401k Plan data: CANCER CARE ASSOCIATES VEBA plan

CANCER CARE ASSOCIATES VEBA 401k Plan overview

Plan Name	CANCER CARE ASSOCIATES VEBA
Plan identification number	501

CANCER CARE ASSOCIATES VEBA Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision)

401k Sponsoring company profile

OKLAHOMA ONCOLOGY & HEMATOLOGY PC has sponsored the creation of one or more 401k plans.

Company Name: OKLAHOMA ONCOLOGY & HEMATOLOGY PC

Employer identification number (EIN): 266916405

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CANCER CARE ASSOCIATES VEBA

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2015-01-01
501 2014-01-01
501 2013-01-01
501 2012-01-01 MICHAEL YATES
501 2011-01-01 MICHAEL YATES
501 2009-01-01 JAY LOEGERING

Plan Statistics for CANCER CARE ASSOCIATES VEBA

401k plan membership statisitcs for CANCER CARE ASSOCIATES VEBA

Measure Date Value
2015: CANCER CARE ASSOCIATES VEBA 2015 401k membership
Total participants, beginning-of-year 2015-01-01 528
Number of other retired or separated participants entitled to future benefits 2015-01-01 0
Total of all active and inactive participants 2015-01-01 0
2014: CANCER CARE ASSOCIATES VEBA 2014 401k membership
Total participants, beginning-of-year 2014-01-01 570
Number of other retired or separated participants entitled to future benefits 2014-01-01 0
Total of all active and inactive participants 2014-01-01 0
2013: CANCER CARE ASSOCIATES VEBA 2013 401k membership
Total participants, beginning-of-year 2013-01-01 596
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 0
Total of all active and inactive participants 2013-01-01 0
2012: CANCER CARE ASSOCIATES VEBA 2012 401k membership
Total participants, beginning-of-year 2012-01-01 635
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 596
Total of all active and inactive participants 2012-01-01 596
2011: CANCER CARE ASSOCIATES VEBA 2011 401k membership
Total participants, beginning-of-year 2011-01-01 684
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 635
Total of all active and inactive participants 2011-01-01 635
2009: CANCER CARE ASSOCIATES VEBA 2009 401k membership
Total participants, beginning-of-year 2009-01-01 0
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 900
Total of all active and inactive participants 2009-01-01 900

Measure	Date	Value
2015: CANCER CARE ASSOCIATES VEBA 2015 401k membership
Total participants, beginning-of-year	2015-01-01	528
Number of other retired or separated participants entitled to future benefits	2015-01-01	0
Total of all active and inactive participants	2015-01-01	0
2014: CANCER CARE ASSOCIATES VEBA 2014 401k membership
Total participants, beginning-of-year	2014-01-01	570
Number of other retired or separated participants entitled to future benefits	2014-01-01	0
Total of all active and inactive participants	2014-01-01	0
2013: CANCER CARE ASSOCIATES VEBA 2013 401k membership
Total participants, beginning-of-year	2013-01-01	596
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	0
Total of all active and inactive participants	2013-01-01	0
2012: CANCER CARE ASSOCIATES VEBA 2012 401k membership
Total participants, beginning-of-year	2012-01-01	635
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	596
Total of all active and inactive participants	2012-01-01	596
2011: CANCER CARE ASSOCIATES VEBA 2011 401k membership
Total participants, beginning-of-year	2011-01-01	684
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	635
Total of all active and inactive participants	2011-01-01	635
2009: CANCER CARE ASSOCIATES VEBA 2009 401k membership
Total participants, beginning-of-year	2009-01-01	0
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	900
Total of all active and inactive participants	2009-01-01	900

Financial Data on CANCER CARE ASSOCIATES VEBA

Measure	Date	Value
2012 : CANCER CARE ASSOCIATES VEBA 2012 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$80
Total income from all sources (including contributions)	2012-12-31	$2,741,457
Total of all expenses incurred	2012-12-31	$2,761,115
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$2,571,479
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$2,741,454
Value of total assets at end of year	2012-12-31	$80
Value of total assets at beginning of year	2012-12-31	$19,658
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$189,636
Total interest from all sources	2012-12-31	$3
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
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$356,152
Administrative expenses (other) incurred	2012-12-31	$46,873
Liabilities. Value of operating payables at end of year	2012-12-31	$80
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	$-19,658
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$0
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$19,658
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
Investment advisory and management fees	2012-12-31	$1,091
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$80
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$19,658
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$19,658
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3
Expenses. Payments to insurance carriers foe the provision of benefits	2012-12-31	$187,282
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	$2,385,302
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$2,384,197
Contract administrator fees	2012-12-31	$141,672
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	No
Did the plan have assets held for investment	2012-12-31	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	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	BKD
Accountancy firm EIN	2012-12-31	440160260
2011 : CANCER CARE ASSOCIATES VEBA 2011 401k financial data
Total income from all sources (including contributions)	2011-12-31	$2,300,004
Total of all expenses incurred	2011-12-31	$2,283,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$2,075,197
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$2,300,000
Value of total assets at end of year	2011-12-31	$19,658
Value of total assets at beginning of year	2011-12-31	$2,976
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$208,125
Total interest from all sources	2011-12-31	$4
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	No
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$2,113,656
Administrative expenses (other) incurred	2011-12-31	$53,136
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	$16,682
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$19,658
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,976
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
Investment advisory and management fees	2011-12-31	$4,058
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$19,658
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$2,976
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$2,976
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2011-12-31	$4
Expenses. Payments to insurance carriers foe the provision of benefits	2011-12-31	$194,103
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	$186,344
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$1,881,094
Contract administrator fees	2011-12-31	$150,931
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2011-12-31	No
Did the plan have assets held for investment	2011-12-31	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	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	BKD
Accountancy firm EIN	2011-12-31	440160260
2010 : CANCER CARE ASSOCIATES VEBA 2010 401k financial data
Total income from all sources (including contributions)	2010-12-31	$3,497,517
Total of all expenses incurred	2010-12-31	$3,592,727
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$3,329,975
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$3,497,500
Value of total assets at end of year	2010-12-31	$2,976
Value of total assets at beginning of year	2010-12-31	$98,186
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$262,752
Total interest from all sources	2010-12-31	$17
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	No
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$3,252,851
Administrative expenses (other) incurred	2010-12-31	$60,001
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	$-95,210
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,976
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$98,186
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
Investment advisory and management fees	2010-12-31	$336
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$2,976
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$98,186
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$98,186
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2010-12-31	$17
Expenses. Payments to insurance carriers foe the provision of benefits	2010-12-31	$223,091
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	$244,649
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$3,106,884
Contract administrator fees	2010-12-31	$202,415
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2010-12-31	No
Did the plan have assets held for investment	2010-12-31	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	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	BKD
Accountancy firm EIN	2010-12-31	440160260

Form 5500 Responses for CANCER CARE ASSOCIATES VEBA

2015: CANCER CARE ASSOCIATES VEBA 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 funding arrangement – General assets of the sponsor	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2014: CANCER CARE ASSOCIATES VEBA 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 funding arrangement – General assets of the sponsor	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2013: CANCER CARE ASSOCIATES VEBA 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 funding arrangement – General assets of the sponsor	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement – General assets of the sponsor	Yes
2012: CANCER CARE ASSOCIATES VEBA 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 funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: CANCER CARE ASSOCIATES VEBA 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	Yes
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: CANCER CARE ASSOCIATES VEBA 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	First time form 5500 has been submitted	Yes
2009-01-01	This submission is the final filing	No
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	528
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $56,542
Total amount of fees paid to insurance company	USD $0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $226,483
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $56,542
Insurance broker organization code?	3
Insurance broker name	JIM RULEY & COMPANY INC.

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	570
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
Total amount of commissions paid to insurance broker	USD $56,813
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $215,030
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $56,813
Insurance broker organization code?	3
Insurance broker name	JIM RULEY & COMPANY INC.

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	562
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $46,380
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $197,957
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,380
Insurance broker organization code?	3
Insurance broker name	JIM RULEY & COMPANY INC.

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	596
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $46,873
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $187,282
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $46,873
Insurance broker organization code?	3
Insurance broker name	JIM RULEY & COMPANY INC.

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	635
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $53,136
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $194,103
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

BLUECROSS BLUESHIELD OF OKLAHOMA (National Association of Insurance Commissioners NAIC id number: 52414 )

Policy contract number

Y08979

Policy instance

Insurance contract or identification number	Y08979
Number of Individuals Covered	684
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $60,001
Total amount of fees paid to insurance company	USD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
Health Insurance Welfare Benefit	Yes
Welfare Benefit Premiums Paid to Carrier	USD $223,091
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

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Company Name:	OKLAHOMA ONCOLOGY & HEMATOLOGY PC
Employer identification number (EIN):	266916405
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds