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Company:
Advanced Critical Care & Internal Medicine

Plan:
ACCIM 401k Plan
 
Form 5500 | Insurance Information
Insurance Carrier Summary Persons Covered
 
John Hancock Life Insurance Company USA 39
EIN 01-0233346
Industry Code 65838
Contract Number 74547
Contract Year 01/01/2010 — 12/31/2010
Value in General Account at Year End $0
Value in Separate Accounts at Year End $1,068,506
 
Insurance Fees and Commissions $3,249
 
Persons Receiving Commissions and Fees  
Agent/Broker Organization Code Commissions Paid Fees Paid Purpose of Fees Paid
Royal Alliance Associates, Inc.
P.O. Box 16694
Irvine, CA 92623
Insurance Agent or Broker $2,547 $0
Compensation Consultantes, Inc.
44-700 Village Court, Suite 200
Palm Desert, CA 92260
Third Party Administrator $0 $402 MARKETING ALLOWANCE
Pension Benefits Unlimited
17748 Sky Park Cir
Irvine, CA 92614
Third Party Administrator $0 $300 DISTRIBUTION AND LOAN PROCESSING FEES
 
Allocated Funds  
Type of Contract Unspecified
Basis of premium rates
Premiums paid to carrier $0
Premiums due but unpaid at the end of the year $0
If the carrier, service, or other organization incurred any specific costs in connection with the acquisition or retention of the contract or policy, enter amount $0
Specify the nature of the costs
 
Unallocated Funds  
Type of Contract GUARANTEED INTEREST
Balance at the end of the previous year $32
Additions $113
Contributions Deposited during the year $113
Dividends and credits $0
Interest credited during the year $0
Transferred from separate account $0
Other $0
Total of Balance and Additions $145
Deductions $145
Disbursed from fund to pay benefits or purchase annuities during the year $145
Administration charge made by carrier $0
Transferred to Separate Account $0
Other $0
Balance at the end of the current year $0