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EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES
Plan identification number 501

EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES Benefits

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

401k Sponsoring company profile

A&H PIZZA COMPANIES has sponsored the creation of one or more 401k plans.

Company Name:A&H PIZZA COMPANIES
Employer identification number (EIN):205204465
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012020-05-01
5012019-05-01
5012018-05-01
5012017-05-01AUDRIE OUELLETTE
5012016-05-01AUDRIE OUELLETTE
5012015-05-01AUDRIE OUELLETTE
5012014-05-01AUDRIE OUELLETTE
5012013-05-01AUDRIE OUELLETTE
5012012-09-01AUDRIE OUELLETTE

Plan Statistics for EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2022 401k membership
Total participants, beginning-of-year2022-05-0110
Total number of active participants reported on line 7a of the Form 55002022-05-013
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 participants2022-05-013
2021: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2021 401k membership
Total participants, beginning-of-year2021-05-0112
Total number of active participants reported on line 7a of the Form 55002021-05-018
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 participants2021-05-018
2020: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2020 401k membership
Total participants, beginning-of-year2020-05-0114
Total number of active participants reported on line 7a of the Form 55002020-05-0110
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 participants2020-05-0110
2019: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2019 401k membership
Total participants, beginning-of-year2019-05-0121
Total number of active participants reported on line 7a of the Form 55002019-05-0113
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 participants2019-05-0113
2018: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2018 401k membership
Total participants, beginning-of-year2018-05-0123
Total number of active participants reported on line 7a of the Form 55002018-05-0116
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0116
2017: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2017 401k membership
Total participants, beginning-of-year2017-05-0122
Total number of active participants reported on line 7a of the Form 55002017-05-0118
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0118
2016: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2016 401k membership
Total participants, beginning-of-year2016-05-0125
Total number of active participants reported on line 7a of the Form 55002016-05-0119
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0119
2015: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2015 401k membership
Total participants, beginning-of-year2015-05-0123
Total number of active participants reported on line 7a of the Form 55002015-05-0116
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0116
2014: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2014 401k membership
Total participants, beginning-of-year2014-05-0118
Total number of active participants reported on line 7a of the Form 55002014-05-0114
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0114
2013: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2013 401k membership
Total participants, beginning-of-year2013-05-0116
Total number of active participants reported on line 7a of the Form 55002013-05-0118
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0118
2012: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2012 401k membership
Total participants, beginning-of-year2012-09-0116
Total number of active participants reported on line 7a of the Form 55002012-09-0116
Number of retired or separated participants receiving benefits2012-09-010
Number of other retired or separated participants entitled to future benefits2012-09-010
Total of all active and inactive participants2012-09-0116

Financial Data on EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2023 401k financial data
Total income from all sources2023-04-30$67,777
Expenses. Total of all expenses incurred2023-04-30$58,361
Benefits paid (including direct rollovers)2023-04-30$24,452
Total plan assets at end of year2023-04-30$31,235
Total plan assets at beginning of year2023-04-30$21,819
Value of fidelity bond covering the plan2023-04-30$5,000
Expenses. Other expenses not covered elsewhere2023-04-30$33,909
Net income (gross income less expenses)2023-04-30$9,416
Net plan assets at end of year (total assets less liabilities)2023-04-30$31,235
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$21,819
Total contributions received or receivable from employer(s)2023-04-30$67,777
2022 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2022 401k financial data
Total income from all sources2022-04-30$89,462
Expenses. Total of all expenses incurred2022-04-30$73,389
Benefits paid (including direct rollovers)2022-04-30$29,296
Total plan assets at end of year2022-04-30$21,819
Total plan assets at beginning of year2022-04-30$5,746
Value of fidelity bond covering the plan2022-04-30$5,000
Expenses. Other expenses not covered elsewhere2022-04-30$44,093
Net income (gross income less expenses)2022-04-30$16,073
Net plan assets at end of year (total assets less liabilities)2022-04-30$21,819
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$5,746
Total contributions received or receivable from employer(s)2022-04-30$89,462
2021 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$91,740
Expenses. Total of all expenses incurred2021-04-30$95,983
Benefits paid (including direct rollovers)2021-04-30$50,163
Total plan assets at end of year2021-04-30$5,746
Total plan assets at beginning of year2021-04-30$9,989
Value of fidelity bond covering the plan2021-04-30$10,000
Expenses. Other expenses not covered elsewhere2021-04-30$45,820
Net income (gross income less expenses)2021-04-30$-4,243
Net plan assets at end of year (total assets less liabilities)2021-04-30$5,746
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$9,989
Total contributions received or receivable from employer(s)2021-04-30$91,740
2020 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 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$89,255
Expenses. Total of all expenses incurred2020-04-30$84,759
Benefits paid (including direct rollovers)2020-04-30$39,340
Total plan assets at end of year2020-04-30$9,989
Total plan assets at beginning of year2020-04-30$5,493
Value of fidelity bond covering the plan2020-04-30$10,000
Expenses. Other expenses not covered elsewhere2020-04-30$45,419
Net income (gross income less expenses)2020-04-30$4,496
Net plan assets at end of year (total assets less liabilities)2020-04-30$9,989
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$5,493
Total contributions received or receivable from employer(s)2020-04-30$89,255
2018 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$83,718
Expenses. Total of all expenses incurred2018-04-30$94,578
Benefits paid (including direct rollovers)2018-04-30$47,608
Total plan assets at end of year2018-04-30$16,125
Total plan assets at beginning of year2018-04-30$26,985
Value of fidelity bond covering the plan2018-04-30$30,000
Expenses. Other expenses not covered elsewhere2018-04-30$46,970
Net income (gross income less expenses)2018-04-30$-10,860
Net plan assets at end of year (total assets less liabilities)2018-04-30$16,125
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$26,985
Total contributions received or receivable from employer(s)2018-04-30$83,718
2017 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$110,330
Expenses. Total of all expenses incurred2017-04-30$93,441
Benefits paid (including direct rollovers)2017-04-30$33,597
Total plan assets at end of year2017-04-30$26,985
Total plan assets at beginning of year2017-04-30$10,096
Value of fidelity bond covering the plan2017-04-30$30,000
Expenses. Other expenses not covered elsewhere2017-04-30$59,844
Net income (gross income less expenses)2017-04-30$16,889
Net plan assets at end of year (total assets less liabilities)2017-04-30$26,985
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$10,096
Total contributions received or receivable from employer(s)2017-04-30$110,330
2016 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2016 401k financial data
Total plan liabilities at beginning of year2016-04-30$0
Total income from all sources2016-04-30$106,421
Expenses. Total of all expenses incurred2016-04-30$96,325
Benefits paid (including direct rollovers)2016-04-30$37,092
Total plan assets at end of year2016-04-30$10,096
Total plan assets at beginning of year2016-04-30$0
Value of fidelity bond covering the plan2016-04-30$15,000
Expenses. Other expenses not covered elsewhere2016-04-30$59,233
Net income (gross income less expenses)2016-04-30$10,096
Net plan assets at end of year (total assets less liabilities)2016-04-30$10,096
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$106,421
2015 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2015 401k financial data
Total plan liabilities at end of year2015-04-30$0
Total plan liabilities at beginning of year2015-04-30$987
Total income from all sources2015-04-30$96,685
Expenses. Total of all expenses incurred2015-04-30$96,685
Benefits paid (including direct rollovers)2015-04-30$44,048
Total plan assets at end of year2015-04-30$0
Total plan assets at beginning of year2015-04-30$987
Value of fidelity bond covering the plan2015-04-30$10,000
Expenses. Other expenses not covered elsewhere2015-04-30$52,637
Net income (gross income less expenses)2015-04-30$0
Net plan assets at end of year (total assets less liabilities)2015-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$96,685
2014 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2014 401k financial data
Total plan liabilities at end of year2014-04-30$987
Total plan liabilities at beginning of year2014-04-30$261
Total income from all sources2014-04-30$65,500
Expenses. Total of all expenses incurred2014-04-30$65,500
Benefits paid (including direct rollovers)2014-04-30$24,121
Total plan assets at end of year2014-04-30$987
Total plan assets at beginning of year2014-04-30$261
Value of fidelity bond covering the plan2014-04-30$10,000
Expenses. Other expenses not covered elsewhere2014-04-30$41,379
Net income (gross income less expenses)2014-04-30$0
Net plan assets at end of year (total assets less liabilities)2014-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$0
Total contributions received or receivable from employer(s)2014-04-30$65,500
2013 : EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2013 401k financial data
Total plan liabilities at end of year2013-04-30$261
Total plan liabilities at beginning of year2013-04-30$0
Total income from all sources2013-04-30$44,167
Expenses. Total of all expenses incurred2013-04-30$44,167
Benefits paid (including direct rollovers)2013-04-30$22,300
Total plan assets at end of year2013-04-30$261
Total plan assets at beginning of year2013-04-30$0
Expenses. Other expenses not covered elsewhere2013-04-30$21,867
Net income (gross income less expenses)2013-04-30$0
Net plan assets at end of year (total assets less liabilities)2013-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$0
Total contributions received or receivable from employer(s)2013-04-30$44,167

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES

2022: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 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 A&H PIZZA COMPANIES 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 A&H PIZZA COMPANIES 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 A&H PIZZA COMPANIES 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF A&H PIZZA COMPANIES 2012 form 5500 responses
2012-09-01Type of plan entitySingle employer plan
2012-09-01First time form 5500 has been submittedYes
2012-09-01Submission has been amendedNo
2012-09-01This submission is the final filingNo
2012-09-01This return/report is a short plan year return/report (less than 12 months)Yes
2012-09-01Plan is a collectively bargained planNo
2012-09-01Plan funding arrangement – InsuranceYes
2012-09-01Plan funding arrangement – TrustYes
2012-09-01Plan benefit arrangement – InsuranceYes
2012-09-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered9
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 $28,193
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered11
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 $37,504
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered13
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 $38,066
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered19
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare 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 $36,779
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered20
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,386
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered23
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $34,173
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered25
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $43,700
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered23
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $39,970
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered19
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $26,445
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 number50001 NFA 0494
Policy instance 1
Insurance contract or identification number50001 NFA 0494
Number of Individuals Covered25
Insurance policy start date2012-09-01
Insurance policy end date2013-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $12,328
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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