401k Plan data: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN plan

MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 401k Plan overview

Plan Name	MEDICAL PRACTICE CONSORTIUM HEALTH PLAN
Plan identification number	501

MEDICAL PRACTICE CONSORTIUM HEALTH PLAN Benefits

401k Plan Type	Welfare Benefit
Plan Features/Benefits	Health (other than dental or vision) Dental Vision Scholarship (funded)

401k Sponsoring company profile

MEDICAL PRACTICE CONSORTIUM has sponsored the creation of one or more 401k plans.

Company Name: MEDICAL PRACTICE CONSORTIUM

Employer identification number (EIN): 832817001

NAIC Classification: 525100
NAIC Description: Insurance and Employee Benefit Funds

Form 5500 Filing Information

Submission information for form 5500 for 401k plan MEDICAL PRACTICE CONSORTIUM HEALTH PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator Signed Name of Company Sponsor Date Sponsor Signed
501 2022-01-01
501 2021-01-01
501 2020-01-01
501 2019-07-01

Plan Statistics for MEDICAL PRACTICE CONSORTIUM HEALTH PLAN

401k plan membership statisitcs for MEDICAL PRACTICE CONSORTIUM HEALTH PLAN

Measure Date Value
2022: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year 2022-01-01 834
Total number of active participants reported on line 7a of the Form 5500 2022-01-01 807
Number of retired or separated participants receiving benefits 2022-01-01 8
Number of other retired or separated participants entitled to future benefits 2022-01-01 0
Total of all active and inactive participants 2022-01-01 815
2021: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year 2021-01-01 896
Total number of active participants reported on line 7a of the Form 5500 2021-01-01 827
Number of retired or separated participants receiving benefits 2021-01-01 7
Number of other retired or separated participants entitled to future benefits 2021-01-01 0
Total of all active and inactive participants 2021-01-01 834
2020: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year 2020-01-01 891
Total number of active participants reported on line 7a of the Form 5500 2020-01-01 888
Number of retired or separated participants receiving benefits 2020-01-01 8
Number of other retired or separated participants entitled to future benefits 2020-01-01 0
Total of all active and inactive participants 2020-01-01 896
2019: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year 2019-07-01 882
Total number of active participants reported on line 7a of the Form 5500 2019-07-01 882
Number of retired or separated participants receiving benefits 2019-07-01 9
Number of other retired or separated participants entitled to future benefits 2019-07-01 0
Total of all active and inactive participants 2019-07-01 891

Measure	Date	Value
2022: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2022 401k membership
Total participants, beginning-of-year	2022-01-01	834
Total number of active participants reported on line 7a of the Form 5500	2022-01-01	807
Number of retired or separated participants receiving benefits	2022-01-01	8
Number of other retired or separated participants entitled to future benefits	2022-01-01	0
Total of all active and inactive participants	2022-01-01	815
2021: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2021 401k membership
Total participants, beginning-of-year	2021-01-01	896
Total number of active participants reported on line 7a of the Form 5500	2021-01-01	827
Number of retired or separated participants receiving benefits	2021-01-01	7
Number of other retired or separated participants entitled to future benefits	2021-01-01	0
Total of all active and inactive participants	2021-01-01	834
2020: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2020 401k membership
Total participants, beginning-of-year	2020-01-01	891
Total number of active participants reported on line 7a of the Form 5500	2020-01-01	888
Number of retired or separated participants receiving benefits	2020-01-01	8
Number of other retired or separated participants entitled to future benefits	2020-01-01	0
Total of all active and inactive participants	2020-01-01	896
2019: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2019 401k membership
Total participants, beginning-of-year	2019-07-01	882
Total number of active participants reported on line 7a of the Form 5500	2019-07-01	882
Number of retired or separated participants receiving benefits	2019-07-01	9
Number of other retired or separated participants entitled to future benefits	2019-07-01	0
Total of all active and inactive participants	2019-07-01	891

Financial Data on MEDICAL PRACTICE CONSORTIUM HEALTH PLAN

Measure	Date	Value
2022 : MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets	2022-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$1,537,999
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2022-12-31	$2,372,890
Total income from all sources (including contributions)	2022-12-31	$10,103,639
Total loss/gain on sale of assets	2022-12-31	$0
Total of all expenses incurred	2022-12-31	$8,809,707
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2022-12-31	$7,124,015
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2022-12-31	$10,004,170
Value of total assets at end of year	2022-12-31	$15,627,865
Value of total assets at beginning of year	2022-12-31	$15,168,824
Total of administrative expenses incurred including professional, contract, advisory and management fees	2022-12-31	$1,685,692
Total interest from all sources	2022-12-31	$187,655
Total dividends received (eg from common stock, registered investment company shares)	2022-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2022-12-31	No
Administrative expenses professional fees incurred	2022-12-31	$1,635,837
Was this plan covered by a fidelity bond	2022-12-31	Yes
Value of fidelity bond cover	2022-12-31	$500,000
If this is an individual account plan, was there a blackout period	2022-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2022-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2022-12-31	$497,755
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2022-12-31	$487,369
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2022-12-31	$802,103
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2022-12-31	$908,261
Other income not declared elsewhere	2022-12-31	$-88,186
Liabilities. Value of operating payables at end of year	2022-12-31	$116,491
Liabilities. Value of operating payables at beginning of year	2022-12-31	$16,954
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2022-12-31	No
Value of net income/loss	2022-12-31	$1,293,932
Value of net assets at end of year (total assets less liabilities)	2022-12-31	$14,089,866
Value of net assets at beginning of year (total assets less liabilities)	2022-12-31	$12,795,934
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2022-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2022-12-31	No
Were any leases to which the plan was party in default or uncollectible	2022-12-31	No
Investment advisory and management fees	2022-12-31	$49,855
Value of interest in registered invesment companies (eg mutual funds) at end of year	2022-12-31	$365,034
Value of interest in registered invesment companies (eg mutual funds) at beginning of year	2022-12-31	$0
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2022-12-31	$6,396,862
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2022-12-31	$14,680,687
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2022-12-31	$14,680,687
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2022-12-31	$187,655
Expenses. Payments to insurance carriers foe the provision of benefits	2022-12-31	$993,840
Asset value of US Government securities at end of year	2022-12-31	$391,959
Asset value of US Government securities at beginning of year	2022-12-31	$0
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2022-12-31	Yes
Was there a failure to transmit to the plan any participant contributions	2022-12-31	No
Has the plan failed to provide any benefit when due under the plan	2022-12-31	No
Contributions received in cash from employer	2022-12-31	$10,004,170
Employer contributions (assets) at end of year	2022-12-31	$11,470
Employer contributions (assets) at beginning of year	2022-12-31	$768
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2022-12-31	$6,130,175
Asset. Corporate debt instrument debt (other) at end of year	2022-12-31	$2,490,951
Asset. Corporate debt instrument debt (other) at beginning of year	2022-12-31	$0
Assets. Corporate common stocks other than exployer securities at end of year	2022-12-31	$5,473,834
Assets. Corporate common stocks other than exployer securities at beginning of year	2022-12-31	$0
Liabilities. Value of benefit claims payable at end of year	2022-12-31	$619,405
Liabilities. Value of benefit claims payable at beginning of year	2022-12-31	$1,447,675
Did the plan have assets held for investment	2022-12-31	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	2022-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2022-12-31	No
Opinion of an independent qualified public accountant for this plan	2022-12-31	Unqualified
Accountancy firm name	2022-12-31	BRADYWARE & SCHOENFELD
Accountancy firm EIN	2022-12-31	351476702
2021 : MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets	2021-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,372,890
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2021-12-31	$2,538,394
Total income from all sources (including contributions)	2021-12-31	$11,160,517
Total loss/gain on sale of assets	2021-12-31	$0
Total of all expenses incurred	2021-12-31	$11,926,087
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2021-12-31	$10,375,281
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2021-12-31	$11,133,335
Value of total assets at end of year	2021-12-31	$15,168,824
Value of total assets at beginning of year	2021-12-31	$16,099,898
Total of administrative expenses incurred including professional, contract, advisory and management fees	2021-12-31	$1,550,806
Total interest from all sources	2021-12-31	$27,182
Total dividends received (eg from common stock, registered investment company shares)	2021-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2021-12-31	No
Administrative expenses professional fees incurred	2021-12-31	$1,550,806
Was this plan covered by a fidelity bond	2021-12-31	Yes
Value of fidelity bond cover	2021-12-31	$500,000
If this is an individual account plan, was there a blackout period	2021-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2021-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2021-12-31	$488,137
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2021-12-31	$326,702
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2021-12-31	$908,261
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2021-12-31	$979,702
Liabilities. Value of operating payables at end of year	2021-12-31	$16,954
Liabilities. Value of operating payables at beginning of year	2021-12-31	$69,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2021-12-31	No
Value of net income/loss	2021-12-31	$-765,570
Value of net assets at end of year (total assets less liabilities)	2021-12-31	$12,795,934
Value of net assets at beginning of year (total assets less liabilities)	2021-12-31	$13,561,504
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2021-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2021-12-31	No
Were any leases to which the plan was party in default or uncollectible	2021-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2021-12-31	$14,680,687
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2021-12-31	$15,773,196
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2021-12-31	$15,773,196
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2021-12-31	$27,182
Expenses. Payments to insurance carriers foe the provision of benefits	2021-12-31	$1,117,317
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2021-12-31	No
Was there a failure to transmit to the plan any participant contributions	2021-12-31	No
Has the plan failed to provide any benefit when due under the plan	2021-12-31	No
Contributions received in cash from employer	2021-12-31	$11,133,335
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2021-12-31	$9,257,964
Liabilities. Value of benefit claims payable at end of year	2021-12-31	$1,447,675
Liabilities. Value of benefit claims payable at beginning of year	2021-12-31	$1,489,355
Did the plan have assets held for investment	2021-12-31	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	2021-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2021-12-31	No
Opinion of an independent qualified public accountant for this plan	2021-12-31	Unqualified
Accountancy firm name	2021-12-31	BRADYWARE & SCHOENFELD
Accountancy firm EIN	2021-12-31	351476702
2020 : MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2020 401k financial data
Total unrealized appreciation/depreciation of assets	2020-12-31	$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$2,538,394
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2020-12-31	$1,700,397
Total income from all sources (including contributions)	2020-12-31	$10,968,498
Total loss/gain on sale of assets	2020-12-31	$0
Total of all expenses incurred	2020-12-31	$11,319,105
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2020-12-31	$9,773,518
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2020-12-31	$10,928,900
Value of total assets at end of year	2020-12-31	$16,099,898
Value of total assets at beginning of year	2020-12-31	$15,612,508
Total of administrative expenses incurred including professional, contract, advisory and management fees	2020-12-31	$1,545,587
Total interest from all sources	2020-12-31	$39,598
Total dividends received (eg from common stock, registered investment company shares)	2020-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2020-12-31	No
Administrative expenses professional fees incurred	2020-12-31	$1,545,587
Was this plan covered by a fidelity bond	2020-12-31	Yes
Value of fidelity bond cover	2020-12-31	$500,000
If this is an individual account plan, was there a blackout period	2020-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2020-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2020-12-31	$326,702
Value of other receiveables (less allowance for doubtful accounts) at beginning of year	2020-12-31	$432,233
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2020-12-31	$979,702
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year	2020-12-31	$856,599
Liabilities. Value of operating payables at end of year	2020-12-31	$69,337
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2020-12-31	No
Value of net income/loss	2020-12-31	$-350,607
Value of net assets at end of year (total assets less liabilities)	2020-12-31	$13,561,504
Value of net assets at beginning of year (total assets less liabilities)	2020-12-31	$13,912,111
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2020-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2020-12-31	No
Were any leases to which the plan was party in default or uncollectible	2020-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2020-12-31	$15,773,196
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year	2020-12-31	$15,180,275
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year	2020-12-31	$15,180,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2020-12-31	$39,598
Expenses. Payments to insurance carriers foe the provision of benefits	2020-12-31	$664,425
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2020-12-31	No
Was there a failure to transmit to the plan any participant contributions	2020-12-31	No
Has the plan failed to provide any benefit when due under the plan	2020-12-31	No
Contributions received in cash from employer	2020-12-31	$10,928,900
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2020-12-31	$9,109,093
Liabilities. Value of benefit claims payable at end of year	2020-12-31	$1,489,355
Liabilities. Value of benefit claims payable at beginning of year	2020-12-31	$843,798
Did the plan have assets held for investment	2020-12-31	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	2020-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2020-12-31	No
Opinion of an independent qualified public accountant for this plan	2020-12-31	Unqualified
Accountancy firm name	2020-12-31	BRADYWARE & SCHOENFELD
Accountancy firm EIN	2020-12-31	351476702
2019 : MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2019 401k financial data
Total unrealized appreciation/depreciation of assets	2019-12-31	$0
Total transfer of assets to this plan	2019-12-31	$14,801,199
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$1,700,397
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)	2019-12-31	$0
Total income from all sources (including contributions)	2019-12-31	$5,684,557
Total loss/gain on sale of assets	2019-12-31	$0
Total of all expenses incurred	2019-12-31	$6,573,645
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others	2019-12-31	$5,476,195
Total contributions o plan (from employers,participants, others, non cash contrinutions)	2019-12-31	$5,607,103
Value of total assets at end of year	2019-12-31	$15,612,508
Value of total assets at beginning of year	2019-12-31	$0
Total of administrative expenses incurred including professional, contract, advisory and management fees	2019-12-31	$1,097,450
Total interest from all sources	2019-12-31	$77,454
Total dividends received (eg from common stock, registered investment company shares)	2019-12-31	$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year	2019-12-31	No
Administrative expenses professional fees incurred	2019-12-31	$392,455
Was this plan covered by a fidelity bond	2019-12-31	Yes
Value of fidelity bond cover	2019-12-31	$500,000
If this is an individual account plan, was there a blackout period	2019-12-31	No
Were there any nonexempt tranactions with any party-in-interest	2019-12-31	No
Value of other receiveables (less allowance for doubtful accounts) at end of year	2019-12-31	$432,233
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year	2019-12-31	$856,599
Administrative expenses (other) incurred	2019-12-31	$704,995
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser	2019-12-31	No
Value of net income/loss	2019-12-31	$-889,088
Value of net assets at end of year (total assets less liabilities)	2019-12-31	$13,912,111
Value of net assets at beginning of year (total assets less liabilities)	2019-12-31	$0
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)	2019-12-31	No
Were any loans by the plan or fixed income obligations due to the plan in default	2019-12-31	No
Were any leases to which the plan was party in default or uncollectible	2019-12-31	No
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year	2019-12-31	$15,180,275
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)	2019-12-31	$77,454
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets	2019-12-31	No
Was there a failure to transmit to the plan any participant contributions	2019-12-31	No
Has the plan failed to provide any benefit when due under the plan	2019-12-31	No
Contributions received in cash from employer	2019-12-31	$5,607,103
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers	2019-12-31	$5,476,195
Liabilities. Value of benefit claims payable at end of year	2019-12-31	$843,798
Did the plan have assets held for investment	2019-12-31	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	2019-12-31	No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC	2019-12-31	No

Form 5500 Responses for MEDICAL PRACTICE CONSORTIUM HEALTH PLAN

2022: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2022 form 5500 responses
2022-01-01	Type of plan entity	Mulitple employer plan
2022-01-01	Submission has been amended	No
2022-01-01	This submission is the final filing	No
2022-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2022-01-01	Plan is a collectively bargained plan	No
2022-01-01	Plan funding arrangement – Insurance	Yes
2022-01-01	Plan funding arrangement – Trust	Yes
2022-01-01	Plan benefit arrangement – Insurance	Yes
2022-01-01	Plan benefit arrangement - Trust	Yes
2021: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2021 form 5500 responses
2021-01-01	Type of plan entity	Mulitple employer plan
2021-01-01	Submission has been amended	No
2021-01-01	This submission is the final filing	No
2021-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2021-01-01	Plan is a collectively bargained plan	No
2021-01-01	Plan funding arrangement – Insurance	Yes
2021-01-01	Plan funding arrangement – Trust	Yes
2021-01-01	Plan benefit arrangement – Insurance	Yes
2021-01-01	Plan benefit arrangement - Trust	Yes
2020: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2020 form 5500 responses
2020-01-01	Type of plan entity	Mulitple employer plan
2020-01-01	Submission has been amended	No
2020-01-01	This submission is the final filing	No
2020-01-01	This return/report is a short plan year return/report (less than 12 months)	No
2020-01-01	Plan is a collectively bargained plan	No
2020-01-01	Plan funding arrangement – Insurance	Yes
2020-01-01	Plan funding arrangement – Trust	Yes
2020-01-01	Plan benefit arrangement – Insurance	Yes
2020-01-01	Plan benefit arrangement - Trust	Yes
2019: MEDICAL PRACTICE CONSORTIUM HEALTH PLAN 2019 form 5500 responses
2019-07-01	Type of plan entity	Mulitple employer plan
2019-07-01	First time form 5500 has been submitted	Yes
2019-07-01	Submission has been amended	No
2019-07-01	This submission is the final filing	No
2019-07-01	This return/report is a short plan year return/report (less than 12 months)	Yes
2019-07-01	Plan is a collectively bargained plan	No
2019-07-01	Plan funding arrangement – Insurance	Yes
2019-07-01	Plan funding arrangement – Trust	Yes
2019-07-01	Plan benefit arrangement – Insurance	Yes
2019-07-01	Plan benefit arrangement - Trust	Yes

Insurance Providers Used on plan

NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

E0048

Policy instance

Insurance contract or identification number	E0048
Number of Individuals Covered	1729
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
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 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
Welfare Benefit Premiums Paid to Carrier	USD $0
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

001108979

Policy instance

Insurance contract or identification number	001108979
Number of Individuals Covered	1739
Insurance policy start date	2022-01-01
Insurance policy end date	2022-12-31
Total amount of commissions paid to insurance broker	USD $117
Total amount of fees paid to insurance company	USD $0
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 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	Yes
Dental Insurance Welfare Benefit	No
Vision Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $1,015,681
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?	No
Commission paid to Insurance Broker	USD $117
Insurance broker organization code?	3

NAVITUS HEALTH SOLUTIONS (National Association of Insurance Commissioners NAIC id number: )

Policy contract number

E0048

Policy instance

Insurance contract or identification number	E0048
Number of Individuals Covered	1839
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with 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 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

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

001108979

Policy instance

Insurance contract or identification number	001108979
Number of Individuals Covered	1820
Insurance policy start date	2021-01-01
Insurance policy end date	2021-12-31
Total amount of commissions paid to insurance broker	USD $531
Total amount of fees paid to insurance company	USD $0
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 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	Yes
Dental Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $784,897
Commission paid to Insurance Broker	USD $531
Insurance broker organization code?	3

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

001108979

Policy instance

Insurance contract or identification number	001108979
Number of Individuals Covered	1992
Insurance policy start date	2020-01-01
Insurance policy end date	2020-12-31
Total amount of commissions paid to insurance broker	USD $0
Total amount of fees paid to insurance company	USD $0
Are there contracts with 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 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	Yes
Dental Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $668,376

ANTHEM INSURANCE COMPANIES, INC (National Association of Insurance Commissioners NAIC id number: 28207 )

Policy contract number

00241691

Policy instance

Insurance contract or identification number	00241691
Number of Individuals Covered	1865
Insurance policy start date	2019-07-01
Insurance policy end date	2019-12-31
Total amount of commissions paid to insurance broker	USD $430
Total amount of fees paid to insurance company	USD $0
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 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	Yes
Dental Insurance Welfare Benefit	Yes
Vision Insurance Welfare Benefit	Yes
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
Welfare Benefit Premiums Paid to Carrier	USD $379,566
Commission paid to Insurance Broker	USD $419
Insurance broker organization code?	3

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Company Name:	MEDICAL PRACTICE CONSORTIUM
Employer identification number (EIN):	832817001
NAIC Classification:	525100
NAIC Description:	Insurance and Employee Benefit Funds