| Plan Name | FLEXIBLE SPENDING BENEFITS PLAN-PLAN B |
| Plan identification number | 512 |
| 401k Plan Type | Welfare Benefit |
| Plan Features/Benefits |
|
| Company Name: | ACCESSCARE |
| Employer identification number (EIN): | 562064812 |
| NAIC Classification: | 621111 |
| NAIC Description: | Offices of Physicians (except Mental Health Specialists) |
| Plan id# | Filing Submission Date | Name of Administrator | Date Administrator Signed | Name of Company Sponsor | Date Sponsor Signed |
|---|---|---|---|---|---|
| 512 | 2012-12-01 | ACCESS (JOHN BRISTOL) |
| Measure | Date | Value |
|---|---|---|
| 2012: FLEXIBLE SPENDING BENEFITS PLAN-PLAN B 2012 401k membership | ||
| Total participants, beginning-of-year | 2012-12-01 | 20 |
| Total number of active participants reported on line 7a of the Form 5500 | 2012-12-01 | 24 |
| Number of retired or separated participants receiving benefits | 2012-12-01 | 5 |
| Number of other retired or separated participants entitled to future benefits | 2012-12-01 | 0 |
| Total of all active and inactive participants | 2012-12-01 | 29 |
| Measure | Date | Value |
|---|---|---|
| 2013 : FLEXIBLE SPENDING BENEFITS PLAN-PLAN B 2013 401k financial data | ||
| Total plan liabilities at end of year | 2013-11-30 | $45,927 |
| Total plan liabilities at beginning of year | 2013-11-30 | $0 |
| Total income from all sources | 2013-11-30 | $36,500 |
| Expenses. Total of all expenses incurred | 2013-11-30 | $45,927 |
| Benefits paid (including direct rollovers) | 2013-11-30 | $45,927 |
| Total plan assets at end of year | 2013-11-30 | $36,500 |
| Total contributions received or receivable from participants | 2013-11-30 | $1,400 |
| Net income (gross income less expenses) | 2013-11-30 | $-9,427 |
| Net plan assets at end of year (total assets less liabilities) | 2013-11-30 | $-9,427 |
| Net plan assets at beginning of year (total assets less liabilities) | 2013-11-30 | $0 |
| Total contributions received or receivable from employer(s) | 2013-11-30 | $35,100 |
| 2012: FLEXIBLE SPENDING BENEFITS PLAN-PLAN B 2012 form 5500 responses | ||
|---|---|---|
| 2012-12-01 | Type of plan entity | Single employer plan |
| 2012-12-01 | First time form 5500 has been submitted | Yes |
| 2012-12-01 | Submission has been amended | No |
| 2012-12-01 | This submission is the final filing | No |
| 2012-12-01 | This return/report is a short plan year return/report (less than 12 months) | No |
| 2012-12-01 | Plan is a collectively bargained plan | No |
| 2012-12-01 | Plan funding arrangement – Trust | Yes |
| 2012-12-01 | Plan benefit arrangement - Trust | Yes |