401k Plan data: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. plan

EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 401k Plan overview

Plan Name	EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.
Plan identification number	001

EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Money purchase (other than target benefit)
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.
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.

401k Sponsoring company profile

COMPREHENSIVE BEHAVIORAL HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name: COMPREHENSIVE BEHAVIORAL HEALTHCARE

Employer identification number (EIN): 221895813

NAIC Classification: 621330
NAIC Description: Offices of Mental Health Practitioners (except Physicians)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2017-01-01 PETER SCERBO
001 2016-01-01 PETER SCERBO
001 2015-01-01 PETER SCERBO
001 2014-01-01 PETER SCERBO
001 2013-01-01 JOSIAH SWASEY
001 2012-01-01 PETER SCERBO
001 2011-01-01 PETER SCERBO
001 2010-01-01 PETER SCERBO
001 2009-01-01 PETER SCERBO

Plan id#	Filing Submission Date	Name of Administrator
001	2017-01-01	PETER SCERBO
001	2016-01-01	PETER SCERBO
001	2015-01-01	PETER SCERBO
001	2014-01-01	PETER SCERBO
001	2013-01-01	JOSIAH SWASEY
001	2012-01-01	PETER SCERBO
001	2011-01-01	PETER SCERBO
001	2010-01-01	PETER SCERBO
001	2009-01-01	PETER SCERBO

Plan Statistics for EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.

401k plan membership statisitcs for EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.

Measure Date Value
2017: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2017 401k membership
Total participants, beginning-of-year 2017-01-01 271
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 0
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 0
Total of all active and inactive participants 2017-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 0
Number of participants with account balances 2017-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0
2016: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2016 401k membership
Total participants, beginning-of-year 2016-01-01 269
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 188
Number of other retired or separated participants entitled to future benefits 2016-01-01 82
Total of all active and inactive participants 2016-01-01 270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 1
Total participants 2016-01-01 271
Number of participants with account balances 2016-01-01 271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 6
2015: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2015 401k membership
Total participants, beginning-of-year 2015-01-01 270
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 184
Number of other retired or separated participants entitled to future benefits 2015-01-01 84
Total of all active and inactive participants 2015-01-01 268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 1
Total participants 2015-01-01 269
Number of participants with account balances 2015-01-01 269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 9
2014: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2014 401k membership
Total participants, beginning-of-year 2014-01-01 251
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 192
Number of other retired or separated participants entitled to future benefits 2014-01-01 78
Total of all active and inactive participants 2014-01-01 270
Total participants 2014-01-01 270
Number of participants with account balances 2014-01-01 270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 7
2013: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2013 401k membership
Total participants, beginning-of-year 2013-01-01 257
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 177
Number of retired or separated participants receiving benefits 2013-01-01 1
Number of other retired or separated participants entitled to future benefits 2013-01-01 73
Total of all active and inactive participants 2013-01-01 251
Total participants 2013-01-01 251
Number of participants with account balances 2013-01-01 250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 10
2012: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2012 401k membership
Total participants, beginning-of-year 2012-01-01 247
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 172
Number of retired or separated participants receiving benefits 2012-01-01 1
Number of other retired or separated participants entitled to future benefits 2012-01-01 84
Total of all active and inactive participants 2012-01-01 257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 257
Number of participants with account balances 2012-01-01 257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 11
2011: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2011 401k membership
Total participants, beginning-of-year 2011-01-01 249
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 166
Number of retired or separated participants receiving benefits 2011-01-01 1
Number of other retired or separated participants entitled to future benefits 2011-01-01 78
Total of all active and inactive participants 2011-01-01 245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 2
Total participants 2011-01-01 247
Number of participants with account balances 2011-01-01 246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 7
2010: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2010 401k membership
Total participants, beginning-of-year 2010-01-01 227
Total number of active participants reported on line 7a of the Form 5500 2010-01-01 176
Number of retired or separated participants receiving benefits 2010-01-01 1
Number of other retired or separated participants entitled to future benefits 2010-01-01 68
Total of all active and inactive participants 2010-01-01 245
Total participants 2010-01-01 245
Number of participants with account balances 2010-01-01 245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2010-01-01 4
2009: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2009 401k membership
Total participants, beginning-of-year 2009-01-01 211
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 159
Number of retired or separated participants receiving benefits 2009-01-01 1
Number of other retired or separated participants entitled to future benefits 2009-01-01 66
Total of all active and inactive participants 2009-01-01 226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 1
Total participants 2009-01-01 227
Number of participants with account balances 2009-01-01 227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2017: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2017 401k membership
Total participants, beginning-of-year	2017-01-01	271
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	0
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	0
Total of all active and inactive participants	2017-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	0
Number of participants with account balances	2017-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0
2016: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2016 401k membership
Total participants, beginning-of-year	2016-01-01	269
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	188
Number of other retired or separated participants entitled to future benefits	2016-01-01	82
Total of all active and inactive participants	2016-01-01	270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	1
Total participants	2016-01-01	271
Number of participants with account balances	2016-01-01	271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	6
2015: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2015 401k membership
Total participants, beginning-of-year	2015-01-01	270
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	184
Number of other retired or separated participants entitled to future benefits	2015-01-01	84
Total of all active and inactive participants	2015-01-01	268
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	1
Total participants	2015-01-01	269
Number of participants with account balances	2015-01-01	269
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	9
2014: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2014 401k membership
Total participants, beginning-of-year	2014-01-01	251
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	192
Number of other retired or separated participants entitled to future benefits	2014-01-01	78
Total of all active and inactive participants	2014-01-01	270
Total participants	2014-01-01	270
Number of participants with account balances	2014-01-01	270
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	7
2013: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2013 401k membership
Total participants, beginning-of-year	2013-01-01	257
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	177
Number of retired or separated participants receiving benefits	2013-01-01	1
Number of other retired or separated participants entitled to future benefits	2013-01-01	73
Total of all active and inactive participants	2013-01-01	251
Total participants	2013-01-01	251
Number of participants with account balances	2013-01-01	250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	10
2012: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2012 401k membership
Total participants, beginning-of-year	2012-01-01	247
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	172
Number of retired or separated participants receiving benefits	2012-01-01	1
Number of other retired or separated participants entitled to future benefits	2012-01-01	84
Total of all active and inactive participants	2012-01-01	257
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	257
Number of participants with account balances	2012-01-01	257
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	11
2011: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2011 401k membership
Total participants, beginning-of-year	2011-01-01	249
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	166
Number of retired or separated participants receiving benefits	2011-01-01	1
Number of other retired or separated participants entitled to future benefits	2011-01-01	78
Total of all active and inactive participants	2011-01-01	245
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	2
Total participants	2011-01-01	247
Number of participants with account balances	2011-01-01	246
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	7
2010: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2010 401k membership
Total participants, beginning-of-year	2010-01-01	227
Total number of active participants reported on line 7a of the Form 5500	2010-01-01	176
Number of retired or separated participants receiving benefits	2010-01-01	1
Number of other retired or separated participants entitled to future benefits	2010-01-01	68
Total of all active and inactive participants	2010-01-01	245
Total participants	2010-01-01	245
Number of participants with account balances	2010-01-01	245
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2010-01-01	4
2009: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2009 401k membership
Total participants, beginning-of-year	2009-01-01	211
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	159
Number of retired or separated participants receiving benefits	2009-01-01	1
Number of other retired or separated participants entitled to future benefits	2009-01-01	66
Total of all active and inactive participants	2009-01-01	226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	1
Total participants	2009-01-01	227
Number of participants with account balances	2009-01-01	227
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.

Measure	Date	Value
2017 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$607,571
Total of all expenses incurred	2017-12-31	$8,777,850
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$8,777,629
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$155,020
Value of total assets at end of year	2017-12-31	$0
Value of total assets at beginning of year	2017-12-31	$8,170,279
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$221
Total interest from all sources	2017-12-31	$20,321
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan	2017-12-31	$0
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2017-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2017-12-31	$0
Minimum employer required contribution for this plan year	2017-12-31	$155,020
Amount contributed by the employer to the plan for this plan year	2017-12-31	$155,020
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Participant contributions at end of year	2017-12-31	$0
Participant contributions at beginning of year	2017-12-31	$301,576
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$-8,170,279
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$8,170,279
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$4,796,586
Interest earned on other investments	2017-12-31	$20,321
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$3,072,117
Expenses. Payments to insurance carriers foe the provision of benefits	2017-12-31	$103,367
Net investment gain/loss from pooled separate accounts	2017-12-31	$432,230
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$155,020
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$8,674,262
Contract administrator fees	2017-12-31	$221
Did the plan have assets held for investment	2017-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	WITHUMSMITH+BROWN
Accountancy firm EIN	2017-12-31	222027092
2016 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2016 401k financial data
Total income from all sources (including contributions)	2016-12-31	$928,749
Total of all expenses incurred	2016-12-31	$225,883
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-12-31	$223,141
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-12-31	$510,576
Value of total assets at end of year	2016-12-31	$8,170,279
Value of total assets at beginning of year	2016-12-31	$7,467,413
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-12-31	$2,742
Total interest from all sources	2016-12-31	$31,922
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-12-31	No
Was this plan covered by a fidelity bond	2016-12-31	Yes
Value of fidelity bond cover	2016-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2016-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2016-12-31	0
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2016-12-31	$0
Minimum employer required contribution for this plan year	2016-12-31	$510,576
Amount contributed by the employer to the plan for this plan year	2016-12-31	$510,576
Were there any nonexempt tranactions with any party-in-interest	2016-12-31	No
Participant contributions at end of year	2016-12-31	$301,576
Participant contributions at beginning of year	2016-12-31	$266,588
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Value of net income/loss	2016-12-31	$702,866
Value of net assets at end of year (total assets less liabilities)	2016-12-31	$8,170,279
Value of net assets at beginning of year (total assets less liabilities)	2016-12-31	$7,467,413
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-12-31	No
Were any leases to which the plan was party in default or uncollectible	2016-12-31	No
Value of interest in pooled separate accounts at end of year	2016-12-31	$4,796,586
Value of interest in pooled separate accounts at beginning of year	2016-12-31	$4,390,996
Interest earned on other investments	2016-12-31	$31,922
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-12-31	$3,072,117
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-12-31	$2,809,829
Expenses. Payments to insurance carriers foe the provision of benefits	2016-12-31	$46,366
Net investment gain/loss from pooled separate accounts	2016-12-31	$386,251
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-12-31	No
Was there a failure to transmit to the plan any participant contributions	2016-12-31	No
Has the plan failed to provide any benefit when due under the plan	2016-12-31	No
Contributions received in cash from employer	2016-12-31	$510,576
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-12-31	$176,775
Contract administrator fees	2016-12-31	$2,742
Did the plan have assets held for investment	2016-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2016-12-31	Disclaimer
Accountancy firm name	2016-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2016-12-31	222027092
2015 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$557,445
Total of all expenses incurred	2015-12-31	$311,166
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$309,367
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$550,422
Value of total assets at end of year	2015-12-31	$7,467,413
Value of total assets at beginning of year	2015-12-31	$7,221,134
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$1,799
Total interest from all sources	2015-12-31	$31,514
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2015-12-31	No
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2015-12-31	0
Minimum employer required contribution for this plan year	2015-12-31	$550,422
Amount contributed by the employer to the plan for this plan year	2015-12-31	$550,422
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Participant contributions at end of year	2015-12-31	$266,588
Participant contributions at beginning of year	2015-12-31	$263,466
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$246,279
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$7,467,413
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$7,221,134
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Value of interest in pooled separate accounts at end of year	2015-12-31	$4,390,996
Value of interest in pooled separate accounts at beginning of year	2015-12-31	$4,116,584
Interest earned on other investments	2015-12-31	$31,514
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$2,809,829
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$2,841,084
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$58,739
Net investment gain/loss from pooled separate accounts	2015-12-31	$-24,491
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$550,422
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$250,628
Contract administrator fees	2015-12-31	$1,799
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2015-12-31	222027092
2014 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2014 401k financial data
Total income from all sources (including contributions)	2014-12-31	$755,469
Total of all expenses incurred	2014-12-31	$302,599
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$301,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$451,781
Value of total assets at end of year	2014-12-31	$7,221,134
Value of total assets at beginning of year	2014-12-31	$6,768,264
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$950
Total interest from all sources	2014-12-31	$30,746
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$500,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2014-12-31	0
Minimum employer required contribution for this plan year	2014-12-31	$451,781
Amount contributed by the employer to the plan for this plan year	2014-12-31	$451,781
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Participant contributions at end of year	2014-12-31	$263,466
Participant contributions at beginning of year	2014-12-31	$271,142
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Value of net income/loss	2014-12-31	$452,870
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$7,221,134
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$6,768,264
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Value of interest in pooled separate accounts at end of year	2014-12-31	$4,116,584
Value of interest in pooled separate accounts at beginning of year	2014-12-31	$3,733,012
Interest earned on other investments	2014-12-31	$30,746
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$2,841,084
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$2,764,110
Expenses. Payments to insurance carriers foe the provision of benefits	2014-12-31	$17,858
Net investment gain/loss from pooled separate accounts	2014-12-31	$272,942
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$451,781
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$283,791
Contract administrator fees	2014-12-31	$950
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2014-12-31	222027092
2013 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$1,326,867
Total of all expenses incurred	2013-12-31	$427,714
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$426,814
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$590,908
Value of total assets at end of year	2013-12-31	$6,768,264
Value of total assets at beginning of year	2013-12-31	$5,869,111
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$900
Total interest from all sources	2013-12-31	$35,016
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$500,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2013-12-31	0
Minimum employer required contribution for this plan year	2013-12-31	$590,908
Amount contributed by the employer to the plan for this plan year	2013-12-31	$590,908
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Participant contributions at end of year	2013-12-31	$271,142
Participant contributions at beginning of year	2013-12-31	$231,731
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)	2013-12-31	$42,014
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$899,153
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$6,768,264
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$5,869,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$3,733,012
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$2,677,603
Interest earned on other investments	2013-12-31	$35,016
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$2,764,110
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$2,959,777
Expenses. Payments to insurance carriers foe the provision of benefits	2013-12-31	$232,802
Net investment gain/loss from pooled separate accounts	2013-12-31	$700,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$590,908
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$151,998
Contract administrator fees	2013-12-31	$900
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2013-12-31	222027092
2012 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2012 401k financial data
Total income from all sources (including contributions)	2012-12-31	$792,814
Total of all expenses incurred	2012-12-31	$270,797
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$232,447
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$420,980
Value of total assets at end of year	2012-12-31	$5,869,111
Value of total assets at beginning of year	2012-12-31	$5,347,094
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$38,350
Total interest from all sources	2012-12-31	$51,172
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
Aggregate amount of withdrawal liability assessed or estimated to be assessed against such withdrawn employers	2012-12-31	0
Minimum employer required contribution for this plan year	2012-12-31	$420,980
Amount contributed by the employer to the plan for this plan year	2012-12-31	$420,980
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Participant contributions at end of year	2012-12-31	$231,731
Participant contributions at beginning of year	2012-12-31	$223,348
Other income not declared elsewhere	2012-12-31	$22,251
Administrative expenses (other) incurred	2012-12-31	$37,800
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$522,017
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$5,869,111
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$5,347,094
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$2,677,603
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,182,092
Interest earned on other investments	2012-12-31	$51,172
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$2,959,777
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$2,941,654
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$125,949
Net investment gain/loss from pooled separate accounts	2012-12-31	$298,411
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$420,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$106,498
Contract administrator fees	2012-12-31	$550
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2012-12-31	222027092
2011 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$520,134
Total of all expenses incurred	2011-12-31	$559,822
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$522,396
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$490,297
Value of total assets at end of year	2011-12-31	$5,347,094
Value of total assets at beginning of year	2011-12-31	$5,386,782
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$37,426
Total interest from all sources	2011-12-31	$65,009
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
Minimum employer required contribution for this plan year	2011-12-31	$490,297
Amount contributed by the employer to the plan for this plan year	2011-12-31	$490,297
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Participant contributions at end of year	2011-12-31	$223,348
Participant contributions at beginning of year	2011-12-31	$158,499
Other income not declared elsewhere	2011-12-31	$22,826
Administrative expenses (other) incurred	2011-12-31	$36,976
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$-39,688
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$5,347,094
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$5,386,782
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,182,092
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,118,406
Interest earned on other investments	2011-12-31	$65,009
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$2,941,654
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$3,109,877
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$60,490
Net investment gain/loss from pooled separate accounts	2011-12-31	$-57,998
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	No
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$490,297
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$461,906
Contract administrator fees	2011-12-31	$450
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2011-12-31	222027092
2010 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$902,307
Total of all expenses incurred	2010-12-31	$198,842
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$139,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$504,377
Value of total assets at end of year	2010-12-31	$5,386,782
Value of total assets at beginning of year	2010-12-31	$4,683,317
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$59,777
Total interest from all sources	2010-12-31	$87,520
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$100,000
Minimum employer required contribution for this plan year	2010-12-31	$504,377
Amount contributed by the employer to the plan for this plan year	2010-12-31	$504,377
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Participant contributions at end of year	2010-12-31	$158,499
Participant contributions at beginning of year	2010-12-31	$103,233
Other income not declared elsewhere	2010-12-31	$28,003
Administrative expenses (other) incurred	2010-12-31	$59,177
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$703,465
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$5,386,782
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$4,683,317
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$2,118,406
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,614,024
Interest earned on other investments	2010-12-31	$87,520
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$3,109,877
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$2,966,060
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$17,309
Net investment gain/loss from pooled separate accounts	2010-12-31	$282,407
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	No
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$504,377
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$121,756
Contract administrator fees	2010-12-31	$600
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WITHUMSMITHBROWN
Accountancy firm EIN	2010-12-31	222027092
2009 : EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2009 401k financial data
Minimum employer required contribution for this plan year	2009-12-31	$485,471
Amount contributed by the employer to the plan for this plan year	2009-12-31	$485,471

Form 5500 Responses for EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC.

2017: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	This submission is the final filing	Yes
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2016: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2015: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2014: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2013: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2012: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2011: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2010: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2010 form 5500 responses
2010-01-01	Type of plan entity	Single employer plan
2010-01-01	Plan funding arrangement – Insurance	Yes
2010-01-01	Plan benefit arrangement – Insurance	Yes
2009: EMPLOYEE BENEFITS PLAN OF COMPREHENSIVE BEHAVIORAL HEALTHCARE, INC. 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	1
Insurance policy start date	2017-01-01
Insurance policy end date	2017-08-31
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	269
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of fees paid to insurance company	USD $547
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	547
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	MUTUAL OF AMERICA LIFE INSURANCE CO

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	270
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of fees paid to insurance company	USD $537
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	537
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	MUTUAL OF AMERICA LIFE INSURANCE CO

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	251
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of fees paid to insurance company	USD $640
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	640
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	MUTUAL OF AMERICA LIFE INSURANCE CO

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	257
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of fees paid to insurance company	USD $1,149
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Amount paid for insurance broker fees	313
Additional information about fees paid to insurance broker	PORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?	3
Insurance broker name	SCOTT L. RITCHIE

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	247
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $1,788
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )

Policy contract number

052355-K

Policy instance

Insurance contract or identification number	052355-K
Number of Individuals Covered	245
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $494
Contracts With Unallocated Funds Deposit Administration	1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $0
Amount paid for insurance broker fees	148
Additional information about fees paid to insurance broker	COMPENSATION
Insurance broker organization code?	3
Insurance broker name	PAUL G. DARATA

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Company Name:	COMPREHENSIVE BEHAVIORAL HEALTHCARE
Employer identification number (EIN):	221895813
NAIC Classification:	621330
NAIC Description:	Offices of Mental Health Practitioners (except Physicians)