Skip to content
InstaQuote© Themes
Home
Sales Automation Tools
InstaQuote Sales Advantages
InstaQuote Themes
Women In Business
Medical
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Include American Funds Recordkeeper Pricing Page?
Yes
No
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Phone
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Phone
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Email
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Email
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Comments
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
Yes
No
Custom Line Item Description
*
Custom Line Item Fee
*
$100
$200
$300
$400
$500
Custom Line Item 2 Needed?
Yes
No
Custom Line Item 2 Description
*
Custom Line Item 2 Fee
*
$100
$200
$300
$400
$500
Custom Line Item 3 Needed?
Yes
No
Custom Line Item 3 Description
*
Custom Line Item 3 Fee
*
$100
$200
$300
$400
$500
Hidden
TPA Change Only Options
Hidden
TPA Change Only (RecordKeeper remains same)?
Yes
No
Hidden
Sales Probability
*
25%
50%
75%
90%
Hidden
Revenue Sharing Options
Hidden
REV SHARE TYPE
100% Offset
NO Offset
Pricing Parameters
Set-Up Fee
*
$0
$500
$1000
$1500
Plan Document Fee
*
$0
$500
$1000
$1500
Base Fee
*
$0
$1000
$1500
$2000
Active Participant Fee
*
$0
$10
$20
$30
Hidden
Eligible Participant Fee
*
$0
$5
$10
$15
$20
Proposal Credits
Installation Credit? (Use only if you want to apply a one-time credit against Installation Fees)
Yes
No
Installation Credit Amount
$0
$100
$200
$300
$400
$500
Annual Credit? (Use only if you want to apply a ongoing credits against Annual Fees)
Yes
No
Annual Credit Amount
$100
$200
$300
$400
$500
{all_fields:nohidden}
Name
This field is for validation purposes and should be left unchanged.
Step
1
of
2
50%
Unique ID
Enter TPA Unique InstaQuote Code
*
Proposal Date
MM slash DD slash YYYY
Hidden
Theme Background Color (This theme has three color options: Blue, Green or Red.)
*
Blue
Red
TPA INFORMATION
Hidden
VK TPA InstaQuote Code (hidden)
– Fill Out Other Fields –
Hidden
VKRK Code
TPA Name
TPA Rep Name
TPA Rep Email
TPA Rep Phone
TPA Address
TPA City
TPA State
TPA Zip
RECORDKEEPER INFORMATION
Recordkeeping Platform
*
AF RKD R-2
AF RKD R-3
AF RKD R-4
AF RKD R-5e
AF RKD R-6
AF Plan Premier R2/R3/R4
AF Plan Premier R5/R6
Ameritas
Ascensus
Ascensus Vanguard
AXA Equitable
Cuna
Empower
Fidelity
John Hancock Signature
John Hancock Enterprise
July
Lincoln Financial Director
Lincoln Financial Alliance
MassMutual
Nationwide
OneAmerica
PCS
Pensys
Principal
T.Rowe Price
The Standard
Transamerica
VOYA
Generic Zero Rev
Brokerage Account
None
Select Recordkeeper Wholesaler (leave blank if unknown)
– Fill Out Other Fields –
External Wholesaler Email
External Wholesaler Phone
Internal Wholesaler Name
Internal Wholesaler Email
Internal Wholesaler Phone
Hidden
TPA Reimbursement Formula
*
Standard
Zero
Hidden
Email Proposal to Recordkeeper Wholesaler?
No
Yes
Hidden
Internal or External Wholesaler
Internal
External
Hidden
Custom 1st Year Installation Credit (in BPS)
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
Hidden
Custom Ongoing Credits (in BPS)
*
1 Bps
2 Bps
3 Bps
4 Bps
5 Bps
6 Bps
7 Bps
8 Bps
9 Bps
10 Bps
11 Bps
12 Bps
13 Bps
14 Bps
15 Bps
16 Bps
17 Bps
18 Bps
19 Bps
20 Bps
21 Bps
22 Bps
23 Bps
24 Bps
25 Bps
26 Bps
27 Bps
28 Bps
29 Bps
30 Bps
ADVISOR INFORMATION
Hidden
Advisor CRD #
Advisor Name (appears on cover page)
*
First
Last
Hidden
Advisor Email
Hidden
Advisor Phone
Advisor Firm
*
AXA Advisors
Bukaty Financial Services
Ameriprise Financial
Cafaro Greenleaf
Cambridge Investments
CAPTRUST
Cetera
Commonwealth Financial
Edward Jones
GRPAA
LPL Financial
M Financial Group
MassMutual
Merrill Lynch
Morgan Stanley
National Planning Corp
NY Life
Pensionmark
Raymond James
Sageview
Stifel
UBS
Waddell & Reed
Wells Fargo Advisors
PROPOSAL / PRICING ASSUMPTIONS
Company Name
*
Plan Assets
Annual Contributions
*
Please enter a number greater than or equal to
1
.
Participants with Balance
*
Estimated Month of Asset Transfer (impacts 1st Year Ongoing Credits)
January
February
March
April
May
June
July
August
September
October
November
December
TPA PRICING OPTIONS
OFFSET or RETAIN Revenue Share (if any)
Offset or Retain Rev Share (Default is Offset)
Offset
Retain
Custom RK Rev Share Override
Override Default Recordkeeper Revenue Share Formula
Yes
No
Installation Credits Override (in Basis Points)
0
5
10
15
20
25
Ongoing Credits Override (in Basis Points)
0
1
2
3
4
5
Flat Dollar Rev Share?
Yes
No
Flat Dollar Rev Share Amount (in Dollars only)
Payroll Options
Payroll Submission?
Yes
No
Payroll Frequency
*
52
26
24
12
Payroll Processing Fee
*
$0
$50
$60
$70
Employer Contribution Calculation (ECC) Fee Options
Employer Contribution Calculation Fee?
Yes
No
ECC Fee Amount
*
$0
$400
$500
$600
Self Directed Brokerage Accounts
Self Directed Brokerage Accounts?
*
Yes
No
SDBA Fee
*
$0
$300
$400
$500
Number of SDBA
*
Large Plan Audit Fee Options
Large Plan Audit Fee?
Yes
No
Large Plan Audit Fee Amount
*
$0
$400
$500
$600
Plan Document Maintenance Fee Options
Plan Document Maintenance Fee?
Yes
No
PDMF Fee
*
$0
$300
$400
$500
Cash Balance Combo Fee Options
Cash Balance Fee?
Yes
No
Number of Cash Balance Accounts
1
2
3
4
Cash Balance Setup Fee
*
$0
$1000
$2000
$3000
Cash Balance Base Fee
*
$0
$1000
$2000
$3000
Cash Balance Participant Fee
*
$0
$30
$40
$50
3(16) Fee Options
3(16) Fee?
*
Yes
No
Eligible Participants
*
3(16) Setup Fee
*
$0
$500
$1000
$1500
3(16) Base Fee
*
$0
$1000
$1500
$2000
3(16) Participant Fee
*
$0
$5
$10
$15
Add 3(16) Asset Based Fee?
Yes
No
3(16) Asset Based Fee in BASIS POINTS (if applicable)
1
2
3
4
5
Hidden
Accounting & Reconciliation Fee Options
Hidden
Accounting and Reconciliation Fee?
Yes
No
Hidden
Accounting-Reconciliation Annual Fee
*
$0
$250
$500
SETUP Custom Line Item Section - Use only for exceptions
Custom SETUP Line Item Needed?
Yes
No
Custom SETUP Line Item Description
*
Custom SETUP Line Item Fee
*
$100
$200
$300
$400
$500
ADMIN Custom Line Item Section - Use only for exceptions
Custom Line Item Needed?
