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NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 401k Plan overview

Plan NameNATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN
Plan identification number 501

NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance
  • Dental
  • Vision
  • Temporary disability (accident and sickness)
  • Long-term disability cover
  • Other welfare benefit cover

401k Sponsoring company profile

RIVERSIDE HEALTH CARE CENTER, INC. has sponsored the creation of one or more 401k plans.

Company Name:RIVERSIDE HEALTH CARE CENTER, INC.
Employer identification number (EIN):061027526
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012021-10-01MARVIN OSTREICHER2023-07-12
5012020-10-01MARVIN OSTREICHER2022-07-13
5012019-10-01MARVIN OSTREICHER2021-07-08
5012018-10-01MARVIN OSTREICHER2020-07-09
5012017-10-01MARVIN OSTREICHER2019-07-10
5012016-10-01
5012015-10-01
5012015-10-01MARVIN OSTREICHER2017-07-15
5012014-10-01
5012013-10-01MARVIN OSTREICHER
5012012-10-01MARVIN OSTREICHER
5012011-10-01MARVIN OSTREICHER
5012009-10-01MARVIN OSTREICHER

Plan Statistics for NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN

401k plan membership statisitcs for NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN

Measure Date Value
2021: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2021 401k membership
Total participants, beginning-of-year2021-10-014,772
Total number of active participants reported on line 7a of the Form 55002021-10-014,510
Number of retired or separated participants receiving benefits2021-10-0178
Number of other retired or separated participants entitled to future benefits2021-10-010
Total of all active and inactive participants2021-10-014,588
2020: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2020 401k membership
Total participants, beginning-of-year2020-10-014,871
Total number of active participants reported on line 7a of the Form 55002020-10-014,728
Number of retired or separated participants receiving benefits2020-10-0144
Number of other retired or separated participants entitled to future benefits2020-10-010
Total of all active and inactive participants2020-10-014,772
2019: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2019 401k membership
Total participants, beginning-of-year2019-10-015,784
Total number of active participants reported on line 7a of the Form 55002019-10-014,773
Number of retired or separated participants receiving benefits2019-10-0148
Number of other retired or separated participants entitled to future benefits2019-10-010
Total of all active and inactive participants2019-10-014,821
2018: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2018 401k membership
Total participants, beginning-of-year2018-10-015,631
Total number of active participants reported on line 7a of the Form 55002018-10-015,737
Number of retired or separated participants receiving benefits2018-10-0147
Number of other retired or separated participants entitled to future benefits2018-10-010
Total of all active and inactive participants2018-10-015,784
2017: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2017 401k membership
Total participants, beginning-of-year2017-10-015,752
Total number of active participants reported on line 7a of the Form 55002017-10-015,581
Number of retired or separated participants receiving benefits2017-10-0150
Number of other retired or separated participants entitled to future benefits2017-10-010
Total of all active and inactive participants2017-10-015,631
2016: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2016 401k membership
Total participants, beginning-of-year2016-10-015,214
Total number of active participants reported on line 7a of the Form 55002016-10-015,710
Number of retired or separated participants receiving benefits2016-10-0142
Number of other retired or separated participants entitled to future benefits2016-10-010
Total of all active and inactive participants2016-10-015,752
2015: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2015 401k membership
Total participants, beginning-of-year2015-10-015,373
Total number of active participants reported on line 7a of the Form 55002015-10-015,170
Number of retired or separated participants receiving benefits2015-10-0144
Number of other retired or separated participants entitled to future benefits2015-10-010
Total of all active and inactive participants2015-10-015,214
2014: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2014 401k membership
Total participants, beginning-of-year2014-10-012,926
Total number of active participants reported on line 7a of the Form 55002014-10-015,337
Number of retired or separated participants receiving benefits2014-10-0136
Number of other retired or separated participants entitled to future benefits2014-10-010
Total of all active and inactive participants2014-10-015,373
2013: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2013 401k membership
Total participants, beginning-of-year2013-10-012,297
Total number of active participants reported on line 7a of the Form 55002013-10-012,919
Number of retired or separated participants receiving benefits2013-10-017
Number of other retired or separated participants entitled to future benefits2013-10-010
Total of all active and inactive participants2013-10-012,926
2012: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2012 401k membership
Total participants, beginning-of-year2012-10-012,006
Total number of active participants reported on line 7a of the Form 55002012-10-013,225
Total of all active and inactive participants2012-10-013,225
Total participants2012-10-013,225
2011: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2011 401k membership
Total participants, beginning-of-year2011-10-012,284
Total number of active participants reported on line 7a of the Form 55002011-10-012,006
Total of all active and inactive participants2011-10-012,006
Total participants2011-10-012,006
2009: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2009 401k membership
Total participants, beginning-of-year2009-10-012,086
Total number of active participants reported on line 7a of the Form 55002009-10-012,464
Total of all active and inactive participants2009-10-012,464
Total participants2009-10-012,464

Financial Data on NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN

Measure Date Value
2022 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$18,255,819
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-09-30$10,602,243
Total income from all sources (including contributions)2022-09-30$36,060,280
Total loss/gain on sale of assets2022-09-30$0
Total of all expenses incurred2022-09-30$42,954,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-09-30$42,897,153
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-09-30$36,060,280
Value of total assets at end of year2022-09-30$1,585,757
Value of total assets at beginning of year2022-09-30$826,329
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-09-30$57,275
Total interest from all sources2022-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2022-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-09-30No
Administrative expenses professional fees incurred2022-09-30$43,218
Was this plan covered by a fidelity bond2022-09-30Yes
Value of fidelity bond cover2022-09-30$500,000
If this is an individual account plan, was there a blackout period2022-09-30No
Were there any nonexempt tranactions with any party-in-interest2022-09-30No
Contributions received from participants2022-09-30$10,114,118
Income. Received or receivable in cash from other sources (including rollovers)2022-09-30$204,977
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-09-30$1,213,418
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-09-30$420,884
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-09-30$7,479,900
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-09-30$408,453
Administrative expenses (other) incurred2022-09-30$14,057
Liabilities. Value of operating payables at end of year2022-09-30$281,764
Liabilities. Value of operating payables at beginning of year2022-09-30$283,570
Total non interest bearing cash at end of year2022-09-30$372,339
Total non interest bearing cash at beginning of year2022-09-30$405,445
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Value of net income/loss2022-09-30$-6,894,148
Value of net assets at end of year (total assets less liabilities)2022-09-30$-16,670,062
Value of net assets at beginning of year (total assets less liabilities)2022-09-30$-9,775,914
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-09-30No
Were any leases to which the plan was party in default or uncollectible2022-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2022-09-30$5,981,441
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-09-30No
Was there a failure to transmit to the plan any participant contributions2022-09-30No
Has the plan failed to provide any benefit when due under the plan2022-09-30No
Contributions received in cash from employer2022-09-30$25,741,185
Employer contributions (assets) at end of year2022-09-30$0
Employer contributions (assets) at beginning of year2022-09-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-09-30$36,915,712
Liabilities. Value of benefit claims payable at end of year2022-09-30$10,494,155
Liabilities. Value of benefit claims payable at beginning of year2022-09-30$9,910,220
Did the plan have assets held for investment2022-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-09-30No
Opinion of an independent qualified public accountant for this plan2022-09-30Unqualified
Accountancy firm name2022-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2022-09-30611436956
2021 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$10,602,243
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-09-30$9,910,540
Total income from all sources (including contributions)2021-09-30$37,180,096
Total loss/gain on sale of assets2021-09-30$0
Total of all expenses incurred2021-09-30$46,132,767
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-09-30$46,057,456
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-09-30$37,180,096
Value of total assets at end of year2021-09-30$826,329
Value of total assets at beginning of year2021-09-30$9,087,297
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-09-30$75,311
Total interest from all sources2021-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2021-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-09-30No
Administrative expenses professional fees incurred2021-09-30$60,540
Was this plan covered by a fidelity bond2021-09-30Yes
Value of fidelity bond cover2021-09-30$500,000
If this is an individual account plan, was there a blackout period2021-09-30No
Were there any nonexempt tranactions with any party-in-interest2021-09-30No
Contributions received from participants2021-09-30$10,285,744
Income. Received or receivable in cash from other sources (including rollovers)2021-09-30$245,638
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-09-30$420,884
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-09-30$358,952
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-09-30$408,453
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-09-30$34,419
Administrative expenses (other) incurred2021-09-30$14,771
Liabilities. Value of operating payables at end of year2021-09-30$283,570
Liabilities. Value of operating payables at beginning of year2021-09-30$299,039
Total non interest bearing cash at end of year2021-09-30$405,445
Total non interest bearing cash at beginning of year2021-09-30$523,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Value of net income/loss2021-09-30$-8,952,671
Value of net assets at end of year (total assets less liabilities)2021-09-30$-9,775,914
Value of net assets at beginning of year (total assets less liabilities)2021-09-30$-823,243
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-09-30No
Were any leases to which the plan was party in default or uncollectible2021-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2021-09-30$5,964,961
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-09-30No
Was there a failure to transmit to the plan any participant contributions2021-09-30No
Has the plan failed to provide any benefit when due under the plan2021-09-30No
Contributions received in cash from employer2021-09-30$26,648,714
Employer contributions (assets) at end of year2021-09-30$0
Employer contributions (assets) at beginning of year2021-09-30$8,204,769
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-09-30$40,092,495
Liabilities. Value of benefit claims payable at end of year2021-09-30$9,910,220
Liabilities. Value of benefit claims payable at beginning of year2021-09-30$9,577,082
Did the plan have assets held for investment2021-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-09-30No
Opinion of an independent qualified public accountant for this plan2021-09-30Unqualified
Accountancy firm name2021-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2021-09-30611436956
2020 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$9,910,540
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-09-30$4,286,486
Total income from all sources (including contributions)2020-09-30$40,592,624
Total loss/gain on sale of assets2020-09-30$0
Total of all expenses incurred2020-09-30$43,107,404
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-09-30$43,030,947
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-09-30$40,592,624
Value of total assets at end of year2020-09-30$9,087,297
Value of total assets at beginning of year2020-09-30$5,978,023
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-09-30$76,457
Total interest from all sources2020-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2020-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-09-30No
Administrative expenses professional fees incurred2020-09-30$61,925
Was this plan covered by a fidelity bond2020-09-30Yes
Value of fidelity bond cover2020-09-30$500,000
If this is an individual account plan, was there a blackout period2020-09-30No
Were there any nonexempt tranactions with any party-in-interest2020-09-30No
Contributions received from participants2020-09-30$11,501,481
Income. Received or receivable in cash from other sources (including rollovers)2020-09-30$210,448
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-09-30$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-09-30$358,952
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-09-30$873,443
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-09-30$34,419
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-09-30$23,095
Administrative expenses (other) incurred2020-09-30$14,532
Liabilities. Value of operating payables at end of year2020-09-30$299,039
Liabilities. Value of operating payables at beginning of year2020-09-30$222,294
Total non interest bearing cash at end of year2020-09-30$523,576
Total non interest bearing cash at beginning of year2020-09-30$77,972
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Value of net income/loss2020-09-30$-2,514,780
Value of net assets at end of year (total assets less liabilities)2020-09-30$-823,243
Value of net assets at beginning of year (total assets less liabilities)2020-09-30$1,691,537
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-09-30No
Were any leases to which the plan was party in default or uncollectible2020-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2020-09-30$5,980,747
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-09-30No
Was there a failure to transmit to the plan any participant contributions2020-09-30No
Has the plan failed to provide any benefit when due under the plan2020-09-30No
Contributions received in cash from employer2020-09-30$28,880,695
Employer contributions (assets) at end of year2020-09-30$8,204,769
Employer contributions (assets) at beginning of year2020-09-30$5,026,608
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-09-30$37,050,200
Liabilities. Value of benefit claims payable at end of year2020-09-30$9,577,082
Liabilities. Value of benefit claims payable at beginning of year2020-09-30$4,041,097
Did the plan have assets held for investment2020-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-09-30No
Opinion of an independent qualified public accountant for this plan2020-09-30Unqualified
Accountancy firm name2020-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2020-09-30611436956
2019 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$4,286,486
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-09-30$4,123,460
Total income from all sources (including contributions)2019-09-30$40,950,378
Total loss/gain on sale of assets2019-09-30$0
Total of all expenses incurred2019-09-30$44,855,446
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-09-30$42,739,820
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-09-30$40,950,378
Value of total assets at end of year2019-09-30$5,978,023
Value of total assets at beginning of year2019-09-30$9,720,065
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-09-30$2,115,626
Total interest from all sources2019-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2019-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-09-30No
Administrative expenses professional fees incurred2019-09-30$48,108
Was this plan covered by a fidelity bond2019-09-30Yes
Value of fidelity bond cover2019-09-30$500,000
If this is an individual account plan, was there a blackout period2019-09-30No
Were there any nonexempt tranactions with any party-in-interest2019-09-30No
Contributions received from participants2019-09-30$11,600,273
Income. Received or receivable in cash from other sources (including rollovers)2019-09-30$268,494
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-09-30$-1,728,272
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-09-30$873,443
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-09-30$1,021,606
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-09-30$23,095
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-09-30$5,745
Administrative expenses (other) incurred2019-09-30$14,367
Liabilities. Value of operating payables at end of year2019-09-30$222,294
Liabilities. Value of operating payables at beginning of year2019-09-30$215,162
Total non interest bearing cash at end of year2019-09-30$77,972
Total non interest bearing cash at beginning of year2019-09-30$9,203
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Value of net income/loss2019-09-30$-3,905,068
Value of net assets at end of year (total assets less liabilities)2019-09-30$1,691,537
Value of net assets at beginning of year (total assets less liabilities)2019-09-30$5,596,605
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-09-30No
Were any leases to which the plan was party in default or uncollectible2019-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2019-09-30$5,545,221
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-09-30No
Was there a failure to transmit to the plan any participant contributions2019-09-30No
Has the plan failed to provide any benefit when due under the plan2019-09-30No
Contributions received in cash from employer2019-09-30$29,081,611
Employer contributions (assets) at end of year2019-09-30$5,026,608
Employer contributions (assets) at beginning of year2019-09-30$8,689,256
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-09-30$38,922,871
Contract administrator fees2019-09-30$2,053,151
Liabilities. Value of benefit claims payable at end of year2019-09-30$4,041,097
Liabilities. Value of benefit claims payable at beginning of year2019-09-30$3,902,553
Did the plan have assets held for investment2019-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-09-30No
Opinion of an independent qualified public accountant for this plan2019-09-30Unqualified
Accountancy firm name2019-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2019-09-30611436956
2018 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$4,123,460
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-09-30$4,002,959
Total income from all sources (including contributions)2018-09-30$40,414,165
Total loss/gain on sale of assets2018-09-30$0
Total of all expenses incurred2018-09-30$43,380,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-09-30$41,207,064
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-09-30$40,414,165
Value of total assets at end of year2018-09-30$9,720,065
Value of total assets at beginning of year2018-09-30$12,566,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-09-30$2,173,897
Total interest from all sources2018-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2018-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-09-30No
Administrative expenses professional fees incurred2018-09-30$56,202
Was this plan covered by a fidelity bond2018-09-30Yes
Value of fidelity bond cover2018-09-30$500,000
If this is an individual account plan, was there a blackout period2018-09-30No
Were there any nonexempt tranactions with any party-in-interest2018-09-30No
Contributions received from participants2018-09-30$11,010,062
Income. Received or receivable in cash from other sources (including rollovers)2018-09-30$413,573
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-09-30$-1,343,836
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-09-30$1,021,606
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-09-30$935,805
Administrative expenses (other) incurred2018-09-30$38,085
Liabilities. Value of operating payables at end of year2018-09-30$220,907
Liabilities. Value of operating payables at beginning of year2018-09-30$247,605
Total non interest bearing cash at end of year2018-09-30$9,203
Total non interest bearing cash at beginning of year2018-09-30$30,300
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Value of net income/loss2018-09-30$-2,966,796
Value of net assets at end of year (total assets less liabilities)2018-09-30$5,596,605
Value of net assets at beginning of year (total assets less liabilities)2018-09-30$8,563,401
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-09-30No
Were any leases to which the plan was party in default or uncollectible2018-09-30No
Expenses. Payments to insurance carriers foe the provision of benefits2018-09-30$5,178,181
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-09-30No
Was there a failure to transmit to the plan any participant contributions2018-09-30No
Has the plan failed to provide any benefit when due under the plan2018-09-30No
Contributions received in cash from employer2018-09-30$28,990,530
Employer contributions (assets) at end of year2018-09-30$8,689,256
Employer contributions (assets) at beginning of year2018-09-30$11,600,255
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-09-30$37,372,719
Contract administrator fees2018-09-30$2,079,610
Liabilities. Value of benefit claims payable at end of year2018-09-30$3,902,553
Liabilities. Value of benefit claims payable at beginning of year2018-09-30$3,755,354
Did the plan have assets held for investment2018-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-09-30No
Opinion of an independent qualified public accountant for this plan2018-09-30Unqualified
Accountancy firm name2018-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2018-09-30611436956
2017 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$4,002,959
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-09-30$4,365,589
Total income from all sources (including contributions)2017-09-30$39,435,719
Total loss/gain on sale of assets2017-09-30$0
Total of all expenses incurred2017-09-30$37,365,010
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-09-30$36,509,629
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-09-30$39,435,719
Value of total assets at end of year2017-09-30$12,566,360
Value of total assets at beginning of year2017-09-30$10,858,281
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-09-30$855,381
Total interest from all sources2017-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2017-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-09-30No
Administrative expenses professional fees incurred2017-09-30$110,316
Was this plan covered by a fidelity bond2017-09-30Yes
Value of fidelity bond cover2017-09-30$500,000
If this is an individual account plan, was there a blackout period2017-09-30No
Were there any nonexempt tranactions with any party-in-interest2017-09-30No
Contributions received from participants2017-09-30$9,875,552
Income. Received or receivable in cash from other sources (including rollovers)2017-09-30$260,896
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-09-30$935,805
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-09-30$0
Administrative expenses (other) incurred2017-09-30$-1,160,493
Liabilities. Value of operating payables at end of year2017-09-30$247,605
Liabilities. Value of operating payables at beginning of year2017-09-30$1,154,464
Total non interest bearing cash at end of year2017-09-30$30,300
Total non interest bearing cash at beginning of year2017-09-30$1,458,976
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Value of net income/loss2017-09-30$2,070,709
Value of net assets at end of year (total assets less liabilities)2017-09-30$8,563,401
Value of net assets at beginning of year (total assets less liabilities)2017-09-30$6,492,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-09-30No
Were any leases to which the plan was party in default or uncollectible2017-09-30No
Investment advisory and management fees2017-09-30$165,286
Expenses. Payments to insurance carriers foe the provision of benefits2017-09-30$4,384,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-09-30No
Was there a failure to transmit to the plan any participant contributions2017-09-30No
Has the plan failed to provide any benefit when due under the plan2017-09-30No
Contributions received in cash from employer2017-09-30$29,299,271
Employer contributions (assets) at end of year2017-09-30$11,600,255
Employer contributions (assets) at beginning of year2017-09-30$9,399,305
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-09-30$32,125,505
Contract administrator fees2017-09-30$1,740,272
Liabilities. Value of benefit claims payable at end of year2017-09-30$3,755,354
Liabilities. Value of benefit claims payable at beginning of year2017-09-30$3,211,125
Did the plan have assets held for investment2017-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-09-30No
Opinion of an independent qualified public accountant for this plan2017-09-30Unqualified
Accountancy firm name2017-09-30NOVAK FRANCELLA LLC
Accountancy firm EIN2017-09-30611436956
2016 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-09-30$0
Total transfer of assets to this plan2016-09-30$1,752,218
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$4,365,589
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-09-30$3,331,219
Total income from all sources (including contributions)2016-09-30$36,555,034
Total loss/gain on sale of assets2016-09-30$0
Total of all expenses incurred2016-09-30$40,179,413
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-09-30$36,307,105
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-09-30$36,555,034
Value of total assets at end of year2016-09-30$12,407,499
Value of total assets at beginning of year2016-09-30$13,245,290
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-09-30$3,872,308
Total interest from all sources2016-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2016-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-09-30No
Administrative expenses professional fees incurred2016-09-30$114,420
Was this plan covered by a fidelity bond2016-09-30Yes
Value of fidelity bond cover2016-09-30$500,000
If this is an individual account plan, was there a blackout period2016-09-30No
Were there any nonexempt tranactions with any party-in-interest2016-09-30No
Contributions received from participants2016-09-30$6,264,195
Income. Received or receivable in cash from other sources (including rollovers)2016-09-30$265,937
Administrative expenses (other) incurred2016-09-30$170,629
Liabilities. Value of operating payables at end of year2016-09-30$1,154,464
Liabilities. Value of operating payables at beginning of year2016-09-30$285,255
Total non interest bearing cash at end of year2016-09-30$1,458,976
Total non interest bearing cash at beginning of year2016-09-30$350,747
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Value of net income/loss2016-09-30$-3,624,379
Value of net assets at end of year (total assets less liabilities)2016-09-30$8,041,910
Value of net assets at beginning of year (total assets less liabilities)2016-09-30$9,914,071
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-09-30No
Were any leases to which the plan was party in default or uncollectible2016-09-30No
Investment advisory and management fees2016-09-30$1,441,576
Expenses. Payments to insurance carriers foe the provision of benefits2016-09-30$619,758
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-09-30No
Was there a failure to transmit to the plan any participant contributions2016-09-30No
Has the plan failed to provide any benefit when due under the plan2016-09-30No
Contributions received in cash from employer2016-09-30$30,024,902
Employer contributions (assets) at end of year2016-09-30$10,948,523
Employer contributions (assets) at beginning of year2016-09-30$12,894,543
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-09-30$35,687,347
Contract administrator fees2016-09-30$2,145,683
Liabilities. Value of benefit claims payable at end of year2016-09-30$3,211,125
Liabilities. Value of benefit claims payable at beginning of year2016-09-30$3,045,964
Did the plan have assets held for investment2016-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-09-30No
Opinion of an independent qualified public accountant for this plan2016-09-30Unqualified
Accountancy firm name2016-09-30WEISERMAZARS LLP
Accountancy firm EIN2016-09-30131459550
2015 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$3,331,219
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-09-30$3,535,284
Total income from all sources (including contributions)2015-09-30$32,335,349
Total loss/gain on sale of assets2015-09-30$0
Total of all expenses incurred2015-09-30$34,643,646
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-09-30$31,097,168
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-09-30$32,335,349
Value of total assets at end of year2015-09-30$13,245,290
Value of total assets at beginning of year2015-09-30$15,757,652
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-09-30$3,546,478
Total interest from all sources2015-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2015-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-09-30No
Administrative expenses professional fees incurred2015-09-30$95,331
Was this plan covered by a fidelity bond2015-09-30Yes
Value of fidelity bond cover2015-09-30$500,000
If this is an individual account plan, was there a blackout period2015-09-30No
Were there any nonexempt tranactions with any party-in-interest2015-09-30No
Contributions received from participants2015-09-30$8,310,411
Income. Received or receivable in cash from other sources (including rollovers)2015-09-30$206,757
Administrative expenses (other) incurred2015-09-30$52,677
Liabilities. Value of operating payables at end of year2015-09-30$285,255
Liabilities. Value of operating payables at beginning of year2015-09-30$285,114
Total non interest bearing cash at end of year2015-09-30$350,747
Total non interest bearing cash at beginning of year2015-09-30$147,626
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Value of net income/loss2015-09-30$-2,308,297
Value of net assets at end of year (total assets less liabilities)2015-09-30$9,914,071
Value of net assets at beginning of year (total assets less liabilities)2015-09-30$12,222,368
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-09-30No
Were any leases to which the plan was party in default or uncollectible2015-09-30No
Investment advisory and management fees2015-09-30$1,419,702
Expenses. Payments to insurance carriers foe the provision of benefits2015-09-30$648,084
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-09-30No
Was there a failure to transmit to the plan any participant contributions2015-09-30No
Has the plan failed to provide any benefit when due under the plan2015-09-30No
Contributions received in cash from employer2015-09-30$23,818,181
Employer contributions (assets) at end of year2015-09-30$12,894,543
Employer contributions (assets) at beginning of year2015-09-30$15,610,026
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-09-30$30,449,084
Contract administrator fees2015-09-30$1,978,768
Liabilities. Value of benefit claims payable at end of year2015-09-30$3,045,964
Liabilities. Value of benefit claims payable at beginning of year2015-09-30$3,250,170
Did the plan have assets held for investment2015-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-09-30No
Opinion of an independent qualified public accountant for this plan2015-09-30Unqualified
Accountancy firm name2015-09-30WEISERMAZARS LLP
Accountancy firm EIN2015-09-30131459550
2014 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-09-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$3,535,284
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-09-30$3,574,378
Total income from all sources (including contributions)2014-09-30$28,325,449
Total loss/gain on sale of assets2014-09-30$0
Total of all expenses incurred2014-09-30$25,520,227
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-09-30$21,732,243
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-09-30$28,325,449
Value of total assets at end of year2014-09-30$15,757,653
Value of total assets at beginning of year2014-09-30$12,991,525
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-09-30$3,787,984
Total interest from all sources2014-09-30$0
Total dividends received (eg from common stock, registered investment company shares)2014-09-30$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-09-30No
Administrative expenses professional fees incurred2014-09-30$39,793
Was this plan covered by a fidelity bond2014-09-30Yes
Value of fidelity bond cover2014-09-30$500,000
If this is an individual account plan, was there a blackout period2014-09-30No
Were there any nonexempt tranactions with any party-in-interest2014-09-30No
Contributions received from participants2014-09-30$6,679,891
Income. Received or receivable in cash from other sources (including rollovers)2014-09-30$104,471
Administrative expenses (other) incurred2014-09-30$14,370
Liabilities. Value of operating payables at end of year2014-09-30$285,114
Liabilities. Value of operating payables at beginning of year2014-09-30$386,627
Total non interest bearing cash at end of year2014-09-30$147,627
Total non interest bearing cash at beginning of year2014-09-30$463,154
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Value of net income/loss2014-09-30$2,805,222
Value of net assets at end of year (total assets less liabilities)2014-09-30$12,222,369
Value of net assets at beginning of year (total assets less liabilities)2014-09-30$9,417,147
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-09-30No
Were any leases to which the plan was party in default or uncollectible2014-09-30No
Investment advisory and management fees2014-09-30$1,659,084
Expenses. Payments to insurance carriers foe the provision of benefits2014-09-30$377,193
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-09-30No
Was there a failure to transmit to the plan any participant contributions2014-09-30No
Has the plan failed to provide any benefit when due under the plan2014-09-30No
Contributions received in cash from employer2014-09-30$21,541,087
Employer contributions (assets) at end of year2014-09-30$15,610,026
Employer contributions (assets) at beginning of year2014-09-30$12,528,371
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-09-30$21,355,050
Contract administrator fees2014-09-30$2,074,737
Liabilities. Value of benefit claims payable at end of year2014-09-30$3,250,170
Liabilities. Value of benefit claims payable at beginning of year2014-09-30$3,187,751
Did the plan have assets held for investment2014-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-09-30No
Opinion of an independent qualified public accountant for this plan2014-09-30Unqualified
Accountancy firm name2014-09-30WEISERMAZARS LLP
Accountancy firm EIN2014-09-30131459550
2013 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2013 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$2,471,857
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-09-30$1,200,459
Total income from all sources (including contributions)2013-09-30$25,134,157
Total of all expenses incurred2013-09-30$23,155,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-09-30$22,064,012
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-09-30$24,801,155
Value of total assets at end of year2013-09-30$12,170,279
Value of total assets at beginning of year2013-09-30$8,919,994
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-09-30$1,091,258
Total interest from all sources2013-09-30$333,002
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-09-30No
Administrative expenses professional fees incurred2013-09-30$20,111
Was this plan covered by a fidelity bond2013-09-30Yes
Value of fidelity bond cover2013-09-30$900,000
Were there any nonexempt tranactions with any party-in-interest2013-09-30No
Contributions received from participants2013-09-30$1,871,162
Income. Received or receivable in cash from other sources (including rollovers)2013-09-30$101,406
Total non interest bearing cash at end of year2013-09-30$439,820
Total non interest bearing cash at beginning of year2013-09-30$279,164
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Value of net income/loss2013-09-30$1,978,887
Value of net assets at end of year (total assets less liabilities)2013-09-30$9,698,422
Value of net assets at beginning of year (total assets less liabilities)2013-09-30$7,719,535
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-09-30No
Were any leases to which the plan was party in default or uncollectible2013-09-30No
Investment advisory and management fees2013-09-30$4,092
Interest earned on other investments2013-09-30$332,699
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-09-30$303
Expenses. Payments to insurance carriers foe the provision of benefits2013-09-30$2,524,049
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-09-30No
Was there a failure to transmit to the plan any participant contributions2013-09-30No
Has the plan failed to provide any benefit when due under the plan2013-09-30No
Contributions received in cash from employer2013-09-30$22,828,587
Employer contributions (assets) at end of year2013-09-30$11,730,459
Employer contributions (assets) at beginning of year2013-09-30$8,640,830
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-09-30$19,539,963
Contract administrator fees2013-09-30$1,067,055
Liabilities. Value of benefit claims payable at end of year2013-09-30$2,471,857
Liabilities. Value of benefit claims payable at beginning of year2013-09-30$1,200,459
Did the plan have assets held for investment2013-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-09-30No
Opinion of an independent qualified public accountant for this plan2013-09-30Unqualified
Accountancy firm name2013-09-30NEILROSENCPA
Accountancy firm EIN2013-09-30113239164
2012 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$1,200,459
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-09-30$372,026
Total income from all sources (including contributions)2012-09-30$13,537,515
Total of all expenses incurred2012-09-30$12,237,422
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-09-30$11,521,079
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-09-30$13,474,279
Value of total assets at end of year2012-09-30$8,919,994
Value of total assets at beginning of year2012-09-30$6,791,468
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-09-30$716,343
Total interest from all sources2012-09-30$63,236
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-09-30No
Administrative expenses professional fees incurred2012-09-30$20,663
Was this plan covered by a fidelity bond2012-09-30Yes
Value of fidelity bond cover2012-09-30$500,000
If this is an individual account plan, was there a blackout period2012-09-30No
Were there any nonexempt tranactions with any party-in-interest2012-09-30No
Contributions received from participants2012-09-30$1,935,289
Income. Received or receivable in cash from other sources (including rollovers)2012-09-30$89,302
Administrative expenses (other) incurred2012-09-30$4,467
Total non interest bearing cash at end of year2012-09-30$279,164
Total non interest bearing cash at beginning of year2012-09-30$569
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Value of net income/loss2012-09-30$1,300,093
Value of net assets at end of year (total assets less liabilities)2012-09-30$7,719,535
Value of net assets at beginning of year (total assets less liabilities)2012-09-30$6,419,442
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-09-30No
Were any leases to which the plan was party in default or uncollectible2012-09-30No
Interest earned on other investments2012-09-30$63,073
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-09-30$163
Expenses. Payments to insurance carriers foe the provision of benefits2012-09-30$1,306,250
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-09-30No
Was there a failure to transmit to the plan any participant contributions2012-09-30No
Has the plan failed to provide any benefit when due under the plan2012-09-30No
Contributions received in cash from employer2012-09-30$11,449,688
Employer contributions (assets) at end of year2012-09-30$8,640,830
Employer contributions (assets) at beginning of year2012-09-30$6,790,899
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-09-30$10,214,829
Contract administrator fees2012-09-30$691,213
Liabilities. Value of benefit claims payable at end of year2012-09-30$1,200,459
Liabilities. Value of benefit claims payable at beginning of year2012-09-30$372,026
Did the plan have assets held for investment2012-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-09-30No
Opinion of an independent qualified public accountant for this plan2012-09-30Unqualified
Accountancy firm name2012-09-30NEIL ROSEN CPA
Accountancy firm EIN2012-09-30133239164
2011 : NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2011 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$372,026
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-09-30$637,788
Total income from all sources (including contributions)2011-09-30$15,118,258
Total of all expenses incurred2011-09-30$13,111,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-09-30$12,596,232
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-09-30$15,104,951
Value of total assets at end of year2011-09-30$6,791,468
Value of total assets at beginning of year2011-09-30$5,050,349
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-09-30$515,145
Total interest from all sources2011-09-30$13,307
Administrative expenses professional fees incurred2011-09-30$13,841
Was this plan covered by a fidelity bond2011-09-30Yes
Value of fidelity bond cover2011-09-30$500,000
Were there any nonexempt tranactions with any party-in-interest2011-09-30No
Contributions received from participants2011-09-30$1,999,166
Income. Received or receivable in cash from other sources (including rollovers)2011-09-30$33,293
Administrative expenses (other) incurred2011-09-30$5,050
Total non interest bearing cash at end of year2011-09-30$569
Total non interest bearing cash at beginning of year2011-09-30$11,993
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Value of net income/loss2011-09-30$2,006,881
Value of net assets at end of year (total assets less liabilities)2011-09-30$6,419,442
Value of net assets at beginning of year (total assets less liabilities)2011-09-30$4,412,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-09-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-09-30No
Were any leases to which the plan was party in default or uncollectible2011-09-30No
Interest earned on other investments2011-09-30$13,289
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-09-30$18
Expenses. Payments to insurance carriers foe the provision of benefits2011-09-30$1,008,579
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-09-30No
Was there a failure to transmit to the plan any participant contributions2011-09-30No
Has the plan failed to provide any benefit when due under the plan2011-09-30No
Contributions received in cash from employer2011-09-30$13,072,492
Employer contributions (assets) at end of year2011-09-30$6,790,899
Employer contributions (assets) at beginning of year2011-09-30$5,038,356
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-09-30$11,587,653
Contract administrator fees2011-09-30$496,254
Liabilities. Value of benefit claims payable at end of year2011-09-30$372,026
Liabilities. Value of benefit claims payable at beginning of year2011-09-30$637,788
Did the plan have assets held for investment2011-09-30No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-09-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-09-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-09-30No
Opinion of an independent qualified public accountant for this plan2011-09-30Unqualified
Accountancy firm name2011-09-30NEIL ROSEN CPA
Accountancy firm EIN2011-09-30133239164

Form 5500 Responses for NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN

2021: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2021 form 5500 responses
2021-10-01Type of plan entitySingle employer plan
2021-10-01Submission has been amendedNo
2021-10-01This submission is the final filingNo
2021-10-01This return/report is a short plan year return/report (less than 12 months)No
2021-10-01Plan is a collectively bargained planNo
2021-10-01Plan funding arrangement – InsuranceYes
2021-10-01Plan funding arrangement – TrustYes
2021-10-01Plan benefit arrangement – InsuranceYes
2021-10-01Plan benefit arrangement - TrustYes
2020: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2020 form 5500 responses
2020-10-01Type of plan entitySingle employer plan
2020-10-01Submission has been amendedNo
2020-10-01This submission is the final filingNo
2020-10-01This return/report is a short plan year return/report (less than 12 months)No
2020-10-01Plan is a collectively bargained planNo
2020-10-01Plan funding arrangement – InsuranceYes
2020-10-01Plan funding arrangement – TrustYes
2020-10-01Plan benefit arrangement – InsuranceYes
2020-10-01Plan benefit arrangement - TrustYes
2019: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2019 form 5500 responses
2019-10-01Type of plan entitySingle employer plan
2019-10-01Submission has been amendedNo
2019-10-01This submission is the final filingNo
2019-10-01This return/report is a short plan year return/report (less than 12 months)No
2019-10-01Plan is a collectively bargained planNo
2019-10-01Plan funding arrangement – InsuranceYes
2019-10-01Plan funding arrangement – TrustYes
2019-10-01Plan benefit arrangement – InsuranceYes
2019-10-01Plan benefit arrangement - TrustYes
2018: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2018 form 5500 responses
2018-10-01Type of plan entitySingle employer plan
2018-10-01Submission has been amendedNo
2018-10-01This submission is the final filingNo
2018-10-01This return/report is a short plan year return/report (less than 12 months)No
2018-10-01Plan is a collectively bargained planNo
2018-10-01Plan funding arrangement – InsuranceYes
2018-10-01Plan funding arrangement – TrustYes
2018-10-01Plan benefit arrangement – InsuranceYes
2018-10-01Plan benefit arrangement - TrustYes
2017: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2017 form 5500 responses
2017-10-01Type of plan entitySingle employer plan
2017-10-01Submission has been amendedNo
2017-10-01This submission is the final filingNo
2017-10-01This return/report is a short plan year return/report (less than 12 months)No
2017-10-01Plan is a collectively bargained planNo
2017-10-01Plan funding arrangement – InsuranceYes
2017-10-01Plan funding arrangement – TrustYes
2017-10-01Plan benefit arrangement – InsuranceYes
2017-10-01Plan benefit arrangement - TrustYes
2016: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2016 form 5500 responses
2016-10-01Type of plan entitySingle employer plan
2016-10-01Submission has been amendedNo
2016-10-01This submission is the final filingNo
2016-10-01This return/report is a short plan year return/report (less than 12 months)No
2016-10-01Plan is a collectively bargained planNo
2016-10-01Plan funding arrangement – InsuranceYes
2016-10-01Plan funding arrangement – TrustYes
2016-10-01Plan benefit arrangement – InsuranceYes
2016-10-01Plan benefit arrangement - TrustYes
2015: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2015 form 5500 responses
2015-10-01Type of plan entitySingle employer plan
2015-10-01Submission has been amendedYes
2015-10-01This submission is the final filingNo
2015-10-01This return/report is a short plan year return/report (less than 12 months)No
2015-10-01Plan is a collectively bargained planNo
2015-10-01Plan funding arrangement – InsuranceYes
2015-10-01Plan funding arrangement – TrustYes
2015-10-01Plan benefit arrangement – InsuranceYes
2015-10-01Plan benefit arrangement - TrustYes
2014: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2014 form 5500 responses
2014-10-01Type of plan entitySingle employer plan
2014-10-01Submission has been amendedNo
2014-10-01This submission is the final filingNo
2014-10-01This return/report is a short plan year return/report (less than 12 months)No
2014-10-01Plan is a collectively bargained planNo
2014-10-01Plan funding arrangement – InsuranceYes
2014-10-01Plan funding arrangement – TrustYes
2014-10-01Plan benefit arrangement – InsuranceYes
2014-10-01Plan benefit arrangement - TrustYes
2013: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2013 form 5500 responses
2013-10-01Type of plan entitySingle employer plan
2013-10-01Submission has been amendedNo
2013-10-01This submission is the final filingNo
2013-10-01This return/report is a short plan year return/report (less than 12 months)No
2013-10-01Plan is a collectively bargained planNo
2013-10-01Plan funding arrangement – InsuranceYes
2013-10-01Plan funding arrangement – TrustYes
2013-10-01Plan benefit arrangement – InsuranceYes
2013-10-01Plan benefit arrangement - TrustYes
2012: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2012 form 5500 responses
2012-10-01Type of plan entitySingle employer plan
2012-10-01Plan funding arrangement – InsuranceYes
2012-10-01Plan funding arrangement – TrustYes
2012-10-01Plan benefit arrangement – InsuranceYes
2012-10-01Plan benefit arrangement - TrustYes
2011: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2011 form 5500 responses
2011-10-01Type of plan entitySingle employer plan
2011-10-01Plan funding arrangement – InsuranceYes
2011-10-01Plan funding arrangement – TrustYes
2011-10-01Plan benefit arrangement – InsuranceYes
2011-10-01Plan benefit arrangement - TrustYes
2009: NATIONAL HEALTH CARE ASSOC., INC. & AFFILIATES VOLUNTARY EMPLOYEE BENEFIT ASSOC. PLAN 2009 form 5500 responses
2009-10-01Type of plan entitySingle employer plan
2009-10-01Plan funding arrangement – InsuranceYes
2009-10-01Plan funding arrangement – TrustYes
2009-10-01Plan benefit arrangement – InsuranceYes
2009-10-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

STHEALTH/CHARTIS (National Association of Insurance Commissioners NAIC id number: 77828 )
Policy contract number516
Policy instance 4
Insurance contract or identification number516
Number of Individuals Covered4893
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $24,960
Total amount of fees paid to insurance companyUSD $24,560
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 $2,435,418
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $24,960
Amount paid for insurance broker fees24560
Additional information about fees paid to insurance brokerADMINISTRATIVE FEES
Insurance broker organization code?3
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805967G
Policy instance 3
Insurance contract or identification number805967G
Number of Individuals Covered4510
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
Total amount of commissions paid to insurance brokerUSD $121,427
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,127,509
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $121,427
Insurance broker organization code?3
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04707
Policy instance 2
Insurance contract or identification number04707
Number of Individuals Covered4913
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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 BenefitYes
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 $1,460,664
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 1
Insurance contract or identification number869726
Number of Individuals Covered5083
Insurance policy start date2021-10-01
Insurance policy end date2022-09-30
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 BenefitYes
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 $228,389
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 1
Insurance contract or identification number869726
Number of Individuals Covered5091
Insurance policy start date2020-10-01
Insurance policy end date2021-04-30
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 BenefitYes
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 $240,256
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04707
Policy instance 2
Insurance contract or identification number04707
Number of Individuals Covered4976
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
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 BenefitYes
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 $1,608,011
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805967G4348
Policy instance 3
Insurance contract or identification number805967G4348
Number of Individuals Covered4728
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $178,070
Total amount of fees paid to insurance companyUSD $23,233
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $3,075,471
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $166,166
Insurance broker organization code?3
Amount paid for insurance broker fees23233
Additional information about fees paid to insurance brokerBONUS
STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number516
Policy instance 4
Insurance contract or identification number516
Number of Individuals Covered5023
Insurance policy start date2020-10-01
Insurance policy end date2021-09-30
Total amount of commissions paid to insurance brokerUSD $51,962
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
Welfare Benefit Premiums Paid to CarrierUSD $2,576,442
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $51,962
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number0869726
Policy instance 6
Insurance contract or identification number0869726
Number of Individuals Covered5532
Insurance policy start date2020-05-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $38,188
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 BenefitYes
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 $111,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $38,188
Insurance broker organization code?3
STOP LOSS INSURANCE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 68608 )
Policy contract number516
Policy instance 5
Insurance contract or identification number516
Number of Individuals Covered3079
Insurance policy start date2020-04-01
Insurance policy end date2020-09-30
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 $1,408,395
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HARTFORD LIFE AND ACCIDENT INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70815 )
Policy contract number805967G
Policy instance 4
Insurance contract or identification number805967G
Number of Individuals Covered5082
Insurance policy start date2020-05-01
Insurance policy end date2020-09-30
Total amount of commissions paid to insurance brokerUSD $45,230
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 BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $733,061
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $45,230
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 3
Insurance contract or identification number869726
Number of Individuals Covered3127
Insurance policy start date2019-10-01
Insurance policy end date2019-12-31
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 $785,653
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04707
Policy instance 2
Insurance contract or identification number04707
Number of Individuals Covered5583
Insurance policy start date2019-10-01
Insurance policy end date2020-09-30
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 BenefitYes
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 $1,474,921
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 1
Insurance contract or identification number869726
Number of Individuals Covered5797
Insurance policy start date2019-10-01
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $1,585,516
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04707
Policy instance 2
Insurance contract or identification number04707
Number of Individuals Covered6055
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
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 BenefitYes
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 $1,833,454
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 1
Insurance contract or identification number869726
Number of Individuals Covered5737
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
Total amount of commissions paid to insurance brokerUSD $110,196
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,233,858
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $2,132
Insurance broker organization code?3
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 3
Insurance contract or identification number869726
Number of Individuals Covered3145
Insurance policy start date2018-10-01
Insurance policy end date2019-09-30
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 $2,871,867
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 3
Insurance contract or identification number869726
Number of Individuals Covered2944
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
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 $2,947,599
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
AETNA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 60054 )
Policy contract number869726
Policy instance 1
Insurance contract or identification number869726
Number of Individuals Covered5581
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
Total amount of commissions paid to insurance brokerUSD $109,335
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 BenefitYes
Life Insurance Welfare BenefitYes
Temporary Disability Insurance Welfare BenefitYes
Long Term Disability Insurance Welfare BenefitYes
Unemployment Insurance Welfare BenefitNo
Other welfare benefits providedAD&D
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 $2,178,969
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
DELTA DENTAL OF NJ INC (National Association of Insurance Commissioners NAIC id number: 55085 )
Policy contract number04707
Policy instance 2
Insurance contract or identification number04707
Number of Individuals Covered5996
Insurance policy start date2017-10-01
Insurance policy end date2018-09-30
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 BenefitYes
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 $1,819,152
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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