401k Plan data: PRIMARY HEALTH, INC. 401(K) PLAN plan

PRIMARY HEALTH, INC. 401(K) PLAN 401k Plan overview

Plan Name	PRIMARY HEALTH, INC. 401(K) PLAN
Plan identification number	002

PRIMARY HEALTH, INC. 401(K) PLAN Benefits

401k Plan Type

Defined Contribution Pension

Plan Features/Benefits

Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
Profit-sharing
ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.
Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

PRIMARY HEALTH INC. has sponsored the creation of one or more 401k plans.

Company Name: PRIMARY HEALTH INC.

Employer identification number (EIN): 752473418

NAIC Classification: 621111
NAIC Description: Offices of Physicians (except Mental Health Specialists)

Additional information about PRIMARY HEALTH INC.

Jurisdiction of Incorporation: Florida Department of State Division of Corporations

Incorporation Date: 2007-05-11

Company Identification Number: P07000057069

Legal Registered Office Address: 2191 NE 167 ST.

MIAMI

33162

More information about PRIMARY HEALTH INC.

Form 5500 Filing Information

Submission information for form 5500 for 401k plan PRIMARY HEALTH, INC. 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
002 2016-01-01 STEPHEN CRUMBAUGH
002 2015-01-01 STEPHEN CRUMBAUGH
002 2014-01-01 KERI ADRIAN
002 2013-01-01 DANIEL WALTER
002 2012-01-01 DANIEL WALTER
002 2011-01-01 MIKE MAYDEN
002 2009-01-01 MIKE MAYDEN

Plan id#	Filing Submission Date	Name of Administrator
002	2016-01-01	STEPHEN CRUMBAUGH
002	2015-01-01	STEPHEN CRUMBAUGH
002	2014-01-01	KERI ADRIAN
002	2013-01-01	DANIEL WALTER
002	2012-01-01	DANIEL WALTER
002	2011-01-01	MIKE MAYDEN
002	2009-01-01	MIKE MAYDEN

Plan Statistics for PRIMARY HEALTH, INC. 401(K) PLAN

401k plan membership statisitcs for PRIMARY HEALTH, INC. 401(K) PLAN

Measure Date Value
2016: PRIMARY HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year 2016-01-01 543
Total number of active participants reported on line 7a of the Form 5500 2016-01-01 0
Number of retired or separated participants receiving benefits 2016-01-01 0
Number of other retired or separated participants entitled to future benefits 2016-01-01 0
Total of all active and inactive participants 2016-01-01 0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2016-01-01 0
Total participants 2016-01-01 0
Number of participants with account balances 2016-01-01 0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2016-01-01 0
2015: PRIMARY HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year 2015-01-01 523
Total number of active participants reported on line 7a of the Form 5500 2015-01-01 428
Number of retired or separated participants receiving benefits 2015-01-01 0
Number of other retired or separated participants entitled to future benefits 2015-01-01 93
Total of all active and inactive participants 2015-01-01 521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2015-01-01 0
Total participants 2015-01-01 521
Number of participants with account balances 2015-01-01 289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2015-01-01 10
2014: PRIMARY HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year 2014-01-01 587
Total number of active participants reported on line 7a of the Form 5500 2014-01-01 434
Number of retired or separated participants receiving benefits 2014-01-01 0
Number of other retired or separated participants entitled to future benefits 2014-01-01 99
Total of all active and inactive participants 2014-01-01 533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2014-01-01 0
Total participants 2014-01-01 533
Number of participants with account balances 2014-01-01 271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2014-01-01 21
2013: PRIMARY HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year 2013-01-01 581
Total number of active participants reported on line 7a of the Form 5500 2013-01-01 446
Number of retired or separated participants receiving benefits 2013-01-01 0
Number of other retired or separated participants entitled to future benefits 2013-01-01 93
Total of all active and inactive participants 2013-01-01 539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2013-01-01 0
Total participants 2013-01-01 539
Number of participants with account balances 2013-01-01 274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2013-01-01 21
2012: PRIMARY HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year 2012-01-01 500
Total number of active participants reported on line 7a of the Form 5500 2012-01-01 464
Number of retired or separated participants receiving benefits 2012-01-01 0
Number of other retired or separated participants entitled to future benefits 2012-01-01 77
Total of all active and inactive participants 2012-01-01 541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2012-01-01 0
Total participants 2012-01-01 541
Number of participants with account balances 2012-01-01 258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2012-01-01 14
2011: PRIMARY HEALTH, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year 2011-01-01 518
Total number of active participants reported on line 7a of the Form 5500 2011-01-01 392
Number of retired or separated participants receiving benefits 2011-01-01 0
Number of other retired or separated participants entitled to future benefits 2011-01-01 68
Total of all active and inactive participants 2011-01-01 460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2011-01-01 0
Total participants 2011-01-01 460
Number of participants with account balances 2011-01-01 256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2011-01-01 12
2009: PRIMARY HEALTH, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year 2009-01-01 444
Total number of active participants reported on line 7a of the Form 5500 2009-01-01 371
Number of retired or separated participants receiving benefits 2009-01-01 4
Number of other retired or separated participants entitled to future benefits 2009-01-01 50
Total of all active and inactive participants 2009-01-01 425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits 2009-01-01 0
Total participants 2009-01-01 425
Number of participants with account balances 2009-01-01 190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested 2009-01-01 11

Measure	Date	Value
2016: PRIMARY HEALTH, INC. 401(K) PLAN 2016 401k membership
Total participants, beginning-of-year	2016-01-01	543
Total number of active participants reported on line 7a of the Form 5500	2016-01-01	0
Number of retired or separated participants receiving benefits	2016-01-01	0
Number of other retired or separated participants entitled to future benefits	2016-01-01	0
Total of all active and inactive participants	2016-01-01	0
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2016-01-01	0
Total participants	2016-01-01	0
Number of participants with account balances	2016-01-01	0
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2016-01-01	0
2015: PRIMARY HEALTH, INC. 401(K) PLAN 2015 401k membership
Total participants, beginning-of-year	2015-01-01	523
Total number of active participants reported on line 7a of the Form 5500	2015-01-01	428
Number of retired or separated participants receiving benefits	2015-01-01	0
Number of other retired or separated participants entitled to future benefits	2015-01-01	93
Total of all active and inactive participants	2015-01-01	521
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2015-01-01	0
Total participants	2015-01-01	521
Number of participants with account balances	2015-01-01	289
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2015-01-01	10
2014: PRIMARY HEALTH, INC. 401(K) PLAN 2014 401k membership
Total participants, beginning-of-year	2014-01-01	587
Total number of active participants reported on line 7a of the Form 5500	2014-01-01	434
Number of retired or separated participants receiving benefits	2014-01-01	0
Number of other retired or separated participants entitled to future benefits	2014-01-01	99
Total of all active and inactive participants	2014-01-01	533
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2014-01-01	0
Total participants	2014-01-01	533
Number of participants with account balances	2014-01-01	271
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2014-01-01	21
2013: PRIMARY HEALTH, INC. 401(K) PLAN 2013 401k membership
Total participants, beginning-of-year	2013-01-01	581
Total number of active participants reported on line 7a of the Form 5500	2013-01-01	446
Number of retired or separated participants receiving benefits	2013-01-01	0
Number of other retired or separated participants entitled to future benefits	2013-01-01	93
Total of all active and inactive participants	2013-01-01	539
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2013-01-01	0
Total participants	2013-01-01	539
Number of participants with account balances	2013-01-01	274
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2013-01-01	21
2012: PRIMARY HEALTH, INC. 401(K) PLAN 2012 401k membership
Total participants, beginning-of-year	2012-01-01	500
Total number of active participants reported on line 7a of the Form 5500	2012-01-01	464
Number of retired or separated participants receiving benefits	2012-01-01	0
Number of other retired or separated participants entitled to future benefits	2012-01-01	77
Total of all active and inactive participants	2012-01-01	541
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2012-01-01	0
Total participants	2012-01-01	541
Number of participants with account balances	2012-01-01	258
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2012-01-01	14
2011: PRIMARY HEALTH, INC. 401(K) PLAN 2011 401k membership
Total participants, beginning-of-year	2011-01-01	518
Total number of active participants reported on line 7a of the Form 5500	2011-01-01	392
Number of retired or separated participants receiving benefits	2011-01-01	0
Number of other retired or separated participants entitled to future benefits	2011-01-01	68
Total of all active and inactive participants	2011-01-01	460
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2011-01-01	0
Total participants	2011-01-01	460
Number of participants with account balances	2011-01-01	256
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2011-01-01	12
2009: PRIMARY HEALTH, INC. 401(K) PLAN 2009 401k membership
Total participants, beginning-of-year	2009-01-01	444
Total number of active participants reported on line 7a of the Form 5500	2009-01-01	371
Number of retired or separated participants receiving benefits	2009-01-01	4
Number of other retired or separated participants entitled to future benefits	2009-01-01	50
Total of all active and inactive participants	2009-01-01	425
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits	2009-01-01	0
Total participants	2009-01-01	425
Number of participants with account balances	2009-01-01	190
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested	2009-01-01	11

Financial Data on PRIMARY HEALTH, INC. 401(K) PLAN

Measure	Date	Value
2016 : PRIMARY HEALTH, INC. 401(K) PLAN 2016 401k financial data
Total transfer of assets from this plan	2016-06-07	$4,849,841
Total income from all sources (including contributions)	2016-06-07	$171,678
Total of all expenses incurred	2016-06-07	$342,077
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2016-06-07	$313,832
Expenses. Certain deemed distributions of participant loans	2016-06-07	$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2016-06-07	$0
Value of total assets at end of year	2016-06-07	$0
Value of total assets at beginning of year	2016-06-07	$5,020,240
Total of administrative expenses incurred including professional, contract, advisory and management fees	2016-06-07	$28,245
Total interest from all sources	2016-06-07	$1,058
Total dividends received (eg from common stock, registered investment company shares)	2016-06-07	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2016-06-07	No
Total dividends received from registered investment company shares (eg mutual funds)	2016-06-07	$0
Was this plan covered by a fidelity bond	2016-06-07	Yes
Value of fidelity bond cover	2016-06-07	$3,000,000
If this is an individual account plan, was there a blackout period	2016-06-07	Yes
Were there any nonexempt tranactions with any party-in-interest	2016-06-07	No
Contributions received from participants	2016-06-07	$0
Participant contributions at end of year	2016-06-07	$0
Participant contributions at beginning of year	2016-06-07	$157,411
Participant contributions at end of year	2016-06-07	$0
Participant contributions at beginning of year	2016-06-07	$24,168
Income. Received or receivable in cash from other sources (including rollovers)	2016-06-07	$0
Value of other receiveables (less allowance for doubtful accounts) at end of year	2016-06-07	$0
Total non interest bearing cash at end of year	2016-06-07	$0
Total non interest bearing cash at beginning of year	2016-06-07	$4,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-07	No
Value of net income/loss	2016-06-07	$-170,399
Value of net assets at end of year (total assets less liabilities)	2016-06-07	$0
Value of net assets at beginning of year (total assets less liabilities)	2016-06-07	$5,020,240
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2016-06-07	No
Were any loans by the plan or fixed income obligations due to the plan in default	2016-06-07	No
Were any leases to which the plan was party in default or uncollectible	2016-06-07	No
Investment advisory and management fees	2016-06-07	$28,245
Interest on participant loans	2016-06-07	$1,058
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2016-06-07	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2016-06-07	$0
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2016-06-07	$4,831,468
Expenses. Payments to insurance carriers foe the provision of benefits	2016-06-07	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2016-06-07	No
Was there a failure to transmit to the plan any participant contributions	2016-06-07	No
Has the plan failed to provide any benefit when due under the plan	2016-06-07	No
Contributions received in cash from employer	2016-06-07	$0
Employer contributions (assets) at end of year	2016-06-07	$0
Employer contributions (assets) at beginning of year	2016-06-07	$3,083
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2016-06-07	$313,832
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2016-06-07	Yes
Did the plan have assets held for investment	2016-06-07	No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2016-06-07	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2016-06-07	Yes
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2016-06-07	Yes
Opinion of an independent qualified public accountant for this plan	2016-06-07	Disclaimer
Accountancy firm name	2016-06-07	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2016-06-07	750786316
2015 : PRIMARY HEALTH, INC. 401(K) PLAN 2015 401k financial data
Total income from all sources (including contributions)	2015-12-31	$686,698
Total of all expenses incurred	2015-12-31	$542,588
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2015-12-31	$492,131
Expenses. Certain deemed distributions of participant loans	2015-12-31	$7,401
Value of total corrective distributions	2015-12-31	$1,363
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2015-12-31	$738,303
Value of total assets at end of year	2015-12-31	$5,020,240
Value of total assets at beginning of year	2015-12-31	$4,876,130
Total of administrative expenses incurred including professional, contract, advisory and management fees	2015-12-31	$41,693
Total interest from all sources	2015-12-31	$8,606
Total dividends received (eg from common stock, registered investment company shares)	2015-12-31	$0
Total dividends received from registered investment company shares (eg mutual funds)	2015-12-31	$0
Was this plan covered by a fidelity bond	2015-12-31	Yes
Value of fidelity bond cover	2015-12-31	$3,000,000
If this is an individual account plan, was there a blackout period	2015-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2015-12-31	No
Contributions received from participants	2015-12-31	$602,960
Participant contributions at end of year	2015-12-31	$157,411
Participant contributions at beginning of year	2015-12-31	$178,911
Participant contributions at end of year	2015-12-31	$24,168
Participant contributions at beginning of year	2015-12-31	$0
Income. Received or receivable in cash from other sources (including rollovers)	2015-12-31	$0
Total non interest bearing cash at end of year	2015-12-31	$4,110
Total non interest bearing cash at beginning of year	2015-12-31	$5,388
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Value of net income/loss	2015-12-31	$144,110
Value of net assets at end of year (total assets less liabilities)	2015-12-31	$5,020,240
Value of net assets at beginning of year (total assets less liabilities)	2015-12-31	$4,876,130
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2015-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2015-12-31	No
Were any leases to which the plan was party in default or uncollectible	2015-12-31	No
Investment advisory and management fees	2015-12-31	$41,693
Interest on participant loans	2015-12-31	$8,606
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2015-12-31	$0
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2015-12-31	$4,831,468
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2015-12-31	$4,691,831
Expenses. Payments to insurance carriers foe the provision of benefits	2015-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2015-12-31	No
Was there a failure to transmit to the plan any participant contributions	2015-12-31	No
Has the plan failed to provide any benefit when due under the plan	2015-12-31	No
Contributions received in cash from employer	2015-12-31	$135,343
Employer contributions (assets) at end of year	2015-12-31	$3,083
Employer contributions (assets) at beginning of year	2015-12-31	$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2015-12-31	$492,131
Did the plan have assets held for investment	2015-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2015-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2015-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2015-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2015-12-31	Disclaimer
Accountancy firm name	2015-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2015-12-31	750786316
2014 : PRIMARY HEALTH, INC. 401(K) PLAN 2014 401k financial data
Total unrealized appreciation/depreciation of assets	2014-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2014-12-31	$0
Total income from all sources (including contributions)	2014-12-31	$1,060,913
Total loss/gain on sale of assets	2014-12-31	$0
Total of all expenses incurred	2014-12-31	$654,684
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2014-12-31	$615,815
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2014-12-31	$739,981
Value of total assets at end of year	2014-12-31	$4,876,130
Value of total assets at beginning of year	2014-12-31	$4,469,901
Total of administrative expenses incurred including professional, contract, advisory and management fees	2014-12-31	$38,869
Total interest from all sources	2014-12-31	$8,057
Total dividends received (eg from common stock, registered investment company shares)	2014-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2014-12-31	No
Was this plan covered by a fidelity bond	2014-12-31	Yes
Value of fidelity bond cover	2014-12-31	$750,000
If this is an individual account plan, was there a blackout period	2014-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2014-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2014-12-31	No
Contributions received from participants	2014-12-31	$505,467
Participant contributions at end of year	2014-12-31	$178,911
Participant contributions at beginning of year	2014-12-31	$154,400
Participant contributions at end of year	2014-12-31	$0
Participant contributions at beginning of year	2014-12-31	$17,124
Income. Received or receivable in cash from other sources (including rollovers)	2014-12-31	$109,062
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Income. Non cash contributions	2014-12-31	$0
Value of net income/loss	2014-12-31	$406,229
Value of net assets at end of year (total assets less liabilities)	2014-12-31	$4,876,130
Value of net assets at beginning of year (total assets less liabilities)	2014-12-31	$4,469,901
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2014-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2014-12-31	No
Were any leases to which the plan was party in default or uncollectible	2014-12-31	No
Investment advisory and management fees	2014-12-31	$38,869
Income. Interest from loans (other than to participants)	2014-12-31	$8,057
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2014-12-31	$4,697,219
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2014-12-31	$4,293,812
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2014-12-31	No
Was there a failure to transmit to the plan any participant contributions	2014-12-31	No
Has the plan failed to provide any benefit when due under the plan	2014-12-31	No
Contributions received in cash from employer	2014-12-31	$125,452
Employer contributions (assets) at end of year	2014-12-31	$0
Employer contributions (assets) at beginning of year	2014-12-31	$4,565
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2014-12-31	$615,815
Did the plan have assets held for investment	2014-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2014-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2014-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2014-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2014-12-31	Disclaimer
Accountancy firm name	2014-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2014-12-31	750786316
2013 : PRIMARY HEALTH, INC. 401(K) PLAN 2013 401k financial data
Total unrealized appreciation/depreciation of assets	2013-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2013-12-31	$0
Total income from all sources (including contributions)	2013-12-31	$1,310,108
Total loss/gain on sale of assets	2013-12-31	$0
Total of all expenses incurred	2013-12-31	$323,443
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2013-12-31	$279,833
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2013-12-31	$603,039
Value of total assets at end of year	2013-12-31	$4,469,901
Value of total assets at beginning of year	2013-12-31	$3,483,236
Total of administrative expenses incurred including professional, contract, advisory and management fees	2013-12-31	$43,610
Total interest from all sources	2013-12-31	$6,712
Total dividends received (eg from common stock, registered investment company shares)	2013-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2013-12-31	No
Was this plan covered by a fidelity bond	2013-12-31	Yes
Value of fidelity bond cover	2013-12-31	$750,000
If this is an individual account plan, was there a blackout period	2013-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2013-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2013-12-31	No
Contributions received from participants	2013-12-31	$481,995
Participant contributions at end of year	2013-12-31	$154,400
Participant contributions at beginning of year	2013-12-31	$118,127
Participant contributions at end of year	2013-12-31	$17,124
Participant contributions at beginning of year	2013-12-31	$19,086
Income. Received or receivable in cash from other sources (including rollovers)	2013-12-31	$7,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Value of net income/loss	2013-12-31	$986,665
Value of net assets at end of year (total assets less liabilities)	2013-12-31	$4,469,901
Value of net assets at beginning of year (total assets less liabilities)	2013-12-31	$3,483,236
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2013-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2013-12-31	No
Were any leases to which the plan was party in default or uncollectible	2013-12-31	No
Interest on participant loans	2013-12-31	$6,712
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2013-12-31	$4,293,812
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2013-12-31	$3,340,862
Net investment gain/loss from registered investment companies (e.g. mutual funds)	2013-12-31	$700,357
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2013-12-31	No
Was there a failure to transmit to the plan any participant contributions	2013-12-31	No
Has the plan failed to provide any benefit when due under the plan	2013-12-31	No
Contributions received in cash from employer	2013-12-31	$113,090
Employer contributions (assets) at end of year	2013-12-31	$4,565
Employer contributions (assets) at beginning of year	2013-12-31	$5,161
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2013-12-31	$279,833
Contract administrator fees	2013-12-31	$43,610
Did the plan have assets held for investment	2013-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2013-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2013-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2013-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2013-12-31	Disclaimer
Accountancy firm name	2013-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2013-12-31	750786316
2012 : PRIMARY HEALTH, INC. 401(K) PLAN 2012 401k financial data
Total unrealized appreciation/depreciation of assets	2012-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2012-12-31	$296
Total income from all sources (including contributions)	2012-12-31	$947,327
Total loss/gain on sale of assets	2012-12-31	$0
Total of all expenses incurred	2012-12-31	$343,421
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2012-12-31	$343,421
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2012-12-31	$630,316
Value of total assets at end of year	2012-12-31	$3,483,236
Value of total assets at beginning of year	2012-12-31	$2,879,626
Total of administrative expenses incurred including professional, contract, advisory and management fees	2012-12-31	$0
Total interest from all sources	2012-12-31	$6,531
Total dividends received (eg from common stock, registered investment company shares)	2012-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2012-12-31	No
Was this plan covered by a fidelity bond	2012-12-31	Yes
Value of fidelity bond cover	2012-12-31	$500,000
If this is an individual account plan, was there a blackout period	2012-12-31	Yes
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2012-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2012-12-31	No
Contributions received from participants	2012-12-31	$488,547
Participant contributions at end of year	2012-12-31	$118,127
Participant contributions at beginning of year	2012-12-31	$110,224
Participant contributions at end of year	2012-12-31	$19,086
Participant contributions at beginning of year	2012-12-31	$15,678
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Value of net income/loss	2012-12-31	$603,906
Value of net assets at end of year (total assets less liabilities)	2012-12-31	$3,483,236
Value of net assets at beginning of year (total assets less liabilities)	2012-12-31	$2,879,330
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2012-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2012-12-31	No
Were any leases to which the plan was party in default or uncollectible	2012-12-31	No
Value of interest in pooled separate accounts at end of year	2012-12-31	$0
Value of interest in pooled separate accounts at beginning of year	2012-12-31	$2,329,019
Interest on participant loans	2012-12-31	$3,139
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2012-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2012-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2012-12-31	$0
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2012-12-31	$3,392
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2012-12-31	$3,340,862
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2012-12-31	$420,184
Net gain/loss from 103.12 investment entities	2012-12-31	$310,480
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2012-12-31	No
Was there a failure to transmit to the plan any participant contributions	2012-12-31	No
Has the plan failed to provide any benefit when due under the plan	2012-12-31	No
Contributions received in cash from employer	2012-12-31	$141,769
Employer contributions (assets) at end of year	2012-12-31	$5,161
Employer contributions (assets) at beginning of year	2012-12-31	$4,521
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2012-12-31	$343,421
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-3	2012-12-31	Yes
Liabilities. Value of benefit claims payable at end of year	2012-12-31	$0
Liabilities. Value of benefit claims payable at beginning of year	2012-12-31	$296
Did the plan have assets held for investment	2012-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2012-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2012-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2012-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2012-12-31	Disclaimer
Accountancy firm name	2012-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2012-12-31	750786316
2011 : PRIMARY HEALTH, INC. 401(K) PLAN 2011 401k financial data
Total unrealized appreciation/depreciation of assets	2011-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$296
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2011-12-31	$24,628
Total income from all sources (including contributions)	2011-12-31	$515,219
Total loss/gain on sale of assets	2011-12-31	$0
Total of all expenses incurred	2011-12-31	$61,400
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2011-12-31	$61,400
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2011-12-31	$587,369
Value of total assets at end of year	2011-12-31	$2,879,626
Value of total assets at beginning of year	2011-12-31	$2,450,139
Total of administrative expenses incurred including professional, contract, advisory and management fees	2011-12-31	$0
Total interest from all sources	2011-12-31	$4,815
Total dividends received (eg from common stock, registered investment company shares)	2011-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2011-12-31	No
Was this plan covered by a fidelity bond	2011-12-31	Yes
Value of fidelity bond cover	2011-12-31	$500,000
If this is an individual account plan, was there a blackout period	2011-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2011-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2011-12-31	No
Contributions received from participants	2011-12-31	$454,828
Participant contributions at end of year	2011-12-31	$110,224
Participant contributions at beginning of year	2011-12-31	$69,869
Participant contributions at end of year	2011-12-31	$15,678
Participant contributions at beginning of year	2011-12-31	$15,095
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Value of net income/loss	2011-12-31	$453,819
Value of net assets at end of year (total assets less liabilities)	2011-12-31	$2,879,330
Value of net assets at beginning of year (total assets less liabilities)	2011-12-31	$2,425,511
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2011-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2011-12-31	No
Were any leases to which the plan was party in default or uncollectible	2011-12-31	No
Value of interest in pooled separate accounts at end of year	2011-12-31	$2,329,019
Value of interest in pooled separate accounts at beginning of year	2011-12-31	$2,034,398
Interest on participant loans	2011-12-31	$4,815
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2011-12-31	$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2011-12-31	$16,674
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2011-12-31	$16,674
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2011-12-31	$420,184
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2011-12-31	$309,968
Net investment gain/loss from pooled separate accounts	2011-12-31	$-76,965
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2011-12-31	No
Was there a failure to transmit to the plan any participant contributions	2011-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2011-12-31	No
Contributions received in cash from employer	2011-12-31	$132,541
Employer contributions (assets) at end of year	2011-12-31	$4,521
Employer contributions (assets) at beginning of year	2011-12-31	$4,135
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2011-12-31	$61,400
Liabilities. Value of benefit claims payable at end of year	2011-12-31	$296
Liabilities. Value of benefit claims payable at beginning of year	2011-12-31	$24,628
Did the plan have assets held for investment	2011-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2011-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2011-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2011-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2011-12-31	Disclaimer
Accountancy firm name	2011-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2011-12-31	750786316
2010 : PRIMARY HEALTH, INC. 401(K) PLAN 2010 401k financial data
Total unrealized appreciation/depreciation of assets	2010-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$24,628
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2010-12-31	$14,705
Total income from all sources (including contributions)	2010-12-31	$792,815
Total loss/gain on sale of assets	2010-12-31	$0
Total of all expenses incurred	2010-12-31	$197,220
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2010-12-31	$182,406
Value of total corrective distributions	2010-12-31	$14,704
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2010-12-31	$548,895
Value of total assets at end of year	2010-12-31	$2,450,139
Value of total assets at beginning of year	2010-12-31	$1,844,621
Total of administrative expenses incurred including professional, contract, advisory and management fees	2010-12-31	$110
Total interest from all sources	2010-12-31	$3,391
Total dividends received (eg from common stock, registered investment company shares)	2010-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2010-12-31	No
Administrative expenses professional fees incurred	2010-12-31	$110
Was this plan covered by a fidelity bond	2010-12-31	Yes
Value of fidelity bond cover	2010-12-31	$500,000
If this is an individual account plan, was there a blackout period	2010-12-31	No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2010-12-31	$0
Were there any nonexempt tranactions with any party-in-interest	2010-12-31	No
Contributions received from participants	2010-12-31	$422,321
Participant contributions at end of year	2010-12-31	$69,869
Participant contributions at beginning of year	2010-12-31	$54,373
Participant contributions at end of year	2010-12-31	$15,095
Participant contributions at beginning of year	2010-12-31	$25,937
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Value of net income/loss	2010-12-31	$595,595
Value of net assets at end of year (total assets less liabilities)	2010-12-31	$2,425,511
Value of net assets at beginning of year (total assets less liabilities)	2010-12-31	$1,829,916
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2010-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2010-12-31	No
Were any leases to which the plan was party in default or uncollectible	2010-12-31	No
Value of interest in pooled separate accounts at end of year	2010-12-31	$2,034,398
Value of interest in pooled separate accounts at beginning of year	2010-12-31	$1,551,956
Interest on participant loans	2010-12-31	$3,391
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2010-12-31	$16,674
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2010-12-31	$11,844
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2010-12-31	$11,844
Value of funds held in insurance company general accounts (unallocated contracts) at end of year	2010-12-31	$309,968
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year	2010-12-31	$192,662
Net investment gain/loss from pooled separate accounts	2010-12-31	$240,529
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2010-12-31	No
Was there a failure to transmit to the plan any participant contributions	2010-12-31	Yes
Has the plan failed to provide any benefit when due under the plan	2010-12-31	No
Contributions received in cash from employer	2010-12-31	$126,574
Employer contributions (assets) at end of year	2010-12-31	$4,135
Employer contributions (assets) at beginning of year	2010-12-31	$7,849
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2010-12-31	$182,406
Liabilities. Value of benefit claims payable at end of year	2010-12-31	$24,628
Liabilities. Value of benefit claims payable at beginning of year	2010-12-31	$14,705
Did the plan have assets held for investment	2010-12-31	Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser	2010-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2010-12-31	No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)	2010-12-31	Yes
Opinion of an independent qualified public accountant for this plan	2010-12-31	Disclaimer
Accountancy firm name	2010-12-31	WEAVER AND TIDWELL, L.L.P.
Accountancy firm EIN	2010-12-31	750786316
2009 : PRIMARY HEALTH, INC. 401(K) PLAN 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities	2009-12-31	$0

Form 5500 Responses for PRIMARY HEALTH, INC. 401(K) PLAN

2016: PRIMARY HEALTH, INC. 401(K) PLAN 2016 form 5500 responses
2016-01-01	Type of plan entity	Single employer plan
2016-01-01	This submission is the final filing	Yes
2016-01-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2016-01-01	Plan funding arrangement – Insurance	Yes
2016-01-01	Plan funding arrangement – Trust	Yes
2016-01-01	Plan benefit arrangement – Insurance	Yes
2016-01-01	Plan benefit arrangement - Trust	Yes
2015: PRIMARY HEALTH, INC. 401(K) PLAN 2015 form 5500 responses
2015-01-01	Type of plan entity	Single employer plan
2015-01-01	Plan funding arrangement – Insurance	Yes
2015-01-01	Plan funding arrangement – Trust	Yes
2015-01-01	Plan benefit arrangement – Insurance	Yes
2015-01-01	Plan benefit arrangement - Trust	Yes
2014: PRIMARY HEALTH, INC. 401(K) PLAN 2014 form 5500 responses
2014-01-01	Type of plan entity	Single employer plan
2014-01-01	Submission has been amended	No
2014-01-01	This submission is the final filing	No
2014-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2014-01-01	Plan is a collectively bargained plan	No
2014-01-01	Plan funding arrangement – Insurance	Yes
2014-01-01	Plan funding arrangement – Trust	Yes
2014-01-01	Plan benefit arrangement – Insurance	Yes
2014-01-01	Plan benefit arrangement - Trust	Yes
2013: PRIMARY HEALTH, INC. 401(K) PLAN 2013 form 5500 responses
2013-01-01	Type of plan entity	Single employer plan
2013-01-01	Submission has been amended	No
2013-01-01	This submission is the final filing	No
2013-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2013-01-01	Plan is a collectively bargained plan	No
2013-01-01	Plan funding arrangement – Insurance	Yes
2013-01-01	Plan funding arrangement – Trust	Yes
2013-01-01	Plan benefit arrangement – Insurance	Yes
2013-01-01	Plan benefit arrangement - Trust	Yes
2012: PRIMARY HEALTH, INC. 401(K) PLAN 2012 form 5500 responses
2012-01-01	Type of plan entity	Single employer plan
2012-01-01	Submission has been amended	No
2012-01-01	This submission is the final filing	No
2012-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2012-01-01	Plan is a collectively bargained plan	No
2012-01-01	Plan funding arrangement – Insurance	Yes
2012-01-01	Plan funding arrangement – Trust	Yes
2012-01-01	Plan benefit arrangement – Insurance	Yes
2012-01-01	Plan benefit arrangement - Trust	Yes
2011: PRIMARY HEALTH, INC. 401(K) PLAN 2011 form 5500 responses
2011-01-01	Type of plan entity	Single employer plan
2011-01-01	Submission has been amended	No
2011-01-01	This submission is the final filing	No
2011-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2011-01-01	Plan is a collectively bargained plan	No
2011-01-01	Plan funding arrangement – Insurance	Yes
2011-01-01	Plan funding arrangement – Trust	Yes
2011-01-01	Plan benefit arrangement – Insurance	Yes
2011-01-01	Plan benefit arrangement - Trust	Yes
2009: PRIMARY HEALTH, INC. 401(K) PLAN 2009 form 5500 responses
2009-01-01	Type of plan entity	Single employer plan
2009-01-01	Submission has been amended	No
2009-01-01	This submission is the final filing	No
2009-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2009-01-01	Plan is a collectively bargained plan	No
2009-01-01	Plan funding arrangement – Insurance	Yes
2009-01-01	Plan funding arrangement – Trust	Yes
2009-01-01	Plan benefit arrangement – Insurance	Yes
2009-01-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

334422-01

Policy instance

Insurance contract or identification number	334422-01
Number of Individuals Covered	23
Insurance policy start date	2015-01-01
Insurance policy end date	2015-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?	Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

334422-01

Policy instance

Insurance contract or identification number	334422-01
Number of Individuals Covered	16
Insurance policy start date	2014-01-01
Insurance policy end date	2014-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

334422-01

Policy instance

Insurance contract or identification number	334422-01
Number of Individuals Covered	10
Insurance policy start date	2013-01-01
Insurance policy end date	2013-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

GREAT-WEST LIFE & ANNUITY INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68322 )

Policy contract number

334422-01

Policy instance

Insurance contract or identification number	334422-01
Number of Individuals Covered	7
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHU106

Policy instance

Insurance contract or identification number	PHU106
Number of Individuals Covered	274
Insurance policy start date	2012-01-01
Insurance policy end date	2012-12-31
Total amount of commissions paid to insurance broker	USD $10,212
Total amount of fees paid to insurance company	USD $1,111
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $10,212
Amount paid for insurance broker fees	0
Additional information about fees paid to insurance broker	COMMISSIONS
Insurance broker organization code?	3
Insurance broker name	NOVA 401(K) ASSOCIATES

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHU106

Policy instance

Insurance contract or identification number	PHU106
Number of Individuals Covered	275
Insurance policy start date	2011-01-01
Insurance policy end date	2011-12-31
Total amount of commissions paid to insurance broker	USD $12,946
Total amount of fees paid to insurance company	USD $1,252
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 plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
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

VOYA RETIRIEMENT INSURANCE AND ANNUITY COMPANY (National Association of Insurance Commissioners NAIC id number: 86509 )

Policy contract number

PHU106

Policy instance

Insurance contract or identification number	PHU106
Number of Individuals Covered	254
Insurance policy start date	2010-01-01
Insurance policy end date	2010-12-31
Total amount of commissions paid to insurance broker	USD $9,900
Total amount of fees paid to insurance company	USD $0
Are there contracts with allocated funds for individual policies?	No
Are there contracts with allocated funds for group deferred annuity?	No
Are there contracts with allocated funds for types other than group deferred annuity or individual?	No
Contract purchased, in whole or in part, to distribute benefits from a terminating plan	No
Contracts With Unallocated Funds Deposit Administration	0
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 Benefit	No
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	No
Life Insurance Welfare Benefit	No
Temporary Disability Insurance Welfare Benefit	No
Long Term Disability Insurance Welfare Benefit	No
Unemployment Insurance Welfare Benefit	No
Were dividends or retroactive rate refunds paid in cash?	No
Were dividends or retroactive rate refunds paid as a credit?	No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

Potentially related plans

PRIMARY HEALTH, INC. 401K PLAN [EIN = 820439800]

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Company Name:	PRIMARY HEALTH INC.
Employer identification number (EIN):	752473418
NAIC Classification:	621111
NAIC Description:	Offices of Physicians (except Mental Health Specialists)

Jurisdiction of Incorporation:	Florida Department of State Division of Corporations
Incorporation Date:	2007-05-11
Company Identification Number:	P07000057069
Legal Registered Office Address:	2191 NE 167 ST. MIAMI 33162