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MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 401k Plan overview

Plan NameMEDICAL PLAN OF HOFFMANN-LA ROCHE INC.
Plan identification number 502

MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. Benefits

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

401k Sponsoring company profile

HOFFMANN-LA ROCHE INC. has sponsored the creation of one or more 401k plans.

Company Name:HOFFMANN-LA ROCHE INC.
Employer identification number (EIN):220994270
NAIC Classification:325410

Additional information about HOFFMANN-LA ROCHE INC.

Jurisdiction of Incorporation: Texas Secretary of State
Incorporation Date: 1950-07-14
Company Identification Number: 0001367506
Legal Registered Office Address: 1 DNA WAY

S SAN FRAN
United States of America (USA)
94080

More information about HOFFMANN-LA ROCHE INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL PLAN OF HOFFMANN-LA ROCHE INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022015-01-01DAVID MCDEDE2016-07-21
5022014-01-01DAVID MCDEDE2015-07-31
5022013-01-01DAVID MCDEDE2014-07-31
5022012-01-01DAVID MCDEDE
5022011-01-01DAVID MCDEDE
5022010-01-01DAVID MCDEDE
5022009-01-01DAVID MCDEDE
5022009-01-01DAVID MCDEDE

Plan Statistics for MEDICAL PLAN OF HOFFMANN-LA ROCHE INC.

401k plan membership statisitcs for MEDICAL PLAN OF HOFFMANN-LA ROCHE INC.

Measure Date Value
2012: MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2012 401k membership
Total participants, beginning-of-year2012-01-01414
Total number of active participants reported on line 7a of the Form 55002012-01-0152
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-0152

Financial Data on MEDICAL PLAN OF HOFFMANN-LA ROCHE INC.

Measure Date Value
2012 : MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$861,340
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$904,330
Total income from all sources (including contributions)2012-12-31$1,854,251
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,876,218
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,766,570
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,850,791
Value of total assets at end of year2012-12-31$906,451
Value of total assets at beginning of year2012-12-31$971,408
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$109,648
Total interest from all sources2012-12-31$1
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$24,570
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$758,465
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$833,894
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$48,868
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$752,265
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$844,020
Other income not declared elsewhere2012-12-31$10
Administrative expenses (other) incurred2012-12-31$45,266
Liabilities. Value of operating payables at end of year2012-12-31$9,953
Liabilities. Value of operating payables at beginning of year2012-12-31$6,706
Total non interest bearing cash at end of year2012-12-31$1,305
Total non interest bearing cash at beginning of year2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$-21,967
Value of net assets at end of year (total assets less liabilities)2012-12-31$45,111
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$67,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in master investment trust accounts at end of year2012-12-31$20,461
Value of interest in master investment trust accounts at beginning of year2012-12-31$919,573
Value of interest in common/collective trusts at end of year2012-12-31$0
Value of interest in common/collective trusts at beginning of year2012-12-31$2,967
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$1
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31Yes
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,092,326
Employer contributions (assets) at end of year2012-12-31$50,791
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,766,570
Contract administrator fees2012-12-31$39,812
Liabilities. Value of benefit claims payable at end of year2012-12-31$99,122
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$53,604
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31MCGLADREY, LLP
Accountancy firm EIN2012-12-31420714325
2011 : MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$904,330
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$7,804,389
Total income from all sources (including contributions)2011-12-31$7,121,067
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$5,134,428
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,439,813
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$7,105,222
Value of total assets at end of year2011-12-31$971,408
Value of total assets at beginning of year2011-12-31$5,884,828
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$694,615
Total interest from all sources2011-12-31$1
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$27,300
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$2,224,063
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$48,868
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$1,041,230
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$844,020
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$7,137,725
Administrative expenses (other) incurred2011-12-31$667,315
Liabilities. Value of operating payables at end of year2011-12-31$6,706
Value of net income/loss2011-12-31$1,986,639
Value of net assets at end of year (total assets less liabilities)2011-12-31$67,078
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$-1,919,561
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in master investment trust accounts at end of year2011-12-31$919,573
Value of interest in master investment trust accounts at beginning of year2011-12-31$4,811,302
Value of interest in common/collective trusts at end of year2011-12-31$2,967
Value of interest in common/collective trusts at beginning of year2011-12-31$32,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$1
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$496,584
Net investment gain or loss from common/collective trusts2011-12-31$11
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31Yes
Contributions received in cash from employer2011-12-31$4,881,159
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$3,943,229
Liabilities. Value of benefit claims payable at end of year2011-12-31$53,604
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$666,664
Did the plan have assets held for investment2011-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31MCGLADREY, LLP
Accountancy firm EIN2011-12-31420714325
2010 : MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2010 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$7,804,389
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$6,296,952
Total income from all sources (including contributions)2010-12-31$55,189,964
Total of all expenses incurred2010-12-31$51,437,647
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$49,502,665
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$55,099,548
Value of total assets at end of year2010-12-31$5,884,828
Value of total assets at beginning of year2010-12-31$625,074
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,934,982
Total interest from all sources2010-12-31$-304
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$26,500
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$4,212,639
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$6,054,381
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$1,041,230
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$7,137,725
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$4,974,038
Administrative expenses (other) incurred2010-12-31$76,950
Value of net income/loss2010-12-31$3,752,317
Value of net assets at end of year (total assets less liabilities)2010-12-31$-1,919,561
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$-5,671,878
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in master investment trust accounts at end of year2010-12-31$4,811,302
Value of interest in master investment trust accounts at beginning of year2010-12-31$625,074
Value of interest in common/collective trusts at end of year2010-12-31$32,296
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$-304
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain or loss from common/collective trusts2010-12-31$77
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31Yes
Contributions received in cash from employer2010-12-31$44,832,528
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$49,502,665
Contract administrator fees2010-12-31$1,831,532
Liabilities. Value of benefit claims payable at end of year2010-12-31$666,664
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$1,322,914
Did the plan have assets held for investment2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31MCGLADREY AND PULLEN, LLP
Accountancy firm EIN2010-12-31420714325

Form 5500 Responses for MEDICAL PLAN OF HOFFMANN-LA ROCHE INC.

2012: MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2011 form 5500 responses
2011-01-01Type of plan entityDFE (Diect Filing Entity)
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2010: MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2010 form 5500 responses
2010-01-01Type of plan entityDFE (Diect Filing Entity)
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2009: MEDICAL PLAN OF HOFFMANN-LA ROCHE INC. 2009 form 5500 responses
2009-01-01Type of plan entityDFE (Diect Filing Entity)
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75036
Policy instance 1
Insurance contract or identification number75036
Number of Individuals Covered52
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 BenefitYes
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 $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number35200
Policy instance 2
Insurance contract or identification number35200
Number of Individuals Covered52
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 $1,856,240
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75036
Policy instance 1
Insurance contract or identification number75036
Number of Individuals Covered757
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number28124
Policy instance 2
Insurance contract or identification number28124
Number of Individuals Covered79
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 $540,736
KAISER FOUNDATION HEALTH PLAN OF HAWAII (National Association of Insurance Commissioners NAIC id number: 0000 )
Policy contract number28124
Policy instance 1
Insurance contract or identification number28124
Number of Individuals Covered305
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $3,286,351
HORIZON HEALTHCARE SERVICES, INC. (National Association of Insurance Commissioners NAIC id number: 55069 )
Policy contract number75036
Policy instance 2
Insurance contract or identification number75036
Number of Individuals Covered5966
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 BenefitYes
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

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