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MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 401k Plan overview

Plan NameMERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN
Plan identification number 002

MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Code section 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.

401k Sponsoring company profile

MERCY HEALTH SYSTEM CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:MERCY HEALTH SYSTEM CORPORATION
Employer identification number (EIN):390816848
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0022016-01-01KATHY HARRIS
0022015-01-01KATHY HARRIS
0022014-01-01KATHY HARRIS
0022013-01-01KATHY HARRIS
0022012-01-01KATHY HARRIS
0022011-01-01KATHY HARRIS
0022010-01-01KATHY HARRIS
0022009-01-01KATHY HARRIS

Plan Statistics for MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN

401k plan membership statisitcs for MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN

Measure Date Value
2016: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-013,257
Total number of active participants reported on line 7a of the Form 55002016-01-013,816
Number of retired or separated participants receiving benefits2016-01-0120
Number of other retired or separated participants entitled to future benefits2016-01-01168
Total of all active and inactive participants2016-01-014,004
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-013
Total participants2016-01-014,007
Number of participants with account balances2016-01-013,400
2015: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-013,161
Total number of active participants reported on line 7a of the Form 55002015-01-013,031
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01226
Total of all active and inactive participants2015-01-013,257
Total participants2015-01-013,257
Number of participants with account balances2015-01-013,257
2014: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-012,495
Total number of active participants reported on line 7a of the Form 55002014-01-012,216
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01945
Total of all active and inactive participants2014-01-013,161
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-013,161
Number of participants with account balances2014-01-013,161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-012,133
Total number of active participants reported on line 7a of the Form 55002013-01-012,271
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01224
Total of all active and inactive participants2013-01-012,495
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-012,495
Number of participants with account balances2013-01-012,495
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-013,029
Total number of active participants reported on line 7a of the Form 55002012-01-011,968
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01165
Total of all active and inactive participants2012-01-012,133
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-012,133
Number of participants with account balances2012-01-012,133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-012,323
Total number of active participants reported on line 7a of the Form 55002011-01-012,818
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01211
Total of all active and inactive participants2011-01-013,029
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-013,029
Number of participants with account balances2011-01-013,029
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2010: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2010 401k membership
Total participants, beginning-of-year2010-01-012,893
Total number of active participants reported on line 7a of the Form 55002010-01-012,100
Number of retired or separated participants receiving benefits2010-01-010
Number of other retired or separated participants entitled to future benefits2010-01-01223
Total of all active and inactive participants2010-01-012,323
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-01-010
Total participants2010-01-012,323
Number of participants with account balances2010-01-012,323
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-01-010
2009: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-013,058
Total number of active participants reported on line 7a of the Form 55002009-01-012,757
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01136
Total of all active and inactive participants2009-01-012,893
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-012,893
Number of participants with account balances2009-01-012,893
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN

Measure Date Value
2016 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$32,071,234
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$14,060,186
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$14,006,462
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$17,753,620
Value of total assets at end of year2016-12-31$231,686,504
Value of total assets at beginning of year2016-12-31$213,675,456
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$53,724
Total interest from all sources2016-12-31$1,742,660
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$11,774,124
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$11,774,124
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$13,719,777
Participant contributions at end of year2016-12-31$2,402,751
Participant contributions at beginning of year2016-12-31$1,863,738
Assets. Other investments not covered elsewhere at end of year2016-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2016-12-31$1,231,381
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,581,276
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$18,011,048
Value of net assets at end of year (total assets less liabilities)2016-12-31$231,686,504
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$213,675,456
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 in registered invesment companies (eg mutual funds) at end of year2016-12-31$166,148,804
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$155,417,515
Value of interest in pooled separate accounts at end of year2016-12-31$1,238,158
Value of interest in pooled separate accounts at beginning of year2016-12-31$1,242,049
Interest on participant loans2016-12-31$98,888
Interest earned on other investments2016-12-31$1,643,772
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$59,444,224
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$52,342,222
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$673,787
Net investment gain/loss from pooled separate accounts2016-12-31$127,043
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$2,452,567
Employer contributions (assets) at end of year2016-12-31$2,452,567
Employer contributions (assets) at beginning of year2016-12-31$1,578,551
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$14,006,462
Contract administrator fees2016-12-31$53,724
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)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31WIPFLI LLP
Accountancy firm EIN2016-12-31390758449
2015 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$21,130,193
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$11,557,478
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$11,499,202
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$17,885,996
Value of total assets at end of year2015-12-31$213,675,456
Value of total assets at beginning of year2015-12-31$204,102,741
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$58,276
Total interest from all sources2015-12-31$1,994,253
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$14,042,358
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$14,042,358
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$13,238,346
Participant contributions at end of year2015-12-31$1,863,738
Participant contributions at beginning of year2015-12-31$1,243,799
Assets. Other investments not covered elsewhere at end of year2015-12-31$1,231,381
Assets. Other investments not covered elsewhere at beginning of year2015-12-31$1,541,571
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$3,068,717
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$9,572,715
Value of net assets at end of year (total assets less liabilities)2015-12-31$213,675,456
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$204,102,741
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 in registered invesment companies (eg mutual funds) at end of year2015-12-31$155,417,515
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$150,965,782
Value of interest in pooled separate accounts at end of year2015-12-31$1,242,049
Value of interest in pooled separate accounts at beginning of year2015-12-31$1,356,999
Interest on participant loans2015-12-31$65,975
Interest earned on other investments2015-12-31$1,928,278
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$52,342,222
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$46,723,989
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-12,805,873
Net investment gain/loss from pooled separate accounts2015-12-31$13,459
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$1,578,933
Employer contributions (assets) at end of year2015-12-31$1,578,551
Employer contributions (assets) at beginning of year2015-12-31$2,270,601
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$11,499,202
Contract administrator fees2015-12-31$58,276
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)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31WIPFLI LLP
Accountancy firm EIN2015-12-31390758449
2014 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$30,000,880
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$14,963,104
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$14,912,008
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$16,644,057
Value of total assets at end of year2014-12-31$204,102,741
Value of total assets at beginning of year2014-12-31$189,064,965
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$51,096
Total interest from all sources2014-12-31$1,740,887
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$10,841,620
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$10,841,620
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$12,346,520
Participant contributions at end of year2014-12-31$1,243,799
Participant contributions at beginning of year2014-12-31$114,443
Assets. Other investments not covered elsewhere at end of year2014-12-31$1,541,571
Assets. Other investments not covered elsewhere at beginning of year2014-12-31$1,912,038
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$2,023,187
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$15,037,776
Value of net assets at end of year (total assets less liabilities)2014-12-31$204,102,741
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$189,064,965
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 in registered invesment companies (eg mutual funds) at end of year2014-12-31$150,965,782
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$143,022,958
Value of interest in pooled separate accounts at end of year2014-12-31$1,356,999
Value of interest in pooled separate accounts at beginning of year2014-12-31$1,113,289
Interest on participant loans2014-12-31$28,347
Interest earned on other investments2014-12-31$1,712,540
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$46,723,989
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$41,498,590
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$630,493
Net investment gain/loss from pooled separate accounts2014-12-31$143,823
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$2,274,350
Employer contributions (assets) at end of year2014-12-31$2,270,601
Employer contributions (assets) at beginning of year2014-12-31$1,403,647
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$14,912,008
Contract administrator fees2014-12-31$51,096
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)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31WIPFLI LLP
Accountancy firm EIN2014-12-31390758449
2013 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$45,525,302
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$8,375,612
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$8,375,612
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$14,780,158
Value of total assets at end of year2013-12-31$189,064,965
Value of total assets at beginning of year2013-12-31$151,915,275
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$0
Total interest from all sources2013-12-31$1,153,881
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$3,090,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$3,090,142
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$11,902,106
Participant contributions at end of year2013-12-31$114,443
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at end of year2013-12-31$1,912,038
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$1,799,079
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$1,473,744
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$37,149,690
Value of net assets at end of year (total assets less liabilities)2013-12-31$189,064,965
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$151,915,275
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 in registered invesment companies (eg mutual funds) at end of year2013-12-31$143,022,958
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$1,113,289
Value of interest in pooled separate accounts at beginning of year2013-12-31$114,024,668
Interest on participant loans2013-12-31$338
Interest earned on other investments2013-12-31$1,153,543
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$41,498,590
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$34,069,695
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,565,025
Net investment gain/loss from pooled separate accounts2013-12-31$23,936,096
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$1,404,308
Employer contributions (assets) at end of year2013-12-31$1,403,647
Employer contributions (assets) at beginning of year2013-12-31$2,021,833
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$8,375,612
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)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31WIPFLI LLP
Accountancy firm EIN2013-12-31390758449
2012 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$30,540,526
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$7,559,680
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$7,559,680
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$14,949,455
Value of total assets at end of year2012-12-31$151,915,275
Value of total assets at beginning of year2012-12-31$128,934,429
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$0
Total interest from all sources2012-12-31$1,146,451
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$11,199,478
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$412,508
Assets. Other investments not covered elsewhere at end of year2012-12-31$1,799,079
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$1,866,127
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$1,717,659
Other income not declared elsewhere2012-12-31$-890
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$22,980,846
Value of net assets at end of year (total assets less liabilities)2012-12-31$151,915,275
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$128,934,429
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 in pooled separate accounts at end of year2012-12-31$114,024,668
Value of interest in pooled separate accounts at beginning of year2012-12-31$98,549,791
Interest earned on other investments2012-12-31$1,146,451
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$34,069,695
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$26,821,588
Net investment gain/loss from pooled separate accounts2012-12-31$14,445,510
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$2,032,318
Employer contributions (assets) at end of year2012-12-31$2,021,833
Employer contributions (assets) at beginning of year2012-12-31$1,284,415
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$7,559,680
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)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31WIPFLI LLP
Accountancy firm EIN2012-12-31390758449
2011 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$11,320,060
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$4,914,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$4,914,013
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$13,996,923
Value of total assets at end of year2011-12-31$128,934,429
Value of total assets at beginning of year2011-12-31$122,528,382
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$0
Total interest from all sources2011-12-31$925,133
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$10,774,183
Participant contributions at end of year2011-12-31$412,508
Participant contributions at beginning of year2011-12-31$380,572
Assets. Other investments not covered elsewhere at end of year2011-12-31$1,866,127
Assets. Other investments not covered elsewhere at beginning of year2011-12-31$1,726,086
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$1,942,213
Other income not declared elsewhere2011-12-31$4,205
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$6,406,047
Value of net assets at end of year (total assets less liabilities)2011-12-31$128,934,429
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$122,528,382
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
Value of interest in pooled separate accounts at end of year2011-12-31$98,549,791
Value of interest in pooled separate accounts at beginning of year2011-12-31$97,514,073
Interest earned on other investments2011-12-31$925,133
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$26,821,588
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$21,696,919
Net investment gain/loss from pooled separate accounts2011-12-31$-3,606,201
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$1,280,527
Employer contributions (assets) at end of year2011-12-31$1,284,415
Employer contributions (assets) at beginning of year2011-12-31$1,210,732
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$4,914,013
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)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31WIPFLI LLP
Accountancy firm EIN2011-12-31390758449
2010 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$26,134,061
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$5,225,967
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$5,225,967
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$12,570,161
Value of total assets at end of year2010-12-31$122,528,382
Value of total assets at beginning of year2010-12-31$101,620,288
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$0
Total interest from all sources2010-12-31$788,591
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$500,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$10,389,126
Participant contributions at end of year2010-12-31$380,572
Participant contributions at beginning of year2010-12-31$411,473
Assets. Other investments not covered elsewhere at end of year2010-12-31$1,726,086
Assets. Other investments not covered elsewhere at beginning of year2010-12-31$1,550,192
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$970,504
Other income not declared elsewhere2010-12-31$23,476
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$20,908,094
Value of net assets at end of year (total assets less liabilities)2010-12-31$122,528,382
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$101,620,288
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
Value of interest in pooled separate accounts at end of year2010-12-31$97,514,073
Value of interest in pooled separate accounts at beginning of year2010-12-31$80,457,727
Interest earned on other investments2010-12-31$788,591
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$21,696,919
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$18,547,222
Net investment gain/loss from pooled separate accounts2010-12-31$12,751,833
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$1,210,531
Employer contributions (assets) at end of year2010-12-31$1,210,732
Employer contributions (assets) at beginning of year2010-12-31$653,674
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$5,225,967
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)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31WIPFLI LLP
Accountancy firm EIN2010-12-31390758449
2009 : MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN

2016: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan benefit arrangement – InsuranceYes
2015: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan benefit arrangement – InsuranceYes
2014: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan benefit arrangement – InsuranceYes
2013: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan benefit arrangement – InsuranceYes
2012: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan benefit arrangement – InsuranceYes
2011: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan benefit arrangement – InsuranceYes
2010: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2010 form 5500 responses
2010-01-01Type of plan entitySingle employer plan
2010-01-01Submission has been amendedNo
2010-01-01This submission is the final filingNo
2010-01-01This return/report is a short plan year return/report (less than 12 months)No
2010-01-01Plan is a collectively bargained planNo
2010-01-01Plan funding arrangement – InsuranceYes
2010-01-01Plan benefit arrangement – InsuranceYes
2009: MERCY HEALTH SYSTEM EMPLOYEES MATCHED SAVINGS RETIREMENT PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered259
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $1,522
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $1,381
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number666420
Policy instance 2
Insurance contract or identification number666420
Number of Individuals Covered3257
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $709,365
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $689,082
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered3161
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $21,974
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $21,974
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number666420
Policy instance 2
Insurance contract or identification number666420
Number of Individuals Covered3161
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $636,485
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $636,485
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered2495
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $514,132
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $511,949
Insurance broker organization code?3
Insurance broker nameSAGEPOINT FINANCIAL, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract number666420
Policy instance 2
Insurance contract or identification number666420
Number of Individuals Covered2495
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $113,463
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $113,463
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered2133
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $569,846
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $566,963
Insurance broker organization code?3
Insurance broker nameSAGEPOINT FINANCIAL, INC.
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered3029
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $526,956
Total amount of fees paid to insurance companyUSD $33,951
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )
Policy contract numberVE6520
Policy instance 1
Insurance contract or identification numberVE6520
Number of Individuals Covered2984
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $458,580
Total amount of fees paid to insurance companyUSD $21,834
Are there contracts with allocated funds for individual policies?No
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?Yes
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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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