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FLORIDA HEALTH BENEFIT TRUST 401k Plan overview

Plan NameFLORIDA HEALTH BENEFIT TRUST
Plan identification number 501

FLORIDA HEALTH BENEFIT TRUST Benefits

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

401k Sponsoring company profile

PENSACOLA HEALTH PARTNERS has sponsored the creation of one or more 401k plans.

Company Name:PENSACOLA HEALTH PARTNERS
Employer identification number (EIN):880867677
NAIC Classification:623000
NAIC Description: Nursing and Residential Care Facilities

Form 5500 Filing Information

Submission information for form 5500 for 401k plan FLORIDA HEALTH BENEFIT TRUST

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
5012022-04-01

Plan Statistics for FLORIDA HEALTH BENEFIT TRUST

401k plan membership statisitcs for FLORIDA HEALTH BENEFIT TRUST

Measure Date Value
2022: FLORIDA HEALTH BENEFIT TRUST 2022 401k membership
Total participants, beginning-of-year2022-04-01333
Total number of active participants reported on line 7a of the Form 55002022-04-01454
Total of all active and inactive participants2022-04-01454
Total participants2022-04-01454

Financial Data on FLORIDA HEALTH BENEFIT TRUST

Measure Date Value
2023 : FLORIDA HEALTH BENEFIT TRUST 2023 401k financial data
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2023-03-31$244,701
Total income from all sources (including contributions)2023-03-31$3,694,743
Total of all expenses incurred2023-03-31$2,163,323
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2023-03-31$1,854,523
Total contributions o plan (from employers,participants, others, non cash contrinutions)2023-03-31$3,694,743
Value of total assets at end of year2023-03-31$1,776,121
Total of administrative expenses incurred including professional, contract, advisory and management fees2023-03-31$308,800
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2023-03-31No
Was this plan covered by a fidelity bond2023-03-31Yes
Value of fidelity bond cover2023-03-31$450,000
If this is an individual account plan, was there a blackout period2023-03-31No
Were there any nonexempt tranactions with any party-in-interest2023-03-31No
Contributions received from participants2023-03-31$1,182,069
Total non interest bearing cash at end of year2023-03-31$78,617
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Value of net income/loss2023-03-31$1,531,420
Value of net assets at end of year (total assets less liabilities)2023-03-31$1,531,420
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2023-03-31No
Were any loans by the plan or fixed income obligations due to the plan in default2023-03-31No
Were any leases to which the plan was party in default or uncollectible2023-03-31No
Value of interest in pooled separate accounts at end of year2023-03-31$0
Expenses. Payments to insurance carriers foe the provision of benefits2023-03-31$280,628
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2023-03-31No
Was there a failure to transmit to the plan any participant contributions2023-03-31No
Has the plan failed to provide any benefit when due under the plan2023-03-31No
Contributions received in cash from employer2023-03-31$2,512,674
Employer contributions (assets) at end of year2023-03-31$1,697,504
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2023-03-31$1,573,895
Contract administrator fees2023-03-31$308,800
Was the provided the required notice or one of the exceptions to providing the black out period notice applied under 29 CFR 2520.101-32023-03-31No
Liabilities. Value of benefit claims payable at end of year2023-03-31$244,701
Did the plan have assets held for investment2023-03-31No
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2023-03-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2023-03-31No
Opinion of an independent qualified public accountant for this plan2023-03-31Unqualified
Accountancy firm name2023-03-31FASTEN HALBERSTAM LLP
Accountancy firm EIN2023-03-31472319109

Form 5500 Responses for FLORIDA HEALTH BENEFIT TRUST

2022: FLORIDA HEALTH BENEFIT TRUST 2022 form 5500 responses
2022-04-01Type of plan entitySingle employer plan
2022-04-01First time form 5500 has been submittedYes
2022-04-01Plan funding arrangement – TrustYes
2022-04-01Plan benefit arrangement – InsuranceYes
2022-04-01Plan benefit arrangement - TrustYes

Insurance Providers Used on plan

SUN LIFE AND HEALTH INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 80926 )
Policy contract number824682
Policy instance 1
Insurance contract or identification number824682
Number of Individuals Covered630
Insurance policy start date2022-02-01
Insurance policy end date2023-01-31
Total amount of commissions paid to insurance brokerUSD $44,935
Welfare Benefit Premiums Paid to CarrierUSD $221,579
Did the insurance company fail to provide any information necessary to complete Schedule A of form 5500?No
Commission paid to Insurance BrokerUSD $44,935
Insurance broker organization code?3

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