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TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 401k Plan overview

Plan NameTRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN
Plan identification number 001

TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

TRILOGY HEALTH SERVICES, LLC has sponsored the creation of one or more 401k plans.

Company Name:TRILOGY HEALTH SERVICES, LLC
Employer identification number (EIN):611321900
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about TRILOGY HEALTH SERVICES, LLC

Jurisdiction of Incorporation: Virginia Secretary of State
Incorporation Date: 2016-03-07
Company Identification Number: S606168
Legal Registered Office Address: 147 Wesley Drive

Danville
United States of America (USA)
24540

More information about TRILOGY HEALTH SERVICES, LLC

Form 5500 Filing Information

Submission information for form 5500 for 401k plan TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012016-01-01
0012015-01-01
0012014-01-01JOHN W. ECKMAN
0012013-01-01JOHN W. ECKMAN
0012012-01-01JOHN W. ECKMAN
0012011-01-01JOHN W. ECKMAN
0012009-01-01JOHN ECKMAN JOHN ECKMAN2010-10-14

Plan Statistics for TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN

401k plan membership statisitcs for TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN

Measure Date Value
2016: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-0111,735
Total number of active participants reported on line 7a of the Form 55002016-01-019,840
Number of retired or separated participants receiving benefits2016-01-0133
Number of other retired or separated participants entitled to future benefits2016-01-01654
Total of all active and inactive participants2016-01-0110,527
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-010
Total participants2016-01-0110,527
Number of participants with account balances2016-01-012,717
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0131
2015: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2015 401k membership
Total participants, beginning-of-year2015-01-0110,768
Total number of active participants reported on line 7a of the Form 55002015-01-0111,603
Number of retired or separated participants receiving benefits2015-01-0133
Number of other retired or separated participants entitled to future benefits2015-01-01516
Total of all active and inactive participants2015-01-0112,152
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-011
Total participants2015-01-0112,153
Number of participants with account balances2015-01-012,665
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0177
2014: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2014 401k membership
Total participants, beginning-of-year2014-01-017,113
Total number of active participants reported on line 7a of the Form 55002014-01-0110,017
Number of retired or separated participants receiving benefits2014-01-0121
Number of other retired or separated participants entitled to future benefits2014-01-01704
Total of all active and inactive participants2014-01-0110,742
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-013
Total participants2014-01-0110,745
Number of participants with account balances2014-01-012,791
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-01101
2013: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2013 401k membership
Total participants, beginning-of-year2013-01-016,957
Total number of active participants reported on line 7a of the Form 55002013-01-016,779
Number of retired or separated participants receiving benefits2013-01-0121
Number of other retired or separated participants entitled to future benefits2013-01-01313
Total of all active and inactive participants2013-01-017,113
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-010
Total participants2013-01-017,113
Number of participants with account balances2013-01-012,293
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-01204
2012: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2012 401k membership
Total participants, beginning-of-year2012-01-016,457
Total number of active participants reported on line 7a of the Form 55002012-01-016,520
Number of retired or separated participants receiving benefits2012-01-0125
Number of other retired or separated participants entitled to future benefits2012-01-01556
Total of all active and inactive participants2012-01-017,101
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-011
Total participants2012-01-017,102
Number of participants with account balances2012-01-012,512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-01213
2011: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2011 401k membership
Total participants, beginning-of-year2011-01-015,894
Total number of active participants reported on line 7a of the Form 55002011-01-016,221
Number of retired or separated participants receiving benefits2011-01-0118
Number of other retired or separated participants entitled to future benefits2011-01-01492
Total of all active and inactive participants2011-01-016,731
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-011
Total participants2011-01-016,732
Number of participants with account balances2011-01-012,397
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-01213
2009: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2009 401k membership
Total participants, beginning-of-year2009-01-015,170
Total number of active participants reported on line 7a of the Form 55002009-01-015,536
Number of retired or separated participants receiving benefits2009-01-016
Number of other retired or separated participants entitled to future benefits2009-01-01321
Total of all active and inactive participants2009-01-015,863
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-011
Total participants2009-01-015,864
Number of participants with account balances2009-01-012,002
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-01187

Financial Data on TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN

Measure Date Value
2016 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$208,791
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$140,181
Total income from all sources (including contributions)2016-12-31$10,960,687
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$6,838,525
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$6,556,169
Expenses. Certain deemed distributions of participant loans2016-12-31$21,521
Value of total corrective distributions2016-12-31$141,092
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$7,611,701
Value of total assets at end of year2016-12-31$48,130,826
Value of total assets at beginning of year2016-12-31$43,940,054
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$119,743
Total interest from all sources2016-12-31$3,663
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$5,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$6,412,493
Participant contributions at end of year2016-12-31$53,238
Participant contributions at beginning of year2016-12-31$134,965
Participant contributions at end of year2016-12-31$0
Participant contributions at beginning of year2016-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$1,196,120
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$208,791
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2016-12-31$140,181
Total non interest bearing cash at end of year2016-12-31$40,124
Total non interest bearing cash at beginning of year2016-12-31$145,242
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$4,122,162
Value of net assets at end of year (total assets less liabilities)2016-12-31$47,922,035
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$43,799,873
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 pooled separate accounts at end of year2016-12-31$48,037,464
Value of interest in pooled separate accounts at beginning of year2016-12-31$43,659,847
Interest on participant loans2016-12-31$3,663
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$3,345,323
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$3,088
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$6,556,169
Contract administrator fees2016-12-31$119,743
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 name2016-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2016-12-31611191655
2015 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$140,181
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$131,514
Total income from all sources (including contributions)2015-12-31$6,729,448
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$4,080,515
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$3,968,292
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$7,207,417
Value of total assets at end of year2015-12-31$43,940,054
Value of total assets at beginning of year2015-12-31$41,282,454
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$112,223
Total interest from all sources2015-12-31$7,307
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$5,000,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$5,969,228
Participant contributions at end of year2015-12-31$134,965
Participant contributions at beginning of year2015-12-31$231,218
Participant contributions at end of year2015-12-31$0
Participant contributions at beginning of year2015-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$1,236,676
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2015-12-31$140,181
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$131,514
Total non interest bearing cash at end of year2015-12-31$145,242
Total non interest bearing cash at beginning of year2015-12-31$115,368
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$2,648,933
Value of net assets at end of year (total assets less liabilities)2015-12-31$43,799,873
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$41,150,940
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 pooled separate accounts at end of year2015-12-31$43,659,847
Value of interest in pooled separate accounts at beginning of year2015-12-31$40,935,868
Interest on participant loans2015-12-31$7,307
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-485,276
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$1,513
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$3,968,292
Contract administrator fees2015-12-31$112,223
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 name2015-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2015-12-31611191655
2014 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total transfer of assets to this plan2014-12-31$5,731,127
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$7,784,377
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$5,311,450
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$5,109,751
Expenses. Certain deemed distributions of participant loans2014-12-31$29,904
Value of total corrective distributions2014-12-31$66,065
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$5,909,674
Value of total assets at end of year2014-12-31$41,282,454
Value of total assets at beginning of year2014-12-31$33,078,400
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$105,730
Total interest from all sources2014-12-31$11,527
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$1,000,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$5,179,632
Participant contributions at end of year2014-12-31$231,218
Participant contributions at beginning of year2014-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$728,222
Total non interest bearing cash at end of year2014-12-31$115,368
Total non interest bearing cash at beginning of year2014-12-31$147,478
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$2,472,927
Value of net assets at end of year (total assets less liabilities)2014-12-31$41,282,454
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$33,078,400
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$40,935,868
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$32,930,922
Interest on participant loans2014-12-31$11,527
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$1,863,176
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$1,820
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$5,109,751
Contract administrator fees2014-12-31$105,730
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 name2014-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2014-12-31611191655
2013 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$9,944,454
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$4,616,152
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$4,488,935
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$5,200,265
Value of total assets at end of year2013-12-31$33,078,400
Value of total assets at beginning of year2013-12-31$27,750,098
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$127,217
Total interest from all sources2013-12-31$601
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$1,000,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$4,522,200
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$14,080
Participant contributions at end of year2013-12-31$0
Participant contributions at beginning of year2013-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$443,584
Total non interest bearing cash at end of year2013-12-31$147,478
Total non interest bearing cash at beginning of year2013-12-31$72,170
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$5,328,302
Value of net assets at end of year (total assets less liabilities)2013-12-31$33,078,400
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$27,750,098
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$32,930,922
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$27,663,848
Interest on participant loans2013-12-31$601
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$4,743,588
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
Assets. Invements in employer securities at end of year2013-12-31$0
Assets. Invements in employer securities at beginning of year2013-12-31$0
Contributions received in cash from employer2013-12-31$234,481
Employer contributions (assets) at end of year2013-12-31$0
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$4,488,935
Contract administrator fees2013-12-31$127,217
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 name2013-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2013-12-31611191655
2012 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$8,921,658
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$2,974,681
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$2,856,594
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$5,770,512
Value of total assets at end of year2012-12-31$27,750,098
Value of total assets at beginning of year2012-12-31$21,803,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$118,087
Total interest from all sources2012-12-31$1,385
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
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$1,000,000
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$4,298,713
Participant contributions at end of year2012-12-31$14,080
Participant contributions at beginning of year2012-12-31$28,245
Participant contributions at end of year2012-12-31$0
Participant contributions at beginning of year2012-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$789,940
Total non interest bearing cash at end of year2012-12-31$72,170
Total non interest bearing cash at beginning of year2012-12-31$33,810
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$5,946,977
Value of net assets at end of year (total assets less liabilities)2012-12-31$27,750,098
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$21,803,121
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$27,663,848
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$21,741,066
Interest on participant loans2012-12-31$1,385
Net investment gain/loss from registered investment companies (e.g. mutual funds)2012-12-31$3,149,761
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
Assets. Invements in employer securities at end of year2012-12-31$0
Assets. Invements in employer securities at beginning of year2012-12-31$0
Contributions received in cash from employer2012-12-31$681,859
Employer contributions (assets) at end of year2012-12-31$0
Employer contributions (assets) at beginning of year2012-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$2,856,594
Contract administrator fees2012-12-31$118,087
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 name2012-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2012-12-31611191655
2011 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$4,083,277
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$2,665,292
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$2,450,206
Value of total corrective distributions2011-12-31$106,649
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$4,739,408
Value of total assets at end of year2011-12-31$21,803,121
Value of total assets at beginning of year2011-12-31$20,385,136
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$108,437
Total interest from all sources2011-12-31$3,189
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$500,000
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$3,740,014
Participant contributions at end of year2011-12-31$28,245
Participant contributions at beginning of year2011-12-31$69,656
Participant contributions at end of year2011-12-31$0
Participant contributions at beginning of year2011-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$374,555
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2011-12-31$0
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2011-12-31$0
Total non interest bearing cash at end of year2011-12-31$33,810
Total non interest bearing cash at beginning of year2011-12-31$77,970
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$1,417,985
Value of net assets at end of year (total assets less liabilities)2011-12-31$21,803,121
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$20,385,136
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$21,741,066
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$20,237,510
Interest on participant loans2011-12-31$3,189
Net investment gain/loss from registered investment companies (e.g. mutual funds)2011-12-31$-659,320
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$624,839
Employer contributions (assets) at end of year2011-12-31$0
Employer contributions (assets) at beginning of year2011-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$2,450,206
Contract administrator fees2011-12-31$108,437
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 name2011-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2011-12-31611191655
2010 : TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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$106,810
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$68,433
Total income from all sources (including contributions)2010-12-31$6,610,170
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$2,536,952
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$2,437,765
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$4,348,374
Value of total assets at end of year2010-12-31$20,385,137
Value of total assets at beginning of year2010-12-31$16,273,542
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$99,187
Total interest from all sources2010-12-31$7,542
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$500,000
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$3,276,697
Participant contributions at end of year2010-12-31$69,656
Participant contributions at beginning of year2010-12-31$152,884
Participant contributions at end of year2010-12-31$0
Participant contributions at beginning of year2010-12-31$56,644
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$419,421
Value of other receiveables (less allowance for doubtful accounts) at end of year2010-12-31$0
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2010-12-31$85,092
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2010-12-31$106,810
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2010-12-31$68,433
Total non interest bearing cash at end of year2010-12-31$77,970
Total non interest bearing cash at beginning of year2010-12-31$43,953
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$4,073,218
Value of net assets at end of year (total assets less liabilities)2010-12-31$20,278,327
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$16,205,109
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$20,237,511
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$15,925,037
Interest on participant loans2010-12-31$7,542
Assets. Value of investments in 103.12 investment entities at end of year2010-12-31$20,237,511
Assets. Value of investments in 103.12 investment entities at beginning of year2010-12-31$15,925,037
Net investment gain/loss from registered investment companies (e.g. mutual funds)2010-12-31$2,254,254
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$652,256
Employer contributions (assets) at end of year2010-12-31$0
Employer contributions (assets) at beginning of year2010-12-31$9,932
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$2,437,765
Contract administrator fees2010-12-31$99,187
Did the plan have assets held for investment2010-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 name2010-12-31STROTHMAN & COMPANY, PSC
Accountancy firm EIN2010-12-31061119165

Form 5500 Responses for TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS PLAN

2016: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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: TRILOGY MANAGEMENT SERVICES LLC RETIREMENT SAVINGS 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 funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered3025
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $93,668
Total amount of fees paid to insurance companyUSD $38,181
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 $93,668
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered2817
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $112,252
Total amount of fees paid to insurance companyUSD $109,504
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 $112,252
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered2579
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $71,325
Total amount of fees paid to insurance companyUSD $55,643
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 $71,325
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered2724
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $60,973
Total amount of fees paid to insurance companyUSD $31,939
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 $60,973
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKER COMMISSION
Insurance broker organization code?3
Insurance broker nameBENEFITS ADMINISTRATORS, LLC
JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered2560
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $53,184
Total amount of fees paid to insurance companyUSD $24,102
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 number11440
Policy instance 1
Insurance contract or identification number11440
Number of Individuals Covered2395
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $53,094
Total amount of fees paid to insurance companyUSD $7,166
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

Potentially related plans

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