401k Plan data: PARAGON HEALTHCARE 401(K) PLAN plan

PARAGON HEALTHCARE 401(K) PLAN 401k Plan overview

Plan Name	PARAGON HEALTHCARE 401(K) PLAN
Plan identification number	001

PARAGON HEALTHCARE 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
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

PARAGON HEALTHCARE, INC. has sponsored the creation of one or more 401k plans.

Company Name: PARAGON HEALTHCARE, INC.

Employer identification number (EIN): 453280551

NAIC Classification: 424210
NAIC Description: Drugs and Druggists' Sundries Merchant Wholesalers

Additional information about PARAGON HEALTHCARE, INC.

Jurisdiction of Incorporation: Texas Secretary of State

Incorporation Date: 2011-06-17

Company Identification Number: 0801441094

Legal Registered Office Address: 3033 W PRESIDENT GEORGE BUSH HWY

PLANO
United States of America (USA)
75075

More information about PARAGON HEALTHCARE, INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PARAGON HEALTHCARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2022-01-01
001 2021-01-01
001 2021-01-01
001 2020-01-01
001 2020-01-01
001 2019-01-01
001 2018-01-01
001 2017-01-01
001 2016-01-01
001 2015-01-01
001 2014-01-01
001 2013-01-01
001 2012-01-01 LARRY J. BRAYTON 2013-07-25 LARRY J. BRAYTON 2013-07-25

Plan Statistics for PARAGON HEALTHCARE 401(K) PLAN

401k plan membership statisitcs for PARAGON HEALTHCARE 401(K) PLAN

Measure Date Value
2022: PARAGON HEALTHCARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 1,228
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 1,286
Number of retired or separated participants receiving benefits 2022-01-01 5
Number of other retired or separated participants entitled to future benefits 2022-01-01 316
Total of all active and inactive participants 2022-01-01 1,607
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2022-01-01 0
Total participants 2022-01-01 1,607
Number of participants with account balances 2022-01-01 1,117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2022-01-01 0
2021: PARAGON HEALTHCARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 1,112
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 1,055
Number of retired or separated participants receiving benefits 2021-01-01 6
Number of other retired or separated participants entitled to future benefits 2021-01-01 167
Total of all active and inactive participants 2021-01-01 1,228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2021-01-01 0
Total participants 2021-01-01 1,228
Number of participants with account balances 2021-01-01 958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2021-01-01 0
2020: PARAGON HEALTHCARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 642
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 981
Number of retired or separated participants receiving benefits 2020-01-01 0
Number of other retired or separated participants entitled to future benefits 2020-01-01 131
Total of all active and inactive participants 2020-01-01 1,112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2020-01-01 0
Total participants 2020-01-01 1,112
Number of participants with account balances 2020-01-01 742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2020-01-01 0
2019: PARAGON HEALTHCARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year 2019-01-01 815
Total number of active participants reported on line 7a of the Form 5500 2019-01-01 554
Number of retired or separated participants receiving benefits 2019-01-01 0
Number of other retired or separated participants entitled to future benefits 2019-01-01 88
Total of all active and inactive participants 2019-01-01 642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2019-01-01 0
Total participants 2019-01-01 642
Number of participants with account balances 2019-01-01 632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2019-01-01 0
2018: PARAGON HEALTHCARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year 2018-01-01 600
Total number of active participants reported on line 7a of the Form 5500 2018-01-01 738
Number of retired or separated participants receiving benefits 2018-01-01 0
Number of other retired or separated participants entitled to future benefits 2018-01-01 77
Total of all active and inactive participants 2018-01-01 815
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2018-01-01 0
Total participants 2018-01-01 815
Number of participants with account balances 2018-01-01 520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2018-01-01 0
2017: PARAGON HEALTHCARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year 2017-01-01 528
Total number of active participants reported on line 7a of the Form 5500 2017-01-01 501
Number of retired or separated participants receiving benefits 2017-01-01 0
Number of other retired or separated participants entitled to future benefits 2017-01-01 99
Total of all active and inactive participants 2017-01-01 600
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2017-01-01 0
Total participants 2017-01-01 600
Number of participants with account balances 2017-01-01 421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2017-01-01 0

Measure	Date	Value
2022: PARAGON HEALTHCARE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	1,228
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	1,286
Number of retired or separated participants receiving benefits	2022-01-01	5
Number of other retired or separated participants entitled to future benefits	2022-01-01	316
Total of all active and inactive participants	2022-01-01	1,607
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2022-01-01	0
Total participants	2022-01-01	1,607
Number of participants with account balances	2022-01-01	1,117
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2022-01-01	0
2021: PARAGON HEALTHCARE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	1,112
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	1,055
Number of retired or separated participants receiving benefits	2021-01-01	6
Number of other retired or separated participants entitled to future benefits	2021-01-01	167
Total of all active and inactive participants	2021-01-01	1,228
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2021-01-01	0
Total participants	2021-01-01	1,228
Number of participants with account balances	2021-01-01	958
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2021-01-01	0
2020: PARAGON HEALTHCARE 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	642
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	981
Number of retired or separated participants receiving benefits	2020-01-01	0
Number of other retired or separated participants entitled to future benefits	2020-01-01	131
Total of all active and inactive participants	2020-01-01	1,112
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2020-01-01	0
Total participants	2020-01-01	1,112
Number of participants with account balances	2020-01-01	742
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2020-01-01	0
2019: PARAGON HEALTHCARE 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year	2019-01-01	815
Total number of active participants reported on line 7a of the Form 5500	2019-01-01	554
Number of retired or separated participants receiving benefits	2019-01-01	0
Number of other retired or separated participants entitled to future benefits	2019-01-01	88
Total of all active and inactive participants	2019-01-01	642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2019-01-01	0
Total participants	2019-01-01	642
Number of participants with account balances	2019-01-01	632
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2019-01-01	0
2018: PARAGON HEALTHCARE 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year	2018-01-01	600
Total number of active participants reported on line 7a of the Form 5500	2018-01-01	738
Number of retired or separated participants receiving benefits	2018-01-01	0
Number of other retired or separated participants entitled to future benefits	2018-01-01	77
Total of all active and inactive participants	2018-01-01	815
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2018-01-01	0
Total participants	2018-01-01	815
Number of participants with account balances	2018-01-01	520
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2018-01-01	0
2017: PARAGON HEALTHCARE 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year	2017-01-01	528
Total number of active participants reported on line 7a of the Form 5500	2017-01-01	501
Number of retired or separated participants receiving benefits	2017-01-01	0
Number of other retired or separated participants entitled to future benefits	2017-01-01	99
Total of all active and inactive participants	2017-01-01	600
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2017-01-01	0
Total participants	2017-01-01	600
Number of participants with account balances	2017-01-01	421
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2017-01-01	0

Financial Data on PARAGON HEALTHCARE 401(K) PLAN

Measure	Date	Value
2022 : PARAGON HEALTHCARE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$0
Total income from all sources (including contributions)	2022-12-31	$1,463,587
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$6,752,704
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$6,680,710
Expenses. Certain deemed distributions of participant loans	2022-12-31	$1,138
Value of total corrective distributions	2022-12-31	$21,356
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$7,385,979
Value of total assets at end of year	2022-12-31	$32,616,895
Value of total assets at beginning of year	2022-12-31	$37,906,012
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$49,500
Total interest from all sources	2022-12-31	$68,974
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Contributions received from participants	2022-12-31	$4,399,473
Participant contributions at end of year	2022-12-31	$673,637
Participant contributions at beginning of year	2022-12-31	$727,464
Income. Received or receivable in cash from other sources (including rollovers)	2022-12-31	$897,540
Other income not declared elsewhere	2022-12-31	$2,001
Administrative expenses (other) incurred	2022-12-31	$49,500
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$-5,289,117
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$32,616,895
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$37,906,012
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$29,399,201
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$33,423,290
Interest on participant loans	2022-12-31	$37,773
Interest earned on other investments	2022-12-31	$31,201
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2022-12-31	$2,544,057
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2022-12-31	$3,755,258
Net investment gain/loss from pooled separate accounts	2022-12-31	$-5,993,367
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	No
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$2,088,966
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$6,680,710
Did the plan have assets held for investment	2022-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2022-12-31	751503978
2021 : PARAGON HEALTHCARE 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$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	$10,343,186
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$2,073,192
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$2,035,910
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$5,843,308
Value of total assets at end of year	2021-12-31	$37,906,012
Value of total assets at beginning of year	2021-12-31	$29,636,018
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$37,282
Total interest from all sources	2021-12-31	$70,352
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 year	2021-12-31	No
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Contributions received from participants	2021-12-31	$3,615,362
Participant contributions at end of year	2021-12-31	$727,464
Participant contributions at beginning of year	2021-12-31	$441,708
Income. Received or receivable in cash from other sources (including rollovers)	2021-12-31	$394,875
Other income not declared elsewhere	2021-12-31	$266
Administrative expenses (other) incurred	2021-12-31	$37,282
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$8,269,994
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$37,906,012
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$29,636,018
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2021-12-31	$33,423,290
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2021-12-31	$24,574,914
Interest on participant loans	2021-12-31	$31,488
Interest earned on other investments	2021-12-31	$38,864
Value of interest in common/collective trusts at end of year	2021-12-31	$0
Value of interest in common/collective trusts at beginning of year	2021-12-31	$1,609,331
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2021-12-31	$3,755,258
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2021-12-31	$3,010,065
Net investment gain/loss from pooled separate accounts	2021-12-31	$4,412,566
Net investment gain or loss from common/collective trusts	2021-12-31	$16,694
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$1,833,071
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$2,035,910
Did the plan have assets held for investment	2021-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Disclaimer
Accountancy firm name	2021-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2021-12-31	751503978
2020 : PARAGON HEALTHCARE 401(K) PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$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	$8,834,893
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$1,106,237
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$1,082,210
Value of total corrective distributions	2020-12-31	$2,148
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$5,098,173
Value of total assets at end of year	2020-12-31	$29,636,018
Value of total assets at beginning of year	2020-12-31	$21,907,362
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$21,879
Total interest from all sources	2020-12-31	$70,989
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 year	2020-12-31	No
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Contributions received from participants	2020-12-31	$3,245,085
Participant contributions at end of year	2020-12-31	$441,708
Participant contributions at beginning of year	2020-12-31	$538,558
Income. Received or receivable in cash from other sources (including rollovers)	2020-12-31	$446,000
Other income not declared elsewhere	2020-12-31	$350
Administrative expenses (other) incurred	2020-12-31	$21,879
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$7,728,656
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$29,636,018
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$21,907,362
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2020-12-31	$24,574,914
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2020-12-31	$17,603,422
Interest on participant loans	2020-12-31	$35,299
Interest earned on other investments	2020-12-31	$35,690
Value of interest in common/collective trusts at end of year	2020-12-31	$1,609,331
Value of interest in common/collective trusts at beginning of year	2020-12-31	$1,084,340
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2020-12-31	$3,010,065
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2020-12-31	$2,681,042
Net investment gain/loss from pooled separate accounts	2020-12-31	$3,297,746
Net investment gain or loss from common/collective trusts	2020-12-31	$367,635
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$1,407,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$1,082,210
Did the plan have assets held for investment	2020-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Disclaimer
Accountancy firm name	2020-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2020-12-31	751503978
2019 : PARAGON HEALTHCARE 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total unrealized appreciation/depreciation of assets	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 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	$7,362,854
Total income from all sources (including contributions)	2019-12-31	$7,362,854
Total loss/gain on sale of assets	2019-12-31	$0
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$1,148,003
Total of all expenses incurred	2019-12-31	$1,148,003
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,117,790
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$1,117,790
Value of total corrective distributions	2019-12-31	$7,011
Value of total corrective distributions	2019-12-31	$7,011
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,040,872
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$4,040,872
Value of total assets at end of year	2019-12-31	$21,907,362
Value of total assets at end of year	2019-12-31	$21,907,362
Value of total assets at beginning of year	2019-12-31	$15,692,511
Value of total assets at beginning of year	2019-12-31	$15,692,511
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$23,202
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$23,202
Total interest from all sources	2019-12-31	$67,312
Total interest from all sources	2019-12-31	$67,312
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 year	2019-12-31	No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2019-12-31	$0
Was this plan covered by a fidelity bond	2019-12-31	Yes
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$3,000,000
Value of fidelity bond cover	2019-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Contributions received from participants	2019-12-31	$2,494,746
Participant contributions at end of year	2019-12-31	$538,558
Participant contributions at end of year	2019-12-31	$538,558
Participant contributions at beginning of year	2019-12-31	$427,569
Participant contributions at beginning of year	2019-12-31	$427,569
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$357,321
Income. Received or receivable in cash from other sources (including rollovers)	2019-12-31	$357,321
Other income not declared elsewhere	2019-12-31	$603
Administrative expenses (other) incurred	2019-12-31	$23,202
Administrative expenses (other) incurred	2019-12-31	$23,202
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$6,214,851
Value of net income/loss	2019-12-31	$6,214,851
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$21,907,362
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$21,907,362
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$15,692,511
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$15,692,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$17,603,422
Value of interest in registered invesment companies (eg mutual funds) at end of year	2019-12-31	$17,603,422
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$13,180,368
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2019-12-31	$13,180,368
Interest on participant loans	2019-12-31	$33,227
Interest on participant loans	2019-12-31	$33,227
Interest earned on other investments	2019-12-31	$34,085
Interest earned on other investments	2019-12-31	$34,085
Value of interest in common/collective trusts at end of year	2019-12-31	$1,084,340
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,681,042
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2019-12-31	$2,681,042
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,084,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2019-12-31	$2,084,574
Net investment gain/loss from pooled separate accounts	2019-12-31	$3,004,152
Net investment gain/loss from pooled separate accounts	2019-12-31	$3,004,152
Net investment gain or loss from common/collective trusts	2019-12-31	$249,915
Net investment gain or loss from common/collective trusts	2019-12-31	$249,915
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$1,188,805
Contributions received in cash from employer	2019-12-31	$1,188,805
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,117,790
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$1,117,790
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan have assets held for investment	2019-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2019-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Opinion of an independent qualified public accountant for this plan	2019-12-31	Disclaimer
Accountancy firm name	2019-12-31	HENRY & PETERS, P.C.
Accountancy firm name	2019-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2019-12-31	751503978
Accountancy firm EIN	2019-12-31	751503978
2018 : PARAGON HEALTHCARE 401(K) PLAN 2018 401k financial data
Total unrealized appreciation/depreciation of assets	2018-12-31	$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	$1,388,227
Total loss/gain on sale of assets	2018-12-31	$0
Total of all expenses incurred	2018-12-31	$400,794
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2018-12-31	$381,107
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2018-12-31	$2,267,427
Value of total assets at end of year	2018-12-31	$15,692,511
Value of total assets at beginning of year	2018-12-31	$14,705,078
Total of administrative expenses incurred including professional, contract, advisory and management fees	2018-12-31	$19,687
Total interest from all sources	2018-12-31	$47,057
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 year	2018-12-31	No
Was this plan covered by a fidelity bond	2018-12-31	Yes
Value of fidelity bond cover	2018-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2018-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2018-12-31	No
Contributions received from participants	2018-12-31	$2,021,053
Participant contributions at end of year	2018-12-31	$427,569
Participant contributions at beginning of year	2018-12-31	$227,420
Income. Received or receivable in cash from other sources (including rollovers)	2018-12-31	$246,374
Administrative expenses (other) incurred	2018-12-31	$19,687
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Value of net income/loss	2018-12-31	$987,433
Value of net assets at end of year (total assets less liabilities)	2018-12-31	$15,692,511
Value of net assets at beginning of year (total assets less liabilities)	2018-12-31	$14,705,078
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2018-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2018-12-31	No
Were any leases to which the plan was party in default or uncollectible	2018-12-31	No
Value of interest in registered invesment companies (eg mutual funds) at end of year	2018-12-31	$13,180,368
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2018-12-31	$0
Value of interest in pooled separate accounts at end of year	2018-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2018-12-31	$11,707,860
Interest on participant loans	2018-12-31	$18,979
Interest earned on other investments	2018-12-31	$28,078
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2018-12-31	$2,084,574
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2018-12-31	$1,799,695
Net investment gain/loss from pooled separate accounts	2018-12-31	$-926,257
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2018-12-31	No
Was there a failure to transmit to the plan any participant contributions	2018-12-31	No
Has the plan failed to provide any benefit when due under the plan	2018-12-31	No
Employer contributions (assets) at end of year	2018-12-31	$0
Employer contributions (assets) at beginning of year	2018-12-31	$970,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2018-12-31	$381,107
Did the plan have assets held for investment	2018-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2018-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2018-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2018-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2018-12-31	Disclaimer
Accountancy firm name	2018-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2018-12-31	751503978
2017 : PARAGON HEALTHCARE 401(K) PLAN 2017 401k financial data
Total income from all sources (including contributions)	2017-12-31	$4,676,568
Total of all expenses incurred	2017-12-31	$322,283
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2017-12-31	$301,601
Expenses. Certain deemed distributions of participant loans	2017-12-31	$4,682
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2017-12-31	$3,027,740
Value of total assets at end of year	2017-12-31	$14,705,078
Value of total assets at beginning of year	2017-12-31	$10,350,793
Total of administrative expenses incurred including professional, contract, advisory and management fees	2017-12-31	$16,000
Total interest from all sources	2017-12-31	$33,880
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2017-12-31	No
Was this plan covered by a fidelity bond	2017-12-31	Yes
Value of fidelity bond cover	2017-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2017-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2017-12-31	No
Contributions received from participants	2017-12-31	$1,624,386
Participant contributions at end of year	2017-12-31	$227,420
Participant contributions at beginning of year	2017-12-31	$154,585
Income. Received or receivable in cash from other sources (including rollovers)	2017-12-31	$433,251
Administrative expenses (other) incurred	2017-12-31	$16,000
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Value of net income/loss	2017-12-31	$4,354,285
Value of net assets at end of year (total assets less liabilities)	2017-12-31	$14,705,078
Value of net assets at beginning of year (total assets less liabilities)	2017-12-31	$10,350,793
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2017-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2017-12-31	No
Were any leases to which the plan was party in default or uncollectible	2017-12-31	No
Value of interest in pooled separate accounts at end of year	2017-12-31	$11,707,860
Value of interest in pooled separate accounts at beginning of year	2017-12-31	$8,166,893
Interest on participant loans	2017-12-31	$10,350
Interest earned on other investments	2017-12-31	$23,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2017-12-31	$1,799,695
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2017-12-31	$1,260,752
Net investment gain/loss from pooled separate accounts	2017-12-31	$1,614,948
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2017-12-31	No
Was there a failure to transmit to the plan any participant contributions	2017-12-31	No
Has the plan failed to provide any benefit when due under the plan	2017-12-31	No
Contributions received in cash from employer	2017-12-31	$970,103
Employer contributions (assets) at end of year	2017-12-31	$970,103
Employer contributions (assets) at beginning of year	2017-12-31	$768,563
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2017-12-31	$301,601
Did the plan have assets held for investment	2017-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2017-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2017-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2017-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2017-12-31	Disclaimer
Accountancy firm name	2017-12-31	HENRY & PETERS, P.C.
Accountancy firm EIN	2017-12-31	751503978

Form 5500 Responses for PARAGON HEALTHCARE 401(K) PLAN

2022: PARAGON HEALTHCARE 401(K) PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Single employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: PARAGON HEALTHCARE 401(K) PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Single employer plan
2021-01-01	Submission has been amended	Yes
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: PARAGON HEALTHCARE 401(K) PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Single employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: PARAGON HEALTHCARE 401(K) PLAN 2019 form 5500 responses
2019-01-01	Type of plan entity	Single employer plan
2019-01-01	Submission has been amended	No
2019-01-01	This submission is the final filing	No
2019-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2019-01-01	Plan is a collectively bargained plan	No
2019-01-01	Plan funding arrangement – Insurance	Yes
2019-01-01	Plan funding arrangement – Trust	Yes
2019-01-01	Plan benefit arrangement – Insurance	Yes
2019-01-01	Plan benefit arrangement - Trust	Yes
2018: PARAGON HEALTHCARE 401(K) PLAN 2018 form 5500 responses
2018-01-01	Type of plan entity	Single employer plan
2018-01-01	Submission has been amended	No
2018-01-01	This submission is the final filing	No
2018-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2018-01-01	Plan is a collectively bargained plan	No
2018-01-01	Plan funding arrangement – Insurance	Yes
2018-01-01	Plan funding arrangement – Trust	Yes
2018-01-01	Plan benefit arrangement – Insurance	Yes
2018-01-01	Plan benefit arrangement - Trust	Yes
2017: PARAGON HEALTHCARE 401(K) PLAN 2017 form 5500 responses
2017-01-01	Type of plan entity	Single employer plan
2017-01-01	Submission has been amended	No
2017-01-01	This submission is the final filing	No
2017-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2017-01-01	Plan is a collectively bargained plan	No
2017-01-01	Plan funding arrangement – Insurance	Yes
2017-01-01	Plan funding arrangement – Trust	Yes
2017-01-01	Plan benefit arrangement – Insurance	Yes
2017-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

YH4036

Policy instance

Insurance contract or identification number	YH4036
Number of Individuals Covered	1607
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $67,712
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $67,712
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

YH4036

Policy instance

Insurance contract or identification number	YH4036
Number of Individuals Covered	1228
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $72,316
Total amount of fees paid to insurance company	USD $196
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $72,316
Amount paid for insurance broker fees	196
Additional information about fees paid to insurance broker	NON CASH COMPENSATION
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

YH4036

Policy instance

Insurance contract or identification number	YH4036
Number of Individuals Covered	1112
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $57,845
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $57,845
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

YH4036

Policy instance

Insurance contract or identification number	YH4036
Number of Individuals Covered	642
Insurance policy start date	2019-01-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $46,055
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $29,400
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

YH4036

Policy instance

Insurance contract or identification number	YH4036
Number of Individuals Covered	815
Insurance policy start date	2018-06-19
Insurance policy end date	2018-12-31
Total amount of commissions paid to insurance broker	USD $19,864
Total amount of fees paid to insurance company	USD $0
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $16,551
Insurance broker organization code?	3

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

815098

Policy instance

Insurance contract or identification number	815098
Number of Individuals Covered	0
Insurance policy start date	2018-01-01
Insurance policy end date	2018-06-18
Total amount of commissions paid to insurance broker	USD $17,693
Total amount of fees paid to insurance company	USD $3,395
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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 Broker	USD $17,693
Insurance broker organization code?	3
Amount paid for insurance broker fees	3395
Additional information about fees paid to insurance broker	ABCDEFGHI ABCDEFGHI

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

815098

Policy instance

Insurance contract or identification number	815098
Number of Individuals Covered	401
Insurance policy start date	2017-01-01
Insurance policy end date	2017-12-31
Total amount of commissions paid to insurance broker	USD $28,597
Total amount of fees paid to insurance company	USD $5,401
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Commission paid to Insurance Broker	USD $28,597
Insurance broker organization code?	3
Amount paid for insurance broker fees	5401
Additional information about fees paid to insurance broker	TPA PARTNERSHIP PROGRAM
Insurance broker name	WIRTH ROBERT E

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Company Name:	PARAGON HEALTHCARE, INC.
Employer identification number (EIN):	453280551
NAIC Classification:	424210
NAIC Description:	Drugs and Druggists' Sundries Merchant Wholesalers

Jurisdiction of Incorporation:	Texas Secretary of State
Incorporation Date:	2011-06-17
Company Identification Number:	0801441094
Legal Registered Office Address:	3033 W PRESIDENT GEORGE BUSH HWY PLANO United States of America (USA) 75075