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EMPLOYEE HEALTH PLAN OF ROCK KING LLP 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF ROCK KING LLP
Plan identification number 502

EMPLOYEE HEALTH PLAN OF ROCK KING LLP Benefits

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

401k Sponsoring company profile

ROCK KING LLP has sponsored the creation of one or more 401k plans.

Company Name:ROCK KING LLP
Employer identification number (EIN):364008440
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF ROCK KING LLP

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01MARK MALENCHIK
5022016-05-01MARK MALENCHIK
5022015-05-01MARK MALENCHIK
5022014-05-01MARK MALENCHIK
5022013-05-01MARK MALENCHIK
5022012-05-01MARK MALENCHIK
5022011-05-01MARK MALENCHIK
5022010-05-01MARK MALENCHIK

Plan Statistics for EMPLOYEE HEALTH PLAN OF ROCK KING LLP

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF ROCK KING LLP

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2022 401k membership
Total participants, beginning-of-year2022-05-015
Total number of active participants reported on line 7a of the Form 55002022-05-015
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-015
2021: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2021 401k membership
Total participants, beginning-of-year2021-05-017
Total number of active participants reported on line 7a of the Form 55002021-05-015
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-015
2020: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2020 401k membership
Total participants, beginning-of-year2020-05-0117
Total number of active participants reported on line 7a of the Form 55002020-05-017
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-017
2019: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2019 401k membership
Total participants, beginning-of-year2019-05-0119
Total number of active participants reported on line 7a of the Form 55002019-05-0116
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0116
2018: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2018 401k membership
Total participants, beginning-of-year2018-05-0117
Total number of active participants reported on line 7a of the Form 55002018-05-0113
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0113
2017: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2017 401k membership
Total participants, beginning-of-year2017-05-0120
Total number of active participants reported on line 7a of the Form 55002017-05-0117
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0117
2016: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2016 401k membership
Total participants, beginning-of-year2016-05-0122
Total number of active participants reported on line 7a of the Form 55002016-05-0119
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0119
2015: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2015 401k membership
Total participants, beginning-of-year2015-05-0112
Total number of active participants reported on line 7a of the Form 55002015-05-0112
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0112
2014: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2014 401k membership
Total participants, beginning-of-year2014-05-0114
Total number of active participants reported on line 7a of the Form 55002014-05-0124
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0124
2013: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2013 401k membership
Total participants, beginning-of-year2013-05-0112
Total number of active participants reported on line 7a of the Form 55002013-05-0112
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0112
2012: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2012 401k membership
Total participants, beginning-of-year2012-05-0115
Total number of active participants reported on line 7a of the Form 55002012-05-0112
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-0112
2011: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2011 401k membership
Total participants, beginning-of-year2011-05-016
Total number of active participants reported on line 7a of the Form 55002011-05-0115
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-0115
2010: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2010 401k membership
Total participants, beginning-of-year2010-05-014
Total number of active participants reported on line 7a of the Form 55002010-05-016
Number of retired or separated participants receiving benefits2010-05-010
Number of other retired or separated participants entitled to future benefits2010-05-010
Total of all active and inactive participants2010-05-016

Financial Data on EMPLOYEE HEALTH PLAN OF ROCK KING LLP

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2023 401k financial data
Total income from all sources2023-04-30$51,506
Expenses. Total of all expenses incurred2023-04-30$71,528
Benefits paid (including direct rollovers)2023-04-30$-24,097
Total plan assets at beginning of year2023-04-30$20,022
Value of fidelity bond covering the plan2023-04-30$5,000
Expenses. Other expenses not covered elsewhere2023-04-30$95,625
Net income (gross income less expenses)2023-04-30$-20,022
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$20,022
Total contributions received or receivable from employer(s)2023-04-30$51,506
2022 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2022 401k financial data
Total income from all sources2022-04-30$44,552
Expenses. Total of all expenses incurred2022-04-30$165,218
Benefits paid (including direct rollovers)2022-04-30$110,261
Total plan assets at end of year2022-04-30$20,022
Total plan assets at beginning of year2022-04-30$140,688
Value of fidelity bond covering the plan2022-04-30$15,000
Expenses. Other expenses not covered elsewhere2022-04-30$54,957
Net income (gross income less expenses)2022-04-30$-120,666
Net plan assets at end of year (total assets less liabilities)2022-04-30$20,022
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$140,688
Total contributions received or receivable from employer(s)2022-04-30$44,552
2021 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$36,560
Expenses. Total of all expenses incurred2021-04-30$35,126
Benefits paid (including direct rollovers)2021-04-30$14,535
Total plan assets at end of year2021-04-30$140,688
Total plan assets at beginning of year2021-04-30$139,254
Value of fidelity bond covering the plan2021-04-30$130,000
Expenses. Other expenses not covered elsewhere2021-04-30$20,591
Net income (gross income less expenses)2021-04-30$1,434
Net plan assets at end of year (total assets less liabilities)2021-04-30$140,688
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$139,254
Total contributions received or receivable from employer(s)2021-04-30$36,560
2020 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$47,293
Expenses. Total of all expenses incurred2020-04-30$40,492
Benefits paid (including direct rollovers)2020-04-30$13,522
Total plan assets at end of year2020-04-30$139,254
Total plan assets at beginning of year2020-04-30$132,453
Value of fidelity bond covering the plan2020-04-30$130,000
Expenses. Other expenses not covered elsewhere2020-04-30$26,970
Net income (gross income less expenses)2020-04-30$6,801
Net plan assets at end of year (total assets less liabilities)2020-04-30$139,254
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$132,453
Total contributions received or receivable from employer(s)2020-04-30$47,293
2018 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$62,571
Expenses. Total of all expenses incurred2018-04-30$64,285
Benefits paid (including direct rollovers)2018-04-30$29,139
Total plan assets at end of year2018-04-30$124,719
Total plan assets at beginning of year2018-04-30$126,433
Value of fidelity bond covering the plan2018-04-30$130,000
Expenses. Other expenses not covered elsewhere2018-04-30$35,146
Net income (gross income less expenses)2018-04-30$-1,714
Net plan assets at end of year (total assets less liabilities)2018-04-30$124,719
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$126,433
Total contributions received or receivable from employer(s)2018-04-30$62,571
2017 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$75,081
Expenses. Total of all expenses incurred2017-04-30$64,253
Benefits paid (including direct rollovers)2017-04-30$22,565
Total plan assets at end of year2017-04-30$126,433
Total plan assets at beginning of year2017-04-30$115,605
Value of fidelity bond covering the plan2017-04-30$130,000
Expenses. Other expenses not covered elsewhere2017-04-30$41,688
Net income (gross income less expenses)2017-04-30$10,828
Net plan assets at end of year (total assets less liabilities)2017-04-30$126,433
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$115,605
Total contributions received or receivable from employer(s)2017-04-30$75,081
2016 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$449
Total income from all sources2016-04-30$70,889
Expenses. Total of all expenses incurred2016-04-30$78,467
Benefits paid (including direct rollovers)2016-04-30$37,329
Total plan assets at end of year2016-04-30$115,605
Total plan assets at beginning of year2016-04-30$123,632
Value of fidelity bond covering the plan2016-04-30$120,000
Expenses. Other expenses not covered elsewhere2016-04-30$41,138
Net income (gross income less expenses)2016-04-30$-7,578
Net plan assets at end of year (total assets less liabilities)2016-04-30$115,605
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$123,183
Total contributions received or receivable from employer(s)2016-04-30$70,889
2015 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2015 401k financial data
Total plan liabilities at end of year2015-04-30$449
Total plan liabilities at beginning of year2015-04-30$2,106
Total income from all sources2015-04-30$128,364
Expenses. Total of all expenses incurred2015-04-30$97,929
Benefits paid (including direct rollovers)2015-04-30$28,054
Total plan assets at end of year2015-04-30$123,632
Total plan assets at beginning of year2015-04-30$94,854
Value of fidelity bond covering the plan2015-04-30$25,000
Expenses. Other expenses not covered elsewhere2015-04-30$69,875
Net income (gross income less expenses)2015-04-30$30,435
Net plan assets at end of year (total assets less liabilities)2015-04-30$123,183
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$92,748
Total contributions received or receivable from employer(s)2015-04-30$128,364
2014 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2014 401k financial data
Total plan liabilities at end of year2014-04-30$2,106
Total plan liabilities at beginning of year2014-04-30$862
Total income from all sources2014-04-30$110,711
Expenses. Total of all expenses incurred2014-04-30$81,466
Benefits paid (including direct rollovers)2014-04-30$18,326
Total plan assets at end of year2014-04-30$94,854
Total plan assets at beginning of year2014-04-30$64,365
Value of fidelity bond covering the plan2014-04-30$25,000
Expenses. Other expenses not covered elsewhere2014-04-30$63,140
Net income (gross income less expenses)2014-04-30$29,245
Net plan assets at end of year (total assets less liabilities)2014-04-30$92,748
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$63,503
Total contributions received or receivable from employer(s)2014-04-30$110,711
2013 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2013 401k financial data
Total plan liabilities at end of year2013-04-30$862
Total plan liabilities at beginning of year2013-04-30$765
Total income from all sources2013-04-30$96,546
Expenses. Total of all expenses incurred2013-04-30$66,109
Benefits paid (including direct rollovers)2013-04-30$16,956
Total plan assets at end of year2013-04-30$64,365
Total plan assets at beginning of year2013-04-30$33,831
Expenses. Other expenses not covered elsewhere2013-04-30$49,153
Net income (gross income less expenses)2013-04-30$30,437
Net plan assets at end of year (total assets less liabilities)2013-04-30$63,503
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$33,066
Total contributions received or receivable from employer(s)2013-04-30$96,546
2012 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2012 401k financial data
Total plan liabilities at end of year2012-04-30$765
Total plan liabilities at beginning of year2012-04-30$607
Total income from all sources2012-04-30$52,494
Expenses. Total of all expenses incurred2012-04-30$38,527
Benefits paid (including direct rollovers)2012-04-30$11,296
Total plan assets at end of year2012-04-30$33,831
Total plan assets at beginning of year2012-04-30$19,706
Expenses. Other expenses not covered elsewhere2012-04-30$27,231
Net income (gross income less expenses)2012-04-30$13,967
Net plan assets at end of year (total assets less liabilities)2012-04-30$33,066
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$19,099
Total contributions received or receivable from employer(s)2012-04-30$52,494
2011 : EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2011 401k financial data
Total plan liabilities at end of year2011-04-30$607
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$43,545
Expenses. Total of all expenses incurred2011-04-30$24,446
Benefits paid (including direct rollovers)2011-04-30$4,407
Total plan assets at end of year2011-04-30$19,706
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$20,039
Net income (gross income less expenses)2011-04-30$19,099
Net plan assets at end of year (total assets less liabilities)2011-04-30$19,099
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$43,545

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF ROCK KING LLP

2022: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes
2010: EMPLOYEE HEALTH PLAN OF ROCK KING LLP 2010 form 5500 responses
2010-05-01Type of plan entitySingle employer plan
2010-05-01First time form 5500 has been submittedYes
2010-05-01Submission has been amendedNo
2010-05-01This submission is the final filingNo
2010-05-01This return/report is a short plan year return/report (less than 12 months)No
2010-05-01Plan is a collectively bargained planNo
2010-05-01Plan funding arrangement – InsuranceYes
2010-05-01Plan funding arrangement – TrustYes
2010-05-01Plan benefit arrangement – InsuranceYes
2010-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered6
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $21,641
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered6
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $18,048
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered11
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $16,635
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered20
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $21,290
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered17
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $24,747
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13950 NFA 0180
Policy instance 1
Insurance contract or identification number13950 NFA 0180
Number of Individuals Covered23
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $27,652
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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