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DOS HEALTH CARE 401(K) PLAN 401k Plan overview

Plan NameDOS HEALTH CARE 401(K) PLAN
Plan identification number 001

DOS HEALTH CARE 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.
  • 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

DOS HEALTH MANAGEMENT, INC. has sponsored the creation of one or more 401k plans.

Company Name:DOS HEALTH MANAGEMENT, INC.
Employer identification number (EIN):650255865
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan DOS HEALTH CARE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012024-01-01JORGE HERNANDO
0012023-01-01
0012023-01-01JORGE HERNANDO
0012022-01-01JORGE HERNANDO2023-10-13 JORGE HERNANDO2023-10-13
0012021-01-01JORGE HERNANDO2022-10-11 JORGE HERNANDO2022-10-11
0012020-01-01JORGE HERNANDO2021-09-27 JORGE HERNANDO2021-09-27

Financial Data on DOS HEALTH CARE 401(K) PLAN

Measure Date Value
2023 : DOS HEALTH CARE 401(K) PLAN 2023 401k financial data
Total unrealized appreciation/depreciation of assets2023-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-12-31$0
Total income from all sources (including contributions)2023-12-31$1,687,151
Total loss/gain on sale of assets2023-12-31$0
Total of all expenses incurred2023-12-31$791,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-12-31$757,420
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-12-31$556,651
Value of total assets at end of year2023-12-31$7,657,949
Value of total assets at beginning of year2023-12-31$6,762,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-12-31$34,369
Total interest from all sources2023-12-31$4,367
Total dividends received (eg from common stock, registered investment company shares)2023-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-12-31No
Was this plan covered by a fidelity bond2023-12-31Yes
Value of fidelity bond cover2023-12-31$500,000
If this is an individual account plan, was there a blackout period2023-12-31No
Were there any nonexempt tranactions with any party-in-interest2023-12-31No
Contributions received from participants2023-12-31$298,793
Participant contributions at end of year2023-12-31$123,028
Participant contributions at beginning of year2023-12-31$143,263
Participant contributions at end of year2023-12-31$27,684
Participant contributions at beginning of year2023-12-31$7,633
Income. Received or receivable in cash from other sources (including rollovers)2023-12-31$111,541
Other income not declared elsewhere2023-12-31$-7
Total non interest bearing cash at end of year2023-12-31$4,243
Total non interest bearing cash at beginning of year2023-12-31$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Value of net income/loss2023-12-31$895,362
Value of net assets at end of year (total assets less liabilities)2023-12-31$7,657,949
Value of net assets at beginning of year (total assets less liabilities)2023-12-31$6,762,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-12-31No
Were any leases to which the plan was party in default or uncollectible2023-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-12-31$7,264,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-12-31$0
Value of interest in pooled separate accounts at end of year2023-12-31$0
Value of interest in pooled separate accounts at beginning of year2023-12-31$6,371,592
Interest on participant loans2023-12-31$4,367
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-12-31$91,903
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-12-31$82,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-12-31$1,126,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-12-31No
Was there a failure to transmit to the plan any participant contributions2023-12-31No
Has the plan failed to provide any benefit when due under the plan2023-12-31No
Contributions received in cash from employer2023-12-31$146,317
Employer contributions (assets) at end of year2023-12-31$146,317
Employer contributions (assets) at beginning of year2023-12-31$158,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-12-31$757,420
Contract administrator fees2023-12-31$34,369
Did the plan have assets held for investment2023-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-12-31No
Opinion of an independent qualified public accountant for this plan2023-12-31Unqualified
Accountancy firm name2023-12-31MSL, P.A.
Accountancy firm EIN2023-12-31593070669
Total unrealized appreciation/depreciation of assets2023-01-01$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-01-01$0
Total income from all sources (including contributions)2023-01-01$1,687,151
Total loss/gain on sale of assets2023-01-01$0
Total of all expenses incurred2023-01-01$791,789
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-01-01$757,420
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-01-01$556,651
Value of total assets at end of year2023-01-01$7,657,949
Value of total assets at beginning of year2023-01-01$6,762,587
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-01-01$34,369
Total interest from all sources2023-01-01$4,367
Total dividends received (eg from common stock, registered investment company shares)2023-01-01$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-01-01No
Was this plan covered by a fidelity bond2023-01-01Yes
Value of fidelity bond cover2023-01-01$500,000
If this is an individual account plan, was there a blackout period2023-01-01No
Were there any nonexempt tranactions with any party-in-interest2023-01-01No
Contributions received from participants2023-01-01$298,793
Participant contributions at end of year2023-01-01$123,028
Participant contributions at beginning of year2023-01-01$143,263
Participant contributions at end of year2023-01-01$27,684
Participant contributions at beginning of year2023-01-01$7,633
Income. Received or receivable in cash from other sources (including rollovers)2023-01-01$111,541
Other income not declared elsewhere2023-01-01$-7
Total non interest bearing cash at end of year2023-01-01$4,243
Total non interest bearing cash at beginning of year2023-01-01$0
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Value of net income/loss2023-01-01$895,362
Value of net assets at end of year (total assets less liabilities)2023-01-01$7,657,949
Value of net assets at beginning of year (total assets less liabilities)2023-01-01$6,762,587
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2023-01-01No
Were any leases to which the plan was party in default or uncollectible2023-01-01No
Value of interest in registered invesment companies (eg mutual funds) at end of year2023-01-01$7,264,774
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2023-01-01$0
Value of interest in pooled separate accounts at end of year2023-01-01$0
Value of interest in pooled separate accounts at beginning of year2023-01-01$6,371,592
Interest on participant loans2023-01-01$4,367
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2023-01-01$91,903
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2023-01-01$82,099
Net investment gain/loss from registered investment companies (e.g. mutual funds)2023-01-01$1,126,140
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-01-01No
Was there a failure to transmit to the plan any participant contributions2023-01-01No
Has the plan failed to provide any benefit when due under the plan2023-01-01No
Contributions received in cash from employer2023-01-01$146,317
Employer contributions (assets) at end of year2023-01-01$146,317
Employer contributions (assets) at beginning of year2023-01-01$158,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-01-01$757,420
Contract administrator fees2023-01-01$34,369
Did the plan have assets held for investment2023-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-01-01No
Opinion of an independent qualified public accountant for this plan2023-01-011
Accountancy firm name2023-01-01MSL, P.A.
Accountancy firm EIN2023-01-01593070669
2022 : DOS HEALTH CARE 401(K) PLAN 2022 401k financial data
Total income from all sources (including contributions)2022-12-31$-1,110,694
Total of all expenses incurred2022-12-31$1,416,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,339,655
Expenses. Certain deemed distributions of participant loans2022-12-31$40,377
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$472,066
Value of total assets at end of year2022-12-31$6,762,587
Value of total assets at beginning of year2022-12-31$9,290,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$36,831
Total interest from all sources2022-12-31$5,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$314,066
Participant contributions at end of year2022-12-31$143,263
Participant contributions at beginning of year2022-12-31$143,571
Participant contributions at end of year2022-12-31$7,633
Participant contributions at beginning of year2022-12-31$10,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-2,527,557
Value of net assets at end of year (total assets less liabilities)2022-12-31$6,762,587
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$9,290,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$6,371,592
Value of interest in pooled separate accounts at beginning of year2022-12-31$8,901,637
Interest on participant loans2022-12-31$5,435
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$82,099
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$25,685
Net investment gain/loss from pooled separate accounts2022-12-31$-1,588,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$158,000
Employer contributions (assets) at end of year2022-12-31$158,000
Employer contributions (assets) at beginning of year2022-12-31$208,581
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,339,655
Contract administrator fees2022-12-31$36,831
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-12-31No
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31MSL, P.A.
Accountancy firm EIN2022-12-31593070669
Total income from all sources (including contributions)2022-01-01$-1,110,694
Total of all expenses incurred2022-01-01$1,416,863
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-01-01$1,339,655
Expenses. Certain deemed distributions of participant loans2022-01-01$40,377
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-01-01$472,066
Value of total assets at end of year2022-01-01$6,762,587
Value of total assets at beginning of year2022-01-01$9,290,144
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-01-01$36,831
Total interest from all sources2022-01-01$5,435
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-01-01No
Was this plan covered by a fidelity bond2022-01-01Yes
Value of fidelity bond cover2022-01-01$500,000
If this is an individual account plan, was there a blackout period2022-01-01No
Were there any nonexempt tranactions with any party-in-interest2022-01-01No
Contributions received from participants2022-01-01$314,066
Participant contributions at end of year2022-01-01$143,263
Participant contributions at beginning of year2022-01-01$143,571
Participant contributions at end of year2022-01-01$7,633
Participant contributions at beginning of year2022-01-01$10,670
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Value of net income/loss2022-01-01$-2,527,557
Value of net assets at end of year (total assets less liabilities)2022-01-01$6,762,587
Value of net assets at beginning of year (total assets less liabilities)2022-01-01$9,290,144
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-01-01No
Were any loans by the plan or fixed income obligations due to the plan in default2022-01-01No
Were any leases to which the plan was party in default or uncollectible2022-01-01No
Value of interest in pooled separate accounts at end of year2022-01-01$6,371,592
Value of interest in pooled separate accounts at beginning of year2022-01-01$8,901,637
Interest on participant loans2022-01-01$5,435
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-01-01$82,099
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-01-01$25,685
Net investment gain/loss from pooled separate accounts2022-01-01$-1,588,195
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-01-01No
Was there a failure to transmit to the plan any participant contributions2022-01-01No
Has the plan failed to provide any benefit when due under the plan2022-01-01No
Contributions received in cash from employer2022-01-01$158,000
Employer contributions (assets) at end of year2022-01-01$158,000
Employer contributions (assets) at beginning of year2022-01-01$208,581
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-01-01$1,339,655
Contract administrator fees2022-01-01$36,831
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32022-01-01No
Did the plan have assets held for investment2022-01-01Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-01-01No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-01-01No
Opinion of an independent qualified public accountant for this plan2022-01-011
Accountancy firm name2022-01-01MSL, P.A.
Accountancy firm EIN2022-01-01593070669
2021 : DOS HEALTH CARE 401(K) PLAN 2021 401k financial data
Total income from all sources (including contributions)2021-12-31$1,569,249
Total of all expenses incurred2021-12-31$322,893
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$292,873
Expenses. Certain deemed distributions of participant loans2021-12-31$18,613
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$599,150
Value of total assets at end of year2021-12-31$9,290,144
Value of total assets at beginning of year2021-12-31$8,043,788
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$11,407
Total interest from all sources2021-12-31$6,433
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$0
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
If this is an individual account plan, was there a blackout period2021-12-31No
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$390,569
Participant contributions at end of year2021-12-31$143,571
Participant contributions at beginning of year2021-12-31$122,487
Participant contributions at end of year2021-12-31$10,670
Participant contributions at beginning of year2021-12-31$11,191
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$1,246,356
Value of net assets at end of year (total assets less liabilities)2021-12-31$9,290,144
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$8,043,788
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$8,901,637
Value of interest in pooled separate accounts at beginning of year2021-12-31$7,015,709
Interest on participant loans2021-12-31$6,433
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$25,685
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$676,179
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$963,666
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$208,581
Employer contributions (assets) at end of year2021-12-31$208,581
Employer contributions (assets) at beginning of year2021-12-31$218,222
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$292,873
Contract administrator fees2021-12-31$11,407
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31MSL, P.A.
Accountancy firm EIN2021-12-31593070669
2020 : DOS HEALTH CARE 401(K) PLAN 2020 401k financial data
Total income from all sources (including contributions)2020-12-31$1,573,635
Total of all expenses incurred2020-12-31$414,905
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$414,565
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$694,882
Value of total assets at end of year2020-12-31$8,043,788
Value of total assets at beginning of year2020-12-31$6,885,058
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$340
Total interest from all sources2020-12-31$7,054
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Administrative expenses professional fees incurred2020-12-31$340
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$403,347
Participant contributions at end of year2020-12-31$122,487
Participant contributions at beginning of year2020-12-31$150,969
Participant contributions at end of year2020-12-31$11,191
Participant contributions at beginning of year2020-12-31$6,995
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$74,243
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$1,158,730
Value of net assets at end of year (total assets less liabilities)2020-12-31$8,043,788
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$6,885,058
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in pooled separate accounts at end of year2020-12-31$7,015,709
Value of interest in pooled separate accounts at beginning of year2020-12-31$6,478,135
Interest on participant loans2020-12-31$7,054
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$676,179
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$37,092
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$871,699
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$217,292
Employer contributions (assets) at end of year2020-12-31$218,222
Employer contributions (assets) at beginning of year2020-12-31$211,867
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$414,565
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31MSL, P.A.
Accountancy firm EIN2020-12-31593070669

Form 5500 Responses for DOS HEALTH CARE 401(K) PLAN

2023: DOS HEALTH CARE 401(K) PLAN 2023 form 5500 responses
2023-01-01Type of plan entitySingle employer plan
2023-01-01Submission has been amendedNo
2023-01-01This submission is the final filingNo
2023-01-01This return/report is a short plan year return/report (less than 12 months)No
2023-01-01Plan is a collectively bargained planNo
2023-01-01Plan funding arrangement – InsuranceYes
2023-01-01Plan funding arrangement – TrustYes
2023-01-01Plan benefit arrangement – InsuranceYes
2023-01-01Plan benefit arrangement - TrustYes
2022: DOS HEALTH CARE 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: DOS HEALTH CARE 401(K) PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2020: DOS HEALTH CARE 401(K) PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

JOHN HANCOCK LIFE INSURANCE COMPANY (U.S.A.) (National Association of Insurance Commissioners NAIC id number: 65838 )
Policy contract numberDO20P2
Policy instance 1
Insurance contract or identification numberDO20P2
Number of Individuals Covered7
Insurance policy start date2023-01-01
Insurance policy end date2023-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?Yes
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number0068408
Policy instance 1
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number0068408
Policy instance 1
MINNESOTA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 66168 )
Policy contract number0068408
Policy instance 1

Potentially related plans

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