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THOMAS HEALTH SYSTEM 401 (K) PLAN 401k Plan overview

Plan NameTHOMAS HEALTH SYSTEM 401 (K) PLAN
Plan identification number 001

THOMAS HEALTH SYSTEM 401 (K) PLAN Benefits

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

SAINT FRANCIS HOSPITAL, INC. has sponsored the creation of one or more 401k plans.

Company Name:SAINT FRANCIS HOSPITAL, INC.
Employer identification number (EIN):611272692
NAIC Classification:622000
NAIC Description: Hospitals

Form 5500 Filing Information

Submission information for form 5500 for 401k plan THOMAS HEALTH SYSTEM 401 (K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012017-01-01TIMOTHY SKELDON
0012016-01-01TIMOTHY SKELDON
0012015-01-01RENEE CROSS MARYBETH SMITH2016-10-17
0012014-01-01RENEE CROSS MARYBETH SMITH2015-10-14
0012013-01-01RENEE CROSS MARYBETH SMITH2014-10-15
0012012-01-01RENEE CROSS
0012011-01-01RENEE CROSS
0012009-01-01RENEE A. CROSS RENEEE A. CROSS2010-10-13

Plan Statistics for THOMAS HEALTH SYSTEM 401 (K) PLAN

401k plan membership statisitcs for THOMAS HEALTH SYSTEM 401 (K) PLAN

Measure Date Value
2017: THOMAS HEALTH SYSTEM 401 (K) PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-012,490
Total number of active participants reported on line 7a of the Form 55002017-01-011,737
Number of other retired or separated participants entitled to future benefits2017-01-01428
Total of all active and inactive participants2017-01-012,165
Total participants2017-01-012,165
Number of participants with account balances2017-01-012,009
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-010
2016: THOMAS HEALTH SYSTEM 401 (K) PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-012,484
Total number of active participants reported on line 7a of the Form 55002016-01-011,705
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01775
Total of all active and inactive participants2016-01-012,480
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-012,480
Number of participants with account balances2016-01-012,374
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: THOMAS HEALTH SYSTEM 401 (K) PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-011,524
Total number of active participants reported on line 7a of the Form 55002015-01-011,184
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01529
Total of all active and inactive participants2015-01-011,713
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-010
Total participants2015-01-011,713
Number of participants with account balances2015-01-011,621
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-010
2014: THOMAS HEALTH SYSTEM 401 (K) PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-011,334
Total number of active participants reported on line 7a of the Form 55002014-01-011,049
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01408
Total of all active and inactive participants2014-01-011,457
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-010
Total participants2014-01-011,457
Number of participants with account balances2014-01-011,360
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: THOMAS HEALTH SYSTEM 401 (K) PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-011,024
Total number of active participants reported on line 7a of the Form 55002013-01-011,021
Number of retired or separated participants receiving benefits2013-01-014
Number of other retired or separated participants entitled to future benefits2013-01-01276
Total of all active and inactive participants2013-01-011,301
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-011,301
Number of participants with account balances2013-01-011,172
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: THOMAS HEALTH SYSTEM 401 (K) PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-01909
Total number of active participants reported on line 7a of the Form 55002012-01-01828
Number of retired or separated participants receiving benefits2012-01-011
Number of other retired or separated participants entitled to future benefits2012-01-01220
Total of all active and inactive participants2012-01-011,049
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-010
Total participants2012-01-011,049
Number of participants with account balances2012-01-01929
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: THOMAS HEALTH SYSTEM 401 (K) PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-01864
Total number of active participants reported on line 7a of the Form 55002011-01-01687
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01222
Total of all active and inactive participants2011-01-01909
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-010
Total participants2011-01-01909
Number of participants with account balances2011-01-01809
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: THOMAS HEALTH SYSTEM 401 (K) PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-01819
Total number of active participants reported on line 7a of the Form 55002009-01-01646
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01140
Total of all active and inactive participants2009-01-01786
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01786
Number of participants with account balances2009-01-01686
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-010

Financial Data on THOMAS HEALTH SYSTEM 401 (K) PLAN

Measure Date Value
2017 : THOMAS HEALTH SYSTEM 401 (K) PLAN 2017 401k financial data
Total income from all sources (including contributions)2017-12-31$16,218,187
Total of all expenses incurred2017-12-31$5,185,902
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$4,864,713
Expenses. Certain deemed distributions of participant loans2017-12-31$38,997
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$8,217,886
Value of total assets at end of year2017-12-31$57,727,728
Value of total assets at beginning of year2017-12-31$46,695,443
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$282,192
Total interest from all sources2017-12-31$36,067
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$2,938,297
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$2,938,297
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$10,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$4,692,218
Participant contributions at end of year2017-12-31$962,076
Participant contributions at beginning of year2017-12-31$831,892
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$263,066
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$11,032,285
Value of net assets at end of year (total assets less liabilities)2017-12-31$57,727,728
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$46,695,443
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$56,765,652
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$45,863,551
Interest on participant loans2017-12-31$36,067
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$5,025,937
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$3,262,602
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$4,864,713
Contract administrator fees2017-12-31$282,192
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
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 name2017-12-31ARNETT CARBIS TOOTHMAN LLP
Accountancy firm EIN2017-12-31550486667
2016 : THOMAS HEALTH SYSTEM 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$11,550,892
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$3,589,685
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$3,278,711
Expenses. Certain deemed distributions of participant loans2016-12-31$21,440
Value of total corrective distributions2016-12-31$11,829
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$8,659,247
Value of total assets at end of year2016-12-31$46,695,443
Value of total assets at beginning of year2016-12-31$38,734,236
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$277,705
Total interest from all sources2016-12-31$32,278
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$1,631,617
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$1,631,617
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$10,000,000
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$4,857,619
Participant contributions at end of year2016-12-31$831,892
Participant contributions at beginning of year2016-12-31$741,980
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$394,146
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2016-12-31$9,081,229
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$7,961,207
Value of net assets at end of year (total assets less liabilities)2016-12-31$46,695,443
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$38,734,236
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$45,863,551
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$28,911,027
Interest on participant loans2016-12-31$32,278
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$1,227,750
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$3,407,482
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$3,278,711
Contract administrator fees2016-12-31$277,705
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
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 name2016-12-31ARNETT CARBIS TOOTHMAN LLP.
Accountancy firm EIN2016-12-31550486667
2015 : THOMAS HEALTH SYSTEM 401 (K) PLAN 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total transfer of assets to this plan2015-12-31$9,081,229
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$4,646,032
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$1,524,938
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$1,347,312
Expenses. Certain deemed distributions of participant loans2015-12-31$15,487
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$4,790,836
Value of total assets at end of year2015-12-31$38,734,236
Value of total assets at beginning of year2015-12-31$26,531,913
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$162,139
Total interest from all sources2015-12-31$28,473
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$1,368,176
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$10,000,000
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$2,711,982
Participant contributions at end of year2015-12-31$741,980
Participant contributions at beginning of year2015-12-31$672,206
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$134,969
Value of other receiveables (less allowance for doubtful accounts) at end of year2015-12-31$9,081,229
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$3,121,094
Value of net assets at end of year (total assets less liabilities)2015-12-31$38,734,236
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$26,531,913
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$28,911,027
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$25,859,707
Interest on participant loans2015-12-31$28,473
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-1,541,453
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$1,943,885
Income. Dividends from common stock2015-12-31$1,368,176
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$1,347,312
Contract administrator fees2015-12-31$162,139
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 name2015-12-31ARNETT CARBIS TOOTHMAN LLP
Accountancy firm EIN2015-12-31550486667
2014 : THOMAS HEALTH SYSTEM 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$7,292,185
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$1,767,468
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$1,560,127
Expenses. Certain deemed distributions of participant loans2014-12-31$55,865
Value of total corrective distributions2014-12-31$357
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$6,100,120
Value of total assets at end of year2014-12-31$26,531,913
Value of total assets at beginning of year2014-12-31$21,007,196
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$151,119
Total interest from all sources2014-12-31$23,632
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$1,114,263
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$1,114,263
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$10,000,000
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$2,163,612
Participant contributions at end of year2014-12-31$672,206
Participant contributions at beginning of year2014-12-31$513,836
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$2,207,732
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$5,524,717
Value of net assets at end of year (total assets less liabilities)2014-12-31$26,531,913
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$21,007,196
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$25,859,707
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$20,424,165
Interest on participant loans2014-12-31$23,632
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$54,170
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$1,728,776
Employer contributions (assets) at beginning of year2014-12-31$69,195
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$1,560,127
Contract administrator fees2014-12-31$151,119
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 name2014-12-31ARNETT CARBIS TOOTHMAN LLP
Accountancy firm EIN2014-12-31550486667
2013 : THOMAS HEALTH SYSTEM 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$0
Total income from all sources (including contributions)2013-12-31$6,432,648
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,404,812
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,266,363
Expenses. Certain deemed distributions of participant loans2013-12-31$26,280
Value of total corrective distributions2013-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$3,488,122
Value of total assets at end of year2013-12-31$21,007,196
Value of total assets at beginning of year2013-12-31$15,979,360
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$112,169
Total interest from all sources2013-12-31$16,313
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$695,602
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$695,602
Administrative expenses professional fees incurred2013-12-31$0
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$1,833,640
Participant contributions at end of year2013-12-31$513,836
Participant contributions at beginning of year2013-12-31$346,232
Participant contributions at beginning of year2013-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$260,457
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2013-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$5,027,836
Value of net assets at end of year (total assets less liabilities)2013-12-31$21,007,196
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$15,979,360
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$20,424,165
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$15,633,128
Interest on participant loans2013-12-31$16,313
Interest earned on other investments2013-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,232,611
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$1,394,025
Employer contributions (assets) at end of year2013-12-31$69,195
Employer contributions (assets) at beginning of year2013-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,266,363
Contract administrator fees2013-12-31$112,169
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32013-12-31No
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 name2013-12-31ARNETT FOSTER TOOTHMAN PLLLC
Accountancy firm EIN2013-12-31550486667
2012 : THOMAS HEALTH SYSTEM 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$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$4,336,397
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,509,270
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,470,514
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$2,560,916
Value of total assets at end of year2012-12-31$15,979,360
Value of total assets at beginning of year2012-12-31$13,152,233
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$38,756
Total interest from all sources2012-12-31$7,329
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$347,516
Total dividends received from registered investment company shares (eg mutual funds)2012-12-31$347,516
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
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$1,454,640
Participant contributions at end of year2012-12-31$346,232
Participant contributions at beginning of year2012-12-31$89,363
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$49,925
Assets. Other investments not covered elsewhere at end of year2012-12-31$0
Assets. Other investments not covered elsewhere at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$69,363
Value of other receiveables (less allowance for doubtful accounts) at end of year2012-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2012-12-31$93
Administrative expenses (other) incurred2012-12-31$2,655
Total non interest bearing cash at beginning of year2012-12-31$10,414
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$2,827,127
Value of net assets at end of year (total assets less liabilities)2012-12-31$15,979,360
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$13,152,233
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 registered invesment companies (eg mutual funds) at end of year2012-12-31$15,633,128
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$12,966,864
Interest on participant loans2012-12-31$7,329
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$0
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$1,420,636
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 contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$1,036,913
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$35,574
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,470,514
Contract administrator fees2012-12-31$36,101
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32012-12-31No
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 name2012-12-31ARNETT FOSTER TOOTHMAN PLLLC
Accountancy firm EIN2012-12-31550486667
2011 : THOMAS HEALTH SYSTEM 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$0
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$1,922,247
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$590,559
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$566,731
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$2,264,894
Value of total assets at end of year2011-12-31$13,152,233
Value of total assets at beginning of year2011-12-31$11,820,545
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$23,828
Total interest from all sources2011-12-31$698
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
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$1,000,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$1,308,738
Participant contributions at end of year2011-12-31$89,363
Participant contributions at end of year2011-12-31$49,925
Participant contributions at beginning of year2011-12-31$45,036
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$14,288
Value of other receiveables (less allowance for doubtful accounts) at end of year2011-12-31$93
Total non interest bearing cash at end of year2011-12-31$10,414
Total non interest bearing cash at beginning of year2011-12-31$19,333
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$1,331,688
Value of net assets at end of year (total assets less liabilities)2011-12-31$13,152,233
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$11,820,545
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 registered invesment companies (eg mutual funds) at end of year2011-12-31$12,966,864
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$11,722,524
Interest on participant loans2011-12-31$605
Interest earned on other investments2011-12-31$93
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-343,345
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 contributions2011-12-31Yes
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$941,868
Employer contributions (assets) at end of year2011-12-31$35,574
Employer contributions (assets) at beginning of year2011-12-31$33,652
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$566,731
Contract administrator fees2011-12-31$23,828
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 name2011-12-31ARNETT FOSTER TOOTHMAN PLLC
Accountancy firm EIN2011-12-31550486667
2010 : THOMAS HEALTH SYSTEM 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$3,505,381
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$505,240
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$487,699
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$2,175,592
Value of total assets at end of year2010-12-31$11,820,545
Value of total assets at beginning of year2010-12-31$8,820,404
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$17,541
Total interest from all sources2010-12-31$0
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
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$1,000,000
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$1,243,592
Participant contributions at end of year2010-12-31$45,036
Participant contributions at beginning of year2010-12-31$49,277
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$30,648
Total non interest bearing cash at end of year2010-12-31$19,333
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$3,000,141
Value of net assets at end of year (total assets less liabilities)2010-12-31$11,820,545
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$8,820,404
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 registered invesment companies (eg mutual funds) at end of year2010-12-31$11,722,524
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$8,734,917
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$1,329,789
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 contributions2010-12-31Yes
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$901,352
Employer contributions (assets) at end of year2010-12-31$33,652
Employer contributions (assets) at beginning of year2010-12-31$36,210
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$487,699
Contract administrator fees2010-12-31$17,541
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 name2010-12-31ARNETT & FOSTER, PLLC
Accountancy firm EIN2010-12-31550486667

Form 5500 Responses for THOMAS HEALTH SYSTEM 401 (K) PLAN

2017: THOMAS HEALTH SYSTEM 401 (K) PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: THOMAS HEALTH SYSTEM 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: THOMAS HEALTH SYSTEM 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: THOMAS HEALTH SYSTEM 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: THOMAS HEALTH SYSTEM 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: THOMAS HEALTH SYSTEM 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: THOMAS HEALTH SYSTEM 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 benefit arrangement – InsuranceYes
2009: THOMAS HEALTH SYSTEM 401 (K) PLAN 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
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 benefit arrangement – InsuranceYes

Insurance Providers Used on plan

VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70676
Policy instance 1
Insurance contract or identification number70676
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70676
Policy instance 1
Insurance contract or identification number70676
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70676
Policy instance 1
Insurance contract or identification number70676
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number70676
Policy instance 1
Insurance contract or identification number70676
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58654
Policy instance 1
Insurance contract or identification number58654
Number of Individuals Covered0
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $20,663
Total amount of fees paid to insurance companyUSD $6,234
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $20,663
Insurance broker organization code?3
Amount paid for insurance broker fees3534
Additional information about fees paid to insurance brokerTPA COMPENSATION
Insurance broker nameDUBAR, BENDER & ZAPF, INC.
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58654
Policy instance 1
Insurance contract or identification number58654
Number of Individuals Covered825
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $31,469
Total amount of fees paid to insurance companyUSD $8,715
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number58654
Policy instance 1
Insurance contract or identification number58654
Number of Individuals Covered804
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $24,366
Total amount of fees paid to insurance companyUSD $4,040
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?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
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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