401k Plan data: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN plan

SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 401k Plan overview

Plan Name	SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN
Plan identification number	001

SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
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

SUPERIOR HEALTH CARE MANAGEMENT GROUP, LLC has sponsored the creation of one or more 401k plans.

Company Name: SUPERIOR HEALTH CARE MANAGEMENT GROUP, LLC

Employer identification number (EIN): 453755227

NAIC Classification: 621610
NAIC Description: Home Health Care Services

Additional information about SUPERIOR HEALTH CARE MANAGEMENT GROUP, LLC

Jurisdiction of Incorporation: Michigan Department of Licensing & Regulatory Affairs

Incorporation Date:

Company Identification Number: D9173C

More information about SUPERIOR HEALTH CARE MANAGEMENT GROUP, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
001 2014-01-01
001 2013-01-01
001 2012-01-01 CYNTHIA TACHENY - AS PRACTITIONER

Plan Statistics for SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN

401k plan membership statisitcs for SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN

Measure Date Value
2013: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 126
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 75
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 14
Total of all active and inactive participants 2013-01-01 89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 89
Number of participants with account balances 2013-01-01 43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 0
2012: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 173
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 114
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 12
Total of all active and inactive participants 2012-01-01 126
Total participants 2012-01-01 126
Number of participants with account balances 2012-01-01 50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 0

Measure	Date	Value
2013: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	126
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	75
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	14
Total of all active and inactive participants	2013-01-01	89
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	89
Number of participants with account balances	2013-01-01	43
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	0
2012: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	173
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	114
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	12
Total of all active and inactive participants	2012-01-01	126
Total participants	2012-01-01	126
Number of participants with account balances	2012-01-01	50
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	0

Financial Data on SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN

Measure	Date	Value
2013 : SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2013 401k financial data
Total income from all sources (including contributions)	2013-12-31	$244,818
Total of all expenses incurred	2013-12-31	$99,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$71,540
Value of total corrective distributions	2013-12-31	$21,623
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$121,797
Value of total assets at end of year	2013-12-31	$700,024
Value of total assets at beginning of year	2013-12-31	$554,851
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$6,482
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$1,000,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$121,797
Administrative expenses (other) incurred	2013-12-31	$510
Total non interest bearing cash at end of year	2013-12-31	$0
Total non interest bearing cash at beginning of year	2013-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$145,173
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$700,024
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$554,851
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Value of interest in pooled separate accounts at end of year	2013-12-31	$700,024
Value of interest in pooled separate accounts at beginning of year	2013-12-31	$554,851
Net investment gain/loss from pooled separate accounts	2013-12-31	$123,021
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$71,540
Contract administrator fees	2013-12-31	$5,972
Did the plan have assets held for investment	2013-12-31	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	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	JESSUP GROUP, P.C.
Accountancy firm EIN	2013-12-31	383086068
2012 : SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2012 401k financial data
Total transfer of assets to this plan	2012-12-31	$249,375
Total income from all sources (including contributions)	2012-12-31	$317,669
Total of all expenses incurred	2012-12-31	$12,193
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$8,336
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$290,644
Value of total assets at end of year	2012-12-31	$554,851
Value of total assets at beginning of year	2012-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$3,857
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	No
If this is an individual account plan, was there a blackout period	2012-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$141,899
Income. Received or receivable in cash from other sources (including rollovers)	2012-12-31	$148,745
Administrative expenses (other) incurred	2012-12-31	$165
Total non interest bearing cash at end of year	2012-12-31	$0
Total non interest bearing cash at beginning of year	2012-12-31	$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$305,476
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$554,851
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$554,851
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$0
Net investment gain/loss from pooled separate accounts	2012-12-31	$27,025
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$8,336
Contract administrator fees	2012-12-31	$3,692
Did the plan have assets held for investment	2012-12-31	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	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	CLAYTON & MCKERVEY, P.C.
Accountancy firm EIN	2012-12-31	382385796

Form 5500 Responses for SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN

2013: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: SUPERIOR HEALTH CARE MANAGEMENT GROUP 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	First time form 5500 has been submitted	Yes
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

105330

Policy instance

Insurance contract or identification number	105330
Number of Individuals Covered	49
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
Total amount of commissions paid to insurance broker	USD $3,128
Total amount of fees paid to insurance company	USD $313
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 $3,128
Insurance broker organization code?	3
Amount paid for insurance broker fees	313
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	MICHIGAN BENEFIT CONSULTING, INC.

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )

Policy contract number

105330

Policy instance

Insurance contract or identification number	105330
Number of Individuals Covered	55
Insurance policy start date	2012-03-22
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $1,736
Total amount of fees paid to insurance company	USD $174
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 $1,736
Insurance broker organization code?	3
Amount paid for insurance broker fees	174
Additional information about fees paid to insurance broker	TPA COMPENSATION
Insurance broker name	MICHIGAN BENEFIT CONSULTING, INC.

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Company Name:	SUPERIOR HEALTH CARE MANAGEMENT GROUP, LLC
Employer identification number (EIN):	453755227
NAIC Classification:	621610
NAIC Description:	Home Health Care Services

Jurisdiction of Incorporation:	Michigan Department of Licensing & Regulatory Affairs
Incorporation Date:
Company Identification Number:	D9173C

Plan id#	Filing Submission Date	Name of Administrator
001	2014-01-01
001	2013-01-01
001	2012-01-01	CYNTHIA TACHENY - AS PRACTITIONER