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COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 401k Plan overview

Plan NameCOMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN
Plan identification number 502

COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN Benefits

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

401k Sponsoring company profile

COMMUNITY HEALTH SERVICES OF GA has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH SERVICES OF GA
Employer identification number (EIN):743083593
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Additional information about COMMUNITY HEALTH SERVICES OF GA

Jurisdiction of Incorporation: Florida Department of State Division of Corporations
Incorporation Date: 1984-07-25
Company Identification Number: H13805
Legal Registered Office Address: 226 SOUTH PALAFOX STREET

PENSACOLA

32501

More information about COMMUNITY HEALTH SERVICES OF GA

Form 5500 Filing Information

Submission information for form 5500 for 401k plan COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5022022-01-01
5022021-01-01
5022020-01-01
5022019-01-01
5022018-01-01
5022017-01-01LORRAINE TAYLOR
5022016-01-01LORRAINE TAYLOR

Plan Statistics for COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN

401k plan membership statisitcs for COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN

Measure Date Value
2022: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-012,721
Total number of active participants reported on line 7a of the Form 55002022-01-012,362
Number of retired or separated participants receiving benefits2022-01-0163
Number of other retired or separated participants entitled to future benefits2022-01-011,125
Total of all active and inactive participants2022-01-013,550
2021: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-013,163
Total number of active participants reported on line 7a of the Form 55002021-01-012,656
Number of retired or separated participants receiving benefits2021-01-0117
Number of other retired or separated participants entitled to future benefits2021-01-01298
Total of all active and inactive participants2021-01-012,971
2020: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year2020-01-013,547
Total number of active participants reported on line 7a of the Form 55002020-01-013,163
Number of retired or separated participants receiving benefits2020-01-0123
Number of other retired or separated participants entitled to future benefits2020-01-01347
Total of all active and inactive participants2020-01-013,533
2019: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year2019-01-013,806
Total number of active participants reported on line 7a of the Form 55002019-01-013,547
Number of retired or separated participants receiving benefits2019-01-0117
Number of other retired or separated participants entitled to future benefits2019-01-01222
Total of all active and inactive participants2019-01-013,786
2018: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2018 401k membership
Total participants, beginning-of-year2018-01-014,200
Total number of active participants reported on line 7a of the Form 55002018-01-013,806
Number of retired or separated participants receiving benefits2018-01-0124
Number of other retired or separated participants entitled to future benefits2018-01-01307
Total of all active and inactive participants2018-01-014,137
2017: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2017 401k membership
Total participants, beginning-of-year2017-01-013,953
Total number of active participants reported on line 7a of the Form 55002017-01-013,932
Number of retired or separated participants receiving benefits2017-01-0121
Number of other retired or separated participants entitled to future benefits2017-01-01247
Total of all active and inactive participants2017-01-014,200
2016: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2016 401k membership
Total participants, beginning-of-year2016-01-014,021
Total number of active participants reported on line 7a of the Form 55002016-01-013,953
Number of retired or separated participants receiving benefits2016-01-0112
Number of other retired or separated participants entitled to future benefits2016-01-01278
Total of all active and inactive participants2016-01-014,243

Financial Data on COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN

Measure Date Value
2021 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2021 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$3,865,716
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$5,162,682
Total income from all sources (including contributions)2021-12-31$26,850,962
Total of all expenses incurred2021-12-31$27,985,502
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$25,402,534
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$25,399,343
Value of total assets at end of year2021-12-31$992,706
Value of total assets at beginning of year2021-12-31$3,424,212
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$2,582,968
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$54,197
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$1,000,000
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$8,921,257
Value of other receiveables (less allowance for doubtful accounts) at end of year2021-12-31$990,336
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2021-12-31$1,320,923
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2021-12-31$92,308
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2021-12-31$101,555
Other income not declared elsewhere2021-12-31$1,451,619
Administrative expenses (other) incurred2021-12-31$866,457
Total non interest bearing cash at end of year2021-12-31$2,370
Total non interest bearing cash at beginning of year2021-12-31$2,103,289
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Value of net income/loss2021-12-31$-1,134,540
Value of net assets at end of year (total assets less liabilities)2021-12-31$-2,873,010
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$-1,738,470
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
Expenses. Payments to insurance carriers foe the provision of benefits2021-12-31$1,845,791
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$16,478,086
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$23,556,743
Contract administrator fees2021-12-31$1,662,314
Liabilities. Value of benefit claims payable at end of year2021-12-31$3,773,408
Liabilities. Value of benefit claims payable at beginning of year2021-12-31$5,061,127
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 name2021-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2021-12-31581094351
2020 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2020 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$5,162,682
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$4,643,553
Total income from all sources (including contributions)2020-12-31$25,508,521
Total of all expenses incurred2020-12-31$27,468,357
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$24,176,413
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$24,519,037
Value of total assets at end of year2020-12-31$3,424,212
Value of total assets at beginning of year2020-12-31$4,864,919
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$3,291,944
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$29,120
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$1,000,000
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$9,598,205
Value of other receiveables (less allowance for doubtful accounts) at end of year2020-12-31$1,320,923
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2020-12-31$857,076
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2020-12-31$101,555
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$39,143
Other income not declared elsewhere2020-12-31$989,484
Administrative expenses (other) incurred2020-12-31$1,365,900
Total non interest bearing cash at end of year2020-12-31$2,103,289
Total non interest bearing cash at beginning of year2020-12-31$4,007,843
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$-1,959,836
Value of net assets at end of year (total assets less liabilities)2020-12-31$-1,738,470
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$221,366
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
Expenses. Payments to insurance carriers foe the provision of benefits2020-12-31$1,210,014
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31Yes
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$14,920,832
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$22,966,399
Contract administrator fees2020-12-31$1,896,924
Liabilities. Value of benefit claims payable at end of year2020-12-31$5,061,127
Liabilities. Value of benefit claims payable at beginning of year2020-12-31$4,604,410
Did the plan have assets held for investment2020-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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 plan2020-12-31Unqualified
Accountancy firm name2020-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2020-12-31581094351
2019 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2019 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,643,553
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,643,553
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,372,942
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$4,372,942
Total income from all sources (including contributions)2019-12-31$26,878,099
Total income from all sources (including contributions)2019-12-31$26,878,099
Total of all expenses incurred2019-12-31$26,495,093
Total of all expenses incurred2019-12-31$26,495,093
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$23,315,879
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$23,315,879
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$25,834,005
Value of total assets at end of year2019-12-31$4,864,919
Value of total assets at end of year2019-12-31$4,864,919
Value of total assets at beginning of year2019-12-31$4,211,302
Value of total assets at beginning of year2019-12-31$4,211,302
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,179,214
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$3,179,214
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Administrative expenses professional fees incurred2019-12-31$40,867
Administrative expenses professional fees incurred2019-12-31$40,867
Was this plan covered by a fidelity bond2019-12-31Yes
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$1,000,000
Value of fidelity bond cover2019-12-31$1,000,000
If this is an individual account plan, was there a blackout period2019-12-31No
If this is an individual account plan, was there a blackout period2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$9,518,173
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$857,076
Value of other receiveables (less allowance for doubtful accounts) at end of year2019-12-31$857,076
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$582,145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2019-12-31$582,145
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$39,143
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$39,143
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$57,287
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$57,287
Other income not declared elsewhere2019-12-31$1,044,094
Other income not declared elsewhere2019-12-31$1,044,094
Administrative expenses (other) incurred2019-12-31$1,114,714
Administrative expenses (other) incurred2019-12-31$1,114,714
Total non interest bearing cash at end of year2019-12-31$4,007,843
Total non interest bearing cash at end of year2019-12-31$4,007,843
Total non interest bearing cash at beginning of year2019-12-31$3,629,157
Total non interest bearing cash at beginning of year2019-12-31$3,629,157
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$383,006
Value of net income/loss2019-12-31$383,006
Value of net assets at end of year (total assets less liabilities)2019-12-31$221,366
Value of net assets at end of year (total assets less liabilities)2019-12-31$221,366
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-161,640
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$-161,640
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,213,901
Expenses. Payments to insurance carriers foe the provision of benefits2019-12-31$1,213,901
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$16,315,832
Contributions received in cash from employer2019-12-31$16,315,832
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$22,101,978
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$22,101,978
Contract administrator fees2019-12-31$2,023,633
Contract administrator fees2019-12-31$2,023,633
Liabilities. Value of benefit claims payable at end of year2019-12-31$4,604,410
Liabilities. Value of benefit claims payable at end of year2019-12-31$4,604,410
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,315,655
Liabilities. Value of benefit claims payable at beginning of year2019-12-31$4,315,655
Did the plan have assets held for investment2019-12-31No
Did the plan have assets held for investment2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31No
Opinion of an independent qualified public accountant for this plan2019-12-31Unqualified
Accountancy firm name2019-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm name2019-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2019-12-31581094351
Accountancy firm EIN2019-12-31581094351
2018 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2018 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$4,372,942
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$3,188,306
Total income from all sources (including contributions)2018-12-31$23,941,768
Total of all expenses incurred2018-12-31$26,374,686
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$23,342,169
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$23,241,449
Value of total assets at end of year2018-12-31$4,211,302
Value of total assets at beginning of year2018-12-31$5,459,584
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$3,032,517
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Administrative expenses professional fees incurred2018-12-31$64,483
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$1,000,000
If this is an individual account plan, was there a blackout period2018-12-31No
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$9,756,477
Value of other receiveables (less allowance for doubtful accounts) at end of year2018-12-31$582,145
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2018-12-31$394,300
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$57,287
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2018-12-31$47,309
Other income not declared elsewhere2018-12-31$700,319
Administrative expenses (other) incurred2018-12-31$997,895
Total non interest bearing cash at end of year2018-12-31$3,629,157
Total non interest bearing cash at beginning of year2018-12-31$5,065,284
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-2,432,918
Value of net assets at end of year (total assets less liabilities)2018-12-31$-161,640
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$2,271,278
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2018-12-31$1,118,651
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31Yes
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$13,484,972
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$22,223,518
Contract administrator fees2018-12-31$1,970,139
Liabilities. Value of benefit claims payable at end of year2018-12-31$4,315,655
Liabilities. Value of benefit claims payable at beginning of year2018-12-31$3,140,997
Did the plan have assets held for investment2018-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31No
Opinion of an independent qualified public accountant for this plan2018-12-31Unqualified
Accountancy firm name2018-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2018-12-31581094351
2017 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2017 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,188,306
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$3,109,655
Total income from all sources (including contributions)2017-12-31$26,997,943
Total of all expenses incurred2017-12-31$22,591,233
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$19,698,583
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$26,459,419
Value of total assets at end of year2017-12-31$5,459,584
Value of total assets at beginning of year2017-12-31$974,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$2,892,650
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Administrative expenses professional fees incurred2017-12-31$12,958
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$1,000,000
If this is an individual account plan, was there a blackout period2017-12-31No
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$10,460,681
Value of other receiveables (less allowance for doubtful accounts) at end of year2017-12-31$394,300
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2017-12-31$601,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2017-12-31$47,309
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2017-12-31$133,307
Other income not declared elsewhere2017-12-31$538,524
Administrative expenses (other) incurred2017-12-31$950,902
Total non interest bearing cash at end of year2017-12-31$5,065,284
Total non interest bearing cash at beginning of year2017-12-31$373,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$4,406,710
Value of net assets at end of year (total assets less liabilities)2017-12-31$2,271,278
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$-2,135,432
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Expenses. Payments to insurance carriers foe the provision of benefits2017-12-31$1,363,167
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$15,998,738
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$18,335,416
Contract administrator fees2017-12-31$1,928,790
Liabilities. Value of benefit claims payable at end of year2017-12-31$3,140,997
Liabilities. Value of benefit claims payable at beginning of year2017-12-31$2,976,348
Did the plan have assets held for investment2017-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31No
Opinion of an independent qualified public accountant for this plan2017-12-31Unqualified
Accountancy firm name2017-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2017-12-31581094351
2016 : COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2016 401k financial data
Total transfer of assets to this plan2016-12-31$536,027
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$455,919
Total income from all sources (including contributions)2016-12-31$23,522,756
Total of all expenses incurred2016-12-31$23,540,479
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$20,146,162
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$22,822,595
Value of total assets at end of year2016-12-31$974,223
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$3,394,317
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Administrative expenses professional fees incurred2016-12-31$96,765
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$1,000,000
If this is an individual account plan, was there a blackout period2016-12-31No
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$10,241,560
Value of other receiveables (less allowance for doubtful accounts) at end of year2016-12-31$601,124
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2016-12-31$133,307
Other income not declared elsewhere2016-12-31$700,161
Administrative expenses (other) incurred2016-12-31$1,007,761
Total non interest bearing cash at end of year2016-12-31$373,099
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$-17,723
Value of net assets at end of year (total assets less liabilities)2016-12-31$518,304
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
Expenses. Payments to insurance carriers foe the provision of benefits2016-12-31$1,357,346
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31Yes
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$12,581,035
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$18,788,816
Contract administrator fees2016-12-31$2,289,791
Liabilities. Value of benefit claims payable at end of year2016-12-31$322,612
Did the plan have assets held for investment2016-12-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party 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)2016-12-31No
Opinion of an independent qualified public accountant for this plan2016-12-31Unqualified
Accountancy firm name2016-12-31MCNAIR,MCLEMORE,MIDDLEBROOKS & CO.
Accountancy firm EIN2016-12-31581094351

Form 5500 Responses for COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN

2022: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01This submission is the final filingYes
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – General assets of the sponsorYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement – General assets of the sponsorYes
2021: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan funding arrangement – General assets of the sponsorYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2021-01-01Plan benefit arrangement – General assets of the sponsorYes
2020: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan funding arrangement – General assets of the sponsorYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2020-01-01Plan benefit arrangement – General assets of the sponsorYes
2019: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan funding arrangement – General assets of the sponsorYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2019-01-01Plan benefit arrangement – General assets of the sponsorYes
2018: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan funding arrangement – General assets of the sponsorYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2018-01-01Plan benefit arrangement – General assets of the sponsorYes
2017: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan funding arrangement – General assets of the sponsorYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2017-01-01Plan benefit arrangement – General assets of the sponsorYes
2016: COMMUNITY HEALTH SERVICES OF GEORGIA GROUP HEALTH PLAN 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan funding arrangement – General assets of the sponsorYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2016-01-01Plan benefit arrangement – General assets of the sponsorYes

Insurance Providers Used on plan

GRANULAR INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 93521 )
Policy contract number2022-213-GA
Policy instance 1
Insurance contract or identification number2022-213-GA
Number of Individuals Covered2384
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number2552-00
Policy instance 1
Insurance contract or identification number2552-00
Number of Individuals Covered2759
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of fees paid to insurance companyUSD $82,053
Welfare Benefit Premiums Paid to CarrierUSD $1,172,181
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees82053
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
ANTHEM LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 61069 )
Policy contract number2552-00
Policy instance 1
Insurance contract or identification number2552-00
Number of Individuals Covered3211
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of fees paid to insurance companyUSD $56,348
Welfare Benefit Premiums Paid to CarrierUSD $939,135
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees56348
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69885-7 EXRK
Policy instance 1
Insurance contract or identification number69885-7 EXRK
Number of Individuals Covered2768
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of fees paid to insurance companyUSD $60,650
Welfare Benefit Premiums Paid to CarrierUSD $1,213,004
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees60650
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69885-7 EXRK
Policy instance 1
Insurance contract or identification number69885-7 EXRK
Number of Individuals Covered3834
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of fees paid to insurance companyUSD $55,936
Welfare Benefit Premiums Paid to CarrierUSD $1,118,713
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees55936
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
RELIASTAR LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 67105 )
Policy contract number69885-7 EXRK
Policy instance 1
Insurance contract or identification number69885-7 EXRK
Number of Individuals Covered3941
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of fees paid to insurance companyUSD $68,185
Welfare Benefit Premiums Paid to CarrierUSD $1,363,699
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees68185
Additional information about fees paid to insurance brokerSERVICE FEE
Insurance broker organization code?3
Insurance broker nameSBR SERVICES, LLC

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