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CUMBERLAND HEALTHCARE 403(B) PLAN 401k Plan overview

Plan NameCUMBERLAND HEALTHCARE 403(B) PLAN
Plan identification number 003

CUMBERLAND HEALTHCARE 403(B) 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.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) received services of leased employees, as defined in Code section 414(n), during the plan year.

401k Sponsoring company profile

CUMBERLAND HEALTHCARE has sponsored the creation of one or more 401k plans.

Company Name:CUMBERLAND HEALTHCARE
Employer identification number (EIN):390831153
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CUMBERLAND HEALTHCARE 403(B) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-07-01
0032021-07-01
0032020-07-01
0032019-07-01
0032018-07-01
0032017-07-01
0032016-07-01ANGIE MARTENS
0032015-07-01ANGIE MARTENS
0032014-07-01ANGIE MARTENS
0032013-07-01ANGIE MARTENS
0032012-07-01ANGIE MARTENS
0032011-07-01MIKE GUTSCH
0032010-07-01ANGELA MARTENS
0032009-07-01DEBORA KUNFERMAN

Plan Statistics for CUMBERLAND HEALTHCARE 403(B) PLAN

401k plan membership statisitcs for CUMBERLAND HEALTHCARE 403(B) PLAN

Measure Date Value
2022: CUMBERLAND HEALTHCARE 403(B) PLAN 2022 401k membership
Total participants, beginning-of-year2022-07-01332
Total number of active participants reported on line 7a of the Form 55002022-07-01241
Number of retired or separated participants receiving benefits2022-07-013
Number of other retired or separated participants entitled to future benefits2022-07-0155
Total of all active and inactive participants2022-07-01299
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-07-011
Total participants2022-07-01300
Number of participants with account balances2022-07-01282
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-07-018
2021: CUMBERLAND HEALTHCARE 403(B) PLAN 2021 401k membership
Total participants, beginning-of-year2021-07-01259
Total number of active participants reported on line 7a of the Form 55002021-07-01213
Number of retired or separated participants receiving benefits2021-07-013
Number of other retired or separated participants entitled to future benefits2021-07-0154
Total of all active and inactive participants2021-07-01270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-07-011
Total participants2021-07-01271
Number of participants with account balances2021-07-01235
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-07-0117
2020: CUMBERLAND HEALTHCARE 403(B) PLAN 2020 401k membership
Total participants, beginning-of-year2020-07-01255
Total number of active participants reported on line 7a of the Form 55002020-07-01226
Number of retired or separated participants receiving benefits2020-07-013
Number of other retired or separated participants entitled to future benefits2020-07-0133
Total of all active and inactive participants2020-07-01262
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-07-011
Total participants2020-07-01263
Number of participants with account balances2020-07-01222
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-07-018
2019: CUMBERLAND HEALTHCARE 403(B) PLAN 2019 401k membership
Total participants, beginning-of-year2019-07-01245
Total number of active participants reported on line 7a of the Form 55002019-07-01215
Number of retired or separated participants receiving benefits2019-07-013
Number of other retired or separated participants entitled to future benefits2019-07-0134
Total of all active and inactive participants2019-07-01252
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-07-010
Total participants2019-07-01252
Number of participants with account balances2019-07-01199
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-07-0110
2018: CUMBERLAND HEALTHCARE 403(B) PLAN 2018 401k membership
Total participants, beginning-of-year2018-07-01254
Total number of active participants reported on line 7a of the Form 55002018-07-01214
Number of retired or separated participants receiving benefits2018-07-013
Number of other retired or separated participants entitled to future benefits2018-07-0129
Total of all active and inactive participants2018-07-01246
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-07-010
Total participants2018-07-01246
Number of participants with account balances2018-07-01200
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-07-016
2017: CUMBERLAND HEALTHCARE 403(B) PLAN 2017 401k membership
Total participants, beginning-of-year2017-07-01234
Total number of active participants reported on line 7a of the Form 55002017-07-01223
Number of retired or separated participants receiving benefits2017-07-013
Number of other retired or separated participants entitled to future benefits2017-07-0129
Total of all active and inactive participants2017-07-01255
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-07-010
Total participants2017-07-01255
Number of participants with account balances2017-07-01194
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-07-018
2016: CUMBERLAND HEALTHCARE 403(B) PLAN 2016 401k membership
Total participants, beginning-of-year2016-07-01295
Total number of active participants reported on line 7a of the Form 55002016-07-01204
Number of retired or separated participants receiving benefits2016-07-012
Number of other retired or separated participants entitled to future benefits2016-07-0118
Total of all active and inactive participants2016-07-01224
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-07-010
Total participants2016-07-01224
Number of participants with account balances2016-07-01167
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-07-0111
2015: CUMBERLAND HEALTHCARE 403(B) PLAN 2015 401k membership
Total participants, beginning-of-year2015-07-01287
Total number of active participants reported on line 7a of the Form 55002015-07-01247
Number of retired or separated participants receiving benefits2015-07-010
Number of other retired or separated participants entitled to future benefits2015-07-0111
Total of all active and inactive participants2015-07-01258
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-07-010
Total participants2015-07-01258
Number of participants with account balances2015-07-01178
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-07-011
2014: CUMBERLAND HEALTHCARE 403(B) PLAN 2014 401k membership
Total participants, beginning-of-year2014-07-01276
Total number of active participants reported on line 7a of the Form 55002014-07-01258
Number of retired or separated participants receiving benefits2014-07-010
Number of other retired or separated participants entitled to future benefits2014-07-0112
Total of all active and inactive participants2014-07-01270
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-07-010
Total participants2014-07-01270
Number of participants with account balances2014-07-01174
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-07-011
2013: CUMBERLAND HEALTHCARE 403(B) PLAN 2013 401k membership
Total participants, beginning-of-year2013-07-01269
Total number of active participants reported on line 7a of the Form 55002013-07-01254
Number of retired or separated participants receiving benefits2013-07-010
Number of other retired or separated participants entitled to future benefits2013-07-0112
Total of all active and inactive participants2013-07-01266
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-07-010
Total participants2013-07-01266
Number of participants with account balances2013-07-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-07-010
2012: CUMBERLAND HEALTHCARE 403(B) PLAN 2012 401k membership
Total participants, beginning-of-year2012-07-01305
Total number of active participants reported on line 7a of the Form 55002012-07-01243
Number of retired or separated participants receiving benefits2012-07-010
Number of other retired or separated participants entitled to future benefits2012-07-0111
Total of all active and inactive participants2012-07-01254
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-07-010
Total participants2012-07-01254
Number of participants with account balances2012-07-01165
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-07-010
2011: CUMBERLAND HEALTHCARE 403(B) PLAN 2011 401k membership
Total participants, beginning-of-year2011-07-01229
Total number of active participants reported on line 7a of the Form 55002011-07-01226
Number of retired or separated participants receiving benefits2011-07-010
Number of other retired or separated participants entitled to future benefits2011-07-014
Total of all active and inactive participants2011-07-01230
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-07-010
Total participants2011-07-01230
Number of participants with account balances2011-07-01170
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-07-010
2010: CUMBERLAND HEALTHCARE 403(B) PLAN 2010 401k membership
Total participants, beginning-of-year2010-07-01268
Total number of active participants reported on line 7a of the Form 55002010-07-01220
Number of retired or separated participants receiving benefits2010-07-010
Number of other retired or separated participants entitled to future benefits2010-07-016
Total of all active and inactive participants2010-07-01226
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2010-07-010
Total participants2010-07-01226
Number of participants with account balances2010-07-01164
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2010-07-010
2009: CUMBERLAND HEALTHCARE 403(B) PLAN 2009 401k membership
Total participants, beginning-of-year2009-07-01228
Total number of active participants reported on line 7a of the Form 55002009-07-01216
Number of retired or separated participants receiving benefits2009-07-010
Number of other retired or separated participants entitled to future benefits2009-07-014
Total of all active and inactive participants2009-07-01220
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-07-010
Total participants2009-07-01220
Number of participants with account balances2009-07-01161
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-07-010

Financial Data on CUMBERLAND HEALTHCARE 403(B) PLAN

Measure Date Value
2023 : CUMBERLAND HEALTHCARE 403(B) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-06-30$0
Total income from all sources (including contributions)2023-06-30$3,227,004
Total loss/gain on sale of assets2023-06-30$0
Total of all expenses incurred2023-06-30$1,241,321
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-06-30$1,190,036
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-06-30$1,884,285
Value of total assets at end of year2023-06-30$15,156,584
Value of total assets at beginning of year2023-06-30$13,170,901
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-06-30$51,285
Total interest from all sources2023-06-30$49,015
Total dividends received (eg from common stock, registered investment company shares)2023-06-30$146,836
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2023-06-30$146,836
Was this plan covered by a fidelity bond2023-06-30Yes
Value of fidelity bond cover2023-06-30$1,000,000
If this is an individual account plan, was there a blackout period2023-06-30No
Were there any nonexempt tranactions with any party-in-interest2023-06-30No
Contributions received from participants2023-06-30$975,070
Participant contributions at end of year2023-06-30$36,585
Income. Received or receivable in cash from other sources (including rollovers)2023-06-30$583,027
Other income not declared elsewhere2023-06-30$28,912
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Value of net income/loss2023-06-30$1,985,683
Value of net assets at end of year (total assets less liabilities)2023-06-30$15,156,584
Value of net assets at beginning of year (total assets less liabilities)2023-06-30$13,170,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2023-06-30No
Were any leases to which the plan was party in default or uncollectible2023-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-06-30$11,013,150
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-06-30$9,512,130
Interest earned on other investments2023-06-30$49,015
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-06-30$4,093,678
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-06-30$3,658,771
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-06-30$1,117,956
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-06-30No
Was there a failure to transmit to the plan any participant contributions2023-06-30No
Has the plan failed to provide any benefit when due under the plan2023-06-30No
Contributions received in cash from employer2023-06-30$326,188
Employer contributions (assets) at end of year2023-06-30$13,171
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-06-30$1,190,036
Contract administrator fees2023-06-30$51,285
Did the plan have assets held for investment2023-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-06-30No
Opinion of an independent qualified public accountant for this plan2023-06-30Unqualified
Accountancy firm name2023-06-30WIPFLI LLP
Accountancy firm EIN2023-06-30390758449
2022 : CUMBERLAND HEALTHCARE 403(B) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-06-30$0
Total income from all sources (including contributions)2022-06-30$-435,056
Total loss/gain on sale of assets2022-06-30$0
Total of all expenses incurred2022-06-30$1,423,715
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-06-30$1,357,742
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-06-30$1,340,247
Value of total assets at end of year2022-06-30$13,170,901
Value of total assets at beginning of year2022-06-30$15,029,672
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-06-30$65,973
Total interest from all sources2022-06-30$39,834
Total dividends received (eg from common stock, registered investment company shares)2022-06-30$129,459
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2022-06-30$129,459
Was this plan covered by a fidelity bond2022-06-30Yes
Value of fidelity bond cover2022-06-30$1,000,000
If this is an individual account plan, was there a blackout period2022-06-30No
Were there any nonexempt tranactions with any party-in-interest2022-06-30No
Contributions received from participants2022-06-30$897,802
Income. Received or receivable in cash from other sources (including rollovers)2022-06-30$129,629
Other income not declared elsewhere2022-06-30$27,060
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Value of net income/loss2022-06-30$-1,858,771
Value of net assets at end of year (total assets less liabilities)2022-06-30$13,170,901
Value of net assets at beginning of year (total assets less liabilities)2022-06-30$15,029,672
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2022-06-30No
Were any leases to which the plan was party in default or uncollectible2022-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-06-30$9,512,130
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-06-30$11,535,731
Interest earned on other investments2022-06-30$39,834
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-06-30$3,658,771
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-06-30$3,493,941
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-06-30$-1,971,656
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-06-30No
Was there a failure to transmit to the plan any participant contributions2022-06-30No
Has the plan failed to provide any benefit when due under the plan2022-06-30No
Contributions received in cash from employer2022-06-30$312,816
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-06-30$1,357,742
Contract administrator fees2022-06-30$65,973
Did the plan have assets held for investment2022-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-06-30No
Opinion of an independent qualified public accountant for this plan2022-06-30Unqualified
Accountancy firm name2022-06-30WIPFLI, LLC
Accountancy firm EIN2022-06-30390758449
2021 : CUMBERLAND HEALTHCARE 403(B) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-06-30$0
Total income from all sources (including contributions)2021-06-30$4,468,668
Total loss/gain on sale of assets2021-06-30$0
Total of all expenses incurred2021-06-30$806,557
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-06-30$765,457
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-06-30$1,377,374
Value of total assets at end of year2021-06-30$15,029,672
Value of total assets at beginning of year2021-06-30$11,367,561
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-06-30$41,100
Total interest from all sources2021-06-30$40,801
Total dividends received (eg from common stock, registered investment company shares)2021-06-30$580,772
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2021-06-30$580,772
Was this plan covered by a fidelity bond2021-06-30Yes
Value of fidelity bond cover2021-06-30$500,000
If this is an individual account plan, was there a blackout period2021-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-06-30$0
Were there any nonexempt tranactions with any party-in-interest2021-06-30No
Contributions received from participants2021-06-30$807,378
Income. Received or receivable in cash from other sources (including rollovers)2021-06-30$301,016
Other income not declared elsewhere2021-06-30$3,886
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Value of net income/loss2021-06-30$3,662,111
Value of net assets at end of year (total assets less liabilities)2021-06-30$15,029,672
Value of net assets at beginning of year (total assets less liabilities)2021-06-30$11,367,561
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2021-06-30No
Were any leases to which the plan was party in default or uncollectible2021-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-06-30$11,535,731
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-06-30$8,612,579
Interest earned on other investments2021-06-30$40,801
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-06-30$3,493,941
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-06-30$2,754,982
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-06-30$2,465,835
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-06-30No
Was there a failure to transmit to the plan any participant contributions2021-06-30No
Has the plan failed to provide any benefit when due under the plan2021-06-30No
Contributions received in cash from employer2021-06-30$268,980
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-06-30$765,457
Contract administrator fees2021-06-30$41,100
Did the plan have assets held for investment2021-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-06-30No
Opinion of an independent qualified public accountant for this plan2021-06-30Unqualified
Accountancy firm name2021-06-30WIPFLI LLP
Accountancy firm EIN2021-06-30390758449
2020 : CUMBERLAND HEALTHCARE 403(B) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-06-30$0
Total income from all sources (including contributions)2020-06-30$1,486,939
Total loss/gain on sale of assets2020-06-30$0
Total of all expenses incurred2020-06-30$880,293
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-06-30$847,529
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-06-30$1,049,580
Value of total assets at end of year2020-06-30$11,367,561
Value of total assets at beginning of year2020-06-30$10,760,915
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-06-30$32,764
Total interest from all sources2020-06-30$45,924
Total dividends received (eg from common stock, registered investment company shares)2020-06-30$415,967
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2020-06-30$415,967
Was this plan covered by a fidelity bond2020-06-30Yes
Value of fidelity bond cover2020-06-30$500,000
If this is an individual account plan, was there a blackout period2020-06-30No
Were there any nonexempt tranactions with any party-in-interest2020-06-30No
Contributions received from participants2020-06-30$708,764
Income. Received or receivable in cash from other sources (including rollovers)2020-06-30$85,578
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Value of net income/loss2020-06-30$606,646
Value of net assets at end of year (total assets less liabilities)2020-06-30$11,367,561
Value of net assets at beginning of year (total assets less liabilities)2020-06-30$10,760,915
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2020-06-30No
Were any leases to which the plan was party in default or uncollectible2020-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-06-30$8,612,579
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-06-30$8,118,485
Interest earned on other investments2020-06-30$45,924
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-06-30$2,754,982
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-06-30$2,642,430
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-06-30$-24,532
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-06-30No
Was there a failure to transmit to the plan any participant contributions2020-06-30No
Has the plan failed to provide any benefit when due under the plan2020-06-30No
Contributions received in cash from employer2020-06-30$255,238
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-06-30$847,529
Contract administrator fees2020-06-30$32,764
Did the plan have assets held for investment2020-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2020-06-30Yes
Opinion of an independent qualified public accountant for this plan2020-06-30Disclaimer
Accountancy firm name2020-06-30WIPFLI LLP
Accountancy firm EIN2020-06-30390758449
2019 : CUMBERLAND HEALTHCARE 403(B) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-06-30$0
Total income from all sources (including contributions)2019-06-30$1,573,859
Total loss/gain on sale of assets2019-06-30$0
Total of all expenses incurred2019-06-30$1,474,760
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-06-30$1,443,032
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-06-30$1,043,626
Value of total assets at end of year2019-06-30$10,760,915
Value of total assets at beginning of year2019-06-30$10,661,816
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-06-30$31,728
Total interest from all sources2019-06-30$47,922
Total dividends received (eg from common stock, registered investment company shares)2019-06-30$527,670
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2019-06-30$527,670
Was this plan covered by a fidelity bond2019-06-30Yes
Value of fidelity bond cover2019-06-30$500,000
If this is an individual account plan, was there a blackout period2019-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-06-30$0
Were there any nonexempt tranactions with any party-in-interest2019-06-30No
Contributions received from participants2019-06-30$677,662
Income. Received or receivable in cash from other sources (including rollovers)2019-06-30$108,791
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Value of net income/loss2019-06-30$99,099
Value of net assets at end of year (total assets less liabilities)2019-06-30$10,760,915
Value of net assets at beginning of year (total assets less liabilities)2019-06-30$10,661,816
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2019-06-30No
Were any leases to which the plan was party in default or uncollectible2019-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-06-30$8,118,485
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-06-30$7,819,874
Interest earned on other investments2019-06-30$47,922
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-06-30$2,642,430
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-06-30$2,841,942
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-06-30$-45,359
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-06-30No
Was there a failure to transmit to the plan any participant contributions2019-06-30No
Has the plan failed to provide any benefit when due under the plan2019-06-30No
Contributions received in cash from employer2019-06-30$257,173
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-06-30$1,443,032
Contract administrator fees2019-06-30$31,728
Did the plan have assets held for investment2019-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-06-30Yes
Opinion of an independent qualified public accountant for this plan2019-06-30Disclaimer
Accountancy firm name2019-06-30WIPFLI LLP
Accountancy firm EIN2019-06-30390758449
2018 : CUMBERLAND HEALTHCARE 403(B) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-06-30$0
Total income from all sources (including contributions)2018-06-30$1,819,855
Total loss/gain on sale of assets2018-06-30$0
Total of all expenses incurred2018-06-30$1,359,783
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-06-30$1,329,628
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-06-30$949,220
Value of total assets at end of year2018-06-30$10,661,816
Value of total assets at beginning of year2018-06-30$10,201,744
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-06-30$30,155
Total interest from all sources2018-06-30$55,538
Total dividends received (eg from common stock, registered investment company shares)2018-06-30$357,596
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2018-06-30$357,596
Was this plan covered by a fidelity bond2018-06-30Yes
Value of fidelity bond cover2018-06-30$500,000
If this is an individual account plan, was there a blackout period2018-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-06-30$0
Were there any nonexempt tranactions with any party-in-interest2018-06-30No
Contributions received from participants2018-06-30$630,361
Income. Received or receivable in cash from other sources (including rollovers)2018-06-30$53,679
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-06-30$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-06-30$1,137
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Value of net income/loss2018-06-30$460,072
Value of net assets at end of year (total assets less liabilities)2018-06-30$10,661,816
Value of net assets at beginning of year (total assets less liabilities)2018-06-30$10,201,744
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2018-06-30No
Were any leases to which the plan was party in default or uncollectible2018-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-06-30$7,819,874
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-06-30$6,668,889
Interest earned on other investments2018-06-30$55,538
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-06-30$2,841,942
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-06-30$3,531,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-06-30$457,501
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-06-30No
Was there a failure to transmit to the plan any participant contributions2018-06-30No
Has the plan failed to provide any benefit when due under the plan2018-06-30No
Contributions received in cash from employer2018-06-30$265,180
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-06-30$1,329,628
Contract administrator fees2018-06-30$30,155
Did the plan have assets held for investment2018-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-06-30Yes
Opinion of an independent qualified public accountant for this plan2018-06-30Disclaimer
Accountancy firm name2018-06-30WIPFLI LLP
Accountancy firm EIN2018-06-30390758449
2017 : CUMBERLAND HEALTHCARE 403(B) PLAN 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-06-30$0
Total income from all sources (including contributions)2017-06-30$1,864,801
Total loss/gain on sale of assets2017-06-30$0
Total of all expenses incurred2017-06-30$1,116,609
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-06-30$1,087,332
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-06-30$881,007
Value of total assets at end of year2017-06-30$10,201,744
Value of total assets at beginning of year2017-06-30$9,453,552
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-06-30$29,277
Total interest from all sources2017-06-30$72,735
Total dividends received (eg from common stock, registered investment company shares)2017-06-30$250,716
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2017-06-30$250,716
Was this plan covered by a fidelity bond2017-06-30Yes
Value of fidelity bond cover2017-06-30$500,000
If this is an individual account plan, was there a blackout period2017-06-30No
Were there any nonexempt tranactions with any party-in-interest2017-06-30No
Contributions received from participants2017-06-30$602,122
Income. Received or receivable in cash from other sources (including rollovers)2017-06-30$24,987
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-06-30$1,137
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-06-30$1,523
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Value of net income/loss2017-06-30$748,192
Value of net assets at end of year (total assets less liabilities)2017-06-30$10,201,744
Value of net assets at beginning of year (total assets less liabilities)2017-06-30$9,453,552
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2017-06-30No
Were any leases to which the plan was party in default or uncollectible2017-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-06-30$6,668,889
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-06-30$6,100,716
Interest earned on other investments2017-06-30$72,735
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-06-30$3,531,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-06-30$3,351,313
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-06-30$660,343
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-06-30No
Was there a failure to transmit to the plan any participant contributions2017-06-30No
Has the plan failed to provide any benefit when due under the plan2017-06-30No
Contributions received in cash from employer2017-06-30$253,898
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-06-30$1,087,332
Contract administrator fees2017-06-30$29,277
Did the plan have assets held for investment2017-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-06-30Yes
Opinion of an independent qualified public accountant for this plan2017-06-30Disclaimer
Accountancy firm name2017-06-30WIPFLI LLP
Accountancy firm EIN2017-06-30390758449
2016 : CUMBERLAND HEALTHCARE 403(B) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-06-30$12,743
Total income from all sources (including contributions)2016-06-30$848,375
Total loss/gain on sale of assets2016-06-30$0
Total of all expenses incurred2016-06-30$461,180
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-06-30$458,298
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-06-30$849,093
Value of total assets at end of year2016-06-30$9,453,552
Value of total assets at beginning of year2016-06-30$9,079,100
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-06-30$2,882
Total interest from all sources2016-06-30$73,713
Total dividends received (eg from common stock, registered investment company shares)2016-06-30$370,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2016-06-30$370,621
Was this plan covered by a fidelity bond2016-06-30Yes
Value of fidelity bond cover2016-06-30$500,000
If this is an individual account plan, was there a blackout period2016-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-06-30$0
Were there any nonexempt tranactions with any party-in-interest2016-06-30No
Contributions received from participants2016-06-30$580,455
Income. Received or receivable in cash from other sources (including rollovers)2016-06-30$6,138
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-06-30$1,523
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-06-30$0
Liabilities. Value of operating payables at end of year2016-06-30$0
Liabilities. Value of operating payables at beginning of year2016-06-30$12,743
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Value of net income/loss2016-06-30$387,195
Value of net assets at end of year (total assets less liabilities)2016-06-30$9,453,552
Value of net assets at beginning of year (total assets less liabilities)2016-06-30$9,066,357
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2016-06-30No
Were any leases to which the plan was party in default or uncollectible2016-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-06-30$6,100,716
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-06-30$6,323,112
Interest earned on other investments2016-06-30$73,713
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-06-30$3,351,313
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-06-30$2,755,988
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-06-30$-445,052
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-06-30No
Was there a failure to transmit to the plan any participant contributions2016-06-30No
Has the plan failed to provide any benefit when due under the plan2016-06-30No
Contributions received in cash from employer2016-06-30$262,500
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-06-30$458,298
Contract administrator fees2016-06-30$2,882
Did the plan have assets held for investment2016-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-06-30Yes
Opinion of an independent qualified public accountant for this plan2016-06-30Disclaimer
Accountancy firm name2016-06-30WIPFLI LLP
Accountancy firm EIN2016-06-30390758449
2015 : CUMBERLAND HEALTHCARE 403(B) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$12,743
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-06-30$0
Total income from all sources (including contributions)2015-06-30$1,169,659
Total loss/gain on sale of assets2015-06-30$0
Total of all expenses incurred2015-06-30$341,547
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-06-30$328,083
Value of total corrective distributions2015-06-30$12,743
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-06-30$826,856
Value of total assets at end of year2015-06-30$9,079,100
Value of total assets at beginning of year2015-06-30$8,238,245
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-06-30$721
Total interest from all sources2015-06-30$72,831
Total dividends received (eg from common stock, registered investment company shares)2015-06-30$342,513
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2015-06-30$342,513
Was this plan covered by a fidelity bond2015-06-30Yes
Value of fidelity bond cover2015-06-30$500,000
If this is an individual account plan, was there a blackout period2015-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-06-30$0
Were there any nonexempt tranactions with any party-in-interest2015-06-30No
Contributions received from participants2015-06-30$543,663
Participant contributions at end of year2015-06-30$0
Participant contributions at beginning of year2015-06-30$19,358
Income. Received or receivable in cash from other sources (including rollovers)2015-06-30$43,715
Administrative expenses (other) incurred2015-06-30$1
Liabilities. Value of operating payables at end of year2015-06-30$12,743
Liabilities. Value of operating payables at beginning of year2015-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Value of net income/loss2015-06-30$828,112
Value of net assets at end of year (total assets less liabilities)2015-06-30$9,066,357
Value of net assets at beginning of year (total assets less liabilities)2015-06-30$8,238,245
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2015-06-30No
Were any leases to which the plan was party in default or uncollectible2015-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-06-30$6,323,112
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-06-30$5,589,058
Interest earned on other investments2015-06-30$72,831
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-06-30$2,755,988
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-06-30$2,621,443
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-06-30$-72,541
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-06-30No
Was there a failure to transmit to the plan any participant contributions2015-06-30No
Has the plan failed to provide any benefit when due under the plan2015-06-30No
Contributions received in cash from employer2015-06-30$239,478
Employer contributions (assets) at end of year2015-06-30$0
Employer contributions (assets) at beginning of year2015-06-30$8,386
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-06-30$328,083
Contract administrator fees2015-06-30$720
Did the plan have assets held for investment2015-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-06-30Yes
Opinion of an independent qualified public accountant for this plan2015-06-30Disclaimer
Accountancy firm name2015-06-30WIPFLI LLP
Accountancy firm EIN2015-06-30390758449
2014 : CUMBERLAND HEALTHCARE 403(B) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-06-30$0
Total income from all sources (including contributions)2014-06-30$4,092,458
Total loss/gain on sale of assets2014-06-30$0
Total of all expenses incurred2014-06-30$658,172
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-06-30$657,212
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-06-30$3,397,237
Value of total assets at end of year2014-06-30$8,238,245
Value of total assets at beginning of year2014-06-30$4,803,959
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-06-30$960
Total interest from all sources2014-06-30$64,731
Total dividends received (eg from common stock, registered investment company shares)2014-06-30$147,272
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2014-06-30$147,272
Was this plan covered by a fidelity bond2014-06-30Yes
Value of fidelity bond cover2014-06-30$500,000
If this is an individual account plan, was there a blackout period2014-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-06-30$0
Were there any nonexempt tranactions with any party-in-interest2014-06-30No
Contributions received from participants2014-06-30$489,142
Participant contributions at end of year2014-06-30$19,358
Participant contributions at beginning of year2014-06-30$18,817
Income. Received or receivable in cash from other sources (including rollovers)2014-06-30$2,829,885
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Value of net income/loss2014-06-30$3,434,286
Value of net assets at end of year (total assets less liabilities)2014-06-30$8,238,245
Value of net assets at beginning of year (total assets less liabilities)2014-06-30$4,803,959
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2014-06-30No
Were any leases to which the plan was party in default or uncollectible2014-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-06-30$5,589,058
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-06-30$2,661,631
Interest earned on other investments2014-06-30$64,731
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-06-30$2,621,443
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-06-30$2,123,511
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-06-30$483,218
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-06-30No
Was there a failure to transmit to the plan any participant contributions2014-06-30No
Has the plan failed to provide any benefit when due under the plan2014-06-30No
Contributions received in cash from employer2014-06-30$78,210
Employer contributions (assets) at end of year2014-06-30$8,386
Employer contributions (assets) at beginning of year2014-06-30$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-06-30$657,212
Contract administrator fees2014-06-30$960
Did the plan have assets held for investment2014-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-06-30Yes
Opinion of an independent qualified public accountant for this plan2014-06-30Disclaimer
Accountancy firm name2014-06-30WIPFLI LLP
Accountancy firm EIN2014-06-30390758449
2013 : CUMBERLAND HEALTHCARE 403(B) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-06-30$0
Total income from all sources (including contributions)2013-06-30$1,116,792
Total loss/gain on sale of assets2013-06-30$0
Total of all expenses incurred2013-06-30$526,702
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-06-30$526,702
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-06-30$703,467
Value of total assets at end of year2013-06-30$4,803,959
Value of total assets at beginning of year2013-06-30$4,213,869
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-06-30$0
Total interest from all sources2013-06-30$59,098
Total dividends received (eg from common stock, registered investment company shares)2013-06-30$47,148
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2013-06-30$47,148
Was this plan covered by a fidelity bond2013-06-30Yes
Value of fidelity bond cover2013-06-30$500,000
If this is an individual account plan, was there a blackout period2013-06-30No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-06-30$0
Were there any nonexempt tranactions with any party-in-interest2013-06-30No
Contributions received from participants2013-06-30$505,501
Participant contributions at end of year2013-06-30$18,817
Participant contributions at beginning of year2013-06-30$19,679
Income. Received or receivable in cash from other sources (including rollovers)2013-06-30$197,966
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Value of net income/loss2013-06-30$590,090
Value of net assets at end of year (total assets less liabilities)2013-06-30$4,803,959
Value of net assets at beginning of year (total assets less liabilities)2013-06-30$4,213,869
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2013-06-30No
Were any leases to which the plan was party in default or uncollectible2013-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-06-30$2,661,631
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-06-30$2,361,065
Interest earned on other investments2013-06-30$59,098
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-06-30$2,123,511
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-06-30$1,833,125
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-06-30$307,079
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-06-30No
Was there a failure to transmit to the plan any participant contributions2013-06-30No
Has the plan failed to provide any benefit when due under the plan2013-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-06-30$526,702
Did the plan have assets held for investment2013-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-06-30Yes
Opinion of an independent qualified public accountant for this plan2013-06-30Disclaimer
Accountancy firm name2013-06-30WIPFLI LLP
Accountancy firm EIN2013-06-30390758449
2012 : CUMBERLAND HEALTHCARE 403(B) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-06-30$0
Total income from all sources (including contributions)2012-06-30$573,761
Total loss/gain on sale of assets2012-06-30$0
Total of all expenses incurred2012-06-30$185,584
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-06-30$183,262
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-06-30$554,034
Value of total assets at end of year2012-06-30$4,213,869
Value of total assets at beginning of year2012-06-30$3,825,692
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-06-30$2,322
Total interest from all sources2012-06-30$46,884
Total dividends received (eg from common stock, registered investment company shares)2012-06-30$27,529
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2012-06-30$27,529
Was this plan covered by a fidelity bond2012-06-30Yes
Value of fidelity bond cover2012-06-30$500,000
If this is an individual account plan, was there a blackout period2012-06-30No
Were there any nonexempt tranactions with any party-in-interest2012-06-30No
Contributions received from participants2012-06-30$554,034
Participant contributions at end of year2012-06-30$19,679
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Value of net income/loss2012-06-30$388,177
Value of net assets at end of year (total assets less liabilities)2012-06-30$4,213,869
Value of net assets at beginning of year (total assets less liabilities)2012-06-30$3,825,692
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2012-06-30No
Were any leases to which the plan was party in default or uncollectible2012-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-06-30$2,361,065
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-06-30$2,447,974
Interest earned on other investments2012-06-30$46,884
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-06-30$1,833,125
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-06-30$1,377,718
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-06-30$-54,686
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-06-30No
Was there a failure to transmit to the plan any participant contributions2012-06-30No
Has the plan failed to provide any benefit when due under the plan2012-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-06-30$183,262
Contract administrator fees2012-06-30$2,322
Did the plan have assets held for investment2012-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-06-30Yes
Opinion of an independent qualified public accountant for this plan2012-06-30Disclaimer
Accountancy firm name2012-06-30WIPFLI LLP
Accountancy firm EIN2012-06-30390758449
2011 : CUMBERLAND HEALTHCARE 403(B) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-06-30$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-06-30$0
Total income from all sources (including contributions)2011-06-30$1,095,851
Total loss/gain on sale of assets2011-06-30$0
Total of all expenses incurred2011-06-30$67,573
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-06-30$64,228
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-06-30$537,273
Value of total assets at end of year2011-06-30$3,825,692
Value of total assets at beginning of year2011-06-30$2,797,414
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-06-30$3,345
Total interest from all sources2011-06-30$28,703
Total dividends received (eg from common stock, registered investment company shares)2011-06-30$44,033
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-06-30No
Total dividends received from registered investment company shares (eg mutual funds)2011-06-30$44,033
Was this plan covered by a fidelity bond2011-06-30Yes
Value of fidelity bond cover2011-06-30$500,000
If this is an individual account plan, was there a blackout period2011-06-30No
Were there any nonexempt tranactions with any party-in-interest2011-06-30No
Contributions received from participants2011-06-30$537,273
Participant contributions at beginning of year2011-06-30$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Value of net income/loss2011-06-30$1,028,278
Value of net assets at end of year (total assets less liabilities)2011-06-30$3,825,692
Value of net assets at beginning of year (total assets less liabilities)2011-06-30$2,797,414
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-06-30No
Were any loans by the plan or fixed income obligations due to the plan in default2011-06-30No
Were any leases to which the plan was party in default or uncollectible2011-06-30No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-06-30$2,447,974
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-06-30$1,725,895
Interest earned on other investments2011-06-30$28,703
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-06-30$1,377,718
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-06-30$1,071,519
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-06-30$485,842
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-06-30No
Was there a failure to transmit to the plan any participant contributions2011-06-30No
Has the plan failed to provide any benefit when due under the plan2011-06-30No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-06-30$64,228
Contract administrator fees2011-06-30$3,345
Did the plan have assets held for investment2011-06-30Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-06-30No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-06-30No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-06-30Yes
Opinion of an independent qualified public accountant for this plan2011-06-30Disclaimer
Accountancy firm name2011-06-30WIPFLI LLP
Accountancy firm EIN2011-06-30390758449

Form 5500 Responses for CUMBERLAND HEALTHCARE 403(B) PLAN

2022: CUMBERLAND HEALTHCARE 403(B) PLAN 2022 form 5500 responses
2022-07-01Type of plan entitySingle employer plan
2022-07-01This submission is the final filingNo
2022-07-01This return/report is a short plan year return/report (less than 12 months)No
2022-07-01Plan is a collectively bargained planYes
2022-07-01Plan funding arrangement – InsuranceYes
2022-07-01Plan funding arrangement – TrustYes
2022-07-01Plan benefit arrangement – InsuranceYes
2022-07-01Plan benefit arrangement - TrustYes
2021: CUMBERLAND HEALTHCARE 403(B) PLAN 2021 form 5500 responses
2021-07-01Type of plan entitySingle employer plan
2021-07-01This submission is the final filingNo
2021-07-01This return/report is a short plan year return/report (less than 12 months)No
2021-07-01Plan is a collectively bargained planYes
2021-07-01Plan funding arrangement – InsuranceYes
2021-07-01Plan funding arrangement – TrustYes
2021-07-01Plan benefit arrangement – InsuranceYes
2021-07-01Plan benefit arrangement - TrustYes
2020: CUMBERLAND HEALTHCARE 403(B) PLAN 2020 form 5500 responses
2020-07-01Type of plan entitySingle employer plan
2020-07-01Submission has been amendedNo
2020-07-01This submission is the final filingNo
2020-07-01This return/report is a short plan year return/report (less than 12 months)No
2020-07-01Plan is a collectively bargained planYes
2020-07-01Plan funding arrangement – InsuranceYes
2020-07-01Plan funding arrangement – TrustYes
2020-07-01Plan benefit arrangement – InsuranceYes
2020-07-01Plan benefit arrangement - TrustYes
2019: CUMBERLAND HEALTHCARE 403(B) PLAN 2019 form 5500 responses
2019-07-01Type of plan entitySingle employer plan
2019-07-01Submission has been amendedNo
2019-07-01This submission is the final filingNo
2019-07-01This return/report is a short plan year return/report (less than 12 months)No
2019-07-01Plan is a collectively bargained planYes
2019-07-01Plan funding arrangement – InsuranceYes
2019-07-01Plan funding arrangement – TrustYes
2019-07-01Plan benefit arrangement – InsuranceYes
2019-07-01Plan benefit arrangement - TrustYes
2018: CUMBERLAND HEALTHCARE 403(B) PLAN 2018 form 5500 responses
2018-07-01Type of plan entitySingle employer plan
2018-07-01Submission has been amendedNo
2018-07-01This submission is the final filingNo
2018-07-01This return/report is a short plan year return/report (less than 12 months)No
2018-07-01Plan is a collectively bargained planYes
2018-07-01Plan funding arrangement – InsuranceYes
2018-07-01Plan funding arrangement – TrustYes
2018-07-01Plan benefit arrangement – InsuranceYes
2018-07-01Plan benefit arrangement - TrustYes
2017: CUMBERLAND HEALTHCARE 403(B) PLAN 2017 form 5500 responses
2017-07-01Type of plan entitySingle employer plan
2017-07-01Submission has been amendedNo
2017-07-01This submission is the final filingNo
2017-07-01This return/report is a short plan year return/report (less than 12 months)No
2017-07-01Plan is a collectively bargained planYes
2017-07-01Plan funding arrangement – InsuranceYes
2017-07-01Plan funding arrangement – TrustYes
2017-07-01Plan benefit arrangement – InsuranceYes
2017-07-01Plan benefit arrangement - TrustYes
2016: CUMBERLAND HEALTHCARE 403(B) PLAN 2016 form 5500 responses
2016-07-01Type of plan entitySingle employer plan
2016-07-01Submission has been amendedNo
2016-07-01This submission is the final filingNo
2016-07-01This return/report is a short plan year return/report (less than 12 months)No
2016-07-01Plan is a collectively bargained planYes
2016-07-01Plan funding arrangement – InsuranceYes
2016-07-01Plan funding arrangement – TrustYes
2016-07-01Plan benefit arrangement – InsuranceYes
2016-07-01Plan benefit arrangement - TrustYes
2015: CUMBERLAND HEALTHCARE 403(B) PLAN 2015 form 5500 responses
2015-07-01Type of plan entitySingle employer plan
2015-07-01Submission has been amendedNo
2015-07-01This submission is the final filingNo
2015-07-01This return/report is a short plan year return/report (less than 12 months)No
2015-07-01Plan is a collectively bargained planNo
2015-07-01Plan funding arrangement – InsuranceYes
2015-07-01Plan funding arrangement – TrustYes
2015-07-01Plan benefit arrangement – InsuranceYes
2015-07-01Plan benefit arrangement - TrustYes
2014: CUMBERLAND HEALTHCARE 403(B) PLAN 2014 form 5500 responses
2014-07-01Type of plan entitySingle employer plan
2014-07-01Submission has been amendedNo
2014-07-01This submission is the final filingNo
2014-07-01This return/report is a short plan year return/report (less than 12 months)No
2014-07-01Plan is a collectively bargained planYes
2014-07-01Plan funding arrangement – InsuranceYes
2014-07-01Plan funding arrangement – TrustYes
2014-07-01Plan benefit arrangement – InsuranceYes
2014-07-01Plan benefit arrangement - TrustYes
2013: CUMBERLAND HEALTHCARE 403(B) PLAN 2013 form 5500 responses
2013-07-01Type of plan entitySingle employer plan
2013-07-01Submission has been amendedNo
2013-07-01This submission is the final filingNo
2013-07-01This return/report is a short plan year return/report (less than 12 months)No
2013-07-01Plan is a collectively bargained planNo
2013-07-01Plan funding arrangement – InsuranceYes
2013-07-01Plan funding arrangement – TrustYes
2013-07-01Plan benefit arrangement – InsuranceYes
2013-07-01Plan benefit arrangement - TrustYes
2012: CUMBERLAND HEALTHCARE 403(B) PLAN 2012 form 5500 responses
2012-07-01Type of plan entitySingle employer plan
2012-07-01Submission has been amendedNo
2012-07-01This submission is the final filingNo
2012-07-01This return/report is a short plan year return/report (less than 12 months)No
2012-07-01Plan is a collectively bargained planYes
2012-07-01Plan funding arrangement – InsuranceYes
2012-07-01Plan funding arrangement – TrustYes
2012-07-01Plan benefit arrangement – InsuranceYes
2012-07-01Plan benefit arrangement - TrustYes
2011: CUMBERLAND HEALTHCARE 403(B) PLAN 2011 form 5500 responses
2011-07-01Type of plan entitySingle employer plan
2011-07-01Submission has been amendedNo
2011-07-01This submission is the final filingNo
2011-07-01This return/report is a short plan year return/report (less than 12 months)No
2011-07-01Plan is a collectively bargained planYes
2011-07-01Plan funding arrangement – InsuranceYes
2011-07-01Plan funding arrangement – TrustYes
2011-07-01Plan benefit arrangement – InsuranceYes
2011-07-01Plan benefit arrangement - TrustYes
2010: CUMBERLAND HEALTHCARE 403(B) PLAN 2010 form 5500 responses
2010-07-01Type of plan entitySingle employer plan
2010-07-01Submission has been amendedNo
2010-07-01This submission is the final filingNo
2010-07-01This return/report is a short plan year return/report (less than 12 months)No
2010-07-01Plan is a collectively bargained planYes
2010-07-01Plan funding arrangement – InsuranceYes
2010-07-01Plan funding arrangement – TrustYes
2010-07-01Plan benefit arrangement – InsuranceYes
2010-07-01Plan benefit arrangement - TrustYes
2009: CUMBERLAND HEALTHCARE 403(B) PLAN 2009 form 5500 responses
2009-07-01Type of plan entitySingle employer plan
2009-07-01Submission has been amendedNo
2009-07-01This submission is the final filingNo
2009-07-01This return/report is a short plan year return/report (less than 12 months)No
2009-07-01Plan is a collectively bargained planNo
2009-07-01Plan funding arrangement – InsuranceYes
2009-07-01Plan funding arrangement – TrustYes
2009-07-01Plan benefit arrangement – InsuranceYes
2009-07-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered300
Insurance policy start date2022-07-01
Insurance policy end date2023-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered271
Insurance policy start date2021-07-01
Insurance policy end date2022-06-30
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered263
Insurance policy start date2020-07-01
Insurance policy end date2021-06-30
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?Yes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered252
Insurance policy start date2019-07-01
Insurance policy end date2020-06-30
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?Yes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered246
Insurance policy start date2018-07-01
Insurance policy end date2019-06-30
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?Yes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered255
Insurance policy start date2017-07-01
Insurance policy end date2018-06-30
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?Yes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered258
Insurance policy start date2015-07-01
Insurance policy end date2016-06-30
Total amount of commissions paid to insurance brokerUSD $5,894
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 $5,894
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered270
Insurance policy start date2014-07-01
Insurance policy end date2015-06-30
Total amount of commissions paid to insurance brokerUSD $5,301
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 $5,301
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered266
Insurance policy start date2013-07-01
Insurance policy end date2014-06-30
Total amount of commissions paid to insurance brokerUSD $8,743
Total amount of fees paid to insurance companyUSD $1,385
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 $8,743
Amount paid for insurance broker fees1385
Additional information about fees paid to insurance brokerREFERRAL/SERVICE FEE
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered254
Insurance policy start date2012-07-01
Insurance policy end date2013-06-30
Total amount of commissions paid to insurance brokerUSD $8,608
Total amount of fees paid to insurance companyUSD $441
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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 $8,608
Amount paid for insurance broker fees441
Additional information about fees paid to insurance brokerPRORATED INCENTIVE, NOT DEDUCTED FROM PLAN
Insurance broker organization code?3
Insurance broker nameAMERICAN PORTFOLIOS FINANCIAL SERVI
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered230
Insurance policy start date2011-07-01
Insurance policy end date2012-06-30
Total amount of commissions paid to insurance brokerUSD $5,934
Total amount of fees paid to insurance companyUSD $1,214
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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
PRINCIPAL LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61271 )
Policy contract number441463
Policy instance 1
Insurance contract or identification number441463
Number of Individuals Covered226
Insurance policy start date2010-07-01
Insurance policy end date2011-06-30
Total amount of commissions paid to insurance brokerUSD $10,136
Total amount of fees paid to insurance companyUSD $2,158
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?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
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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