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SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 401k Plan overview

Plan NameSOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN
Plan identification number 001

SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN Benefits

401k Plan TypeDefined Contribution Pension
Plan Features/Benefits
  • Age/Service Weighted or new comparability or similar plan - Age/Service Weighted Plan: Allocations are based on age, service, or age and service. New comparability or similar plan: Allocations are based on participant classifications and a classification(s) consists entirely or predominantly of highly compensated employees; or the plan provides an additional allocation rate on compensation above a specified threshold, and the theshold or additional rate exceeds the maximum threshold or rate allowed under the permitted disparity rules of section 401(l).
  • Profit-sharing
  • ERISA section 404(c) Plan - This plan, or any part of it is intended to meet the conditions of 29 CFR 2550.404c-1.
  • Total participant-directed account plan - Participants have the opportunity to direct the investment of all the assets allocated to their individual accounts, regardless of whether 29 CFR 2550.404c-1 is intended to be met.
  • Code section 401(k) feature - A cash or deferred arrangement described in Code section 401(k) that is part of a qualified defined contribution plan that provides for an election by employees to defer part of their compensation or receive these amounts in cash.
  • Total or partial participant-directed account plan - plan uses default investment account for participants who fail to direct assets in their account.
  • Master plan - A pension plan that is made available by a sponsor for adoption by employers; that is the subject of a favorable opinion letter; and for which a single funding medium (for example, a trust or custodial account) is established for the joint use of all adopting employers.

401k Sponsoring company profile

SOUTHERN CALIFORNIA EMERGENCY MEDICINE, A MEDICAL CORPORATION has sponsored the creation of one or more 401k plans.

Company Name:SOUTHERN CALIFORNIA EMERGENCY MEDICINE, A MEDICAL CORPORATION
Employer identification number (EIN):870698478
NAIC Classification:621510
NAIC Description: Medical and Diagnostic Laboratories

Additional information about SOUTHERN CALIFORNIA EMERGENCY MEDICINE, A MEDICAL CORPORATION

Jurisdiction of Incorporation: California Department of State
Incorporation Date: 2003-04-24
Company Identification Number: C2513735
Legal Registered Office Address: 33494 Oak Glen Rd

Yucaipa
United States of America (USA)
92399

More information about SOUTHERN CALIFORNIA EMERGENCY MEDICINE, A MEDICAL CORPORATION

Form 5500 Filing Information

Submission information for form 5500 for 401k plan SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0012022-01-01
0012021-01-01
0012021-01-01
0012020-01-01JULIE BEARIE2021-09-23
0012019-01-01JULIE BEARIE2020-10-08
0012018-01-01JULIE BEARIE2019-10-11

Plan Statistics for SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN

401k plan membership statisitcs for SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN

Measure Date Value
2022: SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 2022 401k membership
Total participants, beginning-of-year2022-01-01173
Total number of active participants reported on line 7a of the Form 55002022-01-01154
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-0115
Total of all active and inactive participants2022-01-01169
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-010
Total participants2022-01-01169
Number of participants with account balances2022-01-0158
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-010
2021: SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 2021 401k membership
Total participants, beginning-of-year2021-01-01137
Total number of active participants reported on line 7a of the Form 55002021-01-01118
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-0111
Total of all active and inactive participants2021-01-01129
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-010
Total participants2021-01-01129
Number of participants with account balances2021-01-0147
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-010

Financial Data on SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN

Measure Date Value
2022 : SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 2022 401k financial data
Total unrealized appreciation/depreciation of assets2022-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2022-12-31$0
Total income from all sources (including contributions)2022-12-31$282,438
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$149,163
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$111,304
Expenses. Certain deemed distributions of participant loans2022-12-31$33,489
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$599,134
Value of total assets at end of year2022-12-31$2,073,092
Value of total assets at beginning of year2022-12-31$1,939,817
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$4,370
Total interest from all sources2022-12-31$1,399
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 year2022-12-31No
Administrative expenses professional fees incurred2022-12-31$4,370
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$194,000
If this is an individual account plan, was there a blackout period2022-12-31No
Were there any nonexempt tranactions with any party-in-interest2022-12-31No
Contributions received from participants2022-12-31$351,610
Participant contributions at end of year2022-12-31$0
Participant contributions at beginning of year2022-12-31$32,646
Participant contributions at end of year2022-12-31$17,239
Participant contributions at beginning of year2022-12-31$10,064
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$80,028
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$133,275
Value of net assets at end of year (total assets less liabilities)2022-12-31$2,073,092
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$1,939,817
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2022-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2022-12-31No
Were any leases to which the plan was party in default or uncollectible2022-12-31No
Value of interest in pooled separate accounts at end of year2022-12-31$1,963,019
Value of interest in pooled separate accounts at beginning of year2022-12-31$1,848,087
Interest on participant loans2022-12-31$844
Interest earned on other investments2022-12-31$555
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$82,202
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$40,534
Net investment gain/loss from pooled separate accounts2022-12-31$-318,095
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2022-12-31No
Was there a failure to transmit to the plan any participant contributions2022-12-31No
Has the plan failed to provide any benefit when due under the plan2022-12-31No
Contributions received in cash from employer2022-12-31$167,496
Employer contributions (assets) at end of year2022-12-31$10,632
Employer contributions (assets) at beginning of year2022-12-31$8,486
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$111,304
Did the plan have assets held for investment2022-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2022-12-31No
Opinion of an independent qualified public accountant for this plan2022-12-31Unqualified
Accountancy firm name2022-12-31SOREN MCADAM LLP
Accountancy firm EIN2022-12-31770549163
2021 : SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 2021 401k financial data
Total unrealized appreciation/depreciation of assets2021-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2021-12-31$0
Total income from all sources (including contributions)2021-12-31$655,261
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$92,477
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$88,334
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$427,285
Value of total assets at end of year2021-12-31$1,921,267
Value of total assets at beginning of year2021-12-31$1,358,483
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$4,143
Total interest from all sources2021-12-31$1,221
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 year2021-12-31No
Administrative expenses professional fees incurred2021-12-31$4,143
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$100,000
If this is an individual account plan, was there a blackout period2021-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2021-12-31$0
Were there any nonexempt tranactions with any party-in-interest2021-12-31No
Contributions received from participants2021-12-31$285,545
Participant contributions at end of year2021-12-31$32,646
Participant contributions at beginning of year2021-12-31$36,636
Participant contributions at end of year2021-12-31$10,064
Participant contributions at beginning of year2021-12-31$7,291
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$12,183
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Income. Non cash contributions2021-12-31$0
Value of net income/loss2021-12-31$562,784
Value of net assets at end of year (total assets less liabilities)2021-12-31$1,921,267
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$1,358,483
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2021-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2021-12-31No
Were any leases to which the plan was party in default or uncollectible2021-12-31No
Value of interest in pooled separate accounts at end of year2021-12-31$1,848,087
Value of interest in pooled separate accounts at beginning of year2021-12-31$1,321,105
Interest on participant loans2021-12-31$1,221
Interest earned on other investments2021-12-31$264
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2021-12-31$0
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2021-12-31$742
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2021-12-31$742
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$40,534
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$0
Net investment gain/loss from pooled separate accounts2021-12-31$226,755
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2021-12-31No
Was there a failure to transmit to the plan any participant contributions2021-12-31No
Has the plan failed to provide any benefit when due under the plan2021-12-31No
Contributions received in cash from employer2021-12-31$129,557
Employer contributions (assets) at end of year2021-12-31$8,486
Employer contributions (assets) at beginning of year2021-12-31$3,717
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$88,334
Did the plan have assets held for investment2021-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2021-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2021-12-31No
Opinion of an independent qualified public accountant for this plan2021-12-31Unqualified
Accountancy firm name2021-12-31SOREN MCADAM LLP
Accountancy firm EIN2021-12-31770549163

Form 5500 Responses for SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN

2022: SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 2022 form 5500 responses
2022-01-01Type of plan entityMulitple 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: SOUTHERN CALIFORNIA EMERGENCY MEDICINE 401(K) PLAN 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

Insurance Providers Used on plan

TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number809025
Policy instance 1
Insurance contract or identification number809025
Number of Individuals Covered169
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $9,356
Total amount of fees paid to insurance companyUSD $932
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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?Yes
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 $9,356
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3
TRANSAMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 86231 )
Policy contract number809025
Policy instance 1
Insurance contract or identification number809025
Number of Individuals Covered137
Insurance policy start date2021-01-01
Insurance policy end date2021-12-31
Total amount of commissions paid to insurance brokerUSD $8,061
Total amount of fees paid to insurance companyUSD $817
Are there contracts with allocated funds for individual policies?0
Are there contracts with allocated funds for group deferred annuity?Yes
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?Yes
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 $8,061
Amount paid for insurance broker fees0
Additional information about fees paid to insurance brokerBROKERAGE
Insurance broker organization code?3

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