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PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 401k Plan overview

Plan NamePREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST
Plan identification number 502

PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST Benefits

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

401k Sponsoring company profile

PREMIER HEALTH GROUP, PLLC has sponsored the creation of one or more 401k plans.

Company Name:PREMIER HEALTH GROUP, PLLC
Employer identification number (EIN):263862459
NAIC Classification:621510
NAIC Description: Medical and Diagnostic Laboratories

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022013-01-01NELSON BREEDLOVE
5022012-01-01NELSON BREEDLOVE
5022011-01-01NELSON BREEDLOVE
5022010-01-01NELSON BREEDLOVE

Plan Statistics for PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST

401k plan membership statisitcs for PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2013: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-0161
Total of all active and inactive participants2013-01-010
2012: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-0159
Total number of active participants reported on line 7a of the Form 55002012-01-0161
Total of all active and inactive participants2012-01-0161
2011: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-0157
Total number of active participants reported on line 7a of the Form 55002011-01-0159
Total of all active and inactive participants2011-01-0159
2010: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-0157
Total number of active participants reported on line 7a of the Form 55002010-01-0154
Total of all active and inactive participants2010-01-0154

Financial Data on PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST

Measure Date Value
2013 : PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2013 401k financial data
Transfers to/from the plan2013-06-30$-101,952
Total income from all sources2013-06-30$85,845
Expenses. Total of all expenses incurred2013-06-30$130,418
Benefits paid (including direct rollovers)2013-06-30$122,974
Total plan assets at end of year2013-06-30$0
Total plan assets at beginning of year2013-06-30$146,525
Expenses. Other expenses not covered elsewhere2013-06-30$7,444
Net income (gross income less expenses)2013-06-30$-44,573
Net plan assets at end of year (total assets less liabilities)2013-06-30$0
Net plan assets at beginning of year (total assets less liabilities)2013-06-30$146,525
Total contributions received or receivable from employer(s)2013-06-30$85,845
2012 : PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2012 401k financial data
Total income from all sources2012-12-31$725,743
Expenses. Total of all expenses incurred2012-12-31$579,218
Benefits paid (including direct rollovers)2012-12-31$546,432
Total plan assets at end of year2012-12-31$146,525
Total plan assets at beginning of year2012-12-31$0
Value of fidelity bond covering the plan2012-12-31$500,000
Total contributions received or receivable from participants2012-12-31$6,769
Expenses. Other expenses not covered elsewhere2012-12-31$32,786
Net income (gross income less expenses)2012-12-31$146,525
Net plan assets at end of year (total assets less liabilities)2012-12-31$146,525
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$0
Total contributions received or receivable from employer(s)2012-12-31$718,974
2011 : PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2011 401k financial data
Total income from all sources2011-12-31$725,887
Expenses. Total of all expenses incurred2011-12-31$725,887
Benefits paid (including direct rollovers)2011-12-31$695,431
Total plan assets at end of year2011-12-31$0
Total plan assets at beginning of year2011-12-31$0
Value of fidelity bond covering the plan2011-12-31$500,000
Total contributions received or receivable from participants2011-12-31$33,735
Expenses. Other expenses not covered elsewhere2011-12-31$30,456
Net plan assets at end of year (total assets less liabilities)2011-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$0
Total contributions received or receivable from employer(s)2011-12-31$692,152
2010 : PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2010 401k financial data
Total income from all sources2010-12-31$742,435
Expenses. Total of all expenses incurred2010-12-31$742,435
Benefits paid (including direct rollovers)2010-12-31$704,505
Total plan assets at end of year2010-12-31$0
Value of fidelity bond covering the plan2010-12-31$500,000
Total contributions received or receivable from participants2010-12-31$18,172
Expenses. Other expenses not covered elsewhere2010-12-31$37,930
Contributions received from other sources (not participants or employers)2010-12-31$2,380
Net plan assets at end of year (total assets less liabilities)2010-12-31$0
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$0
Total contributions received or receivable from employer(s)2010-12-31$721,883

Form 5500 Responses for PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST

2013: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01This submission is the final filingYes
2013-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement - TrustYes
2012: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement - TrustYes
2011: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2010: PREMIER HEALTH GROUP EMPLOYEE BENEFIT PLAN TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01First time form 5500 has been submittedYes
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes

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