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EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP
Plan identification number 502

EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP Benefits

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

401k Sponsoring company profile

ANDERSON MANAGEMENT GROUP has sponsored the creation of one or more 401k plans.

Company Name:ANDERSON MANAGEMENT GROUP
Employer identification number (EIN):201598467
NAIC Classification:722511
NAIC Description:Full-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022019-01-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2022 401k membership
Total participants, beginning-of-year2022-05-0133
Total number of active participants reported on line 7a of the Form 55002022-05-0133
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0133
2021: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2021 401k membership
Total participants, beginning-of-year2021-05-0134
Total number of active participants reported on line 7a of the Form 55002021-05-0131
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0131
2020: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2020 401k membership
Total participants, beginning-of-year2020-05-0129
Total number of active participants reported on line 7a of the Form 55002020-05-0135
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-0135
2019: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2019 401k membership
Total participants, beginning-of-year2019-05-0135
Total number of active participants reported on line 7a of the Form 55002019-05-0128
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0128
Total participants, beginning-of-year2019-01-0130
Total number of active participants reported on line 7a of the Form 55002019-01-0128
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-010
Total of all active and inactive participants2019-01-0128

Financial Data on EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2023 401k financial data
Total income from all sources2023-04-30$116,999
Expenses. Total of all expenses incurred2023-04-30$116,999
Benefits paid (including direct rollovers)2023-04-30$46,332
Value of fidelity bond covering the plan2023-04-30$10,000
Expenses. Other expenses not covered elsewhere2023-04-30$70,667
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$116,999
2022 : EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2022 401k financial data
Total income from all sources2022-04-30$124,450
Expenses. Total of all expenses incurred2022-04-30$136,046
Benefits paid (including direct rollovers)2022-04-30$65,176
Total plan assets at beginning of year2022-04-30$11,596
Value of fidelity bond covering the plan2022-04-30$7,000
Expenses. Other expenses not covered elsewhere2022-04-30$70,870
Net income (gross income less expenses)2022-04-30$-11,596
Net plan assets at end of year (total assets less liabilities)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$11,596
Total contributions received or receivable from employer(s)2022-04-30$124,450
2021 : EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$106,836
Expenses. Total of all expenses incurred2021-04-30$96,510
Benefits paid (including direct rollovers)2021-04-30$35,689
Total plan assets at end of year2021-04-30$11,596
Total plan assets at beginning of year2021-04-30$1,270
Value of fidelity bond covering the plan2021-04-30$10,000
Expenses. Other expenses not covered elsewhere2021-04-30$60,821
Net income (gross income less expenses)2021-04-30$10,326
Net plan assets at end of year (total assets less liabilities)2021-04-30$11,596
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$1,270
Total contributions received or receivable from employer(s)2021-04-30$106,836
2020 : EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$79,297
Expenses. Total of all expenses incurred2020-04-30$81,817
Benefits paid (including direct rollovers)2020-04-30$35,519
Total plan assets at end of year2020-04-30$1,270
Total plan assets at beginning of year2020-04-30$3,790
Value of fidelity bond covering the plan2020-04-30$10,000
Expenses. Other expenses not covered elsewhere2020-04-30$46,298
Net income (gross income less expenses)2020-04-30$-2,520
Net plan assets at end of year (total assets less liabilities)2020-04-30$1,270
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$3,790
Total contributions received or receivable from employer(s)2020-04-30$79,297
2019 : EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2019 401k financial data
Total plan liabilities at end of year2019-04-30$0
Total plan liabilities at beginning of year2019-04-30$0
Total income from all sources2019-04-30$21,214
Expenses. Total of all expenses incurred2019-04-30$17,424
Benefits paid (including direct rollovers)2019-04-30$4,911
Total plan assets at end of year2019-04-30$3,790
Total plan assets at beginning of year2019-04-30$0
Value of fidelity bond covering the plan2019-04-30$10,000
Expenses. Other expenses not covered elsewhere2019-04-30$12,513
Net income (gross income less expenses)2019-04-30$3,790
Net plan assets at end of year (total assets less liabilities)2019-04-30$3,790
Net plan assets at beginning of year (total assets less liabilities)2019-04-30$0
Total contributions received or receivable from employer(s)2019-04-30$21,214

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP

2022: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF ANDERSON MANAGEMENT GROUP 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2019-01-01Type of plan entitySingle employer plan
2019-01-01First time form 5500 has been submittedYes
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40242 NFA 0728
Policy instance 1
Insurance contract or identification number40242 NFA 0728
Number of Individuals Covered45
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
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 BenefitYes
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 $46,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40242 NFA 0728
Policy instance 1
Insurance contract or identification number40242 NFA 0728
Number of Individuals Covered44
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
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 BenefitYes
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 $49,626
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40242 NFA 0728
Policy instance 1
Insurance contract or identification number40242 NFA 0728
Number of Individuals Covered48
Insurance policy start date2020-05-01
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 BenefitYes
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 $40,475
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40242 NFA 0728
Policy instance 1
Insurance contract or identification number40242 NFA 0728
Number of Individuals Covered36
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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 $29,003
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number40242 NFA 0728
Policy instance 1
Insurance contract or identification number40242 NFA 0728
Number of Individuals Covered36
Insurance policy start date2019-01-01
Insurance policy end date2019-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
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 $8,027
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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