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403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 401k Plan overview

Plan Name403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH
Plan identification number 001

403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • 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.

401k Sponsoring company profile

CARESTL HEALTH has sponsored the creation of one or more 401k plans.

Company Name:CARESTL HEALTH
Employer identification number (EIN):430917230
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012021-01-01
0012020-01-01
0012019-01-01
0012019-01-01
0012019-01-01
0012018-01-01
0012017-01-01LORIE JACKSON LORIE JACKSON2018-10-15
0012016-01-01GREGORY STEVENSON
0012015-01-01JOHN ATKINSON
0012014-01-01JOHN ATKINSON
0012013-01-01ANGELA CLABON ANGELA CLABON2014-10-13
0012012-01-01ANGELA ARCHIBALD-CLABON ANGELA ARCHIBALD-CLABON2013-10-14
0012011-01-01ARCHIE GRIFFIN ARCHIE GRIFFIN2012-10-12
0012009-01-01ARCHIE GRIFFIN ARCHIE GRIFFIN2010-10-15

Plan Statistics for 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH

401k plan membership statisitcs for 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH

Measure Date Value
2021: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2021 401k membership
Total participants, beginning-of-year2021-01-01385
Total number of active participants reported on line 7a of the Form 55002021-01-01244
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01152
Total of all active and inactive participants2021-01-01396
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-016
Total participants2021-01-01402
Number of participants with account balances2021-01-01383
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0122
2020: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2020 401k membership
Total participants, beginning-of-year2020-01-01356
Total number of active participants reported on line 7a of the Form 55002020-01-01254
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01130
Total of all active and inactive participants2020-01-01384
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-011
Total participants2020-01-01385
Number of participants with account balances2020-01-01377
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0118
2019: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2019 401k membership
Total participants, beginning-of-year2019-01-01381
Total number of active participants reported on line 7a of the Form 55002019-01-01249
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01107
Total of all active and inactive participants2019-01-01356
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-01356
Number of participants with account balances2019-01-01351
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0123
2018: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2018 401k membership
Total participants, beginning-of-year2018-01-01387
Total number of active participants reported on line 7a of the Form 55002018-01-01297
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-0181
Total of all active and inactive participants2018-01-01378
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-013
Total participants2018-01-01381
Number of participants with account balances2018-01-01367
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0118
2017: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2017 401k membership
Total participants, beginning-of-year2017-01-01381
Total number of active participants reported on line 7a of the Form 55002017-01-01306
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-0180
Total of all active and inactive participants2017-01-01386
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-011
Total participants2017-01-01387
Number of participants with account balances2017-01-01372
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0111
2016: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2016 401k membership
Total participants, beginning-of-year2016-01-01346
Total number of active participants reported on line 7a of the Form 55002016-01-01309
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-0172
Total of all active and inactive participants2016-01-01381
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01381
Number of participants with account balances2016-01-01342
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0115
2015: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2015 401k membership
Total participants, beginning-of-year2015-01-01354
Total number of active participants reported on line 7a of the Form 55002015-01-01279
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-0165
Total of all active and inactive participants2015-01-01344
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-012
Total participants2015-01-01346
Number of participants with account balances2015-01-01345
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0131
2014: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2014 401k membership
Total participants, beginning-of-year2014-01-010
Total number of active participants reported on line 7a of the Form 55002014-01-01283
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-0170
Total of all active and inactive participants2014-01-01353
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-011
Total participants2014-01-01354
Number of participants with account balances2014-01-01353
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-014
2013: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2013 401k membership
Total participants, beginning-of-year2013-01-01285
Total number of active participants reported on line 7a of the Form 55002013-01-01179
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-0174
Total of all active and inactive participants2013-01-01253
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01253
Number of participants with account balances2013-01-01250
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0113
2012: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2012 401k membership
Total participants, beginning-of-year2012-01-01285
Total number of active participants reported on line 7a of the Form 55002012-01-01206
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0195
Total of all active and inactive participants2012-01-01301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01301
Number of participants with account balances2012-01-01300
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0110
2011: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2011 401k membership
Total participants, beginning-of-year2011-01-01289
Total number of active participants reported on line 7a of the Form 55002011-01-01197
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0180
Total of all active and inactive participants2011-01-01277
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01277
Number of participants with account balances2011-01-01276
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-019
2009: 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2009 401k membership
Total participants, beginning-of-year2009-01-01250
Total number of active participants reported on line 7a of the Form 55002009-01-01190
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0159
Total of all active and inactive participants2009-01-01249
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01249
Number of participants with account balances2009-01-01249
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-016

Financial Data on 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH

Measure Date Value
2021 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$2,870,636
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$1,160,624
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$1,153,783
Expenses. Certain deemed distributions of participant loans2021-12-31$4,049
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$1,447,613
Value of total assets at end of year2021-12-31$10,845,260
Value of total assets at beginning of year2021-12-31$9,135,248
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,792
Total interest from all sources2021-12-31$9,370
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$60,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$683,242
Participant contributions at end of year2021-12-31$117,464
Participant contributions at beginning of year2021-12-31$114,359
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$400,157
Other income not declared elsewhere2021-12-31$0
Administrative expenses (other) incurred2021-12-31$2,792
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,710,012
Value of net assets at end of year (total assets less liabilities)2021-12-31$10,845,260
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$9,135,248
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2021-12-31$9,909,582
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$8,171,681
Interest on participant loans2021-12-31$0
Interest earned on other investments2021-12-31$9,370
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$818,214
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$849,208
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$1,413,653
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$364,214
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$1,153,783
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Disclaimer
Accountancy firm name2021-12-31SCHMERSAHL TREKOAR AND CO
Accountancy firm EIN2021-12-31431541459
2020 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total income from all sources (including contributions)2020-12-31$2,295,243
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$385,149
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$382,212
Expenses. Certain deemed distributions of participant loans2020-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$1,137,129
Value of total assets at end of year2020-12-31$9,135,248
Value of total assets at beginning of year2020-12-31$7,225,154
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$2,937
Total interest from all sources2020-12-31$10,174
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$60,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$669,897
Participant contributions at end of year2020-12-31$114,359
Participant contributions at beginning of year2020-12-31$111,134
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$108,349
Other income not declared elsewhere2020-12-31$0
Administrative expenses (other) incurred2020-12-31$2,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,910,094
Value of net assets at end of year (total assets less liabilities)2020-12-31$9,135,248
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$7,225,154
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$8,171,681
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$6,224,928
Interest on participant loans2020-12-31$0
Interest earned on other investments2020-12-31$10,174
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$849,208
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$889,092
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$0
Net investment gain/loss from pooled separate accounts2020-12-31$1,147,940
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$358,883
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$382,212
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31SCHMERSAHL TREKOAR AND CO
Accountancy firm EIN2020-12-31431541459
2019 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$0
Total income from all sources (including contributions)2019-12-31$2,031,892
Total loss/gain on sale of assets2019-12-31$0
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$804,859
Total of all expenses incurred2019-12-31$804,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$801,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$801,678
Expenses. Certain deemed distributions of participant loans2019-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$865,020
Value of total assets at end of year2019-12-31$7,225,154
Value of total assets at end of year2019-12-31$7,225,154
Value of total assets at beginning of year2019-12-31$5,998,121
Value of total assets at beginning of year2019-12-31$5,998,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,181
Total interest from all sources2019-12-31$16,359
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Was this plan covered by a fidelity bond2019-12-31No
Value of fidelity bond cover2019-12-31$60,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$512,204
Contributions received from participants2019-12-31$512,204
Participant contributions at end of year2019-12-31$111,134
Participant contributions at beginning of year2019-12-31$40,053
Participant contributions at beginning of year2019-12-31$40,053
Participant contributions at end of year2019-12-31$9,115
Participant contributions at beginning of year2019-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$45,054
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$323
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Other income not declared elsewhere2019-12-31$0
Administrative expenses (other) incurred2019-12-31$3,181
Administrative expenses (other) incurred2019-12-31$3,181
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$1,227,033
Value of net income/loss2019-12-31$1,227,033
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,225,154
Value of net assets at end of year (total assets less liabilities)2019-12-31$7,225,154
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,998,121
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$5,998,121
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,224,928
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$6,224,928
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,123,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$5,123,820
Interest on participant loans2019-12-31$0
Interest on participant loans2019-12-31$0
Interest earned on other investments2019-12-31$16,359
Interest earned on other investments2019-12-31$16,359
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$889,092
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$889,092
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$834,248
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$834,248
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$0
Net investment gain/loss from pooled separate accounts2019-12-31$1,150,513
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$307,762
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$801,678
Did the plan have assets held for investment2019-12-31Yes
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2019-12-31431541459
2018 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$456,022
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,000,705
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$964,716
Expenses. Certain deemed distributions of participant loans2018-12-31$32,438
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$806,781
Value of total assets at end of year2018-12-31$5,965,683
Value of total assets at beginning of year2018-12-31$6,510,366
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,551
Total interest from all sources2018-12-31$8,627
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$60,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$429,330
Participant contributions at end of year2018-12-31$7,615
Participant contributions at beginning of year2018-12-31$56,507
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$124,117
Other income not declared elsewhere2018-12-31$0
Administrative expenses (other) incurred2018-12-31$3,551
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-544,683
Value of net assets at end of year (total assets less liabilities)2018-12-31$5,965,683
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$6,510,366
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$5,123,820
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$5,641,094
Interest on participant loans2018-12-31$0
Interest earned on other investments2018-12-31$8,627
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$834,248
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$812,765
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$0
Net investment gain/loss from pooled separate accounts2018-12-31$-359,386
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$253,334
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$964,716
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2018-12-31431541459
2017 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$1,515,419
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$425,013
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$421,158
Expenses. Certain deemed distributions of participant loans2017-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$783,309
Value of total assets at end of year2017-12-31$6,510,366
Value of total assets at beginning of year2017-12-31$5,419,960
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$3,855
Total interest from all sources2017-12-31$8,500
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$60,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$451,726
Participant contributions at end of year2017-12-31$56,507
Participant contributions at beginning of year2017-12-31$48,232
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$21,995
Other income not declared elsewhere2017-12-31$0
Administrative expenses (other) incurred2017-12-31$3,855
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$1,090,406
Value of net assets at end of year (total assets less liabilities)2017-12-31$6,510,366
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$5,419,960
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$5,641,094
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$4,614,596
Interest on participant loans2017-12-31$0
Interest earned on other investments2017-12-31$8,500
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$812,765
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$757,132
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$0
Net investment gain/loss from pooled separate accounts2017-12-31$723,610
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$309,588
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$421,158
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31SCHMERSAHL TRELOAR & CO.
Accountancy firm EIN2017-12-31431541459
2016 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$1,172,154
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$278,236
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$274,374
Expenses. Certain deemed distributions of participant loans2016-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$750,322
Value of total assets at end of year2016-12-31$5,419,960
Value of total assets at beginning of year2016-12-31$4,526,042
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,862
Total interest from all sources2016-12-31$7,531
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$60,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$431,562
Participant contributions at end of year2016-12-31$48,232
Participant contributions at beginning of year2016-12-31$10,127
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$25,515
Other income not declared elsewhere2016-12-31$0
Administrative expenses (other) incurred2016-12-31$3,862
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$893,918
Value of net assets at end of year (total assets less liabilities)2016-12-31$5,419,960
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$4,526,042
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$4,614,596
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$3,887,964
Interest on participant loans2016-12-31$0
Interest earned on other investments2016-12-31$7,531
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$757,132
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$627,951
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$0
Net investment gain/loss from pooled separate accounts2016-12-31$414,301
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$293,245
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$274,374
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2016-12-31431540459
2015 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$716,131
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,538,611
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,528,629
Expenses. Certain deemed distributions of participant loans2015-12-31$6,940
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$740,591
Value of total assets at end of year2015-12-31$4,526,042
Value of total assets at beginning of year2015-12-31$5,348,522
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$3,042
Total interest from all sources2015-12-31$6,746
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$60,000
If this is an individual account plan, was there a blackout period2015-12-31No
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$394,294
Participant contributions at end of year2015-12-31$10,127
Participant contributions at beginning of year2015-12-31$21,307
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$74,463
Other income not declared elsewhere2015-12-31$0
Administrative expenses (other) incurred2015-12-31$3,042
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-822,480
Value of net assets at end of year (total assets less liabilities)2015-12-31$4,526,042
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$5,348,522
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$3,887,964
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$4,688,052
Interest on participant loans2015-12-31$0
Interest earned on other investments2015-12-31$6,746
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$627,951
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$639,163
Expenses. Payments to insurance carriers foe the provision of benefits2015-12-31$0
Net investment gain/loss from pooled separate accounts2015-12-31$-31,206
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$271,834
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,528,629
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2015-12-31431540459
2014 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$5,911,782
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,763,117
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,755,979
Expenses. Certain deemed distributions of participant loans2014-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,592,330
Value of total assets at end of year2014-12-31$5,348,522
Value of total assets at beginning of year2014-12-31$5,199,857
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$7,138
Total interest from all sources2014-12-31$46,977
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Administrative expenses professional fees incurred2014-12-31$6,888
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$60,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$274,994
Participant contributions at end of year2014-12-31$21,307
Participant contributions at beginning of year2014-12-31$15,816
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$5,047,502
Other income not declared elsewhere2014-12-31$0
Administrative expenses (other) incurred2014-12-31$250
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$148,665
Value of net assets at end of year (total assets less liabilities)2014-12-31$5,348,522
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$5,199,857
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$4,688,052
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$4,764,187
Interest earned on other investments2014-12-31$46,977
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$639,163
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$419,854
Expenses. Payments to insurance carriers foe the provision of benefits2014-12-31$0
Net investment gain/loss from pooled separate accounts2014-12-31$272,475
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31No
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$269,834
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,755,979
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2014-12-31431540459
2013 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$1,060,914
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$482,320
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$473,974
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$529,017
Value of total assets at end of year2013-12-31$5,199,857
Value of total assets at beginning of year2013-12-31$4,621,263
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$8,346
Total interest from all sources2013-12-31$431
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31No
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$272,184
Participant contributions at end of year2013-12-31$15,816
Participant contributions at beginning of year2013-12-31$11,224
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$0
Administrative expenses (other) incurred2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$578,594
Value of net assets at end of year (total assets less liabilities)2013-12-31$5,199,857
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,621,263
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$8,346
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$4,764,187
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$4,183,109
Income. Interest from loans (other than to participants)2013-12-31$431
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$419,854
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$408,474
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$531,466
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31No
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$256,833
Employer contributions (assets) at end of year2013-12-31$0
Employer contributions (assets) at beginning of year2013-12-31$18,456
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$473,974
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2013-12-31431540459
2012 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$945,284
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$212,674
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$196,393
Expenses. Certain deemed distributions of participant loans2012-12-31$8,034
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$597,607
Value of total assets at end of year2012-12-31$4,621,263
Value of total assets at beginning of year2012-12-31$3,888,653
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$8,247
Total interest from all sources2012-12-31$431
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31No
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$261,782
Participant contributions at end of year2012-12-31$11,224
Participant contributions at beginning of year2012-12-31$20,603
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$362
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$41,212
Administrative expenses (other) incurred2012-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Income. Non cash contributions2012-12-31$0
Value of net income/loss2012-12-31$732,610
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,621,263
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$3,888,653
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Investment advisory and management fees2012-12-31$8,247
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$4,183,109
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$3,471,180
Interest on participant loans2012-12-31$431
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$408,474
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$387,378
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$347,246
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$294,613
Employer contributions (assets) at end of year2012-12-31$18,456
Employer contributions (assets) at beginning of year2012-12-31$9,130
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$196,393
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2012-12-31431540459
2011 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$492,347
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$233,295
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$225,099
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$538,891
Value of total assets at end of year2011-12-31$3,888,653
Value of total assets at beginning of year2011-12-31$3,629,601
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$8,196
Total interest from all sources2011-12-31$651
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31No
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$225,358
Participant contributions at end of year2011-12-31$20,603
Participant contributions at beginning of year2011-12-31$26,195
Participant contributions at end of year2011-12-31$362
Participant contributions at beginning of year2011-12-31$7,939
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$31,054
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2011-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Income. Non cash contributions2011-12-31$0
Value of net income/loss2011-12-31$259,052
Value of net assets at end of year (total assets less liabilities)2011-12-31$3,888,653
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,629,601
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Investment advisory and management fees2011-12-31$8,196
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$3,471,180
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$3,207,838
Interest on participant loans2011-12-31$651
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$387,378
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$377,359
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-47,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$282,479
Employer contributions (assets) at end of year2011-12-31$9,130
Employer contributions (assets) at beginning of year2011-12-31$10,270
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$225,099
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2011-12-31431540459
2010 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$763,270
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$249,308
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$241,511
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$488,649
Value of total assets at end of year2010-12-31$3,629,601
Value of total assets at beginning of year2010-12-31$3,115,639
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$7,797
Total interest from all sources2010-12-31$800
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31No
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$223,999
Participant contributions at end of year2010-12-31$26,195
Participant contributions at beginning of year2010-12-31$11,822
Participant contributions at end of year2010-12-31$7,939
Participant contributions at beginning of year2010-12-31$8,263
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$314
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2010-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$513,962
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,629,601
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$3,115,639
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Investment advisory and management fees2010-12-31$7,797
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$3,207,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$2,716,108
Value of interest in pooled separate accounts at beginning of year2010-12-31$0
Income. Interest from loans (other than to participants)2010-12-31$800
Value of interest in master investment trust accounts at beginning of year2010-12-31$0
Value of interest in common/collective trusts at beginning of year2010-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$377,359
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$368,397
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$273,821
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$264,336
Employer contributions (assets) at end of year2010-12-31$10,270
Employer contributions (assets) at beginning of year2010-12-31$11,049
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$241,511
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31SCHMERSAHL TRELOAR & CO
Accountancy firm EIN2010-12-31431540459
2009 : 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for 403(B) THRIFT PLAN OF MYRTLE HILLIARD DAVIS COMPREHENSIVE HEALTH

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

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered402
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,370
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1370
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered385
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,370
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1370
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered356
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $763
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees763
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered381
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,089
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees1089
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered387
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $2,460
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees2460
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameST LOUIS REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered346
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number059321G
Policy instance 1
Insurance contract or identification number059321G
Number of Individuals Covered354
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
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 Administration1
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931568
Policy instance 2
Insurance contract or identification number931568
Number of Individuals Covered0
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $16,903
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?Yes
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
Commission paid to Insurance BrokerUSD $16,903
Insurance broker organization code?3
Insurance broker nameDAVID A. SMITH
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931568
Policy instance 1
Insurance contract or identification number931568
Number of Individuals Covered305
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $25,034
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $25,034
Insurance broker organization code?3
Insurance broker nameDAVID A. SMITH
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931568
Policy instance 1
Insurance contract or identification number931568
Number of Individuals Covered312
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $28,760
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $28,760
Insurance broker organization code?3
Insurance broker nameDAVID A. SMITH
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931568
Policy instance 1
Insurance contract or identification number931568
Number of Individuals Covered306
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $26,762
Total amount of fees paid to insurance companyUSD $0
Are there contracts with allocated funds for group deferred annuity?Yes
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
METLIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 87726 )
Policy contract number931568
Policy instance 1
Insurance contract or identification number931568
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $23,888
Total amount of fees paid to insurance companyUSD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Commission paid to Insurance BrokerUSD $23,888
Insurance broker organization code?3
Insurance broker nameDAVID A. SMITH

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