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EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC
Plan identification number 502

EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC Benefits

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

401k Sponsoring company profile

RKJ AND SONS, LLC has sponsored the creation of one or more 401k plans.

Company Name:RKJ AND SONS, LLC
Employer identification number (EIN):261145933
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Additional information about RKJ AND SONS, LLC

Jurisdiction of Incorporation: Georgia Department of States Corporations Division
Incorporation Date:
Company Identification Number: 1279377

More information about RKJ AND SONS, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022017-05-01CHARLENE ABERCROMBIE
5022016-05-01CHARLENE ABERCROMBIE
5022015-05-01CHARLENE ABERCROMBIE
5022014-05-01THERESA TIVNER
5022013-05-01THERESA TIVNER
5022012-05-01THERESA TIVNER
5022011-05-01THERESA TIVNER
5022010-05-01THERESA TIVNER

Plan Statistics for EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC

Measure Date Value
2017: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2017 401k membership
Total participants, beginning-of-year2017-05-0161
Total number of active participants reported on line 7a of the Form 55002017-05-0153
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0153
2016: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2016 401k membership
Total participants, beginning-of-year2016-05-0156
Total number of active participants reported on line 7a of the Form 55002016-05-0153
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0153
2015: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2015 401k membership
Total participants, beginning-of-year2015-05-0162
Total number of active participants reported on line 7a of the Form 55002015-05-0155
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0155
2014: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2014 401k membership
Total participants, beginning-of-year2014-05-0157
Total number of active participants reported on line 7a of the Form 55002014-05-0149
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0149
2013: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2013 401k membership
Total participants, beginning-of-year2013-05-0155
Total number of active participants reported on line 7a of the Form 55002013-05-0145
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0145
2012: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2012 401k membership
Total participants, beginning-of-year2012-05-0136
Total number of active participants reported on line 7a of the Form 55002012-05-0145
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-0145
2011: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2011 401k membership
Total participants, beginning-of-year2011-05-0121
Total number of active participants reported on line 7a of the Form 55002011-05-0136
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-0136
2010: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2010 401k membership
Total participants, beginning-of-year2010-05-0121
Total number of active participants reported on line 7a of the Form 55002010-05-0121
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-0121

Financial Data on EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC

Measure Date Value
2018 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$235,020
Expenses. Total of all expenses incurred2018-04-30$235,020
Benefits paid (including direct rollovers)2018-04-30$107,987
Total plan assets at end of year2018-04-30$0
Total plan assets at beginning of year2018-04-30$0
Value of fidelity bond covering the plan2018-04-30$25,000
Expenses. Other expenses not covered elsewhere2018-04-30$127,033
Net income (gross income less expenses)2018-04-30$0
Net plan assets at end of year (total assets less liabilities)2018-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$0
Total contributions received or receivable from employer(s)2018-04-30$235,020
2017 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$224,365
Expenses. Total of all expenses incurred2017-04-30$224,365
Benefits paid (including direct rollovers)2017-04-30$100,255
Total plan assets at end of year2017-04-30$0
Total plan assets at beginning of year2017-04-30$0
Value of fidelity bond covering the plan2017-04-30$25,000
Expenses. Other expenses not covered elsewhere2017-04-30$124,110
Net income (gross income less expenses)2017-04-30$0
Net plan assets at end of year (total assets less liabilities)2017-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$0
Total contributions received or receivable from employer(s)2017-04-30$224,365
2016 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$1,753
Total income from all sources2016-04-30$221,594
Expenses. Total of all expenses incurred2016-04-30$221,594
Benefits paid (including direct rollovers)2016-04-30$99,551
Total plan assets at end of year2016-04-30$0
Total plan assets at beginning of year2016-04-30$1,753
Value of fidelity bond covering the plan2016-04-30$25,000
Expenses. Other expenses not covered elsewhere2016-04-30$122,043
Net income (gross income less expenses)2016-04-30$0
Net plan assets at end of year (total assets less liabilities)2016-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$0
Total contributions received or receivable from employer(s)2016-04-30$221,594
2015 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2015 401k financial data
Total plan liabilities at end of year2015-04-30$1,753
Total plan liabilities at beginning of year2015-04-30$4,611
Total income from all sources2015-04-30$284,083
Expenses. Total of all expenses incurred2015-04-30$284,083
Benefits paid (including direct rollovers)2015-04-30$129,937
Total plan assets at end of year2015-04-30$1,753
Total plan assets at beginning of year2015-04-30$4,611
Value of fidelity bond covering the plan2015-04-30$50,000
Expenses. Other expenses not covered elsewhere2015-04-30$154,146
Net income (gross income less expenses)2015-04-30$0
Net plan assets at end of year (total assets less liabilities)2015-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$0
Total contributions received or receivable from employer(s)2015-04-30$284,083
2014 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2014 401k financial data
Total plan liabilities at end of year2014-04-30$4,611
Total plan liabilities at beginning of year2014-04-30$3,082
Total income from all sources2014-04-30$211,557
Expenses. Total of all expenses incurred2014-04-30$211,557
Benefits paid (including direct rollovers)2014-04-30$89,209
Total plan assets at end of year2014-04-30$4,611
Total plan assets at beginning of year2014-04-30$3,082
Value of fidelity bond covering the plan2014-04-30$25,000
Expenses. Other expenses not covered elsewhere2014-04-30$122,348
Net income (gross income less expenses)2014-04-30$0
Net plan assets at end of year (total assets less liabilities)2014-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$0
Total contributions received or receivable from employer(s)2014-04-30$211,557
2013 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2013 401k financial data
Total plan liabilities at end of year2013-04-30$3,082
Total plan liabilities at beginning of year2013-04-30$5,118
Total income from all sources2013-04-30$165,845
Expenses. Total of all expenses incurred2013-04-30$165,845
Benefits paid (including direct rollovers)2013-04-30$83,244
Total plan assets at end of year2013-04-30$3,082
Total plan assets at beginning of year2013-04-30$5,118
Expenses. Other expenses not covered elsewhere2013-04-30$82,601
Net income (gross income less expenses)2013-04-30$0
Net plan assets at end of year (total assets less liabilities)2013-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$0
Total contributions received or receivable from employer(s)2013-04-30$165,845
2012 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2012 401k financial data
Total plan liabilities at end of year2012-04-30$5,118
Total plan liabilities at beginning of year2012-04-30$3,603
Total income from all sources2012-04-30$146,225
Expenses. Total of all expenses incurred2012-04-30$146,225
Benefits paid (including direct rollovers)2012-04-30$71,074
Total plan assets at end of year2012-04-30$5,118
Total plan assets at beginning of year2012-04-30$3,603
Expenses. Other expenses not covered elsewhere2012-04-30$75,151
Net income (gross income less expenses)2012-04-30$0
Net plan assets at end of year (total assets less liabilities)2012-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$0
Total contributions received or receivable from employer(s)2012-04-30$146,225
2011 : EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2011 401k financial data
Total plan liabilities at end of year2011-04-30$3,603
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$104,231
Expenses. Total of all expenses incurred2011-04-30$104,231
Benefits paid (including direct rollovers)2011-04-30$50,829
Total plan assets at end of year2011-04-30$3,603
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$53,402
Net income (gross income less expenses)2011-04-30$0
Net plan assets at end of year (total assets less liabilities)2011-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$104,231

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC

2017: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE HEALTH PLAN OF RKJ AND SONS, LLC 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered74
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $97,730
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered78
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $89,102
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered75
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $116,126
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered69
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $86,221
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered71
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $52,654
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered54
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $45,346
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number31023 NFA 0349
Policy instance 1
Insurance contract or identification number31023 NFA 0349
Number of Individuals Covered28
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $40,965
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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