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LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 401k Plan overview

Plan NameLUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN
Plan identification number 001

LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN Benefits

401k Plan TypeDefined 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.
  • Plan provides for automatic enrollment in plan that has employee contributions deducted from payroll.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

LUMINIS HEALTH CARE SERVICES, INC. has sponsored the creation of one or more 401k plans.

Company Name:LUMINIS HEALTH CARE SERVICES, INC.
Employer identification number (EIN):521646304
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012020-01-01
0012019-01-01
0012018-01-01
0012017-01-01NANCY LUTTRELL NANCY LUTTRELL2018-10-15
0012016-01-01NANCY LUTTRELL NANCY LUTTRELL2017-10-09
0012015-01-01NANCY LUTTRELL NANCY LUTTRELL2016-10-14
0012014-01-01NANCY LUTTRELL NANCY LUTTRELL2015-10-15
0012013-01-01NANCY LUTTRELL NANCY LUTTRELL2014-10-10
0012012-01-01NANCY LUTTRELL, VP - HR NANCY LUTTRELL, VP - HR2013-10-15
0012011-01-01NANCY LUTTRELL, VP - HR NANCY LUTTRELL, VP - HR2012-10-12
0012009-01-01NANCY LUTTRELL, VP - HR NANCY LUTTRELL, VP - HR2011-08-22
0012009-01-01NANCY LUTTRELL, VP - HR NANCY LUTTRELL, VP - HR2010-10-12

Plan Statistics for LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN

401k plan membership statisitcs for LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN

Measure Date Value
2022: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-011,802
Total number of active participants reported on line 7a of the Form 55002022-01-01833
Number of retired or separated participants receiving benefits2022-01-0116
Number of other retired or separated participants entitled to future benefits2022-01-01948
Total of all active and inactive participants2022-01-011,797
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-011,797
Number of participants with account balances2022-01-011,530
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-01208
2021: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-011,532
Total number of active participants reported on line 7a of the Form 55002021-01-01936
Number of retired or separated participants receiving benefits2021-01-01866
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-011,802
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-011,802
Number of participants with account balances2021-01-011,651
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-01247
2020: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-011,393
Total number of active participants reported on line 7a of the Form 55002020-01-01767
Number of retired or separated participants receiving benefits2020-01-01686
Number of other retired or separated participants entitled to future benefits2020-01-010
Total of all active and inactive participants2020-01-011,453
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-010
Total participants2020-01-011,453
Number of participants with account balances2020-01-011,398
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-01162
2019: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-011,198
Total number of active participants reported on line 7a of the Form 55002019-01-01806
Number of retired or separated participants receiving benefits2019-01-01566
Total of all active and inactive participants2019-01-011,372
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-010
Total participants2019-01-011,372
Number of participants with account balances2019-01-011,319
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-01169
2018: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-011,056
Total number of active participants reported on line 7a of the Form 55002018-01-01729
Number of retired or separated participants receiving benefits2018-01-01442
Total of all active and inactive participants2018-01-011,171
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-010
Total participants2018-01-011,171
Number of participants with account balances2018-01-011,126
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-01165
2017: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-01746
Total number of active participants reported on line 7a of the Form 55002017-01-01578
Number of other retired or separated participants entitled to future benefits2017-01-01310
Total of all active and inactive participants2017-01-01888
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-010
Total participants2017-01-01888
Number of participants with account balances2017-01-01888
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-01109
2016: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-01755
Total number of active participants reported on line 7a of the Form 55002016-01-01690
Number of other retired or separated participants entitled to future benefits2016-01-01207
Total of all active and inactive participants2016-01-01897
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-01897
Number of participants with account balances2016-01-01698
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-01122
2015: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-01674
Total number of active participants reported on line 7a of the Form 55002015-01-01610
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01149
Total of all active and inactive participants2015-01-01759
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-01759
Number of participants with account balances2015-01-01513
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-01118
2014: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-01559
Total number of active participants reported on line 7a of the Form 55002014-01-01570
Number of other retired or separated participants entitled to future benefits2014-01-01108
Total of all active and inactive participants2014-01-01678
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-01678
Number of participants with account balances2014-01-01306
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01111
2013: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-01513
Total number of active participants reported on line 7a of the Form 55002013-01-01454
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01101
Total of all active and inactive participants2013-01-01555
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-01555
Number of participants with account balances2013-01-01265
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0194
2012: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01441
Total number of active participants reported on line 7a of the Form 55002012-01-01410
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-0191
Total of all active and inactive participants2012-01-01501
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-01501
Number of participants with account balances2012-01-01251
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0185
2011: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01422
Total number of active participants reported on line 7a of the Form 55002011-01-01353
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-0179
Total of all active and inactive participants2011-01-01432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01432
Number of participants with account balances2011-01-01218
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0171
2009: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01230
Total number of active participants reported on line 7a of the Form 55002009-01-01205
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-0145
Total of all active and inactive participants2009-01-01250
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01250
Number of participants with account balances2009-01-01147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0149

Financial Data on LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN

Measure Date Value
2022 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2022 401k financial data
Unrealized appreciation/depreciation of real estate assets2022-12-31$0
Unrealized appreciation/depreciation of other (non real estate) assets2022-12-31$0
Total unrealized appreciation/depreciation of assets2022-12-31$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
Expenses. Interest paid2022-12-31$0
Amount of participant contributions which was failed to transmit to the plan within the time period described in 29 CFR 251.3-1022022-12-31$0
Total income from all sources (including contributions)2022-12-31$-342,907
Total loss/gain on sale of assets2022-12-31$-1,012,392
Total of all expenses incurred2022-12-31$2,686,256
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$2,609,743
Expenses. Certain deemed distributions of participant loans2022-12-31$655
Value of total corrective distributions2022-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,464,648
Value of total assets at end of year2022-12-31$21,882,172
Value of total assets at beginning of year2022-12-31$24,911,335
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$75,858
Total income from rents2022-12-31$0
Total interest from all sources2022-12-31$24,892
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$2,451,545
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$2,451,545
Assets. Real estate other than employer real property at end of year2022-12-31$0
Assets. Real estate other than employer real property at beginning of year2022-12-31$0
Administrative expenses professional fees incurred2022-12-31$17,500
Assets. Corporate prefeered stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate prefeered stocks other than exployer securities at beginning of year2022-12-31$0
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$2,000,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$2,560,732
Participant contributions at end of year2022-12-31$286,818
Participant contributions at beginning of year2022-12-31$214,632
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$0
Assets. Other investments not covered elsewhere at end of year2022-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2022-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$281,781
Expenses. Other payments made (not to insurance carriers or or participants/beneficiaries)2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at end of year2022-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2022-12-31$0
Assets. Loans (other than to participants) at end of year2022-12-31$0
Assets. Loans (other than to participants) at beginning of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2022-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2022-12-31$0
Other income not declared elsewhere2022-12-31$0
Administrative expenses (other) incurred2022-12-31$0
Total non interest bearing cash at end of year2022-12-31$0
Total non interest bearing cash at beginning of year2022-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Income. Non cash contributions2022-12-31$0
Value of net income/loss2022-12-31$-3,029,163
Value of net assets at end of year (total assets less liabilities)2022-12-31$21,882,172
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$24,911,335
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Assets. partnership/joint venture interests at end of year2022-12-31$0
Assets. partnership/joint venture interests at beginning of year2022-12-31$0
Investment advisory and management fees2022-12-31$58,358
Value of interest in registered invesment companies (eg mutual funds) at end of year2022-12-31$21,040,839
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$23,817,503
Interest on participant loans2022-12-31$14,314
Income. Interest from loans (other than to participants)2022-12-31$0
Interest earned on other investments2022-12-31$10,578
Income. Interest from US Government securities2022-12-31$0
Income. Interest from corporate debt instruments2022-12-31$0
Value of interest in master investment trust accounts at end of year2022-12-31$0
Value of interest in master investment trust accounts at beginning of year2022-12-31$0
Value of interest in common/collective trusts at end of year2022-12-31$0
Value of interest in common/collective trusts at beginning of year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2022-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2022-12-31$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2022-12-31$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2022-12-31$0
Assets. Value of investments in 103.12 investment entities at end of year2022-12-31$0
Assets. Value of investments in 103.12 investment entities at beginning of year2022-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$534,837
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$879,200
Expenses. Payments to insurance carriers foe the provision of benefits2022-12-31$0
Asset value of US Government securities at end of year2022-12-31$0
Asset value of US Government securities at beginning of year2022-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-5,271,600
Net investment gain/loss from pooled separate accounts2022-12-31$0
Net investment gain or loss from common/collective trusts2022-12-31$0
Net gain/loss from 103.12 investment entities2022-12-31$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31Yes
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Assets. Invements in employer securities at end of year2022-12-31$0
Assets. Invements in employer securities at beginning of year2022-12-31$0
Assets. Value of employer real property at end of year2022-12-31$0
Assets. Value of employer real property at beginning of year2022-12-31$0
Contributions received in cash from employer2022-12-31$622,135
Employer contributions (assets) at end of year2022-12-31$19,678
Employer contributions (assets) at beginning of year2022-12-31$0
Income. Dividends from preferred stock2022-12-31$0
Income. Dividends from common stock2022-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$2,609,743
Asset. Corporate debt instrument preferred debt at end of year2022-12-31$0
Asset. Corporate debt instrument preferred debt at beginning of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at end of year2022-12-31$0
Asset. Corporate debt instrument debt (other) at beginning of year2022-12-31$0
Contract administrator fees2022-12-31$0
Assets. Corporate common stocks other than exployer securities at end of year2022-12-31$0
Assets. Corporate common stocks other than exployer securities at beginning of year2022-12-31$0
Liabilities. Value of benefit claims payable at end of year2022-12-31$0
Liabilities. Value of benefit claims payable at beginning of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at end of year2022-12-31$0
Assets. Value of buildings and other operty used in plan operation at beginning of year2022-12-31$0
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Aggregate proceeds on sale of assets2022-12-31$8,240,733
Aggregate carrying amount (costs) on sale of assets2022-12-31$9,253,125
Liabilities. Value of acquisition indebtedness at end of year2022-12-31$0
Liabilities. Value of acquisition indebtedness at beginning of year2022-12-31$0
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2022-12-31521743645
2021 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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$5,827,840
Total loss/gain on sale of assets2021-12-31$417,768
Total of all expenses incurred2021-12-31$2,284,836
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,205,339
Expenses. Certain deemed distributions of participant loans2021-12-31$19,576
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$2,744,953
Value of total assets at end of year2021-12-31$24,911,335
Value of total assets at beginning of year2021-12-31$21,368,331
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$59,921
Total interest from all sources2021-12-31$28,908
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$2,990,171
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$2,990,171
Administrative expenses professional fees incurred2021-12-31$59,921
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$2,000,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$2,125,535
Participant contributions at end of year2021-12-31$214,632
Participant contributions at beginning of year2021-12-31$291,728
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$176,775
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$3,543,004
Value of net assets at end of year (total assets less liabilities)2021-12-31$24,911,335
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$21,368,331
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$23,817,503
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$20,171,976
Interest on participant loans2021-12-31$16,182
Interest earned on other investments2021-12-31$12,726
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$879,200
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$904,627
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$-353,960
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$442,643
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,205,339
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
Aggregate proceeds on sale of assets2021-12-31$6,844,538
Aggregate carrying amount (costs) on sale of assets2021-12-31$6,426,770
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2021-12-31521743645
2020 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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$5,354,701
Total loss/gain on sale of assets2020-12-31$6,550
Total of all expenses incurred2020-12-31$2,467,551
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,400,219
Expenses. Certain deemed distributions of participant loans2020-12-31$12,709
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,556,322
Value of total assets at end of year2020-12-31$21,368,331
Value of total assets at beginning of year2020-12-31$18,481,181
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$54,623
Total interest from all sources2020-12-31$30,845
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$1,343,665
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$1,343,665
Administrative expenses professional fees incurred2020-12-31$54,623
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$2,000,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,900,793
Participant contributions at end of year2020-12-31$291,728
Participant contributions at beginning of year2020-12-31$255,660
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$292,771
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$2,887,150
Value of net assets at end of year (total assets less liabilities)2020-12-31$21,368,331
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$18,481,181
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$20,171,976
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$17,410,093
Interest on participant loans2020-12-31$15,055
Interest earned on other investments2020-12-31$15,790
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$904,627
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$815,428
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$1,417,319
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$362,758
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,400,219
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
Aggregate proceeds on sale of assets2020-12-31$7,636,029
Aggregate carrying amount (costs) on sale of assets2020-12-31$7,629,479
Opinion of an independent qualified public accountant for this plan2020-12-31Unqualified
Accountancy firm name2020-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2020-12-31521743645
2019 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
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 income from all sources (including contributions)2019-12-31$5,907,646
Total income from all sources (including contributions)2019-12-31$5,907,646
Total loss/gain on sale of assets2019-12-31$388,045
Total loss/gain on sale of assets2019-12-31$388,045
Total of all expenses incurred2019-12-31$1,368,889
Total of all expenses incurred2019-12-31$1,368,889
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,325,859
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,325,859
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,717,312
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$2,717,312
Value of total assets at end of year2019-12-31$18,481,181
Value of total assets at end of year2019-12-31$18,481,181
Value of total assets at beginning of year2019-12-31$13,942,424
Value of total assets at beginning of year2019-12-31$13,942,424
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$43,030
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$43,030
Total interest from all sources2019-12-31$31,675
Total interest from all sources2019-12-31$31,675
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,554,728
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$1,554,728
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
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$1,554,728
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$1,554,728
Administrative expenses professional fees incurred2019-12-31$43,030
Administrative expenses professional fees incurred2019-12-31$43,030
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$2,000,000
Value of fidelity bond cover2019-12-31$2,000,000
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
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$1,813,923
Contributions received from participants2019-12-31$1,813,923
Participant contributions at end of year2019-12-31$255,660
Participant contributions at end of year2019-12-31$255,660
Participant contributions at beginning of year2019-12-31$235,468
Participant contributions at beginning of year2019-12-31$235,468
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$167,149
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$167,149
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$4,538,757
Value of net income/loss2019-12-31$4,538,757
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,481,181
Value of net assets at end of year (total assets less liabilities)2019-12-31$18,481,181
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,942,424
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$13,942,424
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$17,410,093
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$17,410,093
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,114,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$13,114,263
Interest on participant loans2019-12-31$16,993
Interest on participant loans2019-12-31$16,993
Interest earned on other investments2019-12-31$14,682
Interest earned on other investments2019-12-31$14,682
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$815,428
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$815,428
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$592,693
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$592,693
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,215,886
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$1,215,886
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$736,240
Contributions received in cash from employer2019-12-31$736,240
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,325,859
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,325,859
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
Aggregate proceeds on sale of assets2019-12-31$3,680,520
Aggregate proceeds on sale of assets2019-12-31$3,680,520
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,292,475
Aggregate carrying amount (costs) on sale of assets2019-12-31$3,292,475
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 name2019-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm name2019-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2019-12-31521743645
Accountancy firm EIN2019-12-31521743645
2018 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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$2,740,050
Total loss/gain on sale of assets2018-12-31$-32,957
Total of all expenses incurred2018-12-31$1,194,138
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,145,985
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$3,751,798
Value of total assets at end of year2018-12-31$13,942,424
Value of total assets at beginning of year2018-12-31$12,396,512
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$48,153
Total interest from all sources2018-12-31$25,219
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$1,307,952
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$1,307,952
Administrative expenses professional fees incurred2018-12-31$48,153
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$2,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$787,417
Participant contributions at end of year2018-12-31$235,468
Participant contributions at beginning of year2018-12-31$120,608
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$1,451,163
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$1,545,912
Value of net assets at end of year (total assets less liabilities)2018-12-31$13,942,424
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$12,396,512
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$13,114,263
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$11,524,706
Interest on participant loans2018-12-31$11,909
Interest earned on other investments2018-12-31$13,310
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$592,693
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$751,198
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,311,962
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$1,513,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,145,985
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
Aggregate proceeds on sale of assets2018-12-31$3,835,169
Aggregate carrying amount (costs) on sale of assets2018-12-31$3,868,126
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 name2018-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2018-12-31521743645
2017 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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$3,424,361
Total loss/gain on sale of assets2017-12-31$425,734
Total of all expenses incurred2017-12-31$596,538
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$550,486
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$1,701,467
Value of total assets at end of year2017-12-31$12,396,512
Value of total assets at beginning of year2017-12-31$9,568,689
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$46,052
Total interest from all sources2017-12-31$21,041
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$612,854
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$612,854
Administrative expenses professional fees incurred2017-12-31$46,052
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$2,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$388,929
Participant contributions at end of year2017-12-31$120,608
Participant contributions at beginning of year2017-12-31$92,175
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$210,509
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$67,172
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$2,827,823
Value of net assets at end of year (total assets less liabilities)2017-12-31$12,396,512
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$9,568,689
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$11,524,706
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$8,666,893
Interest on participant loans2017-12-31$4,871
Interest earned on other investments2017-12-31$16,170
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$751,198
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$742,449
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$663,265
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$1,102,029
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$550,486
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
Aggregate proceeds on sale of assets2017-12-31$5,740,113
Aggregate carrying amount (costs) on sale of assets2017-12-31$5,314,379
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 name2017-12-31SC&H ATTEST SERVICES, P.C.
Accountancy firm EIN2017-12-31521743645
2016 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$2,177,722
Total loss/gain on sale of assets2016-12-31$44,291
Total of all expenses incurred2016-12-31$471,731
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$439,929
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,470,118
Value of total assets at end of year2016-12-31$9,568,689
Value of total assets at beginning of year2016-12-31$7,862,698
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$31,802
Total interest from all sources2016-12-31$21,928
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$296,621
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$296,621
Administrative expenses professional fees incurred2016-12-31$31,802
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$2,000,000
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$346,978
Participant contributions at end of year2016-12-31$92,175
Participant contributions at beginning of year2016-12-31$110,867
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$181,104
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$67,172
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$1,705,991
Value of net assets at end of year (total assets less liabilities)2016-12-31$9,568,689
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$7,862,698
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$8,666,893
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$7,127,459
Interest on participant loans2016-12-31$5,292
Interest earned on other investments2016-12-31$16,636
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$742,449
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$624,372
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$344,764
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$942,036
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$439,929
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
Aggregate proceeds on sale of assets2016-12-31$3,468,673
Aggregate carrying amount (costs) on sale of assets2016-12-31$3,424,382
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 name2016-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2016-12-31521743645
2015 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total income from all sources (including contributions)2015-12-31$1,049,938
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$343,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$316,472
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$986,204
Value of total assets at end of year2015-12-31$7,862,698
Value of total assets at beginning of year2015-12-31$7,156,572
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$27,340
Total interest from all sources2015-12-31$17,547
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$355,675
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$355,675
Administrative expenses professional fees incurred2015-12-31$27,340
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$2,000,000
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$736,263
Participant contributions at end of year2015-12-31$110,867
Participant contributions at beginning of year2015-12-31$156,559
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$26,868
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$706,126
Value of net assets at end of year (total assets less liabilities)2015-12-31$7,862,698
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$7,156,572
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$7,127,459
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$6,563,379
Interest on participant loans2015-12-31$5,017
Interest earned on other investments2015-12-31$12,530
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$624,372
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$436,634
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-309,488
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$223,073
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$316,472
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 name2015-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2015-12-31521743645
2014 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$0
Total income from all sources (including contributions)2014-12-31$1,333,930
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$241,750
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$223,890
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$882,821
Value of total assets at end of year2014-12-31$7,156,572
Value of total assets at beginning of year2014-12-31$6,064,392
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$17,860
Total interest from all sources2014-12-31$19,082
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$314,832
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$314,832
Administrative expenses professional fees incurred2014-12-31$17,860
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$2,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$483,698
Participant contributions at end of year2014-12-31$156,559
Participant contributions at beginning of year2014-12-31$180,710
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$265,511
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$1,092,180
Value of net assets at end of year (total assets less liabilities)2014-12-31$7,156,572
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$6,064,392
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$6,563,379
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$5,522,498
Income. Interest from loans (other than to participants)2014-12-31$7,533
Interest earned on other investments2014-12-31$11,549
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$436,634
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$361,184
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$117,195
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$133,612
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$223,890
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 name2014-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2014-12-31521743645
2013 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$15,343
Total income from all sources (including contributions)2013-12-31$1,659,898
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$491,311
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$480,227
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$615,786
Value of total assets at end of year2013-12-31$6,064,392
Value of total assets at beginning of year2013-12-31$4,911,148
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$11,084
Total interest from all sources2013-12-31$20,732
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$172,360
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$172,360
Administrative expenses professional fees incurred2013-12-31$11,084
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$10,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$379,888
Participant contributions at end of year2013-12-31$180,710
Participant contributions at beginning of year2013-12-31$126,344
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$121,600
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2013-12-31$15,343
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$1,168,587
Value of net assets at end of year (total assets less liabilities)2013-12-31$6,064,392
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$4,895,805
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$5,522,498
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$0
Value of interest in pooled separate accounts at end of year2013-12-31$0
Value of interest in pooled separate accounts at beginning of year2013-12-31$4,399,752
Income. Interest from loans (other than to participants)2013-12-31$7,435
Interest earned on other investments2013-12-31$13,297
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$361,184
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$385,052
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$523,497
Net investment gain/loss from pooled separate accounts2013-12-31$327,523
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$114,298
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$480,227
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 name2013-12-31STOUT, CAUSEY & HORNING , P.A.
Accountancy firm EIN2013-12-31521743645
2012 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$15,343
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$3,478
Total income from all sources (including contributions)2012-12-31$1,178,303
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$329,252
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$303,015
Value of total corrective distributions2012-12-31$15,343
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$613,278
Value of total assets at end of year2012-12-31$4,911,148
Value of total assets at beginning of year2012-12-31$4,050,232
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$10,894
Total interest from all sources2012-12-31$17,981
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
Administrative expenses professional fees incurred2012-12-31$10,894
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$10,000,000
If this is an individual account plan, was there a blackout period2012-12-31No
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$408,918
Participant contributions at end of year2012-12-31$126,344
Participant contributions at beginning of year2012-12-31$114,376
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$73,527
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2012-12-31$15,343
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2012-12-31$3,478
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$849,051
Value of net assets at end of year (total assets less liabilities)2012-12-31$4,895,805
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$4,046,754
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in pooled separate accounts at end of year2012-12-31$4,399,752
Value of interest in pooled separate accounts at beginning of year2012-12-31$3,555,041
Interest on participant loans2012-12-31$4,681
Interest earned on other investments2012-12-31$13,300
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$385,052
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$380,815
Net investment gain/loss from pooled separate accounts2012-12-31$547,044
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31No
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$130,833
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$303,015
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 name2012-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2012-12-31521743645
2011 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$3,478
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$1,203,429
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$243,604
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$231,137
Value of total corrective distributions2011-12-31$3,478
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,309,202
Value of total assets at end of year2011-12-31$4,050,232
Value of total assets at beginning of year2011-12-31$3,086,929
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$8,989
Total interest from all sources2011-12-31$19,813
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
Administrative expenses professional fees incurred2011-12-31$8,989
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$10,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$345,758
Participant contributions at end of year2011-12-31$114,376
Participant contributions at beginning of year2011-12-31$95,015
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$898,368
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$3,478
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$959,825
Value of net assets at end of year (total assets less liabilities)2011-12-31$4,046,754
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$3,086,929
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in pooled separate accounts at end of year2011-12-31$3,555,041
Value of interest in pooled separate accounts at beginning of year2011-12-31$2,691,116
Interest on participant loans2011-12-31$4,205
Interest earned on other investments2011-12-31$15,608
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$380,815
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$300,798
Net investment gain/loss from pooled separate accounts2011-12-31$-125,586
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$65,076
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$231,137
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 name2011-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2011-12-31521743645
2010 : LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$794,082
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$134,426
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$130,375
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$437,020
Value of total assets at end of year2010-12-31$3,086,929
Value of total assets at beginning of year2010-12-31$2,427,273
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$4,051
Total interest from all sources2010-12-31$12,752
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
Administrative expenses professional fees incurred2010-12-31$4,051
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$10,000,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$275,295
Participant contributions at end of year2010-12-31$95,015
Participant contributions at beginning of year2010-12-31$56,741
Participant contributions at beginning of year2010-12-31$19,398
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$110,598
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$659,656
Value of net assets at end of year (total assets less liabilities)2010-12-31$3,086,929
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$2,427,273
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in pooled separate accounts at end of year2010-12-31$2,691,116
Value of interest in pooled separate accounts at beginning of year2010-12-31$2,126,038
Interest on participant loans2010-12-31$3,711
Interest earned on other investments2010-12-31$9,041
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$300,798
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$225,096
Net investment gain/loss from pooled separate accounts2010-12-31$344,310
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$51,127
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$130,375
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 name2010-12-31STOUT, CAUSEY & HORNING, P.A.
Accountancy firm EIN2010-12-31521743645

Form 5500 Responses for LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN

2022: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedYes
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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 funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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 funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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 funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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 funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 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 funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: LUMINIS HEALTH CARE SERVICES, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedYes
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered130
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered62
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 $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered166
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered76
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 $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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered156
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 $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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered147
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 $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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered104
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered43
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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered47
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered251
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered218
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
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 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
GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )
Policy contract number86204-03
Policy instance 1
Insurance contract or identification number86204-03
Number of Individuals Covered210
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
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 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

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