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UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 401k Plan overview

Plan NameUNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN
Plan identification number 502

UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN Benefits

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

401k Sponsoring company profile

UNITED COMMUNITY INDEPENDENCE PROGRAMS has sponsored the creation of one or more 401k plans.

Company Name:UNITED COMMUNITY INDEPENDENCE PROGRAMS
Employer identification number (EIN):251197287
NAIC Classification:624100
NAIC Description: Individual and Family Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-06-01
5022021-06-01

Plan Statistics for UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN

401k plan membership statisitcs for UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN

Measure Date Value
2022: UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 2022 401k membership
Total participants, beginning-of-year2022-06-01190
Total number of active participants reported on line 7a of the Form 55002022-06-01190
Number of retired or separated participants receiving benefits2022-06-010
Number of other retired or separated participants entitled to future benefits2022-06-010
Total of all active and inactive participants2022-06-01190
2021: UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 2021 401k membership
Total participants, beginning-of-year2021-06-01211
Total number of active participants reported on line 7a of the Form 55002021-06-01193
Number of retired or separated participants receiving benefits2021-06-010
Number of other retired or separated participants entitled to future benefits2021-06-010
Total of all active and inactive participants2021-06-01193

Financial Data on UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN

Measure Date Value
2022 : UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-05-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$220,907
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-05-31$0
Total income from all sources (including contributions)2022-05-31$2,156,037
Total loss/gain on sale of assets2022-05-31$0
Total of all expenses incurred2022-05-31$2,354,207
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-05-31$1,835,333
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-05-31$2,155,861
Value of total assets at end of year2022-05-31$22,737
Value of total assets at beginning of year2022-05-31$0
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-05-31$518,874
Total interest from all sources2022-05-31$176
Total dividends received (eg from common stock, registered investment company shares)2022-05-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-05-31No
Was this plan covered by a fidelity bond2022-05-31Yes
Value of fidelity bond cover2022-05-31$500,000
If this is an individual account plan, was there a blackout period2022-05-31No
Were there any nonexempt tranactions with any party-in-interest2022-05-31No
Administrative expenses (other) incurred2022-05-31$425,451
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Value of net income/loss2022-05-31$-198,170
Value of net assets at end of year (total assets less liabilities)2022-05-31$-198,170
Value of net assets at beginning of year (total assets less liabilities)2022-05-31$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-05-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-05-31No
Were any leases to which the plan was party in default or uncollectible2022-05-31No
Investment advisory and management fees2022-05-31$48,291
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-05-31$22,737
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-05-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-05-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-05-31$176
Expenses. Payments to insurance carriers foe the provision of benefits2022-05-31$1,835,333
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-05-31No
Was there a failure to transmit to the plan any participant contributions2022-05-31No
Has the plan failed to provide any benefit when due under the plan2022-05-31No
Contributions received in cash from employer2022-05-31$2,155,861
Contract administrator fees2022-05-31$45,132
Liabilities. Value of benefit claims payable at end of year2022-05-31$220,907
Liabilities. Value of benefit claims payable at beginning of year2022-05-31$0
Did the plan have assets held for investment2022-05-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-05-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-05-31No
Opinion of an independent qualified public accountant for this plan2022-05-31Unqualified
Accountancy firm name2022-05-31MAHER DUESSEL CPAS
Accountancy firm EIN2022-05-31251622758

Form 5500 Responses for UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN

2022: UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 2022 form 5500 responses
2022-06-01Type of plan entitySingle employer plan
2022-06-01Submission has been amendedNo
2022-06-01This submission is the final filingNo
2022-06-01This return/report is a short plan year return/report (less than 12 months)Yes
2022-06-01Plan is a collectively bargained planNo
2022-06-01Plan funding arrangement – InsuranceYes
2022-06-01Plan funding arrangement – General assets of the sponsorYes
2022-06-01Plan benefit arrangement – InsuranceYes
2022-06-01Plan benefit arrangement – General assets of the sponsorYes
2021: UNITED COMMUNITY INDEPENDENCE PROGRAMS, INC. GROUP MEDICAL PLAN 2021 form 5500 responses
2021-06-01Type of plan entitySingle employer plan
2021-06-01First time form 5500 has been submittedYes
2021-06-01Submission has been amendedNo
2021-06-01This submission is the final filingNo
2021-06-01This return/report is a short plan year return/report (less than 12 months)No
2021-06-01Plan is a collectively bargained planNo
2021-06-01Plan funding arrangement – InsuranceYes
2021-06-01Plan funding arrangement – TrustYes
2021-06-01Plan benefit arrangement – InsuranceYes
2021-06-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000213
Policy instance 1
Insurance contract or identification number31000213
Number of Individuals Covered190
Insurance policy start date2022-06-01
Insurance policy end date2022-06-30
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 $33,780
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number31000213
Policy instance 1
Insurance contract or identification number31000213
Number of Individuals Covered193
Insurance policy start date2021-06-01
Insurance policy end date2022-05-31
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 $425,451
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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