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THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 401k Plan overview

Plan NameTHE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE
Plan identification number 501

THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE Benefits

401k Plan TypeWelfare Benefit
Plan Features/Benefits
  • Health (other than dental or vision)
  • Life insurance

401k Sponsoring company profile

LOVELACE FAMILY MEDICINE, P.A. has sponsored the creation of one or more 401k plans.

Company Name:LOVELACE FAMILY MEDICINE, P.A.
Employer identification number (EIN):570989480
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-01-01
5012021-01-01

Plan Statistics for THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE

401k plan membership statisitcs for THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE

Measure Date Value
2022: THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2022 401k membership
Total participants, beginning-of-year2022-01-0122
Total number of active participants reported on line 7a of the Form 55002022-01-0126
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-010
Total of all active and inactive participants2022-01-0126
2021: THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2021 401k membership
Total participants, beginning-of-year2021-01-0123
Total number of active participants reported on line 7a of the Form 55002021-01-0122
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-010
Total of all active and inactive participants2021-01-0122

Financial Data on THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE

Measure Date Value
2022 : THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2022 401k financial data
Total plan liabilities at end of year2022-12-31$6,144
Total plan liabilities at beginning of year2022-12-31$9,109
Total income from all sources2022-12-31$226,575
Expenses. Total of all expenses incurred2022-12-31$158,541
Benefits paid (including direct rollovers)2022-12-31$33,948
Total plan assets at end of year2022-12-31$79,444
Total plan assets at beginning of year2022-12-31$14,375
Value of fidelity bond covering the plan2022-12-31$250,000
Total contributions received or receivable from participants2022-12-31$55,665
Expenses. Other expenses not covered elsewhere2022-12-31$111,938
Contributions received from other sources (not participants or employers)2022-12-31$0
Other income received2022-12-31$0
Net income (gross income less expenses)2022-12-31$68,034
Net plan assets at end of year (total assets less liabilities)2022-12-31$73,300
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$5,266
Total contributions received or receivable from employer(s)2022-12-31$170,910
Value of corrective distributions2022-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2022-12-31$12,655
2021 : THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2021 401k financial data
Total plan liabilities at end of year2021-12-31$9,109
Total plan liabilities at beginning of year2021-12-31$0
Total income from all sources2021-12-31$191,902
Expenses. Total of all expenses incurred2021-12-31$186,636
Benefits paid (including direct rollovers)2021-12-31$80,574
Total plan assets at end of year2021-12-31$14,375
Total plan assets at beginning of year2021-12-31$0
Value of fidelity bond covering the plan2021-12-31$250,000
Total contributions received or receivable from participants2021-12-31$55,665
Expenses. Other expenses not covered elsewhere2021-12-31$100,105
Contributions received from other sources (not participants or employers)2021-12-31$0
Other income received2021-12-31$0
Net income (gross income less expenses)2021-12-31$5,266
Net plan assets at end of year (total assets less liabilities)2021-12-31$5,266
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$0
Total contributions received or receivable from employer(s)2021-12-31$136,237
Value of corrective distributions2021-12-31$0
Expenses. Administrative service providers (salaries,fees and commissions)2021-12-31$5,957

Form 5500 Responses for THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE

2022: THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
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 funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: THE HEALTH AND WELFARE BENEFIT PLAN OF LOVELACE FAMILY MEDICINE 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01First time form 5500 has been submittedYes
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 funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500711-211
Policy instance 1
Insurance contract or identification number30500711-211
Number of Individuals Covered26
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $96,329
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
EVEREST REINSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 69019 )
Policy contract number30500711-211
Policy instance 1
Insurance contract or identification number30500711-211
Number of Individuals Covered21
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
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?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $85,324
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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