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CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameCHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 003

CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • 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.
  • 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

CHILDRENS ANESTHESIA MEDICAL GROUP, INC. has sponsored the creation of one or more 401k plans.

Company Name:CHILDRENS ANESTHESIA MEDICAL GROUP, INC.
Employer identification number (EIN):943192738
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032023-01-01
0032022-01-01
0032021-01-01
0032020-01-01
0032019-01-01
0032018-01-01RICHARD ROWE RICHARD ROWE2019-05-03
0032017-01-01RICHARD ROWE RICHARD ROWE2018-04-17
0032016-01-01RICHARD ROWE RICHARD ROWE2017-10-05
0032015-01-01RICHARD ROWE RICHARD ROWE2016-07-01
0032014-01-01RICHARD ROWE RICHARD ROWE2015-07-17
0032013-01-01RICHARD ROWE RICHARD ROWE2014-08-27
0032012-01-01RICHARD ROWE RICHARD ROWE2013-09-04
0032011-01-01RICHARD ROWE RICHARD ROWE2012-05-09
0032009-01-01JONATHAN CLARKE JONATHAN CLARKE2010-09-08

Plan Statistics for CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2023: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2023 401k membership
Total participants, beginning-of-year2023-01-0122
Total number of active participants reported on line 7a of the Form 55002023-01-010
Number of retired or separated participants receiving benefits2023-01-010
Number of other retired or separated participants entitled to future benefits2023-01-010
Total of all active and inactive participants2023-01-010
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2023-01-010
Total participants2023-01-010
Number of participants with account balances2023-01-010
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2023-01-010
2022: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k membership
Total participants, beginning-of-year2022-01-0121
Total number of active participants reported on line 7a of the Form 55002022-01-0118
Number of retired or separated participants receiving benefits2022-01-011
Number of other retired or separated participants entitled to future benefits2022-01-013
Total of all active and inactive participants2022-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-0122
Number of participants with account balances2022-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-0122
Total number of active participants reported on line 7a of the Form 55002021-01-0119
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-012
Total of all active and inactive participants2021-01-0121
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-0121
Number of participants with account balances2021-01-0121
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010
2020: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-0122
Total number of active participants reported on line 7a of the Form 55002020-01-0122
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-0122
Number of participants with account balances2020-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-010
2019: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-0123
Total number of active participants reported on line 7a of the Form 55002019-01-0122
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-0122
Number of participants with account balances2019-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-010
2018: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-0122
Total number of active participants reported on line 7a of the Form 55002018-01-0120
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-013
Total of all active and inactive participants2018-01-0123
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-0123
Number of participants with account balances2018-01-0123
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-0120
Total number of active participants reported on line 7a of the Form 55002017-01-0122
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-010
Total of all active and inactive participants2017-01-0122
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-0122
Number of participants with account balances2017-01-0122
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-0120
Total number of active participants reported on line 7a of the Form 55002016-01-0120
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-010
Total of all active and inactive participants2016-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0120
Number of participants with account balances2016-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-0119
Total number of active participants reported on line 7a of the Form 55002015-01-0120
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-010
Total of all active and inactive participants2015-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-0120
Number of participants with account balances2015-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-0120
Total number of active participants reported on line 7a of the Form 55002014-01-0119
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-010
Total of all active and inactive participants2014-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-0119
Number of participants with account balances2014-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0119
Total number of active participants reported on line 7a of the Form 55002013-01-0119
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-011
Total of all active and inactive participants2013-01-0120
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-0120
Number of participants with account balances2013-01-0120
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0119
Total number of active participants reported on line 7a of the Form 55002012-01-0119
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-0119
Number of participants with account balances2012-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0119
Total number of active participants reported on line 7a of the Form 55002011-01-0119
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-010
Total of all active and inactive participants2011-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-0119
Number of participants with account balances2011-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-0119
Total number of active participants reported on line 7a of the Form 55002009-01-0117
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-012
Total of all active and inactive participants2009-01-0119
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-0119
Number of participants with account balances2009-01-0119
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2023 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2023 401k financial data
Total income from all sources2023-12-31$1,630,205
Expenses. Total of all expenses incurred2023-12-31$34,490,119
Benefits paid (including direct rollovers)2023-12-31$34,472,004
Total plan assets at end of year2023-12-31$0
Total plan assets at beginning of year2023-12-31$32,859,914
Value of fidelity bond covering the plan2023-12-31$500,000
Total contributions received or receivable from participants2023-12-31$0
Expenses. Other expenses not covered elsewhere2023-12-31$18,115
Contributions received from other sources (not participants or employers)2023-12-31$0
Other income received2023-12-31$1,630,205
Noncash contributions received2023-12-31$0
Net income (gross income less expenses)2023-12-31$-32,859,914
Net plan assets at end of year (total assets less liabilities)2023-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2023-12-31$32,859,914
Total contributions received or receivable from employer(s)2023-12-31$0
Value of certain deemed distributions of participant loans2023-12-31$0
Value of corrective distributions2023-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2023-12-31$0
2022 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2022 401k financial data
Transfers to/from the plan2022-12-31$0
Total income from all sources2022-12-31$-5,051,810
Expenses. Total of all expenses incurred2022-12-31$261,276
Benefits paid (including direct rollovers)2022-12-31$166,793
Total plan assets at end of year2022-12-31$32,859,914
Total plan assets at beginning of year2022-12-31$38,173,000
Value of fidelity bond covering the plan2022-12-31$500,000
Total contributions received or receivable from participants2022-12-31$53,083
Expenses. Other expenses not covered elsewhere2022-12-31$94,483
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$-6,064,832
Noncash contributions received2022-12-31$0
Net income (gross income less expenses)2022-12-31$-5,313,086
Net plan assets at end of year (total assets less liabilities)2022-12-31$32,859,914
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$38,173,000
Total contributions received or receivable from employer(s)2022-12-31$959,939
Value of certain deemed distributions of participant loans2022-12-31$0
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$0
2021 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2021 401k financial data
Transfers to/from the plan2021-12-31$0
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$5,757,266
Expenses. Total of all expenses incurred2021-12-31$2,602,175
Benefits paid (including direct rollovers)2021-12-31$2,503,643
Total plan assets at end of year2021-12-31$38,173,000
Total plan assets at beginning of year2021-12-31$35,017,909
Value of fidelity bond covering the plan2021-12-31$500,000
Total contributions received or receivable from participants2021-12-31$58,500
Expenses. Other expenses not covered elsewhere2021-12-31$98,532
Contributions received from other sources (not participants or employers)2021-12-31$3,101
Other income received2021-12-31$4,634,472
Noncash contributions received2021-12-31$0
Net income (gross income less expenses)2021-12-31$3,155,091
Net plan assets at end of year (total assets less liabilities)2021-12-31$38,173,000
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$35,017,909
Total contributions received or receivable from employer(s)2021-12-31$1,061,193
Value of certain deemed distributions of participant loans2021-12-31$0
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
2020 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2020 401k financial data
Transfers to/from the plan2020-12-31$0
Total plan liabilities at end of year2020-12-31$0
Total plan liabilities at beginning of year2020-12-31$0
Total income from all sources2020-12-31$6,161,123
Expenses. Total of all expenses incurred2020-12-31$28,735
Total plan assets at end of year2020-12-31$35,017,909
Total plan assets at beginning of year2020-12-31$28,885,521
Value of fidelity bond covering the plan2020-12-31$500,000
Total contributions received or receivable from participants2020-12-31$71,500
Expenses. Other expenses not covered elsewhere2020-12-31$28,735
Contributions received from other sources (not participants or employers)2020-12-31$42,136
Other income received2020-12-31$4,858,798
Noncash contributions received2020-12-31$0
Net income (gross income less expenses)2020-12-31$6,132,388
Net plan assets at end of year (total assets less liabilities)2020-12-31$35,017,909
Net plan assets at beginning of year (total assets less liabilities)2020-12-31$28,885,521
Assets. Value of participant loans2020-12-31$0
Total contributions received or receivable from employer(s)2020-12-31$1,188,689
2019 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 401k financial data
Transfers to/from the plan2019-12-31$0
Total plan liabilities at end of year2019-12-31$0
Total plan liabilities at beginning of year2019-12-31$0
Total income from all sources2019-12-31$6,382,600
Expenses. Total of all expenses incurred2019-12-31$5,352,706
Benefits paid (including direct rollovers)2019-12-31$5,302,439
Total plan assets at end of year2019-12-31$28,885,521
Total plan assets at beginning of year2019-12-31$27,855,627
Value of fidelity bond covering the plan2019-12-31$500,000
Total contributions received or receivable from participants2019-12-31$48,000
Expenses. Other expenses not covered elsewhere2019-12-31$50,267
Contributions received from other sources (not participants or employers)2019-12-31$0
Other income received2019-12-31$5,197,624
Noncash contributions received2019-12-31$0
Net income (gross income less expenses)2019-12-31$1,029,894
Net plan assets at end of year (total assets less liabilities)2019-12-31$28,885,521
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$27,855,627
Assets. Value of participant loans2019-12-31$0
Total contributions received or receivable from employer(s)2019-12-31$1,136,976
Value of certain deemed distributions of participant loans2019-12-31$0
Value of corrective distributions2019-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2019-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
Transfers to/from the plan2018-12-31$0
Total plan liabilities at end of year2018-12-31$0
Total plan liabilities at beginning of year2018-12-31$0
Total income from all sources2018-12-31$-558,073
Expenses. Total of all expenses incurred2018-12-31$1,348,067
Benefits paid (including direct rollovers)2018-12-31$1,284,349
Total plan assets at end of year2018-12-31$27,855,627
Total plan assets at beginning of year2018-12-31$29,761,767
Value of fidelity bond covering the plan2018-12-31$500,000
Total contributions received or receivable from participants2018-12-31$60,000
Expenses. Other expenses not covered elsewhere2018-12-31$63,718
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-1,783,388
Noncash contributions received2018-12-31$0
Net income (gross income less expenses)2018-12-31$-1,906,140
Net plan assets at end of year (total assets less liabilities)2018-12-31$27,855,627
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$29,761,767
Assets. Value of participant loans2018-12-31$23,000
Total contributions received or receivable from employer(s)2018-12-31$1,165,315
Value of certain deemed distributions of participant loans2018-12-31$0
Value of corrective distributions2018-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2018-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k financial data
Total plan liabilities at end of year2017-12-31$0
Total plan liabilities at beginning of year2017-12-31$0
Total income from all sources2017-12-31$5,537,309
Expenses. Total of all expenses incurred2017-12-31$69,109
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$29,761,767
Total plan assets at beginning of year2017-12-31$24,293,567
Value of fidelity bond covering the plan2017-12-31$500,000
Total contributions received or receivable from participants2017-12-31$66,000
Expenses. Other expenses not covered elsewhere2017-12-31$69,109
Contributions received from other sources (not participants or employers)2017-12-31$0
Other income received2017-12-31$4,442,351
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$5,468,200
Net plan assets at end of year (total assets less liabilities)2017-12-31$29,761,767
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$24,293,567
Assets. Value of participant loans2017-12-31$40,671
Total contributions received or receivable from employer(s)2017-12-31$1,028,958
Value of certain deemed distributions of participant loans2017-12-31$0
Value of corrective distributions2017-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2017-12-31$0
2016 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
Transfers to/from the plan2016-12-31$0
Total plan liabilities at end of year2016-12-31$0
Total plan liabilities at beginning of year2016-12-31$0
Total income from all sources2016-12-31$3,037,241
Expenses. Total of all expenses incurred2016-12-31$75,292
Benefits paid (including direct rollovers)2016-12-31$0
Total plan assets at end of year2016-12-31$24,293,567
Total plan assets at beginning of year2016-12-31$21,331,618
Value of fidelity bond covering the plan2016-12-31$500,000
Total contributions received or receivable from participants2016-12-31$58,000
Expenses. Other expenses not covered elsewhere2016-12-31$75,292
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$1,919,241
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$2,961,949
Net plan assets at end of year (total assets less liabilities)2016-12-31$24,293,567
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$21,331,618
Assets. Value of participant loans2016-12-31$105,089
Total contributions received or receivable from employer(s)2016-12-31$1,060,000
Value of certain deemed distributions of participant loans2016-12-31$0
Value of corrective distributions2016-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-12-31$0
2015 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Transfers to/from the plan2015-12-31$0
Total plan liabilities at end of year2015-12-31$0
Total plan liabilities at beginning of year2015-12-31$0
Total income from all sources2015-12-31$837,657
Expenses. Total of all expenses incurred2015-12-31$72,164
Benefits paid (including direct rollovers)2015-12-31$407
Total plan assets at end of year2015-12-31$21,331,618
Total plan assets at beginning of year2015-12-31$20,566,125
Value of fidelity bond covering the plan2015-12-31$500,000
Total contributions received or receivable from participants2015-12-31$60,000
Expenses. Other expenses not covered elsewhere2015-12-31$71,757
Contributions received from other sources (not participants or employers)2015-12-31$19,689
Other income received2015-12-31$-300,081
Noncash contributions received2015-12-31$0
Net income (gross income less expenses)2015-12-31$765,493
Net plan assets at end of year (total assets less liabilities)2015-12-31$21,331,618
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$20,566,125
Assets. Value of participant loans2015-12-31$83,559
Total contributions received or receivable from employer(s)2015-12-31$1,058,049
Value of certain deemed distributions of participant loans2015-12-31$0
Value of corrective distributions2015-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Transfers to/from the plan2014-12-31$0
Total plan liabilities at end of year2014-12-31$0
Total plan liabilities at beginning of year2014-12-31$0
Total income from all sources2014-12-31$2,160,746
Expenses. Total of all expenses incurred2014-12-31$72,382
Benefits paid (including direct rollovers)2014-12-31$5,030
Total plan assets at end of year2014-12-31$20,566,125
Total plan assets at beginning of year2014-12-31$18,477,761
Value of fidelity bond covering the plan2014-12-31$500,000
Total contributions received or receivable from participants2014-12-31$44,000
Expenses. Other expenses not covered elsewhere2014-12-31$67,352
Contributions received from other sources (not participants or employers)2014-12-31$0
Other income received2014-12-31$1,133,638
Noncash contributions received2014-12-31$0
Net income (gross income less expenses)2014-12-31$2,088,364
Net plan assets at end of year (total assets less liabilities)2014-12-31$20,566,125
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$18,477,761
Assets. Value of participant loans2014-12-31$31,694
Total contributions received or receivable from employer(s)2014-12-31$983,108
Value of certain deemed distributions of participant loans2014-12-31$0
Value of corrective distributions2014-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k financial data
Transfers to/from the plan2013-12-31$0
Total plan liabilities at end of year2013-12-31$0
Total plan liabilities at beginning of year2013-12-31$0
Total income from all sources2013-12-31$3,992,505
Expenses. Total of all expenses incurred2013-12-31$1,520,996
Benefits paid (including direct rollovers)2013-12-31$1,475,181
Total plan assets at end of year2013-12-31$18,477,761
Total plan assets at beginning of year2013-12-31$16,006,252
Value of fidelity bond covering the plan2013-12-31$500,000
Total contributions received or receivable from participants2013-12-31$67,000
Expenses. Other expenses not covered elsewhere2013-12-31$45,815
Contributions received from other sources (not participants or employers)2013-12-31$0
Other income received2013-12-31$2,946,209
Noncash contributions received2013-12-31$0
Net income (gross income less expenses)2013-12-31$2,471,509
Net plan assets at end of year (total assets less liabilities)2013-12-31$18,477,761
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$16,006,252
Assets. Value of participant loans2013-12-31$42,975
Total contributions received or receivable from employer(s)2013-12-31$979,296
Value of certain deemed distributions of participant loans2013-12-31$0
Value of corrective distributions2013-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2013-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Transfers to/from the plan2012-12-31$0
Total plan liabilities at end of year2012-12-31$0
Total plan liabilities at beginning of year2012-12-31$85
Total income from all sources2012-12-31$2,552,969
Expenses. Total of all expenses incurred2012-12-31$229,106
Benefits paid (including direct rollovers)2012-12-31$200,000
Total plan assets at end of year2012-12-31$16,006,252
Total plan assets at beginning of year2012-12-31$13,682,474
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$38,500
Expenses. Other expenses not covered elsewhere2012-12-31$29,106
Contributions received from other sources (not participants or employers)2012-12-31$41,611
Other income received2012-12-31$1,551,880
Noncash contributions received2012-12-31$0
Net income (gross income less expenses)2012-12-31$2,323,863
Net plan assets at end of year (total assets less liabilities)2012-12-31$16,006,252
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$13,682,389
Assets. Value of participant loans2012-12-31$41,081
Total contributions received or receivable from employer(s)2012-12-31$920,978
Value of certain deemed distributions of participant loans2012-12-31$0
Value of corrective distributions2012-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2012-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Transfers to/from the plan2011-12-31$0
Total plan liabilities at end of year2011-12-31$85
Total plan liabilities at beginning of year2011-12-31$2,000
Total income from all sources2011-12-31$789,504
Expenses. Total of all expenses incurred2011-12-31$23,959
Benefits paid (including direct rollovers)2011-12-31$148
Total plan assets at end of year2011-12-31$13,682,474
Total plan assets at beginning of year2011-12-31$12,918,844
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$38,500
Expenses. Other expenses not covered elsewhere2011-12-31$23,811
Contributions received from other sources (not participants or employers)2011-12-31$0
Other income received2011-12-31$-169,301
Noncash contributions received2011-12-31$0
Net income (gross income less expenses)2011-12-31$765,545
Net plan assets at end of year (total assets less liabilities)2011-12-31$13,682,389
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$12,916,844
Assets. Value of participant loans2011-12-31$38,216
Total contributions received or receivable from employer(s)2011-12-31$920,305
Value of certain deemed distributions of participant loans2011-12-31$0
Value of corrective distributions2011-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2011-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Transfers to/from the plan2010-12-31$0
Total plan liabilities at end of year2010-12-31$2,000
Total plan liabilities at beginning of year2010-12-31$16,800
Total income from all sources2010-12-31$2,163,864
Expenses. Total of all expenses incurred2010-12-31$1,523,251
Benefits paid (including direct rollovers)2010-12-31$1,502,688
Total plan assets at end of year2010-12-31$12,918,844
Total plan assets at beginning of year2010-12-31$12,293,031
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$68,020
Expenses. Other expenses not covered elsewhere2010-12-31$20,563
Contributions received from other sources (not participants or employers)2010-12-31$0
Other income received2010-12-31$1,242,283
Noncash contributions received2010-12-31$0
Net income (gross income less expenses)2010-12-31$640,613
Net plan assets at end of year (total assets less liabilities)2010-12-31$12,916,844
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$12,276,231
Assets. Value of participant loans2010-12-31$46,019
Total contributions received or receivable from employer(s)2010-12-31$853,561
Value of certain deemed distributions of participant loans2010-12-31$0
Value of corrective distributions2010-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2010-12-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST

2023: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 filingYes
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 – TrustYes
2023-01-01Plan benefit arrangement - TrustYes
2022: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – TrustYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – TrustYes
2021-01-01Plan benefit arrangement - TrustYes
2020: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – TrustYes
2020-01-01Plan benefit arrangement - TrustYes
2019: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedYes
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
2009: CHILDREN'S ANESTHESIA MEDICAL GROUP, INC. 401(K) PROFIT SHARING PLAN AND TRUST 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 – TrustYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

AXA EQUITABLE LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66944 )
Policy contract number314027612
Policy instance 1
Insurance contract or identification number314027612
Number of Individuals Covered1
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $4,842
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?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 $4,842
Insurance broker organization code?3
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
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?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
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
METLIFE (National Association of Insurance Commissioners NAIC id number: 61050 )
Policy contract number3202169655
Policy instance 1
Insurance contract or identification number3202169655
Number of Individuals Covered1
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No

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