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EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 401k Plan overview

Plan NameEMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.
Plan identification number 502

EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. Benefits

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

401k Sponsoring company profile

BROOKS RESTAURANTS, INC. has sponsored the creation of one or more 401k plans.

Company Name:BROOKS RESTAURANTS, INC.
Employer identification number (EIN):721112805
NAIC Classification:722513
NAIC Description:Limited-Service Restaurants

Form 5500 Filing Information

Submission information for form 5500 for 401k plan EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-05-01
5022021-05-01
5022020-05-01
5022019-05-01
5022018-05-01
5022017-05-01COLIN BROOKS
5022016-05-01COLIN BROOKS
5022015-05-01COLIN BROOKS
5022014-05-01COLIN BROOKS
5022013-05-01COLIN BROOKS
5022012-05-01COLIN BROOKS
5022011-05-01COLIN BROOKS

Plan Statistics for EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.

401k plan membership statisitcs for EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.

Measure Date Value
2022: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2022 401k membership
Total participants, beginning-of-year2022-05-0146
Total number of active participants reported on line 7a of the Form 55002022-05-0135
Number of retired or separated participants receiving benefits2022-05-010
Number of other retired or separated participants entitled to future benefits2022-05-010
Total of all active and inactive participants2022-05-0135
2021: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2021 401k membership
Total participants, beginning-of-year2021-05-0153
Total number of active participants reported on line 7a of the Form 55002021-05-0140
Number of retired or separated participants receiving benefits2021-05-010
Number of other retired or separated participants entitled to future benefits2021-05-010
Total of all active and inactive participants2021-05-0140
2020: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2020 401k membership
Total participants, beginning-of-year2020-05-0163
Total number of active participants reported on line 7a of the Form 55002020-05-0154
Number of retired or separated participants receiving benefits2020-05-010
Number of other retired or separated participants entitled to future benefits2020-05-010
Total of all active and inactive participants2020-05-0154
2019: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2019 401k membership
Total participants, beginning-of-year2019-05-0183
Total number of active participants reported on line 7a of the Form 55002019-05-0159
Number of retired or separated participants receiving benefits2019-05-010
Number of other retired or separated participants entitled to future benefits2019-05-010
Total of all active and inactive participants2019-05-0159
2018: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2018 401k membership
Total participants, beginning-of-year2018-05-0198
Total number of active participants reported on line 7a of the Form 55002018-05-0170
Number of retired or separated participants receiving benefits2018-05-010
Number of other retired or separated participants entitled to future benefits2018-05-010
Total of all active and inactive participants2018-05-0170
2017: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2017 401k membership
Total participants, beginning-of-year2017-05-01106
Total number of active participants reported on line 7a of the Form 55002017-05-0174
Number of retired or separated participants receiving benefits2017-05-010
Number of other retired or separated participants entitled to future benefits2017-05-010
Total of all active and inactive participants2017-05-0174
2016: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2016 401k membership
Total participants, beginning-of-year2016-05-01113
Total number of active participants reported on line 7a of the Form 55002016-05-0174
Number of retired or separated participants receiving benefits2016-05-010
Number of other retired or separated participants entitled to future benefits2016-05-010
Total of all active and inactive participants2016-05-0174
2015: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2015 401k membership
Total participants, beginning-of-year2015-05-0194
Total number of active participants reported on line 7a of the Form 55002015-05-0176
Number of retired or separated participants receiving benefits2015-05-010
Number of other retired or separated participants entitled to future benefits2015-05-010
Total of all active and inactive participants2015-05-0176
2014: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2014 401k membership
Total participants, beginning-of-year2014-05-0152
Total number of active participants reported on line 7a of the Form 55002014-05-0139
Number of retired or separated participants receiving benefits2014-05-010
Number of other retired or separated participants entitled to future benefits2014-05-010
Total of all active and inactive participants2014-05-0139
2013: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2013 401k membership
Total participants, beginning-of-year2013-05-0124
Total number of active participants reported on line 7a of the Form 55002013-05-0123
Number of retired or separated participants receiving benefits2013-05-010
Number of other retired or separated participants entitled to future benefits2013-05-010
Total of all active and inactive participants2013-05-0123
2012: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2012 401k membership
Total participants, beginning-of-year2012-05-0128
Total number of active participants reported on line 7a of the Form 55002012-05-0124
Number of retired or separated participants receiving benefits2012-05-010
Number of other retired or separated participants entitled to future benefits2012-05-010
Total of all active and inactive participants2012-05-0124
2011: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2011 401k membership
Total participants, beginning-of-year2011-05-0127
Total number of active participants reported on line 7a of the Form 55002011-05-0128
Number of retired or separated participants receiving benefits2011-05-010
Number of other retired or separated participants entitled to future benefits2011-05-010
Total of all active and inactive participants2011-05-0128

Financial Data on EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.

Measure Date Value
2023 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2023 401k financial data
Total income from all sources2023-04-30$187,254
Expenses. Total of all expenses incurred2023-04-30$187,254
Benefits paid (including direct rollovers)2023-04-30$89,897
Value of fidelity bond covering the plan2023-04-30$15,000
Expenses. Other expenses not covered elsewhere2023-04-30$97,357
Net income (gross income less expenses)2023-04-30$0
Net plan assets at end of year (total assets less liabilities)2023-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2023-04-30$0
Total contributions received or receivable from employer(s)2023-04-30$187,254
2022 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2022 401k financial data
Total income from all sources2022-04-30$206,472
Expenses. Total of all expenses incurred2022-04-30$237,849
Benefits paid (including direct rollovers)2022-04-30$129,925
Total plan assets at beginning of year2022-04-30$31,377
Value of fidelity bond covering the plan2022-04-30$10,000
Expenses. Other expenses not covered elsewhere2022-04-30$107,924
Net income (gross income less expenses)2022-04-30$-31,377
Net plan assets at end of year (total assets less liabilities)2022-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2022-04-30$31,377
Total contributions received or receivable from employer(s)2022-04-30$206,472
2021 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2021 401k financial data
Total plan liabilities at beginning of year2021-04-30$0
Total income from all sources2021-04-30$228,050
Expenses. Total of all expenses incurred2021-04-30$212,807
Benefits paid (including direct rollovers)2021-04-30$95,512
Total plan assets at end of year2021-04-30$31,377
Total plan assets at beginning of year2021-04-30$16,134
Value of fidelity bond covering the plan2021-04-30$30,000
Expenses. Other expenses not covered elsewhere2021-04-30$117,295
Net income (gross income less expenses)2021-04-30$15,243
Net plan assets at end of year (total assets less liabilities)2021-04-30$31,377
Net plan assets at beginning of year (total assets less liabilities)2021-04-30$16,134
Total contributions received or receivable from employer(s)2021-04-30$228,050
2020 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2020 401k financial data
Total plan liabilities at end of year2020-04-30$0
Total plan liabilities at beginning of year2020-04-30$0
Total income from all sources2020-04-30$261,142
Expenses. Total of all expenses incurred2020-04-30$261,463
Benefits paid (including direct rollovers)2020-04-30$125,732
Total plan assets at end of year2020-04-30$16,134
Total plan assets at beginning of year2020-04-30$16,455
Value of fidelity bond covering the plan2020-04-30$30,000
Expenses. Other expenses not covered elsewhere2020-04-30$135,731
Net income (gross income less expenses)2020-04-30$-321
Net plan assets at end of year (total assets less liabilities)2020-04-30$16,134
Net plan assets at beginning of year (total assets less liabilities)2020-04-30$16,455
Total contributions received or receivable from employer(s)2020-04-30$261,142
2018 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2018 401k financial data
Total plan liabilities at end of year2018-04-30$0
Total plan liabilities at beginning of year2018-04-30$0
Total income from all sources2018-04-30$281,080
Expenses. Total of all expenses incurred2018-04-30$281,080
Benefits paid (including direct rollovers)2018-04-30$129,671
Total plan assets at end of year2018-04-30$0
Total plan assets at beginning of year2018-04-30$0
Value of fidelity bond covering the plan2018-04-30$30,000
Expenses. Other expenses not covered elsewhere2018-04-30$151,409
Net income (gross income less expenses)2018-04-30$0
Net plan assets at end of year (total assets less liabilities)2018-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2018-04-30$0
Total contributions received or receivable from employer(s)2018-04-30$281,080
2017 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2017 401k financial data
Total plan liabilities at end of year2017-04-30$0
Total plan liabilities at beginning of year2017-04-30$0
Total income from all sources2017-04-30$260,206
Expenses. Total of all expenses incurred2017-04-30$279,881
Benefits paid (including direct rollovers)2017-04-30$138,039
Total plan assets at end of year2017-04-30$0
Total plan assets at beginning of year2017-04-30$19,675
Value of fidelity bond covering the plan2017-04-30$30,000
Expenses. Other expenses not covered elsewhere2017-04-30$141,842
Net income (gross income less expenses)2017-04-30$-19,675
Net plan assets at end of year (total assets less liabilities)2017-04-30$0
Net plan assets at beginning of year (total assets less liabilities)2017-04-30$19,675
Total contributions received or receivable from employer(s)2017-04-30$260,206
2016 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2016 401k financial data
Total plan liabilities at end of year2016-04-30$0
Total plan liabilities at beginning of year2016-04-30$1,413
Total income from all sources2016-04-30$275,142
Expenses. Total of all expenses incurred2016-04-30$324,279
Benefits paid (including direct rollovers)2016-04-30$171,292
Total plan assets at end of year2016-04-30$19,675
Total plan assets at beginning of year2016-04-30$70,225
Value of fidelity bond covering the plan2016-04-30$30,000
Expenses. Other expenses not covered elsewhere2016-04-30$152,987
Net income (gross income less expenses)2016-04-30$-49,137
Net plan assets at end of year (total assets less liabilities)2016-04-30$19,675
Net plan assets at beginning of year (total assets less liabilities)2016-04-30$68,812
Total contributions received or receivable from employer(s)2016-04-30$275,142
2015 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2015 401k financial data
Total plan liabilities at end of year2015-04-30$1,413
Total plan liabilities at beginning of year2015-04-30$3,585
Total income from all sources2015-04-30$201,528
Expenses. Total of all expenses incurred2015-04-30$184,999
Benefits paid (including direct rollovers)2015-04-30$75,905
Total plan assets at end of year2015-04-30$70,225
Total plan assets at beginning of year2015-04-30$55,868
Value of fidelity bond covering the plan2015-04-30$25,000
Expenses. Other expenses not covered elsewhere2015-04-30$109,094
Net income (gross income less expenses)2015-04-30$16,529
Net plan assets at end of year (total assets less liabilities)2015-04-30$68,812
Net plan assets at beginning of year (total assets less liabilities)2015-04-30$52,283
Total contributions received or receivable from employer(s)2015-04-30$201,528
2014 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2014 401k financial data
Total plan liabilities at end of year2014-04-30$3,585
Total plan liabilities at beginning of year2014-04-30$2,266
Total income from all sources2014-04-30$145,424
Expenses. Total of all expenses incurred2014-04-30$126,023
Benefits paid (including direct rollovers)2014-04-30$45,526
Total plan assets at end of year2014-04-30$55,868
Total plan assets at beginning of year2014-04-30$35,148
Value of fidelity bond covering the plan2014-04-30$25,000
Expenses. Other expenses not covered elsewhere2014-04-30$80,497
Net income (gross income less expenses)2014-04-30$19,401
Net plan assets at end of year (total assets less liabilities)2014-04-30$52,283
Net plan assets at beginning of year (total assets less liabilities)2014-04-30$32,882
Total contributions received or receivable from employer(s)2014-04-30$145,424
2013 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2013 401k financial data
Total plan liabilities at end of year2013-04-30$2,266
Total plan liabilities at beginning of year2013-04-30$4,602
Total income from all sources2013-04-30$156,587
Expenses. Total of all expenses incurred2013-04-30$164,935
Benefits paid (including direct rollovers)2013-04-30$85,872
Total plan assets at end of year2013-04-30$35,148
Total plan assets at beginning of year2013-04-30$45,832
Expenses. Other expenses not covered elsewhere2013-04-30$79,063
Net income (gross income less expenses)2013-04-30$-8,348
Net plan assets at end of year (total assets less liabilities)2013-04-30$32,882
Net plan assets at beginning of year (total assets less liabilities)2013-04-30$41,230
Total contributions received or receivable from employer(s)2013-04-30$156,587
2012 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2012 401k financial data
Total plan liabilities at end of year2012-04-30$4,602
Total plan liabilities at beginning of year2012-04-30$3,250
Total income from all sources2012-04-30$181,940
Expenses. Total of all expenses incurred2012-04-30$158,815
Benefits paid (including direct rollovers)2012-04-30$65,013
Total plan assets at end of year2012-04-30$45,832
Total plan assets at beginning of year2012-04-30$21,355
Expenses. Other expenses not covered elsewhere2012-04-30$93,802
Net income (gross income less expenses)2012-04-30$23,125
Net plan assets at end of year (total assets less liabilities)2012-04-30$41,230
Net plan assets at beginning of year (total assets less liabilities)2012-04-30$18,105
Total contributions received or receivable from employer(s)2012-04-30$181,940
2011 : EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2011 401k financial data
Total plan liabilities at end of year2011-04-30$3,250
Total plan liabilities at beginning of year2011-04-30$0
Total income from all sources2011-04-30$146,853
Expenses. Total of all expenses incurred2011-04-30$128,748
Benefits paid (including direct rollovers)2011-04-30$60,159
Total plan assets at end of year2011-04-30$21,355
Total plan assets at beginning of year2011-04-30$0
Expenses. Other expenses not covered elsewhere2011-04-30$68,589
Net income (gross income less expenses)2011-04-30$18,105
Net plan assets at end of year (total assets less liabilities)2011-04-30$18,105
Net plan assets at beginning of year (total assets less liabilities)2011-04-30$0
Total contributions received or receivable from employer(s)2011-04-30$146,853

Form 5500 Responses for EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC.

2022: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2022 form 5500 responses
2022-05-01Type of plan entitySingle employer plan
2022-05-01Submission has been amendedNo
2022-05-01This submission is the final filingNo
2022-05-01This return/report is a short plan year return/report (less than 12 months)No
2022-05-01Plan is a collectively bargained planNo
2022-05-01Plan funding arrangement – InsuranceYes
2022-05-01Plan funding arrangement – TrustYes
2022-05-01Plan benefit arrangement – InsuranceYes
2022-05-01Plan benefit arrangement - TrustYes
2021: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2021 form 5500 responses
2021-05-01Type of plan entitySingle employer plan
2021-05-01Submission has been amendedNo
2021-05-01This submission is the final filingNo
2021-05-01This return/report is a short plan year return/report (less than 12 months)No
2021-05-01Plan is a collectively bargained planNo
2021-05-01Plan funding arrangement – InsuranceYes
2021-05-01Plan funding arrangement – TrustYes
2021-05-01Plan benefit arrangement – InsuranceYes
2021-05-01Plan benefit arrangement - TrustYes
2020: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2020 form 5500 responses
2020-05-01Type of plan entitySingle employer plan
2020-05-01Submission has been amendedNo
2020-05-01This submission is the final filingNo
2020-05-01This return/report is a short plan year return/report (less than 12 months)No
2020-05-01Plan is a collectively bargained planNo
2020-05-01Plan funding arrangement – InsuranceYes
2020-05-01Plan funding arrangement – TrustYes
2020-05-01Plan benefit arrangement – InsuranceYes
2020-05-01Plan benefit arrangement - TrustYes
2019: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2019 form 5500 responses
2019-05-01Type of plan entitySingle employer plan
2019-05-01Submission has been amendedNo
2019-05-01This submission is the final filingNo
2019-05-01This return/report is a short plan year return/report (less than 12 months)No
2019-05-01Plan is a collectively bargained planNo
2019-05-01Plan funding arrangement – InsuranceYes
2019-05-01Plan funding arrangement – TrustYes
2019-05-01Plan benefit arrangement – InsuranceYes
2019-05-01Plan benefit arrangement - TrustYes
2018: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2018 form 5500 responses
2018-05-01Type of plan entitySingle employer plan
2018-05-01Submission has been amendedNo
2018-05-01This submission is the final filingNo
2018-05-01This return/report is a short plan year return/report (less than 12 months)No
2018-05-01Plan is a collectively bargained planNo
2018-05-01Plan funding arrangement – InsuranceYes
2018-05-01Plan funding arrangement – TrustYes
2018-05-01Plan benefit arrangement – InsuranceYes
2018-05-01Plan benefit arrangement - TrustYes
2017: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2017 form 5500 responses
2017-05-01Type of plan entitySingle employer plan
2017-05-01Submission has been amendedNo
2017-05-01This submission is the final filingNo
2017-05-01This return/report is a short plan year return/report (less than 12 months)No
2017-05-01Plan is a collectively bargained planNo
2017-05-01Plan funding arrangement – InsuranceYes
2017-05-01Plan funding arrangement – TrustYes
2017-05-01Plan benefit arrangement – InsuranceYes
2017-05-01Plan benefit arrangement - TrustYes
2016: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2016 form 5500 responses
2016-05-01Type of plan entitySingle employer plan
2016-05-01Submission has been amendedNo
2016-05-01This submission is the final filingNo
2016-05-01This return/report is a short plan year return/report (less than 12 months)No
2016-05-01Plan is a collectively bargained planNo
2016-05-01Plan funding arrangement – InsuranceYes
2016-05-01Plan funding arrangement – TrustYes
2016-05-01Plan benefit arrangement – InsuranceYes
2016-05-01Plan benefit arrangement - TrustYes
2015: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2015 form 5500 responses
2015-05-01Type of plan entitySingle employer plan
2015-05-01Submission has been amendedNo
2015-05-01This submission is the final filingNo
2015-05-01This return/report is a short plan year return/report (less than 12 months)No
2015-05-01Plan is a collectively bargained planNo
2015-05-01Plan funding arrangement – InsuranceYes
2015-05-01Plan funding arrangement – TrustYes
2015-05-01Plan benefit arrangement – InsuranceYes
2015-05-01Plan benefit arrangement - TrustYes
2014: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2014 form 5500 responses
2014-05-01Type of plan entitySingle employer plan
2014-05-01Submission has been amendedNo
2014-05-01This submission is the final filingNo
2014-05-01This return/report is a short plan year return/report (less than 12 months)No
2014-05-01Plan is a collectively bargained planNo
2014-05-01Plan funding arrangement – InsuranceYes
2014-05-01Plan funding arrangement – TrustYes
2014-05-01Plan benefit arrangement – InsuranceYes
2014-05-01Plan benefit arrangement - TrustYes
2013: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2013 form 5500 responses
2013-05-01Type of plan entitySingle employer plan
2013-05-01Submission has been amendedNo
2013-05-01This submission is the final filingNo
2013-05-01This return/report is a short plan year return/report (less than 12 months)No
2013-05-01Plan is a collectively bargained planNo
2013-05-01Plan funding arrangement – InsuranceYes
2013-05-01Plan funding arrangement – TrustYes
2013-05-01Plan benefit arrangement – InsuranceYes
2013-05-01Plan benefit arrangement - TrustYes
2012: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2012 form 5500 responses
2012-05-01Type of plan entitySingle employer plan
2012-05-01Submission has been amendedNo
2012-05-01This submission is the final filingNo
2012-05-01This return/report is a short plan year return/report (less than 12 months)No
2012-05-01Plan is a collectively bargained planNo
2012-05-01Plan funding arrangement – InsuranceYes
2012-05-01Plan funding arrangement – TrustYes
2012-05-01Plan benefit arrangement – InsuranceYes
2012-05-01Plan benefit arrangement - TrustYes
2011: EMPLOYEE HEALTH PLAN OF BROOKS RESTAURANTS, INC. 2011 form 5500 responses
2011-05-01Type of plan entitySingle employer plan
2011-05-01Submission has been amendedNo
2011-05-01This submission is the final filingNo
2011-05-01This return/report is a short plan year return/report (less than 12 months)No
2011-05-01Plan is a collectively bargained planNo
2011-05-01Plan funding arrangement – InsuranceYes
2011-05-01Plan funding arrangement – TrustYes
2011-05-01Plan benefit arrangement – InsuranceYes
2011-05-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered47
Insurance policy start date2022-05-01
Insurance policy end date2023-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $78,360
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered53
Insurance policy start date2021-05-01
Insurance policy end date2022-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $87,071
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered71
Insurance policy start date2020-05-01
Insurance policy end date2021-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $94,137
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered76
Insurance policy start date2019-05-01
Insurance policy end date2020-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitYes
Dental Insurance Welfare BenefitYes
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $109,089
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered87
Insurance policy start date2018-05-01
Insurance policy end date2019-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $107,431
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered87
Insurance policy start date2017-05-01
Insurance policy end date2018-04-30
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Welfare Benefit Premiums Paid to CarrierUSD $118,196
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered96
Insurance policy start date2015-05-01
Insurance policy end date2016-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $110,776
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered58
Insurance policy start date2014-05-01
Insurance policy end date2015-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $83,953
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered32
Insurance policy start date2013-05-01
Insurance policy end date2014-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $60,333
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered37
Insurance policy start date2012-05-01
Insurance policy end date2013-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $56,717
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered43
Insurance policy start date2011-05-01
Insurance policy end date2012-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $68,261
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
NFA HEALTH PLUS INCORPORATED CELL (National Association of Insurance Commissioners NAIC id number: 0 )
Policy contract number13210 NFA 0127
Policy instance 1
Insurance contract or identification number13210 NFA 0127
Number of Individuals Covered42
Insurance policy start date2010-05-01
Insurance policy end date2011-04-30
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
Welfare Benefit Premiums Paid to CarrierUSD $56,243
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No

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