401k Plan data: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN plan

MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 401k Plan overview

Plan Name	MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN
Plan identification number	002

MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

MEDICAL LIABILITY MUTUAL INSURANCE COMPANY has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY

Employer identification number (EIN): 141584861

NAIC Classification: 524150

Additional information about MEDICAL LIABILITY MUTUAL INSURANCE COMPANY

Jurisdiction of Incorporation: Georgia Department of States Corporations Division

Incorporation Date:

Company Identification Number: 27239

More information about MEDICAL LIABILITY MUTUAL INSURANCE COMPANY

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2019-01-01 DAN CANNIFF 2019-10-30
002 2018-01-01 DAN CANNIFF 2019-08-08 DAN CANNIFF 2019-08-08
002 2017-01-01 DAN CANNIFF 2018-09-24 DAN CANNIFF 2018-09-24
002 2016-01-01 DAN CANNIFF 2017-09-27 DAN CANNIFF 2017-09-27
002 2015-01-01 DAN CANNIFF 2016-10-03 DAN CANNIFF 2016-10-03
002 2014-01-01 DAN CANNIFF DAN CANNIFF 2015-08-05
002 2013-01-01 DAN CANNIFF DAN CANNIFF 2014-10-01
002 2012-01-01 DAN CANNIFF DAN CANNIFF 2013-10-10
002 2011-01-01 DAN CANNIFF DAN CANNIFF 2012-10-11
002 2009-01-01 DANIEL CANNIFF DANIEL CANNIFF 2010-10-05

Plan id#	Filing Submission Date	Name of Administrator	Date Administrator Signed	Name of Company Sponsor	Date Sponsor Signed
002	2019-01-01	DAN CANNIFF	2019-10-30
002	2018-01-01	DAN CANNIFF	2019-08-08	DAN CANNIFF	2019-08-08
002	2017-01-01	DAN CANNIFF	2018-09-24	DAN CANNIFF	2018-09-24
002	2016-01-01	DAN CANNIFF	2017-09-27	DAN CANNIFF	2017-09-27
002	2015-01-01	DAN CANNIFF	2016-10-03	DAN CANNIFF	2016-10-03
002	2014-01-01	DAN CANNIFF		DAN CANNIFF	2015-08-05
002	2013-01-01	DAN CANNIFF		DAN CANNIFF	2014-10-01
002	2012-01-01	DAN CANNIFF		DAN CANNIFF	2013-10-10
002	2011-01-01	DAN CANNIFF		DAN CANNIFF	2012-10-11
002	2009-01-01	DANIEL CANNIFF		DANIEL CANNIFF	2010-10-05

Plan Statistics for MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN

401k plan membership statisitcs for MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN

Measure Date Value
2014: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 7
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 14
Total of all active and inactive participants 2014-01-01 21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 21
Number of participants with account balances 2014-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 0
2013: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 23
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 7
Number of other retired or separated participants entitled to future benefits 2013-01-01 16
Total of all active and inactive participants 2013-01-01 23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 23
Number of participants with account balances 2013-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 22
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 8
Number of other retired or separated participants entitled to future benefits 2012-01-01 15
Total of all active and inactive participants 2012-01-01 23
Total participants 2012-01-01 23
Number of participants with account balances 2012-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0
2011: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 24
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 7
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 15
Total of all active and inactive participants 2011-01-01 22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 22
Number of participants with account balances 2011-01-01 22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 0
2009: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 25
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 9
Number of retired or separated participants receiving benefits 2009-01-01 0
Number of other retired or separated participants entitled to future benefits 2009-01-01 17
Total of all active and inactive participants 2009-01-01 26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 26
Number of participants with account balances 2009-01-01 23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 0

Measure	Date	Value
2014: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	7
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	14
Total of all active and inactive participants	2014-01-01	21
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	21
Number of participants with account balances	2014-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	0
2013: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	23
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	7
Number of other retired or separated participants entitled to future benefits	2013-01-01	16
Total of all active and inactive participants	2013-01-01	23
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	23
Number of participants with account balances	2013-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	22
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	8
Number of other retired or separated participants entitled to future benefits	2012-01-01	15
Total of all active and inactive participants	2012-01-01	23
Total participants	2012-01-01	23
Number of participants with account balances	2012-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0
2011: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	24
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	7
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	15
Total of all active and inactive participants	2011-01-01	22
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	22
Number of participants with account balances	2011-01-01	22
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	0
2009: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	25
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	9
Number of retired or separated participants receiving benefits	2009-01-01	0
Number of other retired or separated participants entitled to future benefits	2009-01-01	17
Total of all active and inactive participants	2009-01-01	26
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	26
Number of participants with account balances	2009-01-01	23
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	0

Financial Data on MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN

Measure	Date	Value
2014 : MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2014 401k financial data
Total income from all sources	2014-12-31	$621,387
Expenses. Total of all expenses incurred	2014-12-31	$61,898
Benefits paid (including direct rollovers)	2014-12-31	$61,898
Total plan assets at end of year	2014-12-31	$5,399,213
Total plan assets at beginning of year	2014-12-31	$4,839,724
Value of fidelity bond covering the plan	2014-12-31	$5,000,000
Total contributions received or receivable from participants	2014-12-31	$104,688
Other income received	2014-12-31	$360,401
Net income (gross income less expenses)	2014-12-31	$559,489
Net plan assets at end of year (total assets less liabilities)	2014-12-31	$5,399,213
Net plan assets at beginning of year (total assets less liabilities)	2014-12-31	$4,839,724
Assets. Value of participant loans	2014-12-31	$16,081
Total contributions received or receivable from employer(s)	2014-12-31	$156,298
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
2013 : MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2013 401k financial data
Total plan liabilities at beginning of year	2013-12-31	$0
Total income from all sources	2013-12-31	$922,056
Expenses. Total of all expenses incurred	2013-12-31	$24,903
Benefits paid (including direct rollovers)	2013-12-31	$0
Total plan assets at end of year	2013-12-31	$4,839,724
Total plan assets at beginning of year	2013-12-31	$3,942,571
Value of fidelity bond covering the plan	2013-12-31	$5,000,000
Total contributions received or receivable from participants	2013-12-31	$101,352
Other income received	2013-12-31	$654,253
Net income (gross income less expenses)	2013-12-31	$897,153
Net plan assets at end of year (total assets less liabilities)	2013-12-31	$4,839,724
Net plan assets at beginning of year (total assets less liabilities)	2013-12-31	$3,942,571
Assets. Value of participant loans	2013-12-31	$23,020
Total contributions received or receivable from employer(s)	2013-12-31	$166,451
Expenses. Administrative service providers (salaries,fees and commissions)	2013-12-31	$24,903
2012 : MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2012 401k financial data
Total plan liabilities at end of year	2012-12-31	$0
Total income from all sources	2012-12-31	$679,963
Expenses. Total of all expenses incurred	2012-12-31	$0
Benefits paid (including direct rollovers)	2012-12-31	$0
Total plan assets at end of year	2012-12-31	$3,942,571
Total plan assets at beginning of year	2012-12-31	$3,262,608
Value of fidelity bond covering the plan	2012-12-31	$5,000,000
Total contributions received or receivable from participants	2012-12-31	$99,384
Other income received	2012-12-31	$418,207
Net income (gross income less expenses)	2012-12-31	$679,963
Net plan assets at end of year (total assets less liabilities)	2012-12-31	$3,942,571
Net plan assets at beginning of year (total assets less liabilities)	2012-12-31	$3,262,608
Assets. Value of participant loans	2012-12-31	$29,669
Total contributions received or receivable from employer(s)	2012-12-31	$162,372
2011 : MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2011 401k financial data
Total income from all sources	2011-12-31	$274,034
Expenses. Total of all expenses incurred	2011-12-31	$18,631
Benefits paid (including direct rollovers)	2011-12-31	$18,631
Total plan assets at end of year	2011-12-31	$3,262,608
Total plan assets at beginning of year	2011-12-31	$3,007,205
Value of fidelity bond covering the plan	2011-12-31	$5,000,000
Total contributions received or receivable from participants	2011-12-31	$95,139
Other income received	2011-12-31	$2,017
Net income (gross income less expenses)	2011-12-31	$255,403
Net plan assets at end of year (total assets less liabilities)	2011-12-31	$3,262,608
Net plan assets at beginning of year (total assets less liabilities)	2011-12-31	$3,007,205
Assets. Value of participant loans	2011-12-31	$35,000
Total contributions received or receivable from employer(s)	2011-12-31	$176,878
2010 : MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2010 401k financial data
Total income from all sources	2010-12-31	$516,633
Expenses. Total of all expenses incurred	2010-12-31	$16,399
Benefits paid (including direct rollovers)	2010-12-31	$16,399
Total plan assets at end of year	2010-12-31	$3,007,205
Total plan assets at beginning of year	2010-12-31	$2,506,971
Value of fidelity bond covering the plan	2010-12-31	$5,000,000
Total contributions received or receivable from participants	2010-12-31	$86,903
Expenses. Other expenses not covered elsewhere	2010-12-31	$0
Contributions received from other sources (not participants or employers)	2010-12-31	$0
Other income received	2010-12-31	$274,773
Noncash contributions received	2010-12-31	$0
Net income (gross income less expenses)	2010-12-31	$500,234
Net plan assets at end of year (total assets less liabilities)	2010-12-31	$3,007,205
Net plan assets at beginning of year (total assets less liabilities)	2010-12-31	$2,506,971
Assets. Value of participant loans	2010-12-31	$5,651
Total contributions received or receivable from employer(s)	2010-12-31	$154,957
Value of certain deemed distributions of participant loans	2010-12-31	$0
Value of corrective distributions	2010-12-31	$0
Expenses. Administrative service providers (salaries,fees and commissions)	2010-12-31	$0

Form 5500 Responses for MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN

2014: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: MEDICAL LIABILITY MUTUAL INSURANCE COMPANY 401(K) SAVINGS PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

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Company Name:	MEDICAL LIABILITY MUTUAL INSURANCE COMPANY
Employer identification number (EIN):	141584861
NAIC Classification:	524150

Jurisdiction of Incorporation:	Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number:	27239