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BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 401k Plan overview

Plan NameBENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST
Plan identification number 502

BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Dental
  • Vision
  • Other welfare benefit cover

401k Sponsoring company profile

BENEFIS HEALTH SYSTEM, INC. has sponsored the creation of one or more 401k plans.

Company Name:BENEFIS HEALTH SYSTEM, INC.
Employer identification number (EIN):363386166
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01FORREST EHLINGER
5022016-01-01FORREST EHLINGER
5022015-01-01FORREST EHLINGER
5022014-01-01FORREST EHLINGER
5022013-01-01STEVEN BALLOCK
5022012-01-01DALE BIMLER
5022011-01-01DALE BIMLER
5022010-01-01TERRY OLINGER TERRY OLINGER2011-04-27
5022009-01-01TERRY OLINGER TERRY OLINGER2010-10-12
5022009-01-01TERRY OLINGER TERRY OLINGER2010-10-12

Plan Statistics for BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST

401k plan membership statisitcs for BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST

Measure Date Value
2021: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2021 401k membership
Total participants, beginning-of-year2021-01-011,885
Total number of active participants reported on line 7a of the Form 55002021-01-010
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-010
2020: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2020 401k membership
Total participants, beginning-of-year2020-01-011,882
Total number of active participants reported on line 7a of the Form 55002020-01-011,885
Number of retired or separated participants receiving benefits2020-01-0124
Number of other retired or separated participants entitled to future benefits2020-01-014
Total of all active and inactive participants2020-01-011,913
2019: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2019 401k membership
Total participants, beginning-of-year2019-01-011,767
Total number of active participants reported on line 7a of the Form 55002019-01-011,798
Number of retired or separated participants receiving benefits2019-01-0112
Number of other retired or separated participants entitled to future benefits2019-01-013
Total of all active and inactive participants2019-01-011,813
2018: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2018 401k membership
Total participants, beginning-of-year2018-01-011,366
Total number of active participants reported on line 7a of the Form 55002018-01-011,767
Number of retired or separated participants receiving benefits2018-01-0120
Number of other retired or separated participants entitled to future benefits2018-01-019
Total of all active and inactive participants2018-01-011,796
2017: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2017 401k membership
Total participants, beginning-of-year2017-01-011,770
Total number of active participants reported on line 7a of the Form 55002017-01-011,768
Number of retired or separated participants receiving benefits2017-01-0122
Number of other retired or separated participants entitled to future benefits2017-01-0112
Total of all active and inactive participants2017-01-011,802
2016: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2016 401k membership
Total participants, beginning-of-year2016-01-011,766
Total number of active participants reported on line 7a of the Form 55002016-01-011,737
Number of retired or separated participants receiving benefits2016-01-0114
Number of other retired or separated participants entitled to future benefits2016-01-0115
Total of all active and inactive participants2016-01-011,766
2015: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2015 401k membership
Total participants, beginning-of-year2015-01-011,643
Total number of active participants reported on line 7a of the Form 55002015-01-011,664
Number of retired or separated participants receiving benefits2015-01-0116
Number of other retired or separated participants entitled to future benefits2015-01-0117
Total of all active and inactive participants2015-01-011,697
2014: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2014 401k membership
Total participants, beginning-of-year2014-01-011,662
Total number of active participants reported on line 7a of the Form 55002014-01-011,624
Number of retired or separated participants receiving benefits2014-01-0111
Number of other retired or separated participants entitled to future benefits2014-01-018
Total of all active and inactive participants2014-01-011,643
2013: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2013 401k membership
Total participants, beginning-of-year2013-01-011,662
Total number of active participants reported on line 7a of the Form 55002013-01-011,592
Number of retired or separated participants receiving benefits2013-01-0124
Total of all active and inactive participants2013-01-011,616
2012: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2012 401k membership
Total participants, beginning-of-year2012-01-011,592
Total number of active participants reported on line 7a of the Form 55002012-01-011,648
Number of retired or separated participants receiving benefits2012-01-0114
Number of other retired or separated participants entitled to future benefits2012-01-010
Total of all active and inactive participants2012-01-011,662
2011: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2011 401k membership
Total participants, beginning-of-year2011-01-011,561
Total number of active participants reported on line 7a of the Form 55002011-01-011,557
Number of retired or separated participants receiving benefits2011-01-0133
Number of other retired or separated participants entitled to future benefits2011-01-012
Total of all active and inactive participants2011-01-011,592
2010: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2010 401k membership
Total participants, beginning-of-year2010-01-011,516
Total number of active participants reported on line 7a of the Form 55002010-01-011,725
Number of retired or separated participants receiving benefits2010-01-016
Number of other retired or separated participants entitled to future benefits2010-01-013
Total of all active and inactive participants2010-01-011,734
2009: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2009 401k membership
Total participants, beginning-of-year2009-01-011,521
Total number of active participants reported on line 7a of the Form 55002009-01-011,516
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-010
Total of all active and inactive participants2009-01-011,516

Financial Data on BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST

Measure Date Value
2021 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2021 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2021-03-01$0
Total unrealized appreciation/depreciation of assets2021-03-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-03-01$2,693,427
Total income from all sources (including contributions)2021-03-01$73,655
Total of all expenses incurred2021-03-01$73,655
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-03-01$75,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-03-01$23,681
Value of total assets at end of year2021-03-01$0
Value of total assets at beginning of year2021-03-01$2,693,427
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-03-01$-1,823
Total interest from all sources2021-03-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-03-01Yes
Value of any plan assets that reverted to the employer resulting from resoluton to terminate the plan2021-03-01$0
Was this plan covered by a fidelity bond2021-03-01Yes
Value of fidelity bond cover2021-03-01$1,500,000
Were there any nonexempt tranactions with any party-in-interest2021-03-01No
Contributions received from participants2021-03-01$0
Income. Received or receivable in cash from other sources (including rollovers)2021-03-01$23,681
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2021-03-01$-2,676,314
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-03-01$4,874
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-03-01$9,622
Other income not declared elsewhere2021-03-01$49,974
Liabilities. Value of operating payables at end of year2021-03-01$0
Liabilities. Value of operating payables at beginning of year2021-03-01$7,491
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-01No
Value of net income/loss2021-03-01$0
Value of net assets at end of year (total assets less liabilities)2021-03-01$0
Value of net assets at beginning of year (total assets less liabilities)2021-03-01$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-03-01No
Were any loans by the plan or fixed income obligations due to the plan in default2021-03-01No
Were any leases to which the plan was party in default or uncollectible2021-03-01No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-03-01$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-03-01$2,688,553
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-03-01$2,688,553
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2021-03-01$0
Expenses. Payments to insurance carriers foe the provision of benefits2021-03-01$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-03-01No
Was there a failure to transmit to the plan any participant contributions2021-03-01No
Has the plan failed to provide any benefit when due under the plan2021-03-01No
Contributions received in cash from employer2021-03-01$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-03-01$2,751,792
Contract administrator fees2021-03-01$-1,823
Liabilities. Value of benefit claims payable at end of year2021-03-01$0
Liabilities. Value of benefit claims payable at beginning of year2021-03-01$2,676,314
Did the plan have assets held for investment2021-03-01No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-03-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-03-01Yes
Opinion of an independent qualified public accountant for this plan2021-03-01Unqualified
Accountancy firm name2021-03-01MOSS ADAMS LLP
Accountancy firm EIN2021-03-01910189318
2020 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2020 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2020-12-31$27,522
Total unrealized appreciation/depreciation of assets2020-12-31$27,522
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$2,693,427
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$3,529,373
Total income from all sources (including contributions)2020-12-31$16,773,207
Total of all expenses incurred2020-12-31$23,292,407
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$22,986,360
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$16,215,294
Value of total assets at end of year2020-12-31$2,693,427
Value of total assets at beginning of year2020-12-31$10,048,573
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$306,047
Total interest from all sources2020-12-31$52,015
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$24,400
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$3,490,617
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$183,730
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2020-12-31$-833,648
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$4,874
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$89,618
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$9,622
Other income not declared elsewhere2020-12-31$478,376
Administrative expenses (other) incurred2020-12-31$49,885
Liabilities. Value of operating payables at end of year2020-12-31$7,491
Liabilities. Value of operating payables at beginning of year2020-12-31$19,411
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-6,519,200
Value of net assets at end of year (total assets less liabilities)2020-12-31$0
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,519,200
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2020-12-31$2,688,553
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2020-12-31$9,958,955
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2020-12-31$9,958,955
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2020-12-31$52,015
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$389,076
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$12,540,947
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$23,430,932
Contract administrator fees2020-12-31$231,762
Liabilities. Value of benefit claims payable at end of year2020-12-31$2,676,314
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$3,509,962
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31MOSS ADAMS LLP
Accountancy firm EIN2020-12-31910189318
2019 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2019 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$27,262
Unrealized appreciation/depreciation of other (non real estate) assets2019-12-31$27,262
Total unrealized appreciation/depreciation of assets2019-12-31$27,262
Total unrealized appreciation/depreciation of assets2019-12-31$27,262
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,529,373
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$3,529,373
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,524,820
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,524,820
Total income from all sources (including contributions)2019-12-31$21,906,394
Total income from all sources (including contributions)2019-12-31$21,906,394
Total of all expenses incurred2019-12-31$21,999,609
Total of all expenses incurred2019-12-31$21,999,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$21,373,698
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$21,373,698
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$21,713,884
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$21,713,884
Value of total assets at end of year2019-12-31$10,048,573
Value of total assets at end of year2019-12-31$10,048,573
Value of total assets at beginning of year2019-12-31$11,137,235
Value of total assets at beginning of year2019-12-31$11,137,235
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$625,911
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$625,911
Total interest from all sources2019-12-31$165,248
Total interest from all sources2019-12-31$165,248
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$24,400
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,500,000
Value of fidelity bond cover2019-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$4,919,635
Contributions received from participants2019-12-31$4,919,635
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$208,649
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$208,649
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2019-12-31$-606,198
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$89,618
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$64,622
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$64,622
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$390,524
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$390,524
Administrative expenses (other) incurred2019-12-31$381,708
Liabilities. Value of operating payables at end of year2019-12-31$19,411
Liabilities. Value of operating payables at end of year2019-12-31$19,411
Liabilities. Value of operating payables at beginning of year2019-12-31$18,136
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$-93,215
Value of net income/loss2019-12-31$-93,215
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,519,200
Value of net assets at end of year (total assets less liabilities)2019-12-31$6,519,200
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$6,612,415
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2019-12-31$9,958,955
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,072,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,072,613
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2019-12-31$11,072,613
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2019-12-31$11,072,613
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$165,248
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2019-12-31$165,248
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$319,124
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$319,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$16,585,600
Contributions received in cash from employer2019-12-31$16,585,600
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$21,660,772
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$21,660,772
Contract administrator fees2019-12-31$219,803
Contract administrator fees2019-12-31$219,803
Liabilities. Value of benefit claims payable at end of year2019-12-31$3,509,962
Liabilities. Value of benefit claims payable at end of year2019-12-31$3,509,962
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,116,160
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm name2019-12-31MOSS ADAMS LLP
Accountancy firm EIN2019-12-31910189318
Accountancy firm EIN2019-12-31910189318
2018 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2018 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2018-12-31$-9,364
Total unrealized appreciation/depreciation of assets2018-12-31$-9,364
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,524,820
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$2,959,150
Total income from all sources (including contributions)2018-12-31$21,000,066
Total of all expenses incurred2018-12-31$21,726,181
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$21,467,750
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$20,869,917
Value of total assets at end of year2018-12-31$11,137,235
Value of total assets at beginning of year2018-12-31$10,297,680
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$258,431
Total interest from all sources2018-12-31$134,445
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$24,402
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$5,087,734
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$216,736
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2018-12-31$1,277,957
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$64,622
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$34,934
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$390,524
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$100,393
Other income not declared elsewhere2018-12-31$5,068
Administrative expenses (other) incurred2018-12-31$36,346
Liabilities. Value of operating payables at end of year2018-12-31$18,136
Liabilities. Value of operating payables at beginning of year2018-12-31$20,554
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-726,115
Value of net assets at end of year (total assets less liabilities)2018-12-31$6,612,415
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$7,338,530
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2018-12-31$11,072,613
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2018-12-31$10,262,746
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2018-12-31$10,262,746
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2018-12-31$134,445
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$366,406
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$15,565,447
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$19,823,387
Contract administrator fees2018-12-31$197,683
Liabilities. Value of benefit claims payable at end of year2018-12-31$4,116,160
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$2,838,203
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MOSS ADAMS LLP
Accountancy firm EIN2018-12-31910189318
2017 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2017 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2017-12-31$1,965
Total unrealized appreciation/depreciation of assets2017-12-31$1,965
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,959,150
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$2,944,715
Total income from all sources (including contributions)2017-12-31$19,373,726
Total of all expenses incurred2017-12-31$18,996,930
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$18,391,551
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$19,301,763
Value of total assets at end of year2017-12-31$10,297,680
Value of total assets at beginning of year2017-12-31$9,906,449
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$605,379
Total interest from all sources2017-12-31$69,998
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$24,400
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$4,776,328
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$222,884
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2017-12-31$13,057
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$34,934
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$39,680
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$100,393
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$103,363
Administrative expenses (other) incurred2017-12-31$131,540
Liabilities. Value of operating payables at end of year2017-12-31$20,554
Liabilities. Value of operating payables at beginning of year2017-12-31$16,206
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$376,796
Value of net assets at end of year (total assets less liabilities)2017-12-31$7,338,530
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$6,961,734
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2017-12-31$10,262,746
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$9,866,769
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$9,866,769
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2017-12-31$69,998
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$350,563
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$14,302,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$18,027,931
Contract administrator fees2017-12-31$449,439
Liabilities. Value of benefit claims payable at end of year2017-12-31$2,838,203
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,825,146
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MOSS ADAMS LLP
Accountancy firm EIN2017-12-31910189318
2016 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2016 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2016-12-31$-2,279
Total unrealized appreciation/depreciation of assets2016-12-31$-2,279
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,944,715
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$2,510,598
Total income from all sources (including contributions)2016-12-31$18,608,727
Total of all expenses incurred2016-12-31$18,670,377
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$17,970,546
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$18,559,048
Value of total assets at end of year2016-12-31$9,906,449
Value of total assets at beginning of year2016-12-31$9,533,982
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$699,831
Total interest from all sources2016-12-31$47,271
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$24,400
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$4,519,261
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$267,224
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2016-12-31$330,457
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$39,680
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$287,335
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$103,363
Other income not declared elsewhere2016-12-31$4,687
Administrative expenses (other) incurred2016-12-31$227,029
Liabilities. Value of operating payables at end of year2016-12-31$16,206
Liabilities. Value of operating payables at beginning of year2016-12-31$15,909
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-61,650
Value of net assets at end of year (total assets less liabilities)2016-12-31$6,961,734
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,023,384
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$9,866,769
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$9,246,647
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$9,246,647
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2016-12-31$47,271
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$334,633
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$13,772,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$17,305,456
Contract administrator fees2016-12-31$448,402
Liabilities. Value of benefit claims payable at end of year2016-12-31$2,825,146
Liabilities. Value of benefit claims payable at beginning of year2016-12-31$2,494,689
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MOSS ADAMS LLP
Accountancy firm EIN2016-12-31910189318
2015 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2015 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2015-12-31$7,445
Total unrealized appreciation/depreciation of assets2015-12-31$7,445
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,510,598
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$2,080,209
Total income from all sources (including contributions)2015-12-31$17,618,347
Total of all expenses incurred2015-12-31$15,453,106
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$14,748,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$17,546,402
Value of total assets at end of year2015-12-31$9,533,982
Value of total assets at beginning of year2015-12-31$6,938,352
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$704,196
Total interest from all sources2015-12-31$26,553
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Administrative expenses professional fees incurred2015-12-31$12,432
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$1,500,000
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$4,627,395
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$227,444
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2015-12-31$440,743
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$287,335
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$13,312
Other income not declared elsewhere2015-12-31$37,947
Administrative expenses (other) incurred2015-12-31$265,321
Liabilities. Value of operating payables at end of year2015-12-31$15,909
Liabilities. Value of operating payables at beginning of year2015-12-31$26,263
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$2,165,241
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,023,384
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$4,858,143
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$9,246,647
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$6,925,040
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$6,925,040
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2015-12-31$26,553
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$310,843
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$12,691,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$13,997,324
Contract administrator fees2015-12-31$426,443
Liabilities. Value of benefit claims payable at end of year2015-12-31$2,494,689
Liabilities. Value of benefit claims payable at beginning of year2015-12-31$2,053,946
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31No
Opinion of an independent qualified public accountant for this plan2015-12-31Unqualified
Accountancy firm name2015-12-31MOSS ADAMS LLP
Accountancy firm EIN2015-12-31910189318
2014 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2014 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2014-12-31$-12,696
Total unrealized appreciation/depreciation of assets2014-12-31$-12,696
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,080,209
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$2,076,109
Total income from all sources (including contributions)2014-12-31$16,241,785
Total of all expenses incurred2014-12-31$15,843,506
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$15,088,366
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,220,098
Value of total assets at end of year2014-12-31$6,938,352
Value of total assets at beginning of year2014-12-31$6,535,973
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$755,140
Total interest from all sources2014-12-31$16,137
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$14,775
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$3,976,576
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$186,509
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2014-12-31$100,875
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$13,312
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$7,616
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2014-12-31$95,901
Other income not declared elsewhere2014-12-31$18,246
Administrative expenses (other) incurred2014-12-31$329,475
Liabilities. Value of operating payables at end of year2014-12-31$26,263
Liabilities. Value of operating payables at beginning of year2014-12-31$27,137
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$398,279
Value of net assets at end of year (total assets less liabilities)2014-12-31$4,858,143
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$4,459,864
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$6,925,040
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$6,528,357
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$6,528,357
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2014-12-31$16,137
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$255,976
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$12,057,013
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$14,731,515
Contract administrator fees2014-12-31$410,890
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32014-12-31No
Liabilities. Value of benefit claims payable at end of year2014-12-31$2,053,946
Liabilities. Value of benefit claims payable at beginning of year2014-12-31$1,953,071
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31No
Opinion of an independent qualified public accountant for this plan2014-12-31Unqualified
Accountancy firm name2014-12-31MOSS ADAMS LLP
Accountancy firm EIN2014-12-31910189318
2013 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2013 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2013-12-31$-5,296
Total unrealized appreciation/depreciation of assets2013-12-31$-5,296
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$2,076,109
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$1,976,094
Total income from all sources (including contributions)2013-12-31$15,549,439
Total of all expenses incurred2013-12-31$14,428,102
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$13,900,461
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$15,448,058
Value of total assets at end of year2013-12-31$6,535,973
Value of total assets at beginning of year2013-12-31$5,314,621
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$527,641
Total interest from all sources2013-12-31$14,611
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Administrative expenses professional fees incurred2013-12-31$27,281
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$3,427,557
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$225,771
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2013-12-31$81,919
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$7,616
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$12,036
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2013-12-31$95,901
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$78,743
Other income not declared elsewhere2013-12-31$92,066
Administrative expenses (other) incurred2013-12-31$137,906
Liabilities. Value of operating payables at end of year2013-12-31$27,137
Liabilities. Value of operating payables at beginning of year2013-12-31$26,199
Total non interest bearing cash at beginning of year2013-12-31$866,925
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,121,337
Value of net assets at end of year (total assets less liabilities)2013-12-31$4,459,864
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$3,338,527
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$6,528,357
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2013-12-31$4,435,660
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2013-12-31$4,435,660
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$14,611
Expenses. Payments to insurance carriers foe the provision of benefits2013-12-31$116,144
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$11,794,730
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$13,702,398
Contract administrator fees2013-12-31$362,454
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
Liabilities. Value of benefit claims payable at end of year2013-12-31$1,953,071
Liabilities. Value of benefit claims payable at beginning of year2013-12-31$1,871,152
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31No
Opinion of an independent qualified public accountant for this plan2013-12-31Unqualified
Accountancy firm name2013-12-31MOSS ADAMS
Accountancy firm EIN2013-12-31910189318
2012 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2012 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2012-12-31$4,540
Total unrealized appreciation/depreciation of assets2012-12-31$4,540
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,976,094
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$1,378,003
Total income from all sources (including contributions)2012-12-31$13,383,784
Total of all expenses incurred2012-12-31$12,790,439
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$12,321,165
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$13,354,340
Value of total assets at end of year2012-12-31$5,314,621
Value of total assets at beginning of year2012-12-31$4,123,185
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$469,274
Total interest from all sources2012-12-31$18,979
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Administrative expenses professional fees incurred2012-12-31$36,000
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$3,422,950
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2012-12-31$512,155
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$12,036
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$3,493
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$78,743
Other income not declared elsewhere2012-12-31$5,925
Administrative expenses (other) incurred2012-12-31$52,496
Liabilities. Value of operating payables at end of year2012-12-31$26,199
Liabilities. Value of operating payables at beginning of year2012-12-31$19,006
Total non interest bearing cash at end of year2012-12-31$866,925
Total non interest bearing cash at beginning of year2012-12-31$199,470
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$593,345
Value of net assets at end of year (total assets less liabilities)2012-12-31$3,338,527
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$2,745,182
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2012-12-31$4,435,660
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2012-12-31$3,913,295
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2012-12-31$3,913,295
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2012-12-31$18,979
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$273,062
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$9,931,390
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$6,927
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$11,535,948
Contract administrator fees2012-12-31$380,778
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
Liabilities. Value of benefit claims payable at end of year2012-12-31$1,871,152
Liabilities. Value of benefit claims payable at beginning of year2012-12-31$1,358,997
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31No
Opinion of an independent qualified public accountant for this plan2012-12-31Unqualified
Accountancy firm name2012-12-31MOSS ADAMS LLP
Accountancy firm EIN2012-12-31910189318
2011 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2011 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2011-12-31$-21,981
Total unrealized appreciation/depreciation of assets2011-12-31$-21,981
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,378,003
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$1,391,416
Total income from all sources (including contributions)2011-12-31$11,066,434
Total of all expenses incurred2011-12-31$12,528,869
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$11,777,806
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$10,863,073
Value of total assets at end of year2011-12-31$4,123,185
Value of total assets at beginning of year2011-12-31$5,599,033
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$751,063
Total interest from all sources2011-12-31$37,868
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Administrative expenses professional fees incurred2011-12-31$36,424
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,372,904
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2011-12-31$-13,969
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$3,493
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$10,524
Other income not declared elsewhere2011-12-31$187,474
Administrative expenses (other) incurred2011-12-31$43,139
Liabilities. Value of operating payables at end of year2011-12-31$19,006
Liabilities. Value of operating payables at beginning of year2011-12-31$18,450
Total non interest bearing cash at end of year2011-12-31$199,470
Total non interest bearing cash at beginning of year2011-12-31$215,942
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$-1,462,435
Value of net assets at end of year (total assets less liabilities)2011-12-31$2,745,182
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$4,207,617
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$35,101
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2011-12-31$3,913,295
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2011-12-31$5,332,567
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2011-12-31$5,332,567
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2011-12-31$37,868
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$240,124
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$9,490,169
Employer contributions (assets) at end of year2011-12-31$6,927
Employer contributions (assets) at beginning of year2011-12-31$40,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$11,551,651
Contract administrator fees2011-12-31$636,399
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32011-12-31No
Liabilities. Value of benefit claims payable at end of year2011-12-31$1,358,997
Liabilities. Value of benefit claims payable at beginning of year2011-12-31$1,372,966
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31No
Opinion of an independent qualified public accountant for this plan2011-12-31Unqualified
Accountancy firm name2011-12-31MOSS ADAMS LLP
Accountancy firm EIN2011-12-31910189318
2010 : BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2010 401k financial data
Unrealized appreciation/depreciation of other (non real estate) assets2010-12-31$-7,876
Total unrealized appreciation/depreciation of assets2010-12-31$-7,876
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,391,416
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$1,140,535
Total income from all sources (including contributions)2010-12-31$10,735,332
Total of all expenses incurred2010-12-31$11,537,322
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$10,683,729
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$10,669,823
Value of total assets at end of year2010-12-31$5,599,033
Value of total assets at beginning of year2010-12-31$6,150,142
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$853,593
Total interest from all sources2010-12-31$73,385
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Administrative expenses professional fees incurred2010-12-31$20,727
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$2,553,209
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$398,850
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$10,524
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$17,556
Administrative expenses (other) incurred2010-12-31$82,872
Liabilities. Value of operating payables at end of year2010-12-31$18,450
Liabilities. Value of operating payables at beginning of year2010-12-31$166,419
Total non interest bearing cash at end of year2010-12-31$215,942
Total non interest bearing cash at beginning of year2010-12-31$1,435,439
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$-801,990
Value of net assets at end of year (total assets less liabilities)2010-12-31$4,207,617
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$5,009,607
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$9,643
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2010-12-31$5,332,567
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2010-12-31$4,677,041
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2010-12-31$4,677,041
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2010-12-31$73,385
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$195,814
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$8,116,614
Employer contributions (assets) at end of year2010-12-31$40,000
Employer contributions (assets) at beginning of year2010-12-31$20,106
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$10,089,065
Contract administrator fees2010-12-31$740,351
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32010-12-31No
Liabilities. Value of benefit claims payable at end of year2010-12-31$1,372,966
Liabilities. Value of benefit claims payable at beginning of year2010-12-31$974,116
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31No
Opinion of an independent qualified public accountant for this plan2010-12-31Unqualified
Accountancy firm name2010-12-31MOSS ADAMS LLP
Accountancy firm EIN2010-12-31910189318

Form 5500 Responses for BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST

2021: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01This submission is the final filingYes
2021-01-01This return/report is a short plan year return/report (less than 12 months)Yes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedYes
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: BENEFIS HEALTHCARE EMPLOYEE HEALTH 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: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan funding arrangement – TrustYes
2010-01-01Plan benefit arrangement – InsuranceYes
2010-01-01Plan benefit arrangement - TrustYes
2009: BENEFIS HEALTHCARE EMPLOYEE HEALTH PLAN TRUST 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01This submission is the final filingNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211385
Policy instance 2
Insurance contract or identification number0211385
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number28689
Policy instance 1
Insurance contract or identification number28689
Number of Individuals Covered0
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211385
Policy instance 2
Insurance contract or identification number0211385
Number of Individuals Covered3687
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $5,407
Total amount of fees paid to insurance companyUSD $3,202
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $182,044
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $5,407
Amount paid for insurance broker fees2389
Additional information about fees paid to insurance brokerSUPPLEMENTAL COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number28689
Policy instance 1
Insurance contract or identification number28689
Number of Individuals Covered7293
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $207,032
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211385
Policy instance 2
Insurance contract or identification number0211385
Number of Individuals Covered3621
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $15,697
Total amount of fees paid to insurance companyUSD $2,544
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $163,774
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $6,168
Amount paid for insurance broker fees1288
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
BLUECROSS BLUESHIELD OF TEXAS (National Association of Insurance Commissioners NAIC id number: 70670 )
Policy contract number28689
Policy instance 1
Insurance contract or identification number28689
Number of Individuals Covered7135
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $192,850
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METROPOLITAN LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 65978 )
Policy contract number0211385
Policy instance 2
Insurance contract or identification number0211385
Number of Individuals Covered3606
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $19,918
Total amount of fees paid to insurance companyUSD $5,433
Vision Insurance Welfare BenefitYes
Welfare Benefit Premiums Paid to CarrierUSD $180,658
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,963
Amount paid for insurance broker fees75
Additional information about fees paid to insurance brokerNON-MONETARY COMPENSATION
Insurance broker organization code?3
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231590
Policy instance 1
Insurance contract or identification number231590
Number of Individuals Covered1777
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $15,789
Total amount of fees paid to insurance companyUSD $3,823
Welfare Benefit Premiums Paid to CarrierUSD $185,748
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $15,789
Insurance broker organization code?3
Amount paid for insurance broker fees3823
Additional information about fees paid to insurance brokerBONUS
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30044987
Policy instance 2
Insurance contract or identification number30044987
Number of Individuals Covered1784
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $26,465
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $26,465
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231590
Policy instance 1
Insurance contract or identification number231590
Number of Individuals Covered1730
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $17,653
Total amount of fees paid to insurance companyUSD $3,731
Welfare Benefit Premiums Paid to CarrierUSD $184,648
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $16,928
Additional information about fees paid to insurance brokerBONUS
Insurance broker organization code?5
Amount paid for insurance broker fees3731
Insurance broker nameSTHEALTH BENEFIT SOLUTIONS LLC DBA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30044987
Policy instance 2
Insurance contract or identification number30044987
Number of Individuals Covered1955
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $27,614
Total amount of fees paid to insurance companyUSD $0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,614
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231590
Policy instance 1
Insurance contract or identification number231590
Number of Individuals Covered1637
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $21,111
Total amount of fees paid to insurance companyUSD $5,823
Welfare Benefit Premiums Paid to CarrierUSD $153,291
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $14,074
Amount paid for insurance broker fees1941
Additional information about fees paid to insurance brokerBONUS AMOUNT
Insurance broker organization code?3
Insurance broker nameSTEALTH BENEFIT SOLUTIONS LLC DBA
VISION SERVICE PLAN (National Association of Insurance Commissioners NAIC id number: 39616 )
Policy contract number30044987
Policy instance 2
Insurance contract or identification number30044987
Number of Individuals Covered1739
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $25,752
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Vision Insurance Welfare BenefitYes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,428
Insurance broker nameGALLAGHER BENEFIT SERVICES INC
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231590
Policy instance 1
Insurance contract or identification number231590
Number of Individuals Covered1624
Insurance policy start date2014-08-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $8,842
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $99,946
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $7,595
Insurance broker organization code?3
Insurance broker nameGALLAGHER BENEFIT SERVICES INC
NATIONAL UNION (National Association of Insurance Commissioners NAIC id number: 19445 )
Policy contract number949-1252
Policy instance 1
Insurance contract or identification number949-1252
Number of Individuals Covered1929
Insurance policy start date2012-04-01
Insurance policy end date2013-03-31
Total amount of commissions paid to insurance brokerUSD $27,701
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedORGAN TRANSPLANT
Welfare Benefit Premiums Paid to CarrierUSD $277,005
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $27,701
Insurance broker organization code?3
Insurance broker nameINTERMOUNTAIN UNDERWRITERS
SUN LIFE ASSURANCE COMPANY OF CANADA (National Association of Insurance Commissioners NAIC id number: 80802 )
Policy contract number231590
Policy instance 2
Insurance contract or identification number231590
Number of Individuals Covered1595
Insurance policy start date2013-08-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $3,470
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Welfare Benefit Premiums Paid to CarrierUSD $46,269
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $3,470
Insurance broker organization code?3
Insurance broker nameINSURANCE POINT LLC
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number280-6775
Policy instance 1
Insurance contract or identification number280-6775
Number of Individuals Covered1648
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedMAJOR MEDICAL SURGICAL
Welfare Benefit Premiums Paid to CarrierUSD $273,062
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number280-6775
Policy instance 1
Insurance contract or identification number280-6775
Number of Individuals Covered1557
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedMAJOR MEDICAL SURGICAL
Welfare Benefit Premiums Paid to CarrierUSD $240,124
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
CHARTIS (National Association of Insurance Commissioners NAIC id number: 66842 )
Policy contract number280-6775
Policy instance 1
Insurance contract or identification number280-6775
Number of Individuals Covered1725
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Other welfare benefits providedMAJOR MEDICAL SURGICAL
Welfare Benefit Premiums Paid to CarrierUSD $195,814
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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