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EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES
Plan identification number 502

EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental

401k Sponsoring company profile

GREAT FOOD SERVICES INC has sponsored the creation of one or more 401k plans.

Company Name:GREAT FOOD SERVICES INC
Employer identification number (EIN):010727775
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about GREAT FOOD SERVICES INC

Jurisdiction of Incorporation: North Carolina Secretary of State
Incorporation Date:
Company Identification Number: 0337891

More information about GREAT FOOD SERVICES INC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022019-05-01
5022018-05-01
5022017-05-01JACQUELINE FORD
5022016-05-01JACQUELINE FORD
5022015-05-01JACQUELINE FORD
5022014-05-01JACQUELINE FORD
5022013-05-01VALERIE JONES
5022012-05-01VALERIE JONES
5022011-05-01VALERIE JONES
5022010-05-01VALERIE JONES

Plan Statistics for EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES

Measure Date Value
2019: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2019 401k membership
Total participants, beginning-of-year2019-05-0121
Total number of active participants reported on line 7a of the Form 55002019-05-0114
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0114
2018: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2018 401k membership
Total participants, beginning-of-year2018-05-0130
Total number of active participants reported on line 7a of the Form 55002018-05-0118
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0118
2017: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2017 401k membership
Total participants, beginning-of-year2017-05-0122
Total number of active participants reported on line 7a of the Form 55002017-05-0114
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0114
2016: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2016 401k membership
Total participants, beginning-of-year2016-05-0144
Total number of active participants reported on line 7a of the Form 55002016-05-0131
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0131
2015: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2015 401k membership
Total participants, beginning-of-year2015-05-0134
Total number of active participants reported on line 7a of the Form 55002015-05-0124
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0124
2014: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2014 401k membership
Total participants, beginning-of-year2014-05-0133
Total number of active participants reported on line 7a of the Form 55002014-05-0126
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0126
2013: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2013 401k membership
Total participants, beginning-of-year2013-05-0116
Total number of active participants reported on line 7a of the Form 55002013-05-0113
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0113
2012: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2012 401k membership
Total participants, beginning-of-year2012-05-010
Total number of active participants reported on line 7a of the Form 55002012-05-0116
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-0116
2011: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2011 401k membership
Total participants, beginning-of-year2011-05-0114
Total number of active participants reported on line 7a of the Form 55002011-05-010
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-010
2010: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2010 401k membership
Total participants, beginning-of-year2010-05-0118
Total number of active participants reported on line 7a of the Form 55002010-05-0113
Number of retired or separated participants receiving benefits2010-05-011
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-0114

Financial Data on EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES

Measure Date Value
2020 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$88,191
Expenses. Total of all expenses incurred2020-04-30$88,191
Benefits paid (including direct rollovers)2020-04-30$43,570
Total plan assets at end of year2020-04-30$0
Total plan assets at beginning of year2020-04-30$0
Value of fidelity bond covering the plan2020-04-30$15,000
Expenses. Other expenses not covered elsewhere2020-04-30$44,621
Net income (gross income less expenses)2020-04-30$0
Net plan assets at end of year (total assets less liabilities)2020-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$0
Total contributions received or receivable from employer(s)2020-04-30$88,191
2018 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$127,591
Expenses. Total of all expenses incurred2018-04-30$127,591
Benefits paid (including direct rollovers)2018-04-30$58,400
Total plan assets at end of year2018-04-30$0
Total plan assets at beginning of year2018-04-30$0
Value of fidelity bond covering the plan2018-04-30$25,000
Expenses. Other expenses not covered elsewhere2018-04-30$69,191
Net income (gross income less expenses)2018-04-30$0
Net plan assets at end of year (total assets less liabilities)2018-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$0
Total contributions received or receivable from employer(s)2018-04-30$127,591
2017 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$202,215
Expenses. Total of all expenses incurred2017-04-30$202,215
Benefits paid (including direct rollovers)2017-04-30$92,745
Total plan assets at end of year2017-04-30$0
Total plan assets at beginning of year2017-04-30$0
Value of fidelity bond covering the plan2017-04-30$25,000
Expenses. Other expenses not covered elsewhere2017-04-30$109,470
Net income (gross income less expenses)2017-04-30$0
Net plan assets at end of year (total assets less liabilities)2017-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$0
Total contributions received or receivable from employer(s)2017-04-30$202,215
2016 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$496
Total income from all sources2016-04-30$125,501
Expenses. Total of all expenses incurred2016-04-30$132,153
Benefits paid (including direct rollovers)2016-04-30$61,158
Total plan assets at end of year2016-04-30$0
Total plan assets at beginning of year2016-04-30$7,148
Value of fidelity bond covering the plan2016-04-30$15,000
Expenses. Other expenses not covered elsewhere2016-04-30$70,995
Net income (gross income less expenses)2016-04-30$-6,652
Net plan assets at end of year (total assets less liabilities)2016-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$6,652
Total contributions received or receivable from employer(s)2016-04-30$125,501
2015 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2015 401k financial data
Total plan liabilities at end of year2015-04-30$496
Total plan liabilities at beginning of year2015-04-30$1,788
Total income from all sources2015-04-30$150,051
Expenses. Total of all expenses incurred2015-04-30$143,937
Benefits paid (including direct rollovers)2015-04-30$60,719
Total plan assets at end of year2015-04-30$7,148
Total plan assets at beginning of year2015-04-30$2,326
Value of fidelity bond covering the plan2015-04-30$25,000
Expenses. Other expenses not covered elsewhere2015-04-30$83,218
Net income (gross income less expenses)2015-04-30$6,114
Net plan assets at end of year (total assets less liabilities)2015-04-30$6,652
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$538
Total contributions received or receivable from employer(s)2015-04-30$150,051
2014 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2014 401k financial data
Total plan liabilities at end of year2014-04-30$1,788
Total plan liabilities at beginning of year2014-04-30$887
Total income from all sources2014-04-30$82,073
Expenses. Total of all expenses incurred2014-04-30$120,344
Benefits paid (including direct rollovers)2014-04-30$72,627
Total plan assets at end of year2014-04-30$2,326
Total plan assets at beginning of year2014-04-30$39,696
Value of fidelity bond covering the plan2014-04-30$25,000
Expenses. Other expenses not covered elsewhere2014-04-30$47,717
Net income (gross income less expenses)2014-04-30$-38,271
Net plan assets at end of year (total assets less liabilities)2014-04-30$538
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$38,809
Total contributions received or receivable from employer(s)2014-04-30$82,073
2013 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2013 401k financial data
Total plan liabilities at end of year2013-04-30$887
Total plan liabilities at beginning of year2013-04-30$1,583
Total income from all sources2013-04-30$8,618
Expenses. Total of all expenses incurred2013-04-30$3,340
Benefits paid (including direct rollovers)2013-04-30$-999
Total plan assets at end of year2013-04-30$39,696
Total plan assets at beginning of year2013-04-30$35,114
Expenses. Other expenses not covered elsewhere2013-04-30$4,339
Net income (gross income less expenses)2013-04-30$5,278
Net plan assets at end of year (total assets less liabilities)2013-04-30$38,809
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$33,531
Total contributions received or receivable from employer(s)2013-04-30$8,618
2012 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2012 401k financial data
Total plan liabilities at end of year2012-04-30$1,583
Total plan liabilities at beginning of year2012-04-30$1,297
Total income from all sources2012-04-30$-31
Expenses. Total of all expenses incurred2012-04-30$3,168
Benefits paid (including direct rollovers)2012-04-30$3,148
Total plan assets at end of year2012-04-30$35,114
Total plan assets at beginning of year2012-04-30$38,027
Expenses. Other expenses not covered elsewhere2012-04-30$20
Net income (gross income less expenses)2012-04-30$-3,199
Net plan assets at end of year (total assets less liabilities)2012-04-30$33,531
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$36,730
Total contributions received or receivable from employer(s)2012-04-30$-31
2011 : EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2011 401k financial data
Total plan liabilities at end of year2011-04-30$1,297
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$107,534
Expenses. Total of all expenses incurred2011-04-30$70,804
Benefits paid (including direct rollovers)2011-04-30$22,799
Total plan assets at end of year2011-04-30$38,027
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$48,005
Net income (gross income less expenses)2011-04-30$36,730
Net plan assets at end of year (total assets less liabilities)2011-04-30$36,730
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$107,534

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES

2019: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE HEALTH PLAN OF GREAT FOOD SERVICES 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered19
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $37,230
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered23
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $60,296
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered19
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $55,312
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered29
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $50,381
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered35
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $61,419
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered15
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $34,322
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered19
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $3,085
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered0
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $-7
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number12190 NFA 0066
Policy instance 1
Insurance contract or identification number12190 NFA 0066
Number of Individuals Covered27
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $41,148
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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