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BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 401k Plan overview

Plan NameBOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN
Plan identification number 501

BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN Benefits

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

401k Sponsoring company profile

BOULDER VALLEY EAR NOSE AND THROAT ASSOCIATES, P.C. has sponsored the creation of one or more 401k plans.

Company Name:BOULDER VALLEY EAR NOSE AND THROAT ASSOCIATES, P.C.
Employer identification number (EIN):840774334
NAIC Classification:621111
NAIC Description:Offices of Physicians (except Mental Health Specialists)

Form 5500 Filing Information

Submission information for form 5500 for 401k plan BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012016-12-01SUN YOUNG MONKMAN
5012015-12-01SUN YOUNG MONKMAN

Plan Statistics for BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

401k plan membership statisitcs for BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2016: BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k membership
Total participants, beginning-of-year2016-12-0116
Total number of active participants reported on line 7a of the Form 55002016-12-0118
Number of retired or separated participants receiving benefits2016-12-011
Number of other retired or separated participants entitled to future benefits2016-12-010
Total of all active and inactive participants2016-12-0119
2015: BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 401k membership
Total participants, beginning-of-year2015-12-0117
Total number of active participants reported on line 7a of the Form 55002015-12-0116
Number of retired or separated participants receiving benefits2015-12-010
Number of other retired or separated participants entitled to future benefits2015-12-010
Total of all active and inactive participants2015-12-0116

Financial Data on BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

Measure Date Value
2017 : BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2017 401k financial data
Total plan liabilities at end of year2017-11-30$2,832
Total income from all sources2017-11-30$63,348
Expenses. Total of all expenses incurred2017-11-30$76,039
Benefits paid (including direct rollovers)2017-11-30$68,555
Total plan assets at end of year2017-11-30$0
Total plan assets at beginning of year2017-11-30$9,859
Total contributions received or receivable from participants2017-11-30$6,324
Other income received2017-11-30$61
Net income (gross income less expenses)2017-11-30$-12,691
Net plan assets at end of year (total assets less liabilities)2017-11-30$-2,832
Net plan assets at beginning of year (total assets less liabilities)2017-11-30$9,859
Total contributions received or receivable from employer(s)2017-11-30$56,963
Expenses. Administrative service providers (salaries,fees and commissions)2017-11-30$7,484
2016 : BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 401k financial data
Total income from all sources2016-11-30$23,808
Expenses. Total of all expenses incurred2016-11-30$13,949
Benefits paid (including direct rollovers)2016-11-30$7,489
Total plan assets at end of year2016-11-30$9,859
Total plan assets at beginning of year2016-11-30$0
Total contributions received or receivable from participants2016-11-30$6,324
Other income received2016-11-30$11
Net income (gross income less expenses)2016-11-30$9,859
Net plan assets at end of year (total assets less liabilities)2016-11-30$9,859
Net plan assets at beginning of year (total assets less liabilities)2016-11-30$0
Total contributions received or receivable from employer(s)2016-11-30$17,473
Expenses. Administrative service providers (salaries,fees and commissions)2016-11-30$6,460

Form 5500 Responses for BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN

2016: BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2016 form 5500 responses
2016-12-01Type of plan entitySingle employer plan
2016-12-01Plan funding arrangement – TrustYes
2016-12-01Plan benefit arrangement - TrustYes
2015: BOULDER VALLEY ENT ASSOC., P.C. SELF FUNDED MEDICAL REIMBURSEMENT PLAN 2015 form 5500 responses
2015-12-01Type of plan entitySingle employer plan
2015-12-01First time form 5500 has been submittedYes
2015-12-01Plan funding arrangement – TrustYes
2015-12-01Plan benefit arrangement - TrustYes

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