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403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 401k Plan overview

Plan Name403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE
Plan identification number 003

403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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 403(b)(1) arrangement - See Limited Pension Plan Reporting instructions for Code section 403(b)(1) arrangements for certain exempt organizations.
  • Code section 403(b)(7) accounts - See Limited Pension Plan Reporting instructions for Code section 403(b)(7) custodial accounts for regulated investment company stock for certain exempt organizations.
  • 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

COMMUNITY HEALTH CARE has sponsored the creation of one or more 401k plans.

Company Name:COMMUNITY HEALTH CARE
Employer identification number (EIN):911349657
NAIC Classification:621399
NAIC Description:Offices of All Other Miscellaneous Health Practitioners

Additional information about COMMUNITY HEALTH CARE

Jurisdiction of Incorporation: Washington Secretary of State Corporations Division
Incorporation Date: 1986-08-08
Company Identification Number: 601023980
Legal Registered Office Address: 1019 PACIFIC AVE STE 300

TACOMA
United States of America (USA)
984024488

More information about COMMUNITY HEALTH CARE

Form 5500 Filing Information

Submission information for form 5500 for 401k plan 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE

Plan id# Filing Submission Date Name of Administrator Date Administrator SignedName of Company SponsorDate Sponsor Signed
0032022-01-01KAREN PARK2023-10-11
0032021-01-01KAREN PARK2022-10-05
0032020-01-01
0032019-01-01
0032018-01-01
0032017-01-01DAVID FLENTGE DAVID FLENTGE2018-09-24
0032016-01-01TONIA CAMPBELL
0032015-01-01TONIA CAMPBELL
0032014-01-01TONIA CAMPBELL
0032013-01-01DAVID FLENTGE
0032012-01-01DAVID FLENTGE
0032011-01-01DAVID FLENTGE
0032009-01-01DAVID FLENTGE DAVID FLENTGE2010-10-14
0032007-01-01DAVID FLENTGE

Plan Statistics for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE

401k plan membership statisitcs for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE

Measure Date Value
2022: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2022 401k membership
Total participants, beginning-of-year2022-01-01747
Total number of active participants reported on line 7a of the Form 55002022-01-01535
Number of retired or separated participants receiving benefits2022-01-010
Number of other retired or separated participants entitled to future benefits2022-01-01271
Total of all active and inactive participants2022-01-01806
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2022-01-015
Total participants2022-01-01811
Number of participants with account balances2022-01-01782
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2022-01-0154
2021: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2021 401k membership
Total participants, beginning-of-year2021-01-01665
Total number of active participants reported on line 7a of the Form 55002021-01-01504
Number of retired or separated participants receiving benefits2021-01-010
Number of other retired or separated participants entitled to future benefits2021-01-01239
Total of all active and inactive participants2021-01-01743
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2021-01-014
Total participants2021-01-01747
Number of participants with account balances2021-01-01725
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2021-01-0169
2020: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2020 401k membership
Total participants, beginning-of-year2020-01-01702
Total number of active participants reported on line 7a of the Form 55002020-01-01482
Number of retired or separated participants receiving benefits2020-01-010
Number of other retired or separated participants entitled to future benefits2020-01-01180
Total of all active and inactive participants2020-01-01662
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2020-01-013
Total participants2020-01-01665
Number of participants with account balances2020-01-01644
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2020-01-0167
2019: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2019 401k membership
Total participants, beginning-of-year2019-01-01644
Total number of active participants reported on line 7a of the Form 55002019-01-01552
Number of retired or separated participants receiving benefits2019-01-010
Number of other retired or separated participants entitled to future benefits2019-01-01147
Total of all active and inactive participants2019-01-01699
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2019-01-013
Total participants2019-01-01702
Number of participants with account balances2019-01-01673
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2019-01-0157
2018: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2018 401k membership
Total participants, beginning-of-year2018-01-01740
Total number of active participants reported on line 7a of the Form 55002018-01-01517
Number of retired or separated participants receiving benefits2018-01-010
Number of other retired or separated participants entitled to future benefits2018-01-01125
Total of all active and inactive participants2018-01-01642
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2018-01-012
Total participants2018-01-01644
Number of participants with account balances2018-01-01618
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2018-01-0176
2017: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2017 401k membership
Total participants, beginning-of-year2017-01-01733
Total number of active participants reported on line 7a of the Form 55002017-01-01501
Number of retired or separated participants receiving benefits2017-01-010
Number of other retired or separated participants entitled to future benefits2017-01-01235
Total of all active and inactive participants2017-01-01736
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2017-01-014
Total participants2017-01-01740
Number of participants with account balances2017-01-01721
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2017-01-0144
2016: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2016 401k membership
Total participants, beginning-of-year2016-01-01679
Total number of active participants reported on line 7a of the Form 55002016-01-01476
Number of retired or separated participants receiving benefits2016-01-010
Number of other retired or separated participants entitled to future benefits2016-01-01239
Total of all active and inactive participants2016-01-01715
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2016-01-013
Total participants2016-01-01718
Number of participants with account balances2016-01-01699
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2016-01-0151
2015: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2015 401k membership
Total participants, beginning-of-year2015-01-01616
Total number of active participants reported on line 7a of the Form 55002015-01-01450
Number of retired or separated participants receiving benefits2015-01-010
Number of other retired or separated participants entitled to future benefits2015-01-01225
Total of all active and inactive participants2015-01-01675
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2015-01-014
Total participants2015-01-01679
Number of participants with account balances2015-01-01621
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2015-01-0166
2014: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2014 401k membership
Total participants, beginning-of-year2014-01-01521
Total number of active participants reported on line 7a of the Form 55002014-01-01348
Number of retired or separated participants receiving benefits2014-01-010
Number of other retired or separated participants entitled to future benefits2014-01-01265
Total of all active and inactive participants2014-01-01613
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2014-01-013
Total participants2014-01-01616
Number of participants with account balances2014-01-01534
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2014-01-0152
2013: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2013 401k membership
Total participants, beginning-of-year2013-01-01478
Total number of active participants reported on line 7a of the Form 55002013-01-01248
Number of retired or separated participants receiving benefits2013-01-010
Number of other retired or separated participants entitled to future benefits2013-01-01269
Total of all active and inactive participants2013-01-01517
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2013-01-014
Total participants2013-01-01521
Number of participants with account balances2013-01-01512
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2013-01-0177
2012: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2012 401k membership
Total participants, beginning-of-year2012-01-01503
Total number of active participants reported on line 7a of the Form 55002012-01-01257
Number of retired or separated participants receiving benefits2012-01-010
Number of other retired or separated participants entitled to future benefits2012-01-01217
Total of all active and inactive participants2012-01-01474
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2012-01-014
Total participants2012-01-01478
Number of participants with account balances2012-01-01478
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2012-01-0119
2011: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2011 401k membership
Total participants, beginning-of-year2011-01-01425
Total number of active participants reported on line 7a of the Form 55002011-01-01265
Number of retired or separated participants receiving benefits2011-01-010
Number of other retired or separated participants entitled to future benefits2011-01-01235
Total of all active and inactive participants2011-01-01500
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2011-01-013
Total participants2011-01-01503
Number of participants with account balances2011-01-01503
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2011-01-0140
2009: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2009 401k membership
Total participants, beginning-of-year2009-01-01451
Total number of active participants reported on line 7a of the Form 55002009-01-01320
Number of retired or separated participants receiving benefits2009-01-010
Number of other retired or separated participants entitled to future benefits2009-01-01112
Total of all active and inactive participants2009-01-01432
Number of deceased participants whose beneficiaries are receiving or are entitled to receive benefits2009-01-010
Total participants2009-01-01432
Number of participants with account balances2009-01-01432
Participants that terminated employment during the plan year with accrued benefits that were less than 100% vested2009-01-0143
2007: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2007 401k membership
Total participants, beginning-of-year2007-01-01406

Financial Data on 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE

Measure Date Value
2022 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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$0
Total income from all sources (including contributions)2022-12-31$-2,755,219
Total loss/gain on sale of assets2022-12-31$0
Total of all expenses incurred2022-12-31$1,168,589
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2022-12-31$1,092,373
Total contributions o plan (from employers,participants, others, non cash contrinutions)2022-12-31$3,796,070
Value of total assets at end of year2022-12-31$33,675,323
Value of total assets at beginning of year2022-12-31$37,599,131
Total of administrative expenses incurred including professional, contract, advisory and management fees2022-12-31$76,216
Total interest from all sources2022-12-31$27,176
Total dividends received (eg from common stock, registered investment company shares)2022-12-31$883,136
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2022-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2022-12-31$883,136
Administrative expenses professional fees incurred2022-12-31$76,216
Was this plan covered by a fidelity bond2022-12-31Yes
Value of fidelity bond cover2022-12-31$500,000
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$2,004,610
Participant contributions at end of year2022-12-31$586,985
Participant contributions at beginning of year2022-12-31$563,596
Participant contributions at end of year2022-12-31$73,420
Participant contributions at beginning of year2022-12-31$114
Income. Received or receivable in cash from other sources (including rollovers)2022-12-31$284,930
Other income not declared elsewhere2022-12-31$1,500
Total non interest bearing cash at end of year2022-12-31$44,492
Total non interest bearing cash at beginning of year2022-12-31$59,911
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2022-12-31No
Value of net income/loss2022-12-31$-3,923,808
Value of net assets at end of year (total assets less liabilities)2022-12-31$33,675,323
Value of net assets at beginning of year (total assets less liabilities)2022-12-31$37,599,131
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 registered invesment companies (eg mutual funds) at end of year2022-12-31$26,757,418
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2022-12-31$30,025,925
Value of interest in pooled separate accounts at end of year2022-12-31$2,546,060
Value of interest in pooled separate accounts at beginning of year2022-12-31$3,142,427
Interest on participant loans2022-12-31$27,176
Value of interest in common/collective trusts at end of year2022-12-31$2,902,852
Value of interest in common/collective trusts at beginning of year2022-12-31$3,008,055
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2022-12-31$692,876
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2022-12-31$779,469
Net investment gain/loss from registered investment companies (e.g. mutual funds)2022-12-31$-6,911,232
Net investment gain/loss from pooled separate accounts2022-12-31$-603,769
Net investment gain or loss from common/collective trusts2022-12-31$51,900
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$1,506,530
Employer contributions (assets) at end of year2022-12-31$71,220
Employer contributions (assets) at beginning of year2022-12-31$19,634
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2022-12-31$1,092,373
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 name2022-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2022-12-31410746749
2021 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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$7,745,020
Total loss/gain on sale of assets2021-12-31$0
Total of all expenses incurred2021-12-31$2,175,277
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2021-12-31$2,105,517
Total contributions o plan (from employers,participants, others, non cash contrinutions)2021-12-31$3,369,178
Value of total assets at end of year2021-12-31$37,599,131
Value of total assets at beginning of year2021-12-31$32,029,388
Total of administrative expenses incurred including professional, contract, advisory and management fees2021-12-31$69,760
Total interest from all sources2021-12-31$32,580
Total dividends received (eg from common stock, registered investment company shares)2021-12-31$1,269,700
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2021-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2021-12-31$1,269,700
Administrative expenses professional fees incurred2021-12-31$69,760
Was this plan covered by a fidelity bond2021-12-31Yes
Value of fidelity bond cover2021-12-31$500,000
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$1,870,765
Participant contributions at end of year2021-12-31$563,596
Participant contributions at beginning of year2021-12-31$713,706
Participant contributions at end of year2021-12-31$114
Participant contributions at beginning of year2021-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2021-12-31$59,315
Other income not declared elsewhere2021-12-31$8,054
Total non interest bearing cash at end of year2021-12-31$59,911
Total non interest bearing cash at beginning of year2021-12-31$62,072
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
Value of net income/loss2021-12-31$5,569,743
Value of net assets at end of year (total assets less liabilities)2021-12-31$37,599,131
Value of net assets at beginning of year (total assets less liabilities)2021-12-31$32,029,388
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 registered invesment companies (eg mutual funds) at end of year2021-12-31$30,025,925
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2021-12-31$24,781,711
Value of interest in pooled separate accounts at end of year2021-12-31$3,142,427
Value of interest in pooled separate accounts at beginning of year2021-12-31$2,817,805
Interest on participant loans2021-12-31$32,580
Value of interest in common/collective trusts at end of year2021-12-31$3,008,055
Value of interest in common/collective trusts at beginning of year2021-12-31$2,667,212
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2021-12-31$779,469
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2021-12-31$986,882
Net investment gain/loss from registered investment companies (e.g. mutual funds)2021-12-31$2,605,634
Net investment gain/loss from pooled separate accounts2021-12-31$409,836
Net investment gain or loss from common/collective trusts2021-12-31$50,038
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$1,439,098
Employer contributions (assets) at end of year2021-12-31$19,634
Employer contributions (assets) at beginning of year2021-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2021-12-31$2,105,517
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 name2021-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2021-12-31410746749
2020 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2020 401k financial data
Total unrealized appreciation/depreciation of assets2020-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2020-12-31$13,365
Total income from all sources (including contributions)2020-12-31$7,534,305
Total loss/gain on sale of assets2020-12-31$0
Total of all expenses incurred2020-12-31$2,076,965
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2020-12-31$2,006,119
Total contributions o plan (from employers,participants, others, non cash contrinutions)2020-12-31$2,990,324
Value of total assets at end of year2020-12-31$32,029,388
Value of total assets at beginning of year2020-12-31$26,585,413
Total of administrative expenses incurred including professional, contract, advisory and management fees2020-12-31$70,846
Total interest from all sources2020-12-31$39,999
Total dividends received (eg from common stock, registered investment company shares)2020-12-31$717,958
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2020-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2020-12-31$717,958
Administrative expenses professional fees incurred2020-12-31$70,846
Was this plan covered by a fidelity bond2020-12-31Yes
Value of fidelity bond cover2020-12-31$500,000
If this is an individual account plan, was there a blackout period2020-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2020-12-31$0
Were there any nonexempt tranactions with any party-in-interest2020-12-31No
Contributions received from participants2020-12-31$1,578,415
Participant contributions at end of year2020-12-31$713,706
Participant contributions at beginning of year2020-12-31$598,405
Participant contributions at beginning of year2020-12-31$0
Income. Received or receivable in cash from other sources (including rollovers)2020-12-31$113,530
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2020-12-31$13,365
Total non interest bearing cash at end of year2020-12-31$62,072
Total non interest bearing cash at beginning of year2020-12-31$175,110
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Value of net income/loss2020-12-31$5,457,340
Value of net assets at end of year (total assets less liabilities)2020-12-31$32,029,388
Value of net assets at beginning of year (total assets less liabilities)2020-12-31$26,572,048
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2020-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2020-12-31No
Were any leases to which the plan was party in default or uncollectible2020-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2020-12-31$24,781,711
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2020-12-31$20,020,916
Value of interest in pooled separate accounts at end of year2020-12-31$2,817,805
Value of interest in pooled separate accounts at beginning of year2020-12-31$2,681,900
Interest on participant loans2020-12-31$39,999
Value of interest in common/collective trusts at end of year2020-12-31$2,667,212
Value of interest in common/collective trusts at beginning of year2020-12-31$2,184,279
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2020-12-31$986,882
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2020-12-31$924,803
Net investment gain/loss from registered investment companies (e.g. mutual funds)2020-12-31$3,340,841
Net investment gain/loss from pooled separate accounts2020-12-31$421,649
Net investment gain or loss from common/collective trusts2020-12-31$23,534
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2020-12-31No
Was there a failure to transmit to the plan any participant contributions2020-12-31No
Has the plan failed to provide any benefit when due under the plan2020-12-31No
Contributions received in cash from employer2020-12-31$1,298,379
Employer contributions (assets) at beginning of year2020-12-31$0
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2020-12-31$2,006,119
Did the plan have assets held for investment2020-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2020-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2020-12-31No
Opinion of an independent qualified public accountant for this plan2020-12-31Disclaimer
Accountancy firm name2020-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2020-12-31410746749
2019 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2019 401k financial data
Total unrealized appreciation/depreciation of assets2019-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$13,365
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2019-12-31$8,417
Total income from all sources (including contributions)2019-12-31$7,803,451
Total loss/gain on sale of assets2019-12-31$0
Total of all expenses incurred2019-12-31$1,977,961
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2019-12-31$1,902,921
Total contributions o plan (from employers,participants, others, non cash contrinutions)2019-12-31$3,381,245
Value of total assets at end of year2019-12-31$26,585,413
Value of total assets at beginning of year2019-12-31$20,754,975
Total of administrative expenses incurred including professional, contract, advisory and management fees2019-12-31$75,040
Total interest from all sources2019-12-31$32,025
Total dividends received (eg from common stock, registered investment company shares)2019-12-31$740,280
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2019-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2019-12-31$740,280
Administrative expenses professional fees incurred2019-12-31$75,040
Was this plan covered by a fidelity bond2019-12-31Yes
Value of fidelity bond cover2019-12-31$500,000
If this is an individual account plan, was there a blackout period2019-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2019-12-31$0
Were there any nonexempt tranactions with any party-in-interest2019-12-31No
Contributions received from participants2019-12-31$1,585,776
Participant contributions at end of year2019-12-31$598,405
Participant contributions at beginning of year2019-12-31$537,408
Participant contributions at end of year2019-12-31$0
Participant contributions at beginning of year2019-12-31$44,875
Income. Received or receivable in cash from other sources (including rollovers)2019-12-31$598,594
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2019-12-31$13,365
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2019-12-31$8,417
Total non interest bearing cash at end of year2019-12-31$175,110
Total non interest bearing cash at beginning of year2019-12-31$61,896
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Value of net income/loss2019-12-31$5,825,490
Value of net assets at end of year (total assets less liabilities)2019-12-31$26,572,048
Value of net assets at beginning of year (total assets less liabilities)2019-12-31$20,746,558
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2019-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2019-12-31No
Were any leases to which the plan was party in default or uncollectible2019-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2019-12-31$20,020,916
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2019-12-31$17,376,333
Value of interest in pooled separate accounts at end of year2019-12-31$2,681,900
Value of interest in pooled separate accounts at beginning of year2019-12-31$0
Interest on participant loans2019-12-31$32,025
Value of interest in common/collective trusts at end of year2019-12-31$2,184,279
Value of interest in common/collective trusts at beginning of year2019-12-31$1,703,076
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2019-12-31$924,803
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2019-12-31$969,764
Net investment gain/loss from registered investment companies (e.g. mutual funds)2019-12-31$3,088,041
Net investment gain/loss from pooled separate accounts2019-12-31$519,311
Net investment gain or loss from common/collective trusts2019-12-31$42,549
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2019-12-31No
Was there a failure to transmit to the plan any participant contributions2019-12-31No
Has the plan failed to provide any benefit when due under the plan2019-12-31No
Contributions received in cash from employer2019-12-31$1,196,875
Employer contributions (assets) at end of year2019-12-31$0
Employer contributions (assets) at beginning of year2019-12-31$61,623
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2019-12-31$1,902,921
Did the plan have assets held for investment2019-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2019-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2019-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2019-12-31Yes
Opinion of an independent qualified public accountant for this plan2019-12-31Disclaimer
Accountancy firm name2019-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2019-12-31911349657
2018 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2018 401k financial data
Total unrealized appreciation/depreciation of assets2018-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$8,417
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2018-12-31$0
Total income from all sources (including contributions)2018-12-31$1,325,808
Total loss/gain on sale of assets2018-12-31$0
Total of all expenses incurred2018-12-31$1,431,086
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2018-12-31$1,374,335
Total contributions o plan (from employers,participants, others, non cash contrinutions)2018-12-31$2,457,803
Value of total assets at end of year2018-12-31$20,754,975
Value of total assets at beginning of year2018-12-31$20,851,836
Total of administrative expenses incurred including professional, contract, advisory and management fees2018-12-31$56,751
Total interest from all sources2018-12-31$23,756
Total dividends received (eg from common stock, registered investment company shares)2018-12-31$967,142
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2018-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2018-12-31$967,142
Administrative expenses professional fees incurred2018-12-31$56,751
Was this plan covered by a fidelity bond2018-12-31Yes
Value of fidelity bond cover2018-12-31$500,000
If this is an individual account plan, was there a blackout period2018-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2018-12-31$0
Were there any nonexempt tranactions with any party-in-interest2018-12-31No
Contributions received from participants2018-12-31$1,306,421
Participant contributions at end of year2018-12-31$537,408
Participant contributions at beginning of year2018-12-31$434,812
Participant contributions at end of year2018-12-31$44,875
Participant contributions at beginning of year2018-12-31$36,949
Income. Received or receivable in cash from other sources (including rollovers)2018-12-31$40,868
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2018-12-31$8,417
Total non interest bearing cash at end of year2018-12-31$61,896
Total non interest bearing cash at beginning of year2018-12-31$38,652
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Value of net income/loss2018-12-31$-105,278
Value of net assets at end of year (total assets less liabilities)2018-12-31$20,746,558
Value of net assets at beginning of year (total assets less liabilities)2018-12-31$20,851,836
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2018-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2018-12-31No
Were any leases to which the plan was party in default or uncollectible2018-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2018-12-31$17,376,333
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2018-12-31$15,400,393
Value of interest in pooled separate accounts at end of year2018-12-31$0
Value of interest in pooled separate accounts at beginning of year2018-12-31$3,323,049
Interest on participant loans2018-12-31$23,756
Value of interest in common/collective trusts at end of year2018-12-31$1,703,076
Value of interest in common/collective trusts at beginning of year2018-12-31$370,766
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2018-12-31$969,764
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2018-12-31$1,206,782
Net investment gain/loss from registered investment companies (e.g. mutual funds)2018-12-31$-2,135,836
Net investment gain or loss from common/collective trusts2018-12-31$12,943
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2018-12-31No
Was there a failure to transmit to the plan any participant contributions2018-12-31No
Has the plan failed to provide any benefit when due under the plan2018-12-31No
Contributions received in cash from employer2018-12-31$1,110,514
Employer contributions (assets) at end of year2018-12-31$61,623
Employer contributions (assets) at beginning of year2018-12-31$40,433
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2018-12-31$1,374,335
Did the plan have assets held for investment2018-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2018-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2018-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2018-12-31Yes
Opinion of an independent qualified public accountant for this plan2018-12-31Disclaimer
Accountancy firm name2018-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2018-12-31911349657
2017 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2017 401k financial data
Total unrealized appreciation/depreciation of assets2017-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2017-12-31$0
Total income from all sources (including contributions)2017-12-31$5,081,268
Total loss/gain on sale of assets2017-12-31$0
Total of all expenses incurred2017-12-31$1,661,568
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2017-12-31$1,610,955
Total contributions o plan (from employers,participants, others, non cash contrinutions)2017-12-31$2,304,642
Value of total assets at end of year2017-12-31$20,851,836
Value of total assets at beginning of year2017-12-31$17,432,136
Total of administrative expenses incurred including professional, contract, advisory and management fees2017-12-31$50,613
Total interest from all sources2017-12-31$17,376
Total dividends received (eg from common stock, registered investment company shares)2017-12-31$839,730
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2017-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2017-12-31$839,730
Administrative expenses professional fees incurred2017-12-31$50,613
Was this plan covered by a fidelity bond2017-12-31Yes
Value of fidelity bond cover2017-12-31$500,000
If this is an individual account plan, was there a blackout period2017-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2017-12-31$0
Were there any nonexempt tranactions with any party-in-interest2017-12-31No
Contributions received from participants2017-12-31$1,187,076
Participant contributions at end of year2017-12-31$434,812
Participant contributions at beginning of year2017-12-31$362,438
Participant contributions at end of year2017-12-31$36,949
Participant contributions at beginning of year2017-12-31$38,971
Income. Received or receivable in cash from other sources (including rollovers)2017-12-31$256,103
Other income not declared elsewhere2017-12-31$48,687
Total non interest bearing cash at end of year2017-12-31$38,652
Total non interest bearing cash at beginning of year2017-12-31$59,260
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Value of net income/loss2017-12-31$3,419,700
Value of net assets at end of year (total assets less liabilities)2017-12-31$20,851,836
Value of net assets at beginning of year (total assets less liabilities)2017-12-31$17,432,136
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2017-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2017-12-31No
Were any leases to which the plan was party in default or uncollectible2017-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2017-12-31$15,400,393
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2017-12-31$14,219,553
Value of interest in pooled separate accounts at end of year2017-12-31$3,323,049
Interest on participant loans2017-12-31$17,376
Value of interest in common/collective trusts at end of year2017-12-31$370,766
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2017-12-31$1,172,375
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2017-12-31$1,172,375
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2017-12-31$1,206,782
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2017-12-31$1,544,321
Net investment gain/loss from registered investment companies (e.g. mutual funds)2017-12-31$1,865,013
Net investment gain or loss from common/collective trusts2017-12-31$5,820
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2017-12-31No
Was there a failure to transmit to the plan any participant contributions2017-12-31No
Has the plan failed to provide any benefit when due under the plan2017-12-31No
Contributions received in cash from employer2017-12-31$861,463
Employer contributions (assets) at end of year2017-12-31$40,433
Employer contributions (assets) at beginning of year2017-12-31$35,218
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2017-12-31$1,610,955
Did the plan have assets held for investment2017-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2017-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2017-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2017-12-31Yes
Opinion of an independent qualified public accountant for this plan2017-12-31Disclaimer
Accountancy firm name2017-12-31CLIFTONLARSONALLEN, LLP
Accountancy firm EIN2017-12-31410746749
2016 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2016 401k financial data
Total unrealized appreciation/depreciation of assets2016-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2016-12-31$0
Total income from all sources (including contributions)2016-12-31$3,033,809
Total loss/gain on sale of assets2016-12-31$0
Total of all expenses incurred2016-12-31$1,252,536
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2016-12-31$1,171,990
Total contributions o plan (from employers,participants, others, non cash contrinutions)2016-12-31$1,906,237
Value of total assets at end of year2016-12-31$17,432,136
Value of total assets at beginning of year2016-12-31$15,650,863
Total of administrative expenses incurred including professional, contract, advisory and management fees2016-12-31$80,546
Total interest from all sources2016-12-31$14,175
Total dividends received (eg from common stock, registered investment company shares)2016-12-31$332,911
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2016-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2016-12-31$332,911
Administrative expenses professional fees incurred2016-12-31$80,546
Was this plan covered by a fidelity bond2016-12-31Yes
Value of fidelity bond cover2016-12-31$500,000
If this is an individual account plan, was there a blackout period2016-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2016-12-31$0
Were there any nonexempt tranactions with any party-in-interest2016-12-31No
Contributions received from participants2016-12-31$1,063,569
Participant contributions at end of year2016-12-31$362,438
Participant contributions at beginning of year2016-12-31$298,452
Participant contributions at end of year2016-12-31$38,971
Participant contributions at beginning of year2016-12-31$24,595
Income. Received or receivable in cash from other sources (including rollovers)2016-12-31$16,656
Total non interest bearing cash at end of year2016-12-31$59,260
Total non interest bearing cash at beginning of year2016-12-31$856
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Value of net income/loss2016-12-31$1,781,273
Value of net assets at end of year (total assets less liabilities)2016-12-31$17,432,136
Value of net assets at beginning of year (total assets less liabilities)2016-12-31$15,650,863
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2016-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2016-12-31No
Were any leases to which the plan was party in default or uncollectible2016-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2016-12-31$14,219,553
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2016-12-31$13,481,554
Interest on participant loans2016-12-31$14,175
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2016-12-31$1,172,375
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2016-12-31$264,513
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2016-12-31$264,513
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2016-12-31$1,544,321
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2016-12-31$1,550,573
Net investment gain/loss from registered investment companies (e.g. mutual funds)2016-12-31$780,486
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2016-12-31No
Was there a failure to transmit to the plan any participant contributions2016-12-31No
Has the plan failed to provide any benefit when due under the plan2016-12-31No
Contributions received in cash from employer2016-12-31$826,012
Employer contributions (assets) at end of year2016-12-31$35,218
Employer contributions (assets) at beginning of year2016-12-31$30,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2016-12-31$1,171,990
Did the plan have assets held for investment2016-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2016-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2016-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2016-12-31Yes
Opinion of an independent qualified public accountant for this plan2016-12-31Disclaimer
Accountancy firm name2016-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2016-12-31410746749
2015 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2015 401k financial data
Total unrealized appreciation/depreciation of assets2015-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2015-12-31$770
Total income from all sources (including contributions)2015-12-31$1,781,397
Total loss/gain on sale of assets2015-12-31$0
Total of all expenses incurred2015-12-31$2,435,937
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2015-12-31$2,426,522
Total contributions o plan (from employers,participants, others, non cash contrinutions)2015-12-31$1,762,053
Value of total assets at end of year2015-12-31$15,650,863
Value of total assets at beginning of year2015-12-31$16,306,173
Total of administrative expenses incurred including professional, contract, advisory and management fees2015-12-31$9,415
Total interest from all sources2015-12-31$11,109
Total dividends received (eg from common stock, registered investment company shares)2015-12-31$455,508
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2015-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2015-12-31$455,508
Administrative expenses professional fees incurred2015-12-31$9,415
Was this plan covered by a fidelity bond2015-12-31Yes
Value of fidelity bond cover2015-12-31$500,000
If this is an individual account plan, was there a blackout period2015-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2015-12-31$0
Were there any nonexempt tranactions with any party-in-interest2015-12-31No
Contributions received from participants2015-12-31$898,004
Participant contributions at end of year2015-12-31$298,452
Participant contributions at beginning of year2015-12-31$323,408
Participant contributions at end of year2015-12-31$24,595
Income. Received or receivable in cash from other sources (including rollovers)2015-12-31$65,918
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2015-12-31$3,840
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at beginning of year2015-12-31$-30
Liabilities. Value of operating payables at beginning of year2015-12-31$800
Total non interest bearing cash at end of year2015-12-31$856
Total non interest bearing cash at beginning of year2015-12-31$1,759
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Value of net income/loss2015-12-31$-654,540
Value of net assets at end of year (total assets less liabilities)2015-12-31$15,650,863
Value of net assets at beginning of year (total assets less liabilities)2015-12-31$16,305,403
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2015-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2015-12-31No
Were any leases to which the plan was party in default or uncollectible2015-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2015-12-31$13,481,554
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2015-12-31$13,531,468
Interest on participant loans2015-12-31$11,109
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2015-12-31$264,513
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2015-12-31$535,532
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2015-12-31$535,532
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2015-12-31$1,550,573
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2015-12-31$1,910,166
Net investment gain/loss from registered investment companies (e.g. mutual funds)2015-12-31$-447,273
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2015-12-31No
Was there a failure to transmit to the plan any participant contributions2015-12-31No
Has the plan failed to provide any benefit when due under the plan2015-12-31No
Contributions received in cash from employer2015-12-31$798,131
Employer contributions (assets) at end of year2015-12-31$30,320
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2015-12-31$2,426,522
Did the plan have assets held for investment2015-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2015-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2015-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2015-12-31Yes
Opinion of an independent qualified public accountant for this plan2015-12-31Disclaimer
Accountancy firm name2015-12-31CLIFTONLARSONALLEN LLP
Accountancy firm EIN2015-12-31410746749
2014 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2014 401k financial data
Total unrealized appreciation/depreciation of assets2014-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$770
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2014-12-31$390
Total income from all sources (including contributions)2014-12-31$2,266,018
Total loss/gain on sale of assets2014-12-31$0
Total of all expenses incurred2014-12-31$811,923
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2014-12-31$806,090
Total contributions o plan (from employers,participants, others, non cash contrinutions)2014-12-31$1,469,344
Value of total assets at end of year2014-12-31$16,306,173
Value of total assets at beginning of year2014-12-31$14,851,698
Total of administrative expenses incurred including professional, contract, advisory and management fees2014-12-31$5,833
Total interest from all sources2014-12-31$8,908
Total dividends received (eg from common stock, registered investment company shares)2014-12-31$467,106
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2014-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2014-12-31$467,106
Administrative expenses professional fees incurred2014-12-31$5,833
Was this plan covered by a fidelity bond2014-12-31Yes
Value of fidelity bond cover2014-12-31$500,000
If this is an individual account plan, was there a blackout period2014-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2014-12-31$0
Were there any nonexempt tranactions with any party-in-interest2014-12-31No
Contributions received from participants2014-12-31$774,597
Participant contributions at end of year2014-12-31$323,408
Participant contributions at beginning of year2014-12-31$299,175
Participant contributions at beginning of year2014-12-31$145
Income. Received or receivable in cash from other sources (including rollovers)2014-12-31$19,916
Value of other receiveables (less allowance for doubtful accounts) at end of year2014-12-31$3,840
Value of other receiveables (less allowance for doubtful accounts) at beginning of year2014-12-31$8,324
Other liabilities (not benefit claims, operating payabales oe acquisition indebtedness) at end of year2014-12-31$-30
Liabilities. Value of operating payables at end of year2014-12-31$800
Liabilities. Value of operating payables at beginning of year2014-12-31$390
Total non interest bearing cash at end of year2014-12-31$1,759
Total non interest bearing cash at beginning of year2014-12-31$550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Value of net income/loss2014-12-31$1,454,095
Value of net assets at end of year (total assets less liabilities)2014-12-31$16,305,403
Value of net assets at beginning of year (total assets less liabilities)2014-12-31$14,851,308
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2014-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2014-12-31No
Were any leases to which the plan was party in default or uncollectible2014-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2014-12-31$13,531,468
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2014-12-31$11,823,042
Interest on participant loans2014-12-31$8,908
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2014-12-31$535,532
Interest-bearing cash (include money market accounts & certificates of deposit) at beginning of the Year2014-12-31$285,116
Value of interest bearing cash (including money market accounts and certificates of deposits) at beginning of year2014-12-31$285,116
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2014-12-31$1,910,166
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2014-12-31$2,433,188
Net investment gain/loss from registered investment companies (e.g. mutual funds)2014-12-31$320,660
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2014-12-31No
Was there a failure to transmit to the plan any participant contributions2014-12-31Yes
Has the plan failed to provide any benefit when due under the plan2014-12-31No
Contributions received in cash from employer2014-12-31$674,831
Employer contributions (assets) at beginning of year2014-12-31$2,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2014-12-31$806,090
Did the plan have assets held for investment2014-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2014-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2014-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2014-12-31Yes
Opinion of an independent qualified public accountant for this plan2014-12-31Disclaimer
Accountancy firm name2014-12-31CLIFTON LARSON ALLEN
Accountancy firm EIN2014-12-31410746749
2013 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2013 401k financial data
Total unrealized appreciation/depreciation of assets2013-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$390
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2013-12-31$0
Total income from all sources (including contributions)2013-12-31$3,598,644
Total loss/gain on sale of assets2013-12-31$0
Total of all expenses incurred2013-12-31$1,950,319
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2013-12-31$1,921,067
Total contributions o plan (from employers,participants, others, non cash contrinutions)2013-12-31$1,433,359
Value of total assets at end of year2013-12-31$14,851,698
Value of total assets at beginning of year2013-12-31$13,202,983
Total of administrative expenses incurred including professional, contract, advisory and management fees2013-12-31$29,252
Total interest from all sources2013-12-31$5,968
Total dividends received (eg from common stock, registered investment company shares)2013-12-31$130,130
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2013-12-31No
Total dividends received from registered investment company shares (eg mutual funds)2013-12-31$130,130
Administrative expenses professional fees incurred2013-12-31$12,305
Was this plan covered by a fidelity bond2013-12-31Yes
Value of fidelity bond cover2013-12-31$500,000
If this is an individual account plan, was there a blackout period2013-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2013-12-31$0
Were there any nonexempt tranactions with any party-in-interest2013-12-31No
Contributions received from participants2013-12-31$660,650
Participant contributions at end of year2013-12-31$299,175
Participant contributions at beginning of year2013-12-31$293,502
Participant contributions at end of year2013-12-31$145
Income. Received or receivable in cash from other sources (including rollovers)2013-12-31$176,250
Value of other receiveables (less allowance for doubtful accounts) at end of year2013-12-31$8,324
Liabilities. Value of operating payables at end of year2013-12-31$390
Total non interest bearing cash at end of year2013-12-31$550
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Value of net income/loss2013-12-31$1,648,325
Value of net assets at end of year (total assets less liabilities)2013-12-31$14,851,308
Value of net assets at beginning of year (total assets less liabilities)2013-12-31$13,202,983
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2013-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2013-12-31No
Were any leases to which the plan was party in default or uncollectible2013-12-31No
Investment advisory and management fees2013-12-31$16,947
Value of interest in registered invesment companies (eg mutual funds) at end of year2013-12-31$11,823,042
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2013-12-31$8,925,446
Interest on participant loans2013-12-31$5,952
Value of interest bearing cash (including money market accounts and certificates of deposits) at end of year2013-12-31$285,116
Interest earned from interest bearing cash (including money market accounts and certificates of deposit)2013-12-31$16
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2013-12-31$2,433,188
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2013-12-31$3,984,035
Net investment gain/loss from registered investment companies (e.g. mutual funds)2013-12-31$2,029,187
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2013-12-31No
Was there a failure to transmit to the plan any participant contributions2013-12-31Yes
Has the plan failed to provide any benefit when due under the plan2013-12-31No
Contributions received in cash from employer2013-12-31$596,459
Employer contributions (assets) at end of year2013-12-31$2,158
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2013-12-31$1,921,067
Did the plan have assets held for investment2013-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2013-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2013-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2013-12-31Yes
Opinion of an independent qualified public accountant for this plan2013-12-31Disclaimer
Accountancy firm name2013-12-31CLARK NUBER P.S.
Accountancy firm EIN2013-12-31911194016
2012 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2012 401k financial data
Total unrealized appreciation/depreciation of assets2012-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2012-12-31$0
Total income from all sources (including contributions)2012-12-31$2,620,012
Total loss/gain on sale of assets2012-12-31$0
Total of all expenses incurred2012-12-31$1,512,678
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2012-12-31$1,502,697
Expenses. Certain deemed distributions of participant loans2012-12-31$8,118
Total contributions o plan (from employers,participants, others, non cash contrinutions)2012-12-31$1,549,659
Value of total assets at end of year2012-12-31$13,202,983
Value of total assets at beginning of year2012-12-31$12,095,649
Total of administrative expenses incurred including professional, contract, advisory and management fees2012-12-31$1,863
Total interest from all sources2012-12-31$69,808
Total dividends received (eg from common stock, registered investment company shares)2012-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2012-12-31No
Was this plan covered by a fidelity bond2012-12-31Yes
Value of fidelity bond cover2012-12-31$500,000
If this is an individual account plan, was there a blackout period2012-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2012-12-31$0
Were there any nonexempt tranactions with any party-in-interest2012-12-31No
Contributions received from participants2012-12-31$801,007
Participant contributions at end of year2012-12-31$293,502
Participant contributions at beginning of year2012-12-31$226,373
Income. Received or receivable in cash from other sources (including rollovers)2012-12-31$155,931
Other income not declared elsewhere2012-12-31$0
Administrative expenses (other) incurred2012-12-31$1,863
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Value of net income/loss2012-12-31$1,107,334
Value of net assets at end of year (total assets less liabilities)2012-12-31$13,202,983
Value of net assets at beginning of year (total assets less liabilities)2012-12-31$12,095,649
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2012-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2012-12-31No
Were any leases to which the plan was party in default or uncollectible2012-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2012-12-31$8,925,446
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2012-12-31$7,926,838
Interest on participant loans2012-12-31$0
Interest earned on other investments2012-12-31$69,808
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2012-12-31$3,984,035
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2012-12-31$3,917,438
Expenses. Payments to insurance carriers foe the provision of benefits2012-12-31$0
Net investment gain/loss from pooled separate accounts2012-12-31$1,000,545
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2012-12-31No
Was there a failure to transmit to the plan any participant contributions2012-12-31Yes
Has the plan failed to provide any benefit when due under the plan2012-12-31No
Contributions received in cash from employer2012-12-31$592,721
Employer contributions (assets) at beginning of year2012-12-31$25,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2012-12-31$1,502,697
Did the plan have assets held for investment2012-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2012-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2012-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2012-12-31Yes
Opinion of an independent qualified public accountant for this plan2012-12-31Disclaimer
Accountancy firm name2012-12-31CLARK NUBER, P.S.
Accountancy firm EIN2012-12-31911194016
2011 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2011 401k financial data
Total unrealized appreciation/depreciation of assets2011-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2011-12-31$0
Total income from all sources (including contributions)2011-12-31$1,402,628
Total loss/gain on sale of assets2011-12-31$0
Total of all expenses incurred2011-12-31$830,303
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2011-12-31$828,403
Expenses. Certain deemed distributions of participant loans2011-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2011-12-31$1,455,032
Value of total assets at end of year2011-12-31$12,095,649
Value of total assets at beginning of year2011-12-31$11,523,324
Total of administrative expenses incurred including professional, contract, advisory and management fees2011-12-31$1,900
Total interest from all sources2011-12-31$75,414
Total dividends received (eg from common stock, registered investment company shares)2011-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2011-12-31No
Was this plan covered by a fidelity bond2011-12-31Yes
Value of fidelity bond cover2011-12-31$500,000
If this is an individual account plan, was there a blackout period2011-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2011-12-31$0
Were there any nonexempt tranactions with any party-in-interest2011-12-31No
Contributions received from participants2011-12-31$797,195
Participant contributions at end of year2011-12-31$226,372
Participant contributions at beginning of year2011-12-31$233,148
Income. Received or receivable in cash from other sources (including rollovers)2011-12-31$35,889
Administrative expenses (other) incurred2011-12-31$1,900
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Value of net income/loss2011-12-31$572,325
Value of net assets at end of year (total assets less liabilities)2011-12-31$12,095,649
Value of net assets at beginning of year (total assets less liabilities)2011-12-31$11,523,324
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2011-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2011-12-31No
Were any leases to which the plan was party in default or uncollectible2011-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2011-12-31$7,926,838
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2011-12-31$7,727,926
Interest on participant loans2011-12-31$0
Interest earned on other investments2011-12-31$75,414
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2011-12-31$3,917,439
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2011-12-31$3,312,250
Expenses. Payments to insurance carriers foe the provision of benefits2011-12-31$0
Net investment gain/loss from pooled separate accounts2011-12-31$-127,818
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2011-12-31No
Was there a failure to transmit to the plan any participant contributions2011-12-31No
Has the plan failed to provide any benefit when due under the plan2011-12-31No
Contributions received in cash from employer2011-12-31$621,948
Employer contributions (assets) at end of year2011-12-31$25,000
Employer contributions (assets) at beginning of year2011-12-31$250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2011-12-31$828,403
Did the plan have assets held for investment2011-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2011-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2011-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2011-12-31Yes
Opinion of an independent qualified public accountant for this plan2011-12-31Disclaimer
Accountancy firm name2011-12-31CLARK NUBER, P.S.
Accountancy firm EIN2011-12-31911194016
2010 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2010 401k financial data
Total unrealized appreciation/depreciation of assets2010-12-31$0
Total liabilities at end of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total liabilities at beginning of year (benefit claims payable, operating payabales, acquisition indebtedness and other liabilities)2010-12-31$0
Total income from all sources (including contributions)2010-12-31$2,893,049
Total loss/gain on sale of assets2010-12-31$0
Total of all expenses incurred2010-12-31$797,562
Benefit payments and payments to participlants,beneficiaries,insurance carriers and others2010-12-31$795,962
Expenses. Certain deemed distributions of participant loans2010-12-31$0
Total contributions o plan (from employers,participants, others, non cash contrinutions)2010-12-31$1,738,786
Value of total assets at end of year2010-12-31$11,523,324
Value of total assets at beginning of year2010-12-31$9,427,837
Total of administrative expenses incurred including professional, contract, advisory and management fees2010-12-31$1,600
Total interest from all sources2010-12-31$87,436
Total dividends received (eg from common stock, registered investment company shares)2010-12-31$0
Has a resolution to terminate the plan been adopted during the plan year or any prior plan year2010-12-31No
Was this plan covered by a fidelity bond2010-12-31Yes
Value of fidelity bond cover2010-12-31$100,000
If this is an individual account plan, was there a blackout period2010-12-31No
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2010-12-31$0
Were there any nonexempt tranactions with any party-in-interest2010-12-31No
Contributions received from participants2010-12-31$814,625
Participant contributions at end of year2010-12-31$233,148
Participant contributions at beginning of year2010-12-31$253,537
Income. Received or receivable in cash from other sources (including rollovers)2010-12-31$51,383
Other income not declared elsewhere2010-12-31$0
Administrative expenses (other) incurred2010-12-31$1,600
Did the receive any noncash contributions whose value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Value of net income/loss2010-12-31$2,095,487
Value of net assets at end of year (total assets less liabilities)2010-12-31$11,523,324
Value of net assets at beginning of year (total assets less liabilities)2010-12-31$9,427,837
Did the plan have a loss casued by fraud or dishonesty (regardless whether reimbursed by fidelity bond)2010-12-31No
Were any loans by the plan or fixed income obligations due to the plan in default2010-12-31No
Were any leases to which the plan was party in default or uncollectible2010-12-31No
Value of interest in registered invesment companies (eg mutual funds) at end of year2010-12-31$7,727,926
Value of interest in registered invesment companies (eg mutual funds) at beginning of year2010-12-31$6,485,695
Interest on participant loans2010-12-31$0
Interest earned on other investments2010-12-31$87,436
Value of funds held in insurance company general accounts (unallocated contracts) at end of year2010-12-31$3,312,250
Value of funds held in insurance company general accounts (unallocated contracts) at beginning of year2010-12-31$2,688,605
Expenses. Payments to insurance carriers foe the provision of benefits2010-12-31$0
Net investment gain/loss from pooled separate accounts2010-12-31$1,066,827
Were any plan transactions or series of transactions in excess of 5% of the current value of the plan assets2010-12-31No
Was there a failure to transmit to the plan any participant contributions2010-12-31No
Has the plan failed to provide any benefit when due under the plan2010-12-31No
Contributions received in cash from employer2010-12-31$872,778
Employer contributions (assets) at end of year2010-12-31$250,000
Benefit payments and payments to provide benefits directly to participlants or beneficiaries including direct rollovers2010-12-31$795,962
Did the plan have assets held for investment2010-12-31Yes
Did the plan hold any assets whose current value was neither redily determinable on an established market nor set by an independent third party appraiser2010-12-31No
Were all the plan assets eitehr distributed to particpants/beneficiaries, transferred to another plan or brought under the control of the PBGC2010-12-31No
Accountant perfomed limited scope audit pursuant to 29 CFR 2520.103-8 and/or 103-12(d)2010-12-31Yes
Opinion of an independent qualified public accountant for this plan2010-12-31Disclaimer
Accountancy firm name2010-12-31CLARK NUBER, P.S.
Accountancy firm EIN2010-12-31911194016
2009 : 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2009 401k financial data
Total value of distributions paid in property other than in cash, annuity contracts, or publicly traded employer securities2009-12-31$0

Form 5500 Responses for 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE

2022: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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
2020: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2020 form 5500 responses
2020-01-01Type of plan entitySingle employer plan
2020-01-01Submission has been amendedNo
2020-01-01This submission is the final filingNo
2020-01-01This return/report is a short plan year return/report (less than 12 months)No
2020-01-01Plan is a collectively bargained planNo
2020-01-01Plan funding arrangement – InsuranceYes
2020-01-01Plan funding arrangement – TrustYes
2020-01-01Plan benefit arrangement – InsuranceYes
2020-01-01Plan benefit arrangement - TrustYes
2019: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2017 form 5500 responses
2017-01-01Type of plan entitySingle employer plan
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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2016 form 5500 responses
2016-01-01Type of plan entitySingle employer plan
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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2015 form 5500 responses
2015-01-01Type of plan entitySingle employer plan
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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2014 form 5500 responses
2014-01-01Type of plan entitySingle employer plan
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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2013 form 5500 responses
2013-01-01Type of plan entitySingle employer plan
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: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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 benefit arrangement – InsuranceYes
2011: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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 benefit arrangement – InsuranceYes
2009: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 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 benefit arrangement – InsuranceYes
2007: 403(B) THRIFT PLAN OF COMMUNITY HEALTH CARE 2007 form 5500 responses
2007-01-01Type of plan entitySingle employer plan
2007-01-01Submission has been amendedNo
2007-01-01This submission is the final filingNo
2007-01-01This return/report is a short plan year return/report (less than 12 months)No
2007-01-01Plan is a collectively bargained planNo

Insurance Providers Used on plan

MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered50
Insurance policy start date2022-01-01
Insurance policy end date2022-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered175
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 Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered180
Insurance policy start date2020-01-01
Insurance policy end date2020-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered183
Insurance policy start date2019-01-01
Insurance policy end date2019-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered191
Insurance policy start date2018-01-01
Insurance policy end date2018-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered203
Insurance policy start date2017-01-01
Insurance policy end date2017-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $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 planNo
Contracts With Unallocated Funds Deposit Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered239
Insurance policy start date2015-01-01
Insurance policy end date2015-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $0
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 Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered273
Insurance policy start date2014-01-01
Insurance policy end date2014-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $447
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 Administration1
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
Commission paid to Insurance BrokerUSD $0
Amount paid for insurance broker fees447
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameSEATTLE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138-H
Policy instance 1
Insurance contract or identification number020138-H
Number of Individuals Covered311
Insurance policy start date2013-01-01
Insurance policy end date2013-12-31
Total amount of commissions paid to insurance brokerUSD $0
Total amount of fees paid to insurance companyUSD $1,219
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 Administration1
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 $0
Amount paid for insurance broker fees1219
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP PROGRAM
Insurance broker organization code?3
Insurance broker nameSEATTLE REGIONAL OFFICE
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138H
Policy instance 1
Insurance contract or identification number020138H
Number of Individuals Covered478
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 $1,879
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 Administration1
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 $0
Amount paid for insurance broker fees525
Additional information about fees paid to insurance brokerPORTION OF INCENTIVE COMP. PROGRAM
Insurance broker organization code?3
Insurance broker nameADAM REUGH
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138H
Policy instance 1
Insurance contract or identification number020138H
Number of Individuals Covered503
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 $3,247
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 Administration1
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
MUTUAL OF AMERICA LIFE INSURANCE COMPANY (National Association of Insurance Commissioners NAIC id number: 88668 )
Policy contract number020138H
Policy instance 1
Insurance contract or identification number020138H
Number of Individuals Covered425
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 $1,483
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 Administration1
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

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