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CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 401k Plan overview

Plan NameCENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING
Plan identification number 001

CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Code section 401(m) arrangement - Employee contributions are allocated to separate accounts under the plan or employer contributions are based, in whole or in part, on employee deferrals or contribtions to the plan. Not applicable if plan is 401(k) plan with only QNECs and/or QMACs. Also not applicable if Code section 403(b)(1), 403(b)(7) or 408 arrangements/accounts/annuities.
  • Plan sponsor(s) is (are) a member(s) of a controlled group (Code sections 414(b), (c), or (m)).

401k Sponsoring company profile

CENTRAL VALLEY GENERAL HOSPITAL has sponsored the creation of one or more 401k plans.

Company Name:CENTRAL VALLEY GENERAL HOSPITAL
Employer identification number (EIN):770324630
NAIC Classification:622000
NAIC Description: Hospitals

Additional information about CENTRAL VALLEY GENERAL HOSPITAL

Jurisdiction of Incorporation: California Department of State
Incorporation Date:
Company Identification Number: C1816143

More information about CENTRAL VALLEY GENERAL HOSPITAL

Form 5500 Filing Information

Submission information for form 5500 for 401k plan CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012019-01-01
0012018-01-01AMI MINOR
0012017-01-01AMI MINOR
0012016-01-01AMI MINOR
0012015-01-01NICOLAS JOHNSON
0012014-01-01DORIS TETZ
0012013-01-01DORIS TETZ
0012012-01-01DORIS TETZ
0012011-01-01DORIS TETZ
0012009-01-01DORIS TETZ
0012009-01-01DORIS TETZ

Plan Statistics for CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING

401k plan membership statisitcs for CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING

Measure Date Value
2022: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2022 401k membership
Total participants, beginning-of-year2022-01-0111
Total number of active participants reported on line 7a of the Form 55002022-01-012
Number of retired or separated participants receiving benefits2022-01-018
Total of all active and inactive participants2022-01-0110
Total participants2022-01-0110
Number of participants with account balances2022-01-0110
2021: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2021 401k membership
Total participants, beginning-of-year2021-01-0112
Total number of active participants reported on line 7a of the Form 55002021-01-012
Number of retired or separated participants receiving benefits2021-01-019
Total of all active and inactive participants2021-01-0111
Total participants2021-01-0111
Number of participants with account balances2021-01-0111
2019: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2019 401k membership
Total participants, beginning-of-year2019-01-0112
Total number of active participants reported on line 7a of the Form 55002019-01-0111
Number of retired or separated participants receiving benefits2019-01-011
Total of all active and inactive participants2019-01-0112
Total participants2019-01-0112
Number of participants with account balances2019-01-0111
2018: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2018 401k membership
Total participants, beginning-of-year2018-01-0113
Total number of active participants reported on line 7a of the Form 55002018-01-012
Number of retired or separated participants receiving benefits2018-01-0111
Total of all active and inactive participants2018-01-0113
Total participants2018-01-0113
2017: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2017 401k membership
Total participants, beginning-of-year2017-01-0114
Total number of active participants reported on line 7a of the Form 55002017-01-012
Number of retired or separated participants receiving benefits2017-01-0111
Total of all active and inactive participants2017-01-0113
Total participants2017-01-0113
2016: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2016 401k membership
Total participants, beginning-of-year2016-01-0135
Total number of active participants reported on line 7a of the Form 55002016-01-012
Number of retired or separated participants receiving benefits2016-01-0131
Total of all active and inactive participants2016-01-0133
Total participants2016-01-0133
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-010
2015: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2015 401k membership
Total participants, beginning-of-year2015-01-0135
Total number of active participants reported on line 7a of the Form 55002015-01-0126
Number of retired or separated participants receiving benefits2015-01-018
Total of all active and inactive participants2015-01-0134
Total participants2015-01-0134
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-011
2014: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2014 401k membership
Total participants, beginning-of-year2014-01-0136
Total number of active participants reported on line 7a of the Form 55002014-01-0110
Number of retired or separated participants receiving benefits2014-01-0126
Total of all active and inactive participants2014-01-0136
Total participants2014-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-010
2013: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2013 401k membership
Total participants, beginning-of-year2013-01-0140
Total number of active participants reported on line 7a of the Form 55002013-01-0112
Number of retired or separated participants receiving benefits2013-01-0124
Total of all active and inactive participants2013-01-0136
Total participants2013-01-0136
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-010
2012: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2012 401k membership
Total participants, beginning-of-year2012-01-0140
Total number of active participants reported on line 7a of the Form 55002012-01-0112
Number of retired or separated participants receiving benefits2012-01-0128
Total of all active and inactive participants2012-01-0140
Total participants2012-01-0140
Number of participants with account balances2012-01-0137
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-010
2011: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2011 401k membership
Total participants, beginning-of-year2011-01-0142
Total number of active participants reported on line 7a of the Form 55002011-01-0112
Number of other retired or separated participants entitled to future benefits2011-01-0128
Total of all active and inactive participants2011-01-0140
Total participants2011-01-0140
Number of participants with account balances2011-01-0140
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-010
2009: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2009 401k membership
Total participants, beginning-of-year2009-01-0151
Total number of active participants reported on line 7a of the Form 55002009-01-0151
Total of all active and inactive participants2009-01-0151
Total participants2009-01-0151

Financial Data on CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING

Measure Date Value
2022 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2022 401k financial data
Total income from all sources2022-12-31$-10,809
Expenses. Total of all expenses incurred2022-12-31$10,715
Benefits paid (including direct rollovers)2022-12-31$10,625
Total plan assets at end of year2022-12-31$79,932
Total plan assets at beginning of year2022-12-31$101,456
Value of fidelity bond covering the plan2022-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2022-12-31$90
Other income received2022-12-31$-10,809
Net income (gross income less expenses)2022-12-31$-21,524
Net plan assets at end of year (total assets less liabilities)2022-12-31$79,932
Net plan assets at beginning of year (total assets less liabilities)2022-12-31$101,456
2021 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2021 401k financial data
Total income from all sources2021-12-31$11,384
Expenses. Total of all expenses incurred2021-12-31$226
Benefits paid (including direct rollovers)2021-12-31$136
Total plan assets at end of year2021-12-31$101,456
Total plan assets at beginning of year2021-12-31$90,298
Value of fidelity bond covering the plan2021-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2021-12-31$90
Other income received2021-12-31$11,384
Net income (gross income less expenses)2021-12-31$11,158
Net plan assets at end of year (total assets less liabilities)2021-12-31$101,456
Net plan assets at beginning of year (total assets less liabilities)2021-12-31$90,298
2019 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2019 401k financial data
Transfers to/from the plan2019-12-31$-960
Total income from all sources2019-12-31$10,271
Expenses. Total of all expenses incurred2019-12-31$0
Total plan assets at end of year2019-12-31$81,994
Total plan assets at beginning of year2019-12-31$72,683
Value of fidelity bond covering the plan2019-12-31$10,000,000
Other income received2019-12-31$10,271
Net income (gross income less expenses)2019-12-31$10,271
Net plan assets at end of year (total assets less liabilities)2019-12-31$81,994
Net plan assets at beginning of year (total assets less liabilities)2019-12-31$72,683
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
2018 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2018 401k financial data
Transfers to/from the plan2018-12-31$-120
Total income from all sources2018-12-31$-1,977
Expenses. Total of all expenses incurred2018-12-31$0
Total plan assets at end of year2018-12-31$72,683
Total plan assets at beginning of year2018-12-31$74,780
Value of fidelity bond covering the plan2018-12-31$10,000,000
Other income received2018-12-31$-1,977
Net income (gross income less expenses)2018-12-31$-1,977
Net plan assets at end of year (total assets less liabilities)2018-12-31$72,683
Net plan assets at beginning of year (total assets less liabilities)2018-12-31$74,780
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
2017 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2017 401k financial data
Transfers to/from the plan2017-12-31$-120
Total income from all sources2017-12-31$7,396
Expenses. Total of all expenses incurred2017-12-31$0
Total plan assets at end of year2017-12-31$74,780
Total plan assets at beginning of year2017-12-31$67,504
Value of fidelity bond covering the plan2017-12-31$10,000,000
Other income received2017-12-31$7,396
Net income (gross income less expenses)2017-12-31$7,396
Net plan assets at end of year (total assets less liabilities)2017-12-31$74,780
Net plan assets at beginning of year (total assets less liabilities)2017-12-31$67,504
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
2016 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2016 401k financial data
Transfers to/from the plan2016-12-31$1,595
Total income from all sources2016-12-31$17,491
Expenses. Total of all expenses incurred2016-12-31$448,523
Benefits paid (including direct rollovers)2016-12-31$448,343
Total plan assets at end of year2016-12-31$67,504
Total plan assets at beginning of year2016-12-31$496,941
Value of fidelity bond covering the plan2016-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2016-12-31$180
Other income received2016-12-31$17,491
Net income (gross income less expenses)2016-12-31$-431,032
Net plan assets at end of year (total assets less liabilities)2016-12-31$67,504
Net plan assets at beginning of year (total assets less liabilities)2016-12-31$496,941
2015 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2015 401k financial data
Transfers to/from the plan2015-12-31$1,516
Total income from all sources2015-12-31$1,143
Expenses. Total of all expenses incurred2015-12-31$31,283
Benefits paid (including direct rollovers)2015-12-31$26,706
Total plan assets at end of year2015-12-31$496,941
Total plan assets at beginning of year2015-12-31$525,565
Value of fidelity bond covering the plan2015-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2015-12-31$4,577
Other income received2015-12-31$1,143
Net income (gross income less expenses)2015-12-31$-30,140
Net plan assets at end of year (total assets less liabilities)2015-12-31$496,941
Net plan assets at beginning of year (total assets less liabilities)2015-12-31$525,565
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
2014 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2014 401k financial data
Transfers to/from the plan2014-12-31$1,499
Total income from all sources2014-12-31$25,008
Expenses. Total of all expenses incurred2014-12-31$7,161
Benefits paid (including direct rollovers)2014-12-31$6,216
Total plan assets at end of year2014-12-31$525,565
Total plan assets at beginning of year2014-12-31$506,219
Value of fidelity bond covering the plan2014-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2014-12-31$945
Other income received2014-12-31$25,008
Net income (gross income less expenses)2014-12-31$17,847
Net plan assets at end of year (total assets less liabilities)2014-12-31$525,565
Net plan assets at beginning of year (total assets less liabilities)2014-12-31$506,219
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
2013 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2013 401k financial data
Total income from all sources2013-12-31$67,145
Expenses. Total of all expenses incurred2013-12-31$2,711
Benefits paid (including direct rollovers)2013-12-31$1,894
Total plan assets at end of year2013-12-31$506,219
Total plan assets at beginning of year2013-12-31$441,785
Value of fidelity bond covering the plan2013-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2013-12-31$817
Other income received2013-12-31$67,145
Net income (gross income less expenses)2013-12-31$64,434
Net plan assets at end of year (total assets less liabilities)2013-12-31$506,219
Net plan assets at beginning of year (total assets less liabilities)2013-12-31$441,785
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
2012 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2012 401k financial data
Total income from all sources2012-12-31$44,297
Expenses. Total of all expenses incurred2012-12-31$47,873
Benefits paid (including direct rollovers)2012-12-31$47,011
Total plan assets at end of year2012-12-31$441,785
Total plan assets at beginning of year2012-12-31$445,362
Value of fidelity bond covering the plan2012-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2012-12-31$862
Other income received2012-12-31$44,297
Net income (gross income less expenses)2012-12-31$-3,576
Net plan assets at end of year (total assets less liabilities)2012-12-31$441,785
Net plan assets at beginning of year (total assets less liabilities)2012-12-31$445,362
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
2011 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2011 401k financial data
Total income from all sources2011-12-31$12,354
Expenses. Total of all expenses incurred2011-12-31$3,518
Benefits paid (including direct rollovers)2011-12-31$2,543
Total plan assets at end of year2011-12-31$452,559
Total plan assets at beginning of year2011-12-31$460,995
Value of fidelity bond covering the plan2011-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2011-12-31$975
Other income received2011-12-31$12,354
Net income (gross income less expenses)2011-12-31$8,836
Net plan assets at end of year (total assets less liabilities)2011-12-31$452,559
Net plan assets at beginning of year (total assets less liabilities)2011-12-31$460,995
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
2010 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2010 401k financial data
Total income from all sources2010-12-31$43,105
Expenses. Total of all expenses incurred2010-12-31$62,263
Benefits paid (including direct rollovers)2010-12-31$61,265
Total plan assets at end of year2010-12-31$460,995
Total plan assets at beginning of year2010-12-31$480,153
Value of fidelity bond covering the plan2010-12-31$10,000,000
Expenses. Other expenses not covered elsewhere2010-12-31$998
Other income received2010-12-31$43,105
Net income (gross income less expenses)2010-12-31$-19,158
Net plan assets at end of year (total assets less liabilities)2010-12-31$460,995
Net plan assets at beginning of year (total assets less liabilities)2010-12-31$480,153
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
2009 : CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2009 401k financial data
Funding deficiency by the employer to the plan for this plan year2009-12-31$0
Minimum employer required contribution for this plan year2009-12-31$0
Amount contributed by the employer to the plan for this plan year2009-12-31$0

Form 5500 Responses for CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING

2022: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2022 form 5500 responses
2022-01-01Type of plan entitySingle employer plan
2022-01-01Submission has been amendedNo
2022-01-01This submission is the final filingNo
2022-01-01This return/report is a short plan year return/report (less than 12 months)No
2022-01-01Plan is a collectively bargained planNo
2022-01-01Plan funding arrangement – InsuranceYes
2022-01-01Plan funding arrangement – TrustYes
2022-01-01Plan benefit arrangement – InsuranceYes
2022-01-01Plan benefit arrangement - TrustYes
2021: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2021 form 5500 responses
2021-01-01Type of plan entitySingle employer plan
2021-01-01Submission has been amendedNo
2021-01-01This submission is the final filingNo
2021-01-01This return/report is a short plan year return/report (less than 12 months)No
2021-01-01Plan is a collectively bargained planNo
2021-01-01Plan funding arrangement – InsuranceYes
2021-01-01Plan funding arrangement – TrustYes
2021-01-01Plan benefit arrangement – InsuranceYes
2021-01-01Plan benefit arrangement - TrustYes
2019: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2019 form 5500 responses
2019-01-01Type of plan entitySingle employer plan
2019-01-01Submission has been amendedNo
2019-01-01This submission is the final filingNo
2019-01-01This return/report is a short plan year return/report (less than 12 months)No
2019-01-01Plan is a collectively bargained planNo
2019-01-01Plan funding arrangement – InsuranceYes
2019-01-01Plan funding arrangement – TrustYes
2019-01-01Plan benefit arrangement – InsuranceYes
2019-01-01Plan benefit arrangement - TrustYes
2018: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2018 form 5500 responses
2018-01-01Type of plan entitySingle employer plan
2018-01-01Submission has been amendedNo
2018-01-01This submission is the final filingNo
2018-01-01This return/report is a short plan year return/report (less than 12 months)No
2018-01-01Plan is a collectively bargained planNo
2018-01-01Plan funding arrangement – InsuranceYes
2018-01-01Plan funding arrangement – TrustYes
2018-01-01Plan benefit arrangement – InsuranceYes
2018-01-01Plan benefit arrangement - TrustYes
2017: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
2017-01-01First time form 5500 has been submittedYes
2017-01-01Submission has been amendedNo
2017-01-01This submission is the final filingNo
2017-01-01This return/report is a short plan year return/report (less than 12 months)No
2017-01-01Plan is a collectively bargained planNo
2017-01-01Plan funding arrangement – InsuranceYes
2017-01-01Plan funding arrangement – TrustYes
2017-01-01Plan benefit arrangement – InsuranceYes
2017-01-01Plan benefit arrangement - TrustYes
2016: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
2016-01-01First time form 5500 has been submittedYes
2016-01-01Submission has been amendedNo
2016-01-01This submission is the final filingNo
2016-01-01This return/report is a short plan year return/report (less than 12 months)No
2016-01-01Plan is a collectively bargained planNo
2016-01-01Plan funding arrangement – InsuranceYes
2016-01-01Plan funding arrangement – TrustYes
2016-01-01Plan benefit arrangement – InsuranceYes
2016-01-01Plan benefit arrangement - TrustYes
2015: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
2015-01-01First time form 5500 has been submittedYes
2015-01-01Submission has been amendedNo
2015-01-01This submission is the final filingNo
2015-01-01This return/report is a short plan year return/report (less than 12 months)No
2015-01-01Plan is a collectively bargained planNo
2015-01-01Plan funding arrangement – InsuranceYes
2015-01-01Plan funding arrangement – TrustYes
2015-01-01Plan benefit arrangement – InsuranceYes
2015-01-01Plan benefit arrangement - TrustYes
2014: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
2014-01-01First time form 5500 has been submittedYes
2014-01-01Submission has been amendedNo
2014-01-01This submission is the final filingNo
2014-01-01This return/report is a short plan year return/report (less than 12 months)No
2014-01-01Plan is a collectively bargained planNo
2014-01-01Plan funding arrangement – InsuranceYes
2014-01-01Plan funding arrangement – TrustYes
2014-01-01Plan benefit arrangement – InsuranceYes
2014-01-01Plan benefit arrangement - TrustYes
2013: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
2013-01-01First time form 5500 has been submittedYes
2013-01-01Submission has been amendedNo
2013-01-01This submission is the final filingNo
2013-01-01This return/report is a short plan year return/report (less than 12 months)No
2013-01-01Plan is a collectively bargained planNo
2013-01-01Plan funding arrangement – InsuranceYes
2013-01-01Plan funding arrangement – TrustYes
2013-01-01Plan benefit arrangement – InsuranceYes
2013-01-01Plan benefit arrangement - TrustYes
2012: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2012 form 5500 responses
2012-01-01Type of plan entitySingle employer plan
2012-01-01Submission has been amendedNo
2012-01-01This submission is the final filingNo
2012-01-01This return/report is a short plan year return/report (less than 12 months)No
2012-01-01Plan is a collectively bargained planNo
2012-01-01Plan funding arrangement – InsuranceYes
2012-01-01Plan funding arrangement – TrustYes
2012-01-01Plan benefit arrangement – InsuranceYes
2012-01-01Plan benefit arrangement - TrustYes
2011: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2011 form 5500 responses
2011-01-01Type of plan entitySingle employer plan
2011-01-01Submission has been amendedNo
2011-01-01This submission is the final filingNo
2011-01-01This return/report is a short plan year return/report (less than 12 months)No
2011-01-01Plan is a collectively bargained planNo
2011-01-01Plan funding arrangement – InsuranceYes
2011-01-01Plan funding arrangement – TrustYes
2011-01-01Plan benefit arrangement – InsuranceYes
2011-01-01Plan benefit arrangement - TrustYes
2009: CENTRAL VALLEY GENERAL HOSPITAL, INC. EMPLOYEE 401(K) PROFIT SHARING 2009 form 5500 responses
2009-01-01Type of plan entitySingle employer plan
2009-01-01Submission has been amendedNo
2009-01-01This submission is the final filingNo
2009-01-01This return/report is a short plan year return/report (less than 12 months)No
2009-01-01Plan is a collectively bargained planNo
2009-01-01Plan funding arrangement – InsuranceYes
2009-01-01Plan funding arrangement – TrustYes
2009-01-01Plan benefit arrangement – InsuranceYes
2009-01-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 2
Insurance contract or identification number500189
Number of Individuals Covered3
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 1
Insurance contract or identification number54855
Number of Individuals Covered8
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 2
Insurance contract or identification number500189
Number of Individuals Covered3
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 1
Insurance contract or identification number54855
Number of Individuals Covered9
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered3
Insurance policy start date2019-01-01
Insurance policy end date2019-01-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered9
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered4
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered9
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 1
Insurance contract or identification number54855
Number of Individuals Covered9
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 2
Insurance contract or identification number500189
Number of Individuals Covered4
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered12
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered25
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered12
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered27
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered28
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $567
Total amount of fees paid to insurance companyUSD $817
Are there contracts with allocated funds for individual policies?No
Are there contracts with allocated funds for group deferred annuity?No
Are there contracts with allocated funds for types other than group deferred annuity or individual?No
Contract purchased, in whole or in part, to distribute benefits from a terminating planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $567
Insurance broker organization code?4
Insurance broker nameCETERA ADVISORS NETWORK, LLC
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered12
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
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 planNo
Contracts With Unallocated Funds Deposit Administration0
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?No
Are there contracts with unallocated funds for contracts of type guaranteed investment?No
Are there contracts with unallocated funds for contract types other than deposit administration, immediate participation guarantee or guaranteed investment?No
Health Insurance Welfare BenefitNo
Dental Insurance Welfare BenefitNo
Vision Insurance Welfare BenefitNo
Life Insurance Welfare BenefitNo
Temporary Disability Insurance Welfare BenefitNo
Long Term Disability Insurance Welfare BenefitNo
Unemployment Insurance Welfare BenefitNo
Were dividends or retroactive rate refunds paid in cash?No
Were dividends or retroactive rate refunds paid as a credit?No
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered31
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $521
Total amount of fees paid to insurance companyUSD $863
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Amount paid for insurance broker fees521
Insurance broker organization code?4
Insurance broker nameCETERA ADVISORS NETWROK, LLC
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered14
Insurance policy start date2012-01-01
Insurance policy end date2012-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered31
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $485
Total amount of fees paid to insurance companyUSD $975
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered14
Insurance policy start date2011-01-01
Insurance policy end date2011-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
VARIABLE ANNUITY LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 70238 )
Policy contract number54855
Policy instance 2
Insurance contract or identification number54855
Number of Individuals Covered14
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
Contracts With Unallocated Funds Deposit Administration1
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
SECURITY BENEFIT LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 68675 )
Policy contract number500189
Policy instance 1
Insurance contract or identification number500189
Number of Individuals Covered32
Insurance policy start date2010-01-01
Insurance policy end date2010-12-31
Total amount of commissions paid to insurance brokerUSD $491
Total amount of fees paid to insurance companyUSD $998
Are there contracts with unallocated funds for contracts of type immediate participation guarantee?Yes
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?Yes

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