175
Number of participants with account balances2011-01-0175
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010

Financial Data on ALPINE MEDICAL GROUP RETIREMENT PLAN

Measure Date Value
2023 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2023 401k financial data
Total income from all sources2023-12-31$1,988,963
Expenses. Total of all expenses incurred2023-12-31$3,303,105
Benefits paid (including direct rollovers)2023-12-31$3,272,875
Total plan assets at end of year2023-12-31$7,208,240
Total plan assets at beginning of year2023-12-31$8,522,382
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$65,200
Other income received2023-12-31$1,695,535
Net income (gross income less expenses)2023-12-31$-1,314,142
Net plan assets at end of year (total assets less liabilities)2023-12-31$7,208,240
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$8,522,382
Assets. Value of participant loans2023-12-31$0
Assets. Value of assets in partnership/joint-venture interests2023-12-31$0
Total contributions received or receivable from employer(s)2023-12-31$228,228
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$30,230
2022 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2022 401k financial data
Total income from all sources2022-12-31$-2,383,927
Expenses. Total of all expenses incurred2022-12-31$5,000,861
Benefits paid (including direct rollovers)2022-12-31$4,978,206
Total plan assets at end of year2022-12-31$8,522,382
Total plan assets at beginning of year2022-12-31$15,907,170
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$14,950
Other income received2022-12-31$-2,611,827
Net income (gross income less expenses)2022-12-31$-7,384,788
Net plan assets at end of year (total assets less liabilities)2022-12-31$8,522,382
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$15,907,170
Assets. Value of participant loans2022-12-31$4,096
Assets. Value of assets in partnership/joint-venture interests2022-12-31$27,580
Total contributions received or receivable from employer(s)2022-12-31$212,950
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$22,655
2021 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2021 401k financial data
Total income from all sources2021-12-31$3,042,117
Expenses. Total of all expenses incurred2021-12-31$841,714
Benefits paid (including direct rollovers)2021-12-31$819,113
Total plan assets at end of year2021-12-31$15,907,170
Total plan assets at beginning of year2021-12-31$13,706,767
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$97,056
Other income received2021-12-31$2,386,618
Net income (gross income less expenses)2021-12-31$2,200,403
Net plan assets at end of year (total assets less liabilities)2021-12-31$15,907,170
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$13,706,767
Assets. Value of participant loans2021-12-31$15,242
Assets. Value of assets in partnership/joint-venture interests2021-12-31$8,423
Total contributions received or receivable from employer(s)2021-12-31$558,443
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$22,601
2020 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2020 401k financial data
Total income from all sources2020-12-31$2,799,777
Expenses. Total of all expenses incurred2020-12-31$1,084,612
Benefits paid (including direct rollovers)2020-12-31$1,066,777
Total plan assets at end of year2020-12-31$13,706,767
Total plan assets at beginning of year2020-12-31$11,991,602
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$78,905
Other income received2020-12-31$2,270,176
Net income (gross income less expenses)2020-12-31$1,715,165
Net plan assets at end of year (total assets less liabilities)2020-12-31$13,706,767
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$11,991,602
Assets. Value of participant loans2020-12-31$22,626
Assets. Value of assets in partnership/joint-venture interests2020-12-31$29,214
Total contributions received or receivable from employer(s)2020-12-31$450,696
Expenses. Administrative service providers (salaries,fees and commissions)2020-12-31$17,835
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
2019 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2019 401k financial data
Total income from all sources2019-12-31$2,761,798
Expenses. Total of all expenses incurred2019-12-31$114,353
Benefits paid (including direct rollovers)2019-12-31$100,000
Total plan assets at end of year2019-12-31$11,991,602
Total plan assets at beginning of year2019-12-31$9,344,157
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$71,180
Other income received2019-12-31$2,238,565
Net income (gross income less expenses)2019-12-31$2,647,445
Net plan assets at end of year (total assets less liabilities)2019-12-31$11,991,602
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$9,344,157
Assets. Value of participant loans2019-12-31$57,420
Assets. Value of assets in partnership/joint-venture interests2019-12-31$29,214
Total contributions received or receivable from employer(s)2019-12-31$452,053
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$14,353
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2018 401k financial data
Total income from all sources2018-12-31$18,087
Expenses. Total of all expenses incurred2018-12-31$337,045
Benefits paid (including direct rollovers)2018-12-31$325,900
Total plan assets at end of year2018-12-31$9,344,157
Total plan assets at beginning of year2018-12-31$9,663,115
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$100,493
Other income received2018-12-31$-550,478
Net income (gross income less expenses)2018-12-31$-318,958
Net plan assets at end of year (total assets less liabilities)2018-12-31$9,344,157
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$9,663,115
Assets. Value of participant loans2018-12-31$74,257
Assets. Value of assets in partnership/joint-venture interests2018-12-31$29,848
Total contributions received or receivable from employer(s)2018-12-31$468,072
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$11,145
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2017 401k financial data
Total income from all sources2017-12-31$1,881,503
Expenses. Total of all expenses incurred2017-12-31$2,212,285
Benefits paid (including direct rollovers)2017-12-31$2,212,285
Total plan assets at end of year2017-12-31$9,661,115
Total plan assets at beginning of year2017-12-31$9,991,897
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$79,786
Other income received2017-12-31$1,348,830
Net income (gross income less expenses)2017-12-31$-330,782
Net plan assets at end of year (total assets less liabilities)2017-12-31$9,661,115
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$9,991,897
Assets. Value of participant loans2017-12-31$72,622
Assets. Value of assets in partnership/joint-venture interests2017-12-31$28,644
Total contributions received or receivable from employer(s)2017-12-31$452,887
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2016 401k financial data
Total income from all sources2016-12-31$1,104,914
Expenses. Total of all expenses incurred2016-12-31$196,464
Benefits paid (including direct rollovers)2016-12-31$196,464
Total plan assets at end of year2016-12-31$9,998,397
Total plan assets at beginning of year2016-12-31$9,089,947
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$52,813
Other income received2016-12-31$699,032
Net income (gross income less expenses)2016-12-31$908,450
Net plan assets at end of year (total assets less liabilities)2016-12-31$9,998,397
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$9,089,947
Assets. Value of participant loans2016-12-31$67,253
Assets. Value of assets in partnership/joint-venture interests2016-12-31$53,825
Total contributions received or receivable from employer(s)2016-12-31$353,069
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
2015 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2015 401k financial data
Transfers to/from the plan2015-12-31$-1,580,809
Total income from all sources2015-12-31$386,616
Expenses. Total of all expenses incurred2015-12-31$70,095
Benefits paid (including direct rollovers)2015-12-31$70,095
Total plan assets at end of year2015-12-31$9,089,947
Total plan assets at beginning of year2015-12-31$10,354,235
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$72,649
Other income received2015-12-31$-92,879
Net income (gross income less expenses)2015-12-31$316,521
Net plan assets at end of year (total assets less liabilities)2015-12-31$9,089,947
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$10,354,235
Assets. Value of participant loans2015-12-31$59,611
Assets. Value of assets in partnership/joint-venture interests2015-12-31$64,378
Total contributions received or receivable from employer(s)2015-12-31$406,846
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2014 401k financial data
Total income from all sources2014-12-31$1,254,312
Expenses. Total of all expenses incurred2014-12-31$55,325
Benefits paid (including direct rollovers)2014-12-31$55,325
Total plan assets at end of year2014-12-31$10,354,235
Total plan assets at beginning of year2014-12-31$9,155,248
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$95,748
Contributions received from other sources (not participants or employers)2014-12-31$1,523
Other income received2014-12-31$518,026
Net income (gross income less expenses)2014-12-31$1,198,987
Net plan assets at end of year (total assets less liabilities)2014-12-31$10,354,235
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$9,155,248
Assets. Value of participant loans2014-12-31$71,862
Assets. Value of assets in partnership/joint-venture interests2014-12-31$64,773
Total contributions received or receivable from employer(s)2014-12-31$639,015
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2013 401k financial data
Total income from all sources2013-12-31$1,802,485
Expenses. Total of all expenses incurred2013-12-31$2,460,226
Benefits paid (including direct rollovers)2013-12-31$2,460,226
Total plan assets at end of year2013-12-31$9,155,248
Total plan assets at beginning of year2013-12-31$9,812,989
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$98,345
Contributions received from other sources (not participants or employers)2013-12-31$3,299
Other income received2013-12-31$1,122,783
Net income (gross income less expenses)2013-12-31$-657,741
Net plan assets at end of year (total assets less liabilities)2013-12-31$9,155,248
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$9,812,989
Assets. Value of participant loans2013-12-31$71,862
Assets. Value of assets in partnership/joint-venture interests2013-12-31$64,363
Total contributions received or receivable from employer(s)2013-12-31$578,058
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2012 401k financial data
Total income from all sources2012-12-31$1,656,851
Expenses. Total of all expenses incurred2012-12-31$58,330
Benefits paid (including direct rollovers)2012-12-31$58,330
Total plan assets at end of year2012-12-31$9,812,989
Total plan assets at beginning of year2012-12-31$8,214,468
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$102,375
Other income received2012-12-31$887,909
Net income (gross income less expenses)2012-12-31$1,598,521
Net plan assets at end of year (total assets less liabilities)2012-12-31$9,812,989
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$8,214,468
Assets. Value of participant loans2012-12-31$52,084
Assets. Value of assets in partnership/joint-venture interests2012-12-31$63,949
Total contributions received or receivable from employer(s)2012-12-31$666,567
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2011 401k financial data
Total income from all sources2011-12-31$621,208
Expenses. Total of all expenses incurred2011-12-31$424,554
Benefits paid (including direct rollovers)2011-12-31$424,554
Total plan assets at end of year2011-12-31$8,214,468
Total plan assets at beginning of year2011-12-31$8,017,814
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$87,877
Other income received2011-12-31$-34,766
Net income (gross income less expenses)2011-12-31$196,654
Net plan assets at end of year (total assets less liabilities)2011-12-31$8,214,468
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$8,017,814
Assets. Value of participant loans2011-12-31$52,592
Assets. Value of assets in partnership/joint-venture interests2011-12-31$62,998
Total contributions received or receivable from employer(s)2011-12-31$568,097
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : ALPINE MEDICAL GROUP RETIREMENT PLAN 2010 401k financial data
Total income from all sources2010-12-31$1,421,618
Expenses. Total of all expenses incurred2010-12-31$26,365
Benefits paid (including direct rollovers)2010-12-31$26,365
Total plan assets at end of year2010-12-31$8,017,814
Total plan assets at beginning of year2010-12-31$6,622,561
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$121,305
Other income received2010-12-31$614,963
Net income (gross income less expenses)2010-12-31$1,395,253
Net plan assets at end of year (total assets less liabilities)2010-12-31$8,017,814
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$6,622,561
Assets. Value of participant loans2010-12-31$60,385
Assets. Value of assets in partnership/joint-venture interests2010-12-31$61,466
Total contributions received or receivable from employer(s)2010-12-31$685,350
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0

Form 5500 Responses for ALPINE MEDICAL GROUP RETIREMENT PLAN

2023: ALPINE MEDICAL GROUP RETIREMENT PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: ALPINE MEDICAL GROUP RETIREMENT PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: ALPINE MEDICAL GROUP RETIREMENT PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: ALPINE MEDICAL GROUP RETIREMENT PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: ALPINE MEDICAL GROUP RETIREMENT 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 – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: ALPINE MEDICAL GROUP RETIREMENT 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 – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: ALPINE MEDICAL GROUP RETIREMENT 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 – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: ALPINE MEDICAL GROUP RETIREMENT 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 – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: ALPINE MEDICAL GROUP RETIREMENT 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
2014: ALPINE MEDICAL GROUP RETIREMENT 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: ALPINE MEDICAL GROUP RETIREMENT 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: ALPINE MEDICAL GROUP RETIREMENT 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: ALPINE MEDICAL GROUP RETIREMENT 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

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Number of Individuals Covered36
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Number of Individuals Covered35
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Number of Individuals Covered36
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?Yes
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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number504027-01
Policy instance 1
Insurance contract or identification number504027-01
Number of Individuals Covered36
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
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?0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 2
Insurance contract or identification number30666
Number of Individuals Covered0
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $2,665
Total amount of fees paid to insurance companyUSD $375
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $2,665
Insurance broker organization code?3
Amount paid for insurance broker fees375
Additional information about fees paid to insurance brokerTPA COMPENSATION
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Number of Individuals Covered50
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $7,297
Total amount of fees paid to insurance companyUSD $83
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Commission paid to Insurance BrokerUSD $7,297
Insurance broker organization code?3
Amount paid for insurance broker fees83
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $7,299
Total amount of fees paid to insurance companyUSD $1,026
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
Commission paid to Insurance BrokerUSD $7,299
Insurance broker organization code?3
Amount paid for insurance broker fees1026
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $9,626
Total amount of fees paid to insurance companyUSD $1,339
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
Commission paid to Insurance BrokerUSD $9,626
Insurance broker organization code?3
Amount paid for insurance broker fees1339
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Number of Individuals Covered57
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $9,115
Total amount of fees paid to insurance companyUSD $2,132
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
Commission paid to Insurance BrokerUSD $9,115
Insurance broker organization code?3
Amount paid for insurance broker fees2132
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Number of Individuals Covered61
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $9,326
Total amount of fees paid to insurance companyUSD $1,211
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
Commission paid to Insurance BrokerUSD $9,326
Insurance broker organization code?3
Amount paid for insurance broker fees1211
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Number of Individuals Covered66
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $11,518
Total amount of fees paid to insurance companyUSD $1,142
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
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number30666
Policy instance 1
Insurance contract or identification number30666
Number of Individuals Covered68
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $11,585
Total amount of fees paid to insurance companyUSD $1,927
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
Commission paid to Insurance BrokerUSD $11,585
Insurance broker organization code?3
Amount paid for insurance broker fees1927
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker namePENSIONS PLUS, INC.

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