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EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP
Plan identification number 501

EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP Benefits

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

401k Sponsoring company profile

CAPRI MEDICAL GROUP has sponsored the creation of one or more 401k plans.

Company Name:CAPRI MEDICAL GROUP
Employer identification number (EIN):263128223
NAIC Classification:541990
NAIC Description:All Other Professional, Scientific, and Technical Services

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-05-01
5012021-05-01
5012021-04-01

Plan Statistics for EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2022 401k membership
Total participants, beginning-of-year2022-05-012
Total number of active participants reported on line 7a of the Form 55002022-05-012
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-012
2021: EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2021 401k membership
Total participants, beginning-of-year2021-05-012
Total number of active participants reported on line 7a of the Form 55002021-05-011
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-011
Total participants, beginning-of-year2021-04-012
Total number of active participants reported on line 7a of the Form 55002021-04-012
Number of retired or separated participants receiving benefits2021-04-010
Number of other retired or separated participants entitled to future benefits2021-04-010
Total of all active and inactive participants2021-04-012

Financial Data on EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2023 401k financial data
Total income from all sources2023-04-30$19,415
Expenses. Total of all expenses incurred2023-04-30$14,818
Benefits paid (including direct rollovers)2023-04-30$4,900
Total plan assets at end of year2023-04-30$12,158
Total plan assets at beginning of year2023-04-30$7,561
Value of fidelity bond covering the plan2023-04-30$2,000
Expenses. Other expenses not covered elsewhere2023-04-30$9,918
Net income (gross income less expenses)2023-04-30$4,597
Net plan assets at end of year (total assets less liabilities)2023-04-30$12,158
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$7,561
Total contributions received or receivable from employer(s)2023-04-30$19,415
2022 : EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2022 401k financial data
Total income from all sources2022-04-30$21,234
Expenses. Total of all expenses incurred2022-04-30$14,627
Benefits paid (including direct rollovers)2022-04-30$3,766
Total plan assets at end of year2022-04-30$7,561
Total plan assets at beginning of year2022-04-30$954
Value of fidelity bond covering the plan2022-04-30$1,000
Expenses. Other expenses not covered elsewhere2022-04-30$10,861
Net income (gross income less expenses)2022-04-30$6,607
Net plan assets at end of year (total assets less liabilities)2022-04-30$7,561
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$954
Total contributions received or receivable from employer(s)2022-04-30$21,234
2021 : EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2021 401k financial data
Total income from all sources2021-04-30$1,874
Expenses. Total of all expenses incurred2021-04-30$920
Total plan assets at end of year2021-04-30$954
Value of fidelity bond covering the plan2021-04-30$1,000
Expenses. Other expenses not covered elsewhere2021-04-30$920
Net income (gross income less expenses)2021-04-30$954
Net plan assets at end of year (total assets less liabilities)2021-04-30$954
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$0
Total contributions received or receivable from employer(s)2021-04-30$1,874

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP

2022: EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF CAPRI MEDICAL GROUP 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2021-04-01Type of plan entitySingle employer plan
2021-04-01First time form 5500 has been submittedYes
2021-04-01Submission has been amendedNo
2021-04-01This submission is the final filingNo
2021-04-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-04-01Plan is a collectively bargained planNo
2021-04-01Plan funding arrangement – InsuranceYes
2021-04-01Plan funding arrangement – TrustYes
2021-04-01Plan benefit arrangement – InsuranceYes
2021-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number75025NFA0841
Policy instance 1
Insurance contract or identification number75025NFA0841
Number of Individuals Covered3
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare 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 $8,291
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 number75025NFA0841
Policy instance 1
Insurance contract or identification number75025NFA0841
Number of Individuals Covered2
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare 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 $9,110
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 number75025NFA0841
Policy instance 1
Insurance contract or identification number75025NFA0841
Number of Individuals Covered4
Insurance policy start date2021-04-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare 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 $798
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

Potentially related plans

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