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MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 401k Plan overview

Plan NameMISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST
Plan identification number 002

MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 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.
  • Participant-directed brokerage accounts provided as an investment option under the plan.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

MISSION PATHOLOGY CONSULTANTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:MISSION PATHOLOGY CONSULTANTS, INC.
Employer identification number (EIN):952697418
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022023-01-01DOUG KATERS, FOR SBPC, INC.2024-04-26
0022022-01-01
0022021-01-01
0022020-01-01
0022019-01-01
0022018-01-01LAUREN JACOBSON, M.D.2019-09-16
0022017-01-01
0022016-08-01
0022015-08-01
0022014-08-01
0022013-08-01TOMAS MACHIN, M.D.
0022012-08-01JOHN C. BLAUSTEIN, M.D.2014-05-09
0022011-08-01JOHN C. BLAUSTEIN, M.D. JOHN C. BLAUSTEIN, M.D.2013-05-15
0022009-08-01PETER L. MORRIS, M.D.

Plan Statistics for MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST

401k plan membership statisitcs for MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2018: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-019
Total number of active participants reported on line 7a of the Form 55002018-01-017
Number of retired or separated participants receiving benefits2018-01-011
Number of other retired or separated participants entitled to future benefits2018-01-010
Total of all active and inactive participants2018-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-018
Number of participants with account balances2018-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-010
2017: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-018
Total number of active participants reported on line 7a of the Form 55002017-01-018
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 participants2017-01-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-018
Number of participants with account balances2017-01-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k membership
Total participants, beginning-of-year2016-08-019
Total number of active participants reported on line 7a of the Form 55002016-08-018
Number of retired or separated participants receiving benefits2016-08-010
Number of other retired or separated participants entitled to future benefits2016-08-010
Total of all active and inactive participants2016-08-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-08-010
Total participants2016-08-018
Number of participants with account balances2016-08-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-08-010
2015: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k membership
Total participants, beginning-of-year2015-08-016
Total number of active participants reported on line 7a of the Form 55002015-08-018
Number of retired or separated participants receiving benefits2015-08-010
Number of other retired or separated participants entitled to future benefits2015-08-011
Total of all active and inactive participants2015-08-019
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-08-010
Total participants2015-08-019
Number of participants with account balances2015-08-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-08-010
2014: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k membership
Total participants, beginning-of-year2014-08-017
Total number of active participants reported on line 7a of the Form 55002014-08-015
Number of retired or separated participants receiving benefits2014-08-010
Number of other retired or separated participants entitled to future benefits2014-08-011
Total of all active and inactive participants2014-08-016
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-08-010
Total participants2014-08-016
Number of participants with account balances2014-08-016
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-08-010
2013: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2013 401k membership
Total participants, beginning-of-year2013-08-018
Total number of active participants reported on line 7a of the Form 55002013-08-015
Number of retired or separated participants receiving benefits2013-08-010
Number of other retired or separated participants entitled to future benefits2013-08-012
Total of all active and inactive participants2013-08-017
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-08-010
Total participants2013-08-017
Number of participants with account balances2013-08-017
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-08-010
2011: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k membership
Total participants, beginning-of-year2011-08-017
Total number of active participants reported on line 7a of the Form 55002011-08-016
Number of retired or separated participants receiving benefits2011-08-010
Number of other retired or separated participants entitled to future benefits2011-08-012
Total of all active and inactive participants2011-08-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-08-010
Total participants2011-08-018
Number of participants with account balances2011-08-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-08-010
2009: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2009 401k membership
Total participants, beginning-of-year2009-08-0110
Total number of active participants reported on line 7a of the Form 55002009-08-017
Number of retired or separated participants receiving benefits2009-08-010
Number of other retired or separated participants entitled to future benefits2009-08-011
Total of all active and inactive participants2009-08-018
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-08-010
Total participants2009-08-018
Number of participants with account balances2009-08-018
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-08-010

Financial Data on MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST

Measure Date Value
2018 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2018 401k financial data
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$7,900
Expenses. Total of all expenses incurred2018-12-31$2,462,259
Benefits paid (including direct rollovers)2018-12-31$2,442,157
Total plan assets at end of year2018-12-31$1,664,146
Total plan assets at beginning of year2018-12-31$4,118,505
Value of fidelity bond covering the plan2018-12-31$675,000
Total contributions received or receivable from participants2018-12-31$114,690
Expenses. Other expenses not covered elsewhere2018-12-31$0
Contributions received from other sources (not participants or employers)2018-12-31$0
Other income received2018-12-31$-270,542
Net income (gross income less expenses)2018-12-31$-2,454,359
Net plan assets at end of year (total assets less liabilities)2018-12-31$1,664,146
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$4,118,505
Assets. Value of participant loans2018-12-31$50,669
Assets. Value of assets in partnership/joint-venture interests2018-12-31$0
Total contributions received or receivable from employer(s)2018-12-31$163,752
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$20,102
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$239,500
2017 : MISSION PATHOLOGY 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$962,314
Expenses. Total of all expenses incurred2017-12-31$13,482
Benefits paid (including direct rollovers)2017-12-31$0
Total plan assets at end of year2017-12-31$4,118,505
Total plan assets at beginning of year2017-12-31$3,169,673
Value of fidelity bond covering the plan2017-12-31$675,000
Total contributions received or receivable from participants2017-12-31$114,000
Expenses. Other expenses not covered elsewhere2017-12-31$0
Contributions received from other sources (not participants or employers)2017-12-31$177,785
Other income received2017-12-31$498,206
Noncash contributions received2017-12-31$0
Net income (gross income less expenses)2017-12-31$948,832
Net plan assets at end of year (total assets less liabilities)2017-12-31$4,118,505
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$3,169,673
Assets. Value of participant loans2017-12-31$0
Assets. Value of assets in partnership/joint-venture interests2017-12-31$140,500
Total contributions received or receivable from employer(s)2017-12-31$172,323
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$13,482
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2016 401k financial data
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$210,355
Expenses. Total of all expenses incurred2016-12-31$5,229
Benefits paid (including direct rollovers)2016-12-31$0
Total plan assets at end of year2016-12-31$3,169,673
Total plan assets at beginning of year2016-12-31$2,964,547
Value of fidelity bond covering the plan2016-12-31$675,000
Total contributions received or receivable from participants2016-12-31$49,500
Expenses. Other expenses not covered elsewhere2016-12-31$5,229
Contributions received from other sources (not participants or employers)2016-12-31$0
Other income received2016-12-31$12,606
Noncash contributions received2016-12-31$0
Net income (gross income less expenses)2016-12-31$205,126
Net plan assets at end of year (total assets less liabilities)2016-12-31$3,169,673
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$2,964,547
Assets. Value of assets in partnership/joint-venture interests2016-12-31$140,000
Total contributions received or receivable from employer(s)2016-12-31$148,249
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Total plan liabilities at end of year2016-07-31$0
Total plan liabilities at beginning of year2016-07-31$0
Total income from all sources2016-07-31$210,021
Expenses. Total of all expenses incurred2016-07-31$171,590
Benefits paid (including direct rollovers)2016-07-31$163,220
Total plan assets at end of year2016-07-31$2,964,547
Total plan assets at beginning of year2016-07-31$2,926,116
Value of fidelity bond covering the plan2016-07-31$675,000
Total contributions received or receivable from participants2016-07-31$63,000
Expenses. Other expenses not covered elsewhere2016-07-31$8,370
Contributions received from other sources (not participants or employers)2016-07-31$0
Other income received2016-07-31$25,843
Noncash contributions received2016-07-31$0
Net income (gross income less expenses)2016-07-31$38,431
Net plan assets at end of year (total assets less liabilities)2016-07-31$2,964,547
Net plan assets at beginning of year (total assets less liabilities)2016-07-31$2,926,116
Assets. Value of assets in partnership/joint-venture interests2016-07-31$140,000
Total contributions received or receivable from employer(s)2016-07-31$121,178
Value of certain deemed distributions of participant loans2016-07-31$0
Value of corrective distributions2016-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2016-07-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-07-31$0
2015 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2015 401k financial data
Total plan liabilities at end of year2015-07-31$0
Total plan liabilities at beginning of year2015-07-31$0
Total income from all sources2015-07-31$218,744
Expenses. Total of all expenses incurred2015-07-31$8,864
Benefits paid (including direct rollovers)2015-07-31$0
Total plan assets at end of year2015-07-31$2,926,116
Total plan assets at beginning of year2015-07-31$2,716,236
Value of fidelity bond covering the plan2015-07-31$753,000
Total contributions received or receivable from participants2015-07-31$29,792
Expenses. Other expenses not covered elsewhere2015-07-31$0
Contributions received from other sources (not participants or employers)2015-07-31$23,625
Other income received2015-07-31$-30,854
Noncash contributions received2015-07-31$0
Net income (gross income less expenses)2015-07-31$209,880
Net plan assets at end of year (total assets less liabilities)2015-07-31$2,926,116
Net plan assets at beginning of year (total assets less liabilities)2015-07-31$2,716,236
Assets. Value of assets in partnership/joint-venture interests2015-07-31$290,269
Total contributions received or receivable from employer(s)2015-07-31$196,181
Value of certain deemed distributions of participant loans2015-07-31$0
Value of corrective distributions2015-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2015-07-31$8,864
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-07-31$0
2014 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2014 401k financial data
Total plan liabilities at end of year2014-07-31$0
Total plan liabilities at beginning of year2014-07-31$0
Total income from all sources2014-07-31$450,072
Expenses. Total of all expenses incurred2014-07-31$1,325,174
Benefits paid (including direct rollovers)2014-07-31$1,315,404
Total plan assets at end of year2014-07-31$2,716,236
Total plan assets at beginning of year2014-07-31$3,591,338
Value of fidelity bond covering the plan2014-07-31$500,000
Total contributions received or receivable from participants2014-07-31$76,153
Expenses. Other expenses not covered elsewhere2014-07-31$9,770
Contributions received from other sources (not participants or employers)2014-07-31$0
Other income received2014-07-31$167,588
Noncash contributions received2014-07-31$0
Net income (gross income less expenses)2014-07-31$-875,102
Net plan assets at end of year (total assets less liabilities)2014-07-31$2,716,236
Net plan assets at beginning of year (total assets less liabilities)2014-07-31$3,591,338
Assets. Value of participant loans2014-07-31$1,068
Assets. Value of assets in partnership/joint-venture interests2014-07-31$252,340
Total contributions received or receivable from employer(s)2014-07-31$206,331
Value of certain deemed distributions of participant loans2014-07-31$0
Value of corrective distributions2014-07-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2014-07-31$0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-07-31$0
2012 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2012 401k financial data
Total income from all sources2012-07-31$351,974
Expenses. Total of all expenses incurred2012-07-31$128,773
Benefits paid (including direct rollovers)2012-07-31$111,730
Total plan assets at end of year2012-07-31$6,267,756
Total plan assets at beginning of year2012-07-31$6,044,555
Value of fidelity bond covering the plan2012-07-31$500,000
Total contributions received or receivable from participants2012-07-31$49,435
Expenses. Other expenses not covered elsewhere2012-07-31$401
Other income received2012-07-31$33,393
Net income (gross income less expenses)2012-07-31$223,201
Net plan assets at end of year (total assets less liabilities)2012-07-31$6,267,756
Net plan assets at beginning of year (total assets less liabilities)2012-07-31$6,044,555
Assets. Value of participant loans2012-07-31$11,947
Assets. Value of assets in partnership/joint-venture interests2012-07-31$14,460
Total contributions received or receivable from employer(s)2012-07-31$269,146
Expenses. Administrative service providers (salaries,fees and commissions)2012-07-31$16,642
2011 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2011 401k financial data
Total income from all sources2011-07-31$1,067,628
Expenses. Total of all expenses incurred2011-07-31$759,299
Benefits paid (including direct rollovers)2011-07-31$741,790
Total plan assets at end of year2011-07-31$6,044,555
Total plan assets at beginning of year2011-07-31$5,736,226
Value of fidelity bond covering the plan2011-07-31$500,000
Total contributions received or receivable from participants2011-07-31$31,844
Other income received2011-07-31$733,071
Net income (gross income less expenses)2011-07-31$308,329
Net plan assets at end of year (total assets less liabilities)2011-07-31$6,044,555
Net plan assets at beginning of year (total assets less liabilities)2011-07-31$5,736,226
Assets. Value of participant loans2011-07-31$24,642
Assets. Value of assets in partnership/joint-venture interests2011-07-31$18,076
Total contributions received or receivable from employer(s)2011-07-31$302,713
Expenses. Administrative service providers (salaries,fees and commissions)2011-07-31$17,509
2010 : MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2010 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-07-31$5,328

Form 5500 Responses for MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST

2018: MISSION PATHOLOGY 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 - TrustYes
2017: MISSION PATHOLOGY 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 - TrustYes
2016: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2016 form 5500 responses
2016-08-01Type of plan entitySingle employer plan
2016-08-01Submission has been amendedNo
2016-08-01This submission is the final filingNo
2016-08-01This return/report is a short plan year return/report (less than 12 months)Yes
2016-08-01Plan is a collectively bargained planNo
2016-08-01Plan funding arrangement – InsuranceYes
2016-08-01Plan funding arrangement – TrustYes
2016-08-01Plan benefit arrangement - TrustYes
2015: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2015 form 5500 responses
2015-08-01Type of plan entitySingle employer plan
2015-08-01Submission has been amendedNo
2015-08-01This submission is the final filingNo
2015-08-01This return/report is a short plan year return/report (less than 12 months)No
2015-08-01Plan is a collectively bargained planNo
2015-08-01Plan funding arrangement – InsuranceYes
2015-08-01Plan funding arrangement – TrustYes
2015-08-01Plan benefit arrangement - TrustYes
2014: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2014 form 5500 responses
2014-08-01Type of plan entitySingle employer plan
2014-08-01Submission has been amendedNo
2014-08-01This submission is the final filingNo
2014-08-01This return/report is a short plan year return/report (less than 12 months)No
2014-08-01Plan is a collectively bargained planNo
2014-08-01Plan funding arrangement – InsuranceYes
2014-08-01Plan funding arrangement – TrustYes
2014-08-01Plan benefit arrangement - TrustYes
2013: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2013 form 5500 responses
2013-08-01Type of plan entitySingle employer plan
2013-08-01Submission has been amendedNo
2013-08-01This submission is the final filingNo
2013-08-01This return/report is a short plan year return/report (less than 12 months)No
2013-08-01Plan is a collectively bargained planNo
2013-08-01Plan funding arrangement – InsuranceYes
2013-08-01Plan funding arrangement – TrustYes
2013-08-01Plan benefit arrangement – InsuranceYes
2013-08-01Plan benefit arrangement - TrustYes
2011: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2011 form 5500 responses
2011-08-01Type of plan entitySingle employer plan
2011-08-01Submission has been amendedNo
2011-08-01This submission is the final filingNo
2011-08-01This return/report is a short plan year return/report (less than 12 months)No
2011-08-01Plan is a collectively bargained planNo
2011-08-01Plan funding arrangement – InsuranceYes
2011-08-01Plan funding arrangement – TrustYes
2011-08-01Plan benefit arrangement – InsuranceYes
2011-08-01Plan benefit arrangement - TrustYes
2009: MISSION PATHOLOGY 401(K) PROFIT SHARING PLAN AND TRUST 2009 form 5500 responses
2009-08-01Type of plan entitySingle employer plan
2009-08-01Submission has been amendedNo
2009-08-01This submission is the final filingNo
2009-08-01This return/report is a short plan year return/report (less than 12 months)No
2009-08-01Plan is a collectively bargained planNo
2009-08-01Plan funding arrangement – InsuranceYes
2009-08-01Plan funding arrangement – TrustYes
2009-08-01Plan benefit arrangement – InsuranceYes
2009-08-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number130046
Policy instance 1
Insurance contract or identification number130046
Number of Individuals Covered6
Insurance policy start date2018-08-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $6,197
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees3606
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number130046
Policy instance 2
Insurance contract or identification number130046
Number of Individuals Covered6
Insurance policy start date2017-08-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,263
Total amount of fees paid to insurance companyUSD $3,546
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,263
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameTRUOG-RYDING COMPANY, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872865
Policy instance 1
Insurance contract or identification number872865
Number of Individuals Covered0
Insurance policy start date2017-08-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $1,738
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,738
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameOPPENHEIMER LIFE AGENCY, LTD.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872865
Policy instance 1
Insurance contract or identification number872865
Number of Individuals Covered6
Insurance policy start date2015-08-01
Insurance policy end date2016-07-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872865
Policy instance 1
Insurance contract or identification number872865
Number of Individuals Covered4
Insurance policy start date2014-08-01
Insurance policy end date2015-07-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number872865
Policy instance 1
Insurance contract or identification number872865
Number of Individuals Covered4
Insurance policy start date2013-08-01
Insurance policy end date2014-07-31
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract numberR42
Policy instance 2
Insurance contract or identification numberR42
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $52
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract numberR40
Policy instance 1
Insurance contract or identification numberR40
Insurance policy start date2010-12-01
Insurance policy end date2011-11-30
Total amount of commissions paid to insurance brokerUSD $182
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract numberR42
Policy instance 2
Insurance contract or identification numberR42
Number of Individuals Covered1
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $52
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PHOENIX LIFE INSURANCE (National Association of Insurance Commissioners NAIC id number: 67814 )
Policy contract numberR40
Policy instance 1
Insurance contract or identification numberR40
Number of Individuals Covered1
Insurance policy start date2009-12-01
Insurance policy end date2010-11-30
Total amount of commissions paid to insurance brokerUSD $182
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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